California / Memorialcare Saddleback Medical Center
CMS certification 050603 · Laguna Hills, CA
Memorialcare Saddleback Medical Center: charges and Medicare payments
Memorialcare Saddleback Medical Center reported 1,525 Medicare inpatient stays across 51 DRGs in 2024. Across them it charged 7.23 times what it was paid — among the higher ratios in California, number 52 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 238 stays at an average charge of $142,850, 58% above the national average. It also billed 1,719 outpatient services, charging 7.14 times what Medicare paid.
- 1Medicare inpatient stays 1,525
- 2Charge ÷ paid, inpatient 7.23×
- 3Rank in CA (highest ratio = 1) 52 of 247
- 4CMS price-transparency actions 0
Inpatient stays
For the 51 DRGs that can be compared with the national average, Memorialcare Saddleback Medical Center charged more than the national average in 48 (94%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 238 | $142,850 | +58% | $18,063 |
| 291 Heart Failure and Shock with MCC | 137 | $95,834 | +70% | $12,130 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 68 | $79,591 | +62% | $10,585 |
| 177 Respiratory Infections and Inflammations with MCC | 67 | $119,831 | +70% | $14,896 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $98,340 | +71% | $12,291 |
| 690 Kidney and Urinary Tract Infections without MCC | 41 | $60,544 | +60% | $8,080 |
| 378 Gastrointestinal Hemorrhage with CC | 39 | $73,505 | +51% | $9,788 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 39 | $81,850 | +11% | $15,074 |
| 193 Simple Pneumonia and Pleurisy with MCC | 37 | $118,674 | +99% | $13,723 |
| 377 Gastrointestinal Hemorrhage with MCC | 37 | $127,834 | +50% | $17,816 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 37 | $70,566 | +76% | $7,587 |
| 481 Hip and Femur Procedures except Major Joint with CC | 33 | $111,901 | +11% | $19,466 |
| 683 Renal Failure with CC | 30 | $67,497 | +66% | $8,332 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 29 | $85,660 | +54% | $10,348 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 29 | $117,726 | -25% | $30,038 |
| 682 Renal Failure with MCC | 29 | $109,805 | +67% | $13,529 |
| 689 Kidney and Urinary Tract Infections with MCC | 28 | $61,721 | +20% | $10,804 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $121,916 | +141% | $10,177 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 27 | $164,127 | +116% | $16,771 |
| 603 Cellulitis without MCC | 27 | $52,499 | +41% | $8,315 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 27 | $296,341 | +29% | $48,844 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 24 | $145,626 | +46% | $17,468 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $127,347 | +11% | $20,490 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 21 | $199,255 | -10% | $45,392 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 21 | $75,724 | +110% | $7,662 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 20 | $82,153 | +45% | $11,437 |
| 552 Medical Back Problems without MCC | 19 | $75,160 | +54% | $9,820 |
| 178 Respiratory Infections and Inflammations with CC | 18 | $80,358 | +77% | $9,047 |
| 163 Major Chest Procedures with MCC | 17 | $302,103 | +44% | $43,328 |
| 312 Syncope and Collapse | 16 | $74,748 | +64% | $8,324 |
| 100 Seizures with MCC | 15 | $216,917 | +130% | $20,156 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $121,087 | +18% | $19,443 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $75,052 | +96% | $7,944 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 14 | $227,562 | +39% | $28,071 |
| 330 Major Small and Large Bowel Procedures with CC | 14 | $200,656 | +69% | $22,225 |
| 372 Major Gastrointestinal Disorders and Peritoneal Infections... | 14 | $59,789 | +26% | $11,886 |
| 389 Gastrointestinal Obstruction with CC | 14 | $83,851 | +115% | $7,694 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $92,017 | +53% | $12,508 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $59,862 | +26% | $9,944 |
| 164 Major Chest Procedures with CC | 13 | $152,339 | +20% | $24,956 |
| 202 Bronchitis and Asthma with CC/MCC | 13 | $94,497 | +105% | $9,202 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 13 | $85,731 | +40% | $12,119 |
| 393 Other Digestive System Diagnoses with MCC | 13 | $83,803 | +9% | $15,366 |
| 460 Spinal Fusion except Cervical without MCC | 13 | $178,645 | +5% | $37,409 |
| 482 Hip and Femur Procedures except Major Joint without CC/MCC | 13 | $86,585 | +11% | $14,967 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 13 | $542,517 | +68% | $78,848 |
| 252 Other Vascular Procedures with MCC | 12 | $141,719 | -17% | $31,482 |
| 536 Fractures of Hip and Pelvis without MCC | 12 | $55,902 | +48% | $7,673 |
| 066 Intracranial Hemorrhage or Cerebral Infarction without... | 11 | $68,125 | +61% | $6,887 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 11 | $71,348 | +41% | $8,650 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 11 | $48,938 | +32% | $8,464 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Memorialcare Saddleback Medical Center charged $142,850 on average, 0% less than the California average of $143,063, and was paid $18,063 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Memorialcare Saddleback Medical Center charged $95,834 on average, 5% less than the California average of $100,739, and was paid $12,130 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Memorialcare Saddleback Medical Center charged $79,591 on average, 5% more than the California average of $76,120, and was paid $10,585 against a state average of $12,552. For Respiratory Infections and Inflammations with MCC (DRG 177), Memorialcare Saddleback Medical Center charged $119,831 on average, 4% less than the California average of $124,302, and was paid $14,896 against a state average of $18,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $41,531 was 0% below the state average of $41,628. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $12,841 was 13% below the state average of $14,749. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $30,513 was 25% below the state average of $40,544. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $65,392 was 39% below the state average of $107,140.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.