▸ Hospital · CA · CCN 050603
Memorialcare Saddleback Medical Center
24451 HEALTH CENTER DRIVE, LAGUNA HILLS, CA, 92653
248 bedsAcute Care Hospitals2
Compliance grade
C
77/100
Procedures tracked
45
of 209 target codes
Payers
20
with negotiated rates
Rates published
2,121
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 20 | — | — | $12,121 | $18,734 | $72,321 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $17,451 | $26,437 | $102,060 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $8,766.91 | $13,517 | $52,182 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $5,938.91 | $9,148.2 | $35,316 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $13,560 | $21,485 | $82,942 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $9,612.1 | $14,930 | $57,636 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $7,315.16 | $11,418 | $44,080 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $5,570.98 | $8,601.94 | $33,208 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $6,993.23 | $10,899 | $42,074 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $5,453.83 | $8,277.63 | $31,956 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $13,920 | $21,817 | $84,225 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $7,975.52 | $12,252 | $47,297 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $6,274.73 | $9,637.3 | $37,205 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $11,140 | $17,343 | $66,954 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $7,367.23 | $11,448 | $44,193 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $4,911.49 | $7,296.76 | $28,169 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $10,448 | $16,029 | $61,879 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $6,384.06 | $9,826.04 | $37,933 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $4,912.35 | $7,436.31 | $28,708 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $8,510.06 | $13,104 | $50,586 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $5,470.32 | $8,461.05 | $32,664 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $6,765.01 | $10,371 | $40,037 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $13,604 | $20,266 | $78,237 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $10,069 | $15,556 | $60,053 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $7,024.47 | $10,667 | $41,181 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $16,856 | $26,081 | $100,685 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $8,879.72 | $13,703 | $52,900 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $39,886 | $61,028 | $235,599 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $20,802 | $31,416 | $121,281 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $14,603 | $21,943 | $84,712 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $14,679 | $22,043 | $85,097 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $11,852 | $17,512 | $67,606 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $29,565 | $46,591 | $181,082 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $94,709 | $107,682 | $129,748 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $52,235 | $59,390 | $71,560 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $26,321 | $43,442 | $167,706 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $16,738 | $25,060 | $96,744 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $25,272 | $39,089 | $150,902 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $18,175 | $27,578 | $106,462 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $14,153 | $21,085 | $81,398 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $25,056 | $36,237 | $139,891 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $13,887 | $21,224 | $81,936 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $13,089 | $19,427 | $74,999 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $10,766 | $15,931 | $61,500 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $17,781 | $25,969 | $100,254 |
Payer mix (top 20)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 45 | $18,745 |
| alignment health plan | 43 | $11,979 |
| centivo | 43 | $26,952 |
| central health | 43 | $13,177 |
| Cigna | 43 | $26,872 |
| citizens choice | 43 | $11,979 |
| clever care | 43 | $12,578 |
| easy choice | 43 | $12,578 |
| Health Net | 43 | $27,174 |
| heritage provider network | 43 | $11,979 |
| Humana | 43 | $11,979 |
| la care | 43 | $11,979 |
| monarch health plan | 43 | $16,128 |
| onecare | 43 | $11,979 |
| scan health plan | 43 | $11,140 |
| select health | 43 | $14,697 |
| seoul medical group | 43 | $11,979 |
| UnitedHealthcare | 43 | $27,279 |
| Aetna | 43 | $23,781 |
| universal care | 43 | $12,578 |