Billing and Insurance
At Hoag Orthopedic Institute we understand that understanding the ins and
outs of medical billing and what is covered by your insurance provider
can be confusing. You are welcome to contact our patient accounting department
with questions you may have regarding a recent bill at 949-764-8400. You
may also find some answers to your questions below.
Patient Financial Services Customer Service
Call: 949-764-8400 to speak with a Patient Financial Services customer service
Hours: Monday – Friday, 8:30 a.m. – 4:30 p.m. (Closed on holidays)
Walk-In: Customer service representatives are located in the Cashiers Office at
the Hoag Hospital Irvine campus.
Hours: Monday – Friday, 8:30 a.m.– 4:00 p.m. (Closed on holidays).
Patient Financial Services Written Correspondence and Payments:
Hoag Business Center
2975 Red Hill Ave.
Costa Mesa, CA 92626
The Centers for Medicare and Medicaid Services (CMS) established guidance
which requires hospitals to make available a list of their standard charges
online. Hospitals utilize a chargemaster system, which is a list of charges
for each service provided to a patient. These charges are the baseline
rates for services provided at Hoag Orthopedic Institute and will appear
on the patient bill.
The chargemaster rates are updated from time to time to accurately reflect
the hospital's expenses to operate.
Standard charges shown in the chargemaster do not necessarily reflect the
amount that the patient will pay for the services rendered. Government
insurance plans such as Medicare and Medicaid do not pay the chargemaster
rates, but rather have their own set rates which hospitals are obligated
to accept. Commercial insurance payments are based on rates agreed to
by both the insurance carrier and the hospital. Patients without commercial
insurance or not covered by a government health care plan should contact
the hospital prior to procedure to discuss charges, alternative pricing,
and payment terms.
Download the standard hospital charges relevant to the CMS guidance.
Download the average hospital charges by standard diagnosis groupings (MS-DRG)
relevant to the CMS guidance.