Review of medical records for care
Facility: Children's Hospital of Orange County
Billing Code: 90889 (CPT)
This hospital's typical commercial price is $557 compared to the $174 fair price benchmark.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Highest price of the 9 CA hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.
A fair price for a Review of medical records for care is about $174. Children's Hospital of Orange County charges insurers about $557, or about $1,012 in cash — well 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 $174. 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
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 | $506 - $607 | — |
| Blue Cross Blue Shieldmajor | $37 - $830 | — |
| Aetnamajor | $658 - $680 | — |
| Cignamajor | $604 - $810 | — |
| Humanamajor | $810 | — |
| Kaiser Permanentemajor | $55 - $607 | — |
| Health Net | $607 - $1,012 | — |
| Oscar Health | $557 | — |
| Presbyterian | $455 | — |
| Sentara | $46 - $51 | — |
| + 41 smaller / regional plans | $37 - $1,012 |
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.
Other Procedures at Children's Hospital of Orange County
Compare: Review of medical records for care at other CA hospitals
- Arrowhead Regional Medical Center · Colton $37
- Sierra View Medical Center · Porterville $37
- Martin Luther King, Jr. Community Hospital · Los Angeles $39
- Fresno Surgical Hospital · Fresno $52
- Valley Children's Hospital · Madera $55
- Casa Colina Hospital · Pomona $80
- Adventist Health Ukiah Valley · Ukiah $90
- Adventist Health Howard Memorial · Willits $93
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Children's Hospital of Orange County (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $367
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $367).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Children's Hospital of Orange County's published 45 CFR § 180 self-pay cash rate is $1,012 (vs. $557 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $174 Fair BaseRate ($101 Medicare)
Your bill ($1,012) is $838 above the denoised Fair BaseRate ($174) and 10.0× the $101 Medicare rate.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.