23/100
#2,090 nationally
Memorialcare Saddleback Medical Center
24451 Health Center Drive, Laguna Hills, CA 92653 · (949) 837-4500
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Memorialcare Saddleback Medical Center billed $6.86 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.9x
- volume-weighted across all its priced work
- Procedures priced
- 77
- inpatient and outpatient combined
- Rank in CA
- #148
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 14% of U.S. hospitals.
Better than 50% of U.S. hospitals.
Better than 15% of U.S. hospitals.
Better than 15% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
438 | $41,531 | $3,353 | +114% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
238 | $142,850 | $18,063 | +119% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
221 | $12,841 | $1,905 | +27% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
142 | $30,513 | $3,972 | +21% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
137 | $95,834 | $12,130 | +121% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
105 | $65,392 | $13,503 | -3% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
82 | $25,850 | $3,881 | +35% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
79 | $109,777 | $28,767 | -17% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
74 | $44,851 | $13,108 | -13% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
68 | $79,591 | $10,585 | +103% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$35,794 | $2,087 | +214% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$121,916 | $10,177 | +191% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$216,917 | $20,156 | +169% |
|
Gastrointestinal Obstruction with Complications
MS-DRG 389 · Inpatient stay |
$83,851 | $7,694 | +168% |
|
Heart Attack (severe)
MS-DRG 280 · Inpatient stay |
$164,127 | $16,771 | +167% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$118,674 | $13,723 | +155% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$75,724 | $7,662 | +147% |
|
Bronchitis and Asthma with Complications/mcc
MS-DRG 202 · Inpatient stay |
$94,497 | $9,202 | +140% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$75,411 | $21,503 | -21% |
|
Level 3 Electrophysiologic Procedures
APC 5213 · Hospital outpatient visit |
$109,777 | $28,767 | -17% |
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$44,851 | $13,108 | -13% |
|
Level 2 Endovascular Procedures
APC 5192 · Hospital outpatient visit |
$32,198 | $7,027 | -7% |
|
Percutaneous and Other Intracardiac Procedures without Major Complications
MS-DRG 274 · Inpatient stay |
$117,726 | $30,038 | -6% |
|
Level 3 Endovascular Procedures
APC 5193 · Hospital outpatient visit |
$65,392 | $13,503 | -3% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$141,719 | $31,482 | about average |
|
Endovascular Cardiac Valve Replacement and Supplement Procedures without Major
MS-DRG 267 · Inpatient stay |
$199,255 | $45,392 | +5% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.