CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: UCI Health-Orange

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,178
about 1.7× the $14,044 Medicare rate · typically $18,158–$33,276
modeled estimate · not a bill or quote
What this hospital charges insurers
$28,861
Above the fair price
about $5,683 over the fair price · 2.1× Medicare
Medicare pays $14,044 Fair price $23,178 This hospital $28,861

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 $28,861

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 $23,178 (about 1.7× the $14,044 Medicare rate). UCI Health-Orange charges insurers about $28,861 — above the fair price. Located in Orange, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $23,178. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

6 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 $28,296 - $215,960 201%
Blue Cross Blue Shieldmajor $28,296 - $81,168 201%
Aetnamajor $28,296 - $84,293 201%
Cignamajor $92,429 - $115,537 658%
Humanamajor $28,296 201%
Kaiser Permanentemajor $32,540 - $73,569 232%
Bright Health $28,296 - $36,784 201%
Health Net $28,861 - $121,328 206%
Oscar Health $48,102 343%
Sentara $28,296 201%
+ 22 smaller / regional plans $28,296 - $45,273

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 101 City Drive South, Orange, CA 92868
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals