How many shoppable procedure prices are published for Memorialcare Orange Coast Medical Center?

Memorialcare Orange Coast Medical Center in Fountain Valley, CA currently has 127 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Memorialcare Orange Coast Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Memorialcare Orange Coast Medical Center's median negotiated commercial rate is 1.5× the regionally adjusted fair BaseRate benchmark.

What is Memorialcare Orange Coast Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Memorialcare Orange Coast Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 221 Beds · urban Updated: 2026-04-01

Memorialcare Orange Coast Medical Center

9920 Talbert Avenue, Fountain Valley, CA 92708 · 127 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

High Markup · Shop Alternatives

1.49×vs. Fair Market Price

Typical commercial prices here are +49% above the fair benchmark (1.49×) even after accounting for local nurse/doctor wages and patient complexity.

65/100 · Caution

65/100Self-Pay Cash Beats Insurance 7% of the Time

File Completeness60

Price Logic91

Peer Alignment69

Clean Billing84

Real Cash Discount6

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.49× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Memorialcare Orange Coast Medical Center prices shoppable and inpatient services (2.1× to 1.6× Medicare, divergence 0.76×) in alignment with regional hospital peers (1.49× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#199 of 240 in CA · 82nd State Percentile#2,610 of 3,385 in U.S. · 77th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.43× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 7% of shoppable procedures (25/100 Cash Honesty)
4-Star CMS clinical rating with 72% patient recommendation (68/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.49× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.53× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.76×) jump +15% above the median procedure ratio (Q50 1.53×)
Unnegotiated chargemaster list prices average 13.0× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

2.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.76× Divergence

1.6× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+15% Upper Tail

Q25 1.43× · Q50 1.53× · Q75 1.76×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

4.4× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

3.2× MedicareElevated

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.8× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

7% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at Memorialcare Orange Coast Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 127 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$39,415	$30,775	1.3×
Trauma team activation HCPCS Code: `G0390`	$29,382	$29,382	$1,453	20.2×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$26,413	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$25,513	$19,432	1.3×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$24,160	$17,936	1.3×
Total hip replacement CPT Code: `27130`	—	$19,485	$13,413	1.5×
Total knee replacement CPT Code: `27447`	—	$19,485	$13,523	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$13,196	$6,109	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$10,604	$8,223	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$7,113	$3,629	2.0×
C-section delivery (full package) CPT Code: `59510`	—	$6,760	$2,975	2.3×
Breast lump removal CPT Code: `19120`	—	$6,586	$3,875	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,500	$3,372	1.9×
Bunion correction surgery CPT Code: `28296`	—	$6,145	$3,446	1.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$6,067	$2,540	2.4×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,915	$2,680	2.2×
Colonoscopy with biopsy CPT Code: `45380`	$6,270	$3,065	$1,256	2.4×
Colonoscopy (diagnostic) CPT Code: `45378`	$4,077	$2,713	$981	2.8×
Upper endoscopy with biopsy CPT Code: `43239`	$3,588	$2,680	$987	2.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,538	$1,900	$1,021	1.9×
Injection procedure for pain management HCPCS Code: `G0260`	$9,702	$1,563	$855	1.8×
Blood transfusion CPT Code: `36430`	$5,192	$1,291	$498	2.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$4,158	$1,039	$583	unverified
Psychological testing by technician CPT Code: `96138`	—	$988	$395	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$10,055	$772	$448	1.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$11,782	$772	$511	1.5×
Psychotherapy session (60 minutes) CPT Code: `90837`	$723	$723	$181	4.0×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$3,111	$657	$272	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$621	$621	$166	3.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$602	$602	$185	3.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	$557	$557	$123	4.5×
New patient office visit (30-44 min) CPT Code: `99203`	$523	$523	$110	4.8×
Review of medical records for care CPT Code: `90889`	$537	$537	$114	4.7×
MRI, lower back (no contrast) CPT Code: `72148`	$7,633	$528	$338	1.6×
MRI, brain (no contrast) CPT Code: `70551`	$7,384	$528	$343	1.5×
MRI, knee or other leg joint CPT Code: `73721`	$9,531	$528	$369	1.4×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$7,137	$528	$303	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$490	$490	$86	5.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$459	$459	$87	5.3×
CT scan, head (with contrast) CPT Code: `70460`	$5,612	$388	$242	1.6×
CT scan, head (with and without contrast) CPT Code: `70470`	$6,068	$388	$258	1.5×
Rabies immune globulin HCPCS Code: `90375`	—	$364	$322	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$400	$335	$201	1.7×
Neurobehavioral status check CPT Code: `96116`	$916	$330	$231	1.4×
Family therapy session CPT Code: `90847`	$713	$272	$173	1.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,332	$288	$132	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,387	$288	$134	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,970	$288	$126	unverified
Ultrasound, pelvis CPT Code: `76856`	$2,265	$288	$130	unverified
X-ray, lower back CPT Code: `72110`	$902	$258	$112	unverified
Psychological testing evaluation CPT Code: `96136`	$278	$278	$128	unverified
CT scan, head (no contrast) CPT Code: `70450`	$5,215	$231	$160	1.4×
CT scan, pelvis CPT Code: `72192`	$5,038	$231	$163	1.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,319	$208	$148	1.4×
CT scan, sinuses CPT Code: `70486`	$4,325	$231	$166	1.4×
CT scan, chest (no contrast) CPT Code: `71250`	$5,830	$231	$167	1.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$6,934	$231	$168	1.4×
CT scan, neck (cervical spine) CPT Code: `72125`	$6,336	$231	$169	1.4×
X-ray, shoulder CPT Code: `73030`	$933	$173	$92	1.9×
X-ray, hip CPT Code: `73502`	$1,073	$193	$93	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$167	$25	6.7×
X-ray, foot CPT Code: `73630`	$910	$166	$92	1.8×
X-ray, hand CPT Code: `73130`	$897	$166	$93	1.8×
X-ray, ankle CPT Code: `73610`	$941	$166	$93	1.8×
X-ray, chest (two views) CPT Code: `71046`	$1,166	$161	$93	1.7×
X-ray, pelvis CPT Code: `72170`	$514	$176	$110	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$1,170	$187	$123	1.5×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$181	$151	1.2×
Speech therapy (language evaluation) CPT Code: `92507`	$1,110	$140	$86	1.6×
Group therapy session CPT Code: `90853`	$416	$155	$100	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$606	$180	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$916	$133	$92	1.4×
Care planning with family CPT Code: `90887`	$290	$116	$107	1.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$822	$132	$64	unverified
Orthotic fitting and training CPT Code: `97760`	$172	$90	$51	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$414	$347	1.2×
Pneumococcal vaccine HCPCS Code: `90732`	—	$165	$140	1.2×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$178	$203	0.9×
Drug screening test HCPCS Code: `G0480`	$172	$172	$116	unverified
Flu vaccine injection HCPCS Code: `G0008`	$151	$81	$48	1.7×
Blood antibody screen CPT Code: `86850`	$203	$74	$46	1.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$91	$111	0.8×
Colorectal cancer screening HCPCS Code: `G0010`	$117	$81	$49	unverified
Hepatitis B vaccine HCPCS Code: `90744`	—	$38	$37	1.0×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$46	$56	0.8×
Speech therapy (group session) CPT Code: `92508`	$566	$46	$27	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$210	$55	$35	unverified
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$206	$59	$38	unverified
Physical therapy (gait training) CPT Code: `97116`	$209	$52	$33	unverified
Prosthetic fitting and training CPT Code: `97761`	$140	$77	$45	unverified
Physical therapy (manual therapy) CPT Code: `97140`	$200	$50	$34	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$209	$68	$40	unverified
Occupational therapy (self-care training) CPT Code: `97535`	$206	$62	$38	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$179	$61	$38	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$151	$81	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$195	$46	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$24	$5	$3	1.7×
Blood test, calcium CPT Code: `82310`	$106	$8	$5	1.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$26	$8	$5	1.6×
Blood test, lipase CPT Code: `83690`	$26	$11	$7	1.6×
Blood test, glucose (blood sugar) CPT Code: `82947`	$34	$6	$4	1.5×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$38	$15	$10	1.5×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	$6	$4	1.5×
Blood test, complete blood count (CBC) CPT Code: `85025`	$62	$12	$8	1.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$23	$9	$6	1.5×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$93	$30	$20	1.5×
Culture, blood CPT Code: `87040`	$437	$16	$11	1.5×
Blood test, basic metabolic panel CPT Code: `80048`	$693	$13	$9	1.4×
Blood test, liver function panel CPT Code: `80076`	$580	$13	$9	1.4×
Culture, bacterial CPT Code: `87070`	$57	$13	$9	1.4×
Blood test, amylase CPT Code: `82150`	$42	$10	$7	1.4×
Blood test, magnesium CPT Code: `83735`	$54	$10	$7	1.4×
Blood test, potassium CPT Code: `84132`	$95	$7	$5	1.4×
Blood test, sodium CPT Code: `84295`	$86	$7	$5	1.4×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$14	$7	$5	1.4×
Electrical stimulation therapy HCPCS Code: `G0283`	$553	$19	$14	1.4×
Blood test, hemoglobin CPT Code: `85018`	$27	$4	$3	1.3×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$28	$25	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$30	$35	0.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$28	$39	0.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$883	$16	$11	unverified
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$530	$21	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$154	$23	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$69	$21	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$52	$28	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$45	$26	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$147	$22	$15	unverified

Showing top 25 high-impact procedures of 127 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Memorialcare Orange Coast Medical Center (Zero PHI Required)

CMS CCN: 050678

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $39,415

1. Amount on Your Bill or Quote ($) Pre-filled with Memorialcare Orange Coast Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Memorialcare Orange Coast Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$63,821 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($94,596) is $63,821 above the denoised Fair BaseRate ($30,775) and 4.0× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 953527031

Filing Period: 201003

Public IRS & CMS ownership records classify Memorialcare Orange Coast Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite68/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait157 min

Left ER Before Seen0%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (1,989 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Memorialcare Orange Coast Medical Center.

Price Index: 1.17× regional baseline

Quality: 63/100 CMS composite

Median Household Income$113,702U.S. Census ACS

Local Uninsured Share6.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 65/100 · Caution CMS CCN 050678 EIN 953527031

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 050678) ↗ Verify IRS Form 990 (EIN 953527031) ↗ CMS HCRIS Cost Reports ↗

Published MRF File953527031-1477596583_long-beach-memorial-medical-center_standardcharges.json

Publication / Vintage2026-04-01 · 113.22 MB

Validated Rate Rows3,675 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050678

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.

Submit MRF Update Correction Policy