CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Memorialcare Saddleback Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,162
about 1.6× the $14,044 Medicare rate · typically $18,517–$27,923
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,060
About the fair price
about $2,898 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $22,162 This hospital $25,060

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $9,517 Priciest $25,060

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $22,162 (about 1.6× the $14,044 Medicare rate). Memorialcare Saddleback Medical Center charges insurers about $25,060 — about the fair price. Located in Laguna Hills, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $17,998 - $64,405 128%
Blue Cross Blue Shieldmajor $17,638 - $46,263 126%
Aetnamajor $17,998 - $96,744 128%
Cignamajor $31,938 - $50,205 227%
Humanamajor $17,998 128%
Health Net $17,998 - $66,113 128%
SelectHealth $18,898 - $24,297 135%
+ 13 smaller / regional plans $16,738 - $40,495

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Facility Profile & Credentials

  • Address: 24451 Health Center Drive, Laguna Hills, CA 92653
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals