CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Memorialcare Orange Coast Medical Center

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$22,605
about 1.6× the $14,117 Medicare rate · typically $18,667–$28,664
modeled estimate · not a bill or quote
What this hospital charges insurers
$26,413
Above the fair price
about $3,808 over the fair price · 1.9× Medicare
Medicare pays $14,117 Fair price $22,605 This hospital $26,413

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 $12,833 Priciest $26,413

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

A fair price for a Sepsis treatment (inpatient stay) is about $22,605 (about 1.6× the $14,117 Medicare rate). Memorialcare Orange Coast Medical Center charges insurers about $26,413 — above the fair price. Located in Fountain Valley, 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 $22,605. 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.

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 $19,391 - $57,252 137%
Blue Cross Blue Shieldmajor $19,003 - $46,271 135%
Aetnamajor $28,410 - $55,947 201%
Cignamajor $38,746 - $60,906 274%
Humanamajor $19,391 137%
Health Net $19,391 - $53,659 137%
Molina $19,973 141%
SelectHealth $26,178 185%
WellCare $19,391 137%
+ 10 smaller / regional plans $18,422 - $47,896

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.

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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