CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Memorialcare Orange Coast Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,380
about 1.6× the $14,044 Medicare rate · typically $18,673–$28,173
modeled estimate · not a bill or quote
What this hospital charges insurers
$25,513
About the fair price
about $3,133 over the fair price · 1.8× Medicare
Medicare pays $14,044 Fair price $22,380 This hospital $25,513

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 $25,513

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 $22,380 (about 1.6× the $14,044 Medicare rate). Memorialcare Orange Coast Medical Center charges insurers about $25,513 — about the fair price. Located in Fountain Valley, 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 $19,258 - $55,011 137%
Blue Cross Blue Shieldmajor $18,873 - $44,460 134%
Aetnamajor $27,298 - $53,757 194%
Cignamajor $37,229 - $58,522 265%
Humanamajor $19,258 137%
Health Net $19,258 - $51,559 137%
Molina $19,836 141%
SelectHealth $25,999 185%
WellCare $19,258 137%
+ 10 smaller / regional plans $18,295 - $47,568

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Facility Profile & Credentials

  • Address: 9920 Talbert Avenue, Fountain Valley, CA 92708
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals