How many shoppable procedure prices are published for UCI Health-Orange?

UCI Health-Orange in Orange, CA currently has 126 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do UCI Health-Orange's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, UCI Health-Orange's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is UCI Health-Orange's CMS Care Compare overall star rating?

CMS Care Compare assigns UCI Health-Orange 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 Government - Local 397 Beds · rural Updated: 2026-04-01

UCI Health-Orange

101 City Drive South, Orange, CA 92868 · 126 Priced Procedures · 69% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.40×vs. Fair Market Price

Typical commercial prices here are +40% above the fair benchmark (1.40×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 34% of the Time

File Completeness66

Price Logic91

Peer Alignment61

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.40× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

UCI Health-Orange prices shoppable and inpatient services (1.6× to 1.5× Medicare, divergence 0.94×) in alignment with regional hospital peers (1.40× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#184 of 240 in CA · 76th State Percentile#2,443 of 3,385 in U.S. · 72nd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.26× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 34% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 69% 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 (1.40× 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 1.34× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.62×) jump +21% above the median procedure ratio (Q50 1.34×)
Unnegotiated chargemaster list prices average 8.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER0.94× Divergence

1.5× Medicare

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

Quantile Tail Spread+21% Upper Tail

Q25 1.26× · Q50 1.34× · Q75 1.62×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.1× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.5× MedicareGood

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

1.2× MedicareGood

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

34% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 68/100Fair

Procedure Prices at UCI Health-Orange

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 126 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`	—	$46,171	$30,775	1.5×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$29,052	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$28,861	$19,432	1.5×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$26,017	$17,936	1.5×
Total hip replacement CPT Code: `27130`	—	$20,641	$13,413	1.5×
Total knee replacement CPT Code: `27447`	—	$20,641	$13,523	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,761	$8,223	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$11,275	$6,109	1.8×
Inguinal hernia repair CPT Code: `49505`	—	$6,677	$3,629	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$6,102	$3,372	1.8×
Bunion correction surgery CPT Code: `28296`	—	$6,102	$3,446	1.8×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,304	$2,540	1.7×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,232	$1,256	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,734	$981	1.8×
Hepatitis B immune globulin HCPCS Code: `90371`	$1,697	$1,697	$151	11.2×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,691	$987	1.7×
Breast lump removal CPT Code: `19120`	$1,624	$1,624	$3,875	0.4×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,491	$1,021	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$573	$1,316	$855	1.5×
Rabies immune globulin HCPCS Code: `90375`	$953	$953	$322	3.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,356	$949	$583	1.6×
Blood transfusion CPT Code: `36430`	$537	$823	$498	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,248	$606	$448	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,920	$606	$511	1.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,360	$414	$272	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$841	$414	$303	1.4×
MRI, lower back (no contrast) CPT Code: `72148`	$1,532	$414	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$1,431	$414	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$1,530	$414	$369	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,101	$305	$242	1.3×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,338	$305	$258	1.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$220	$220	$86	2.6×
Psychological testing evaluation CPT Code: `96136`	$212	$231	$128	1.8×
Psychological testing by technician CPT Code: `96138`	$229	$229	$395	0.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$309	$182	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$305	$182	$130	1.4×
Ultrasound, thyroid and neck CPT Code: `76536`	$190	$182	$132	1.4×
Ultrasound, abdomen (complete) CPT Code: `76700`	$400	$182	$134	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$822	$182	$160	1.1×
CT scan, pelvis CPT Code: `72192`	$927	$182	$163	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$403	$163	$148	1.1×
CT scan, sinuses CPT Code: `70486`	$571	$182	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$989	$182	$167	1.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$829	$182	$168	1.1×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,532	$182	$169	1.1×
X-ray, lower back CPT Code: `72110`	$249	$182	$112	unverified
X-ray, pelvis CPT Code: `72170`	$206	$182	$110	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$202	$147	$123	1.2×
X-ray, chest (single view) CPT Code: `71045`	$257	$151	$92	unverified
X-ray, chest (two views) CPT Code: `71046`	$322	$151	$93	unverified
X-ray, neck (cervical spine) CPT Code: `72040`	$193	$151	$93	unverified
X-ray, shoulder CPT Code: `73030`	$338	$151	$92	unverified
X-ray, hand CPT Code: `73130`	$163	$151	$93	unverified
X-ray, hip CPT Code: `73502`	$442	$151	$93	unverified
X-ray, ankle CPT Code: `73610`	$229	$151	$93	unverified
X-ray, foot CPT Code: `73630`	$162	$151	$92	unverified
Group therapy session CPT Code: `90853`	$72	$176	$100	unverified
Neurobehavioral status check CPT Code: `96116`	$139	$139	$231	0.6×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$61	$102	$64	1.6×
Speech therapy (language evaluation) CPT Code: `92507`	$132	$110	$86	1.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$101	$101	$87	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$113	$113	$110	1.0×
Care planning with family CPT Code: `90887`	$98	$98	$107	0.9×
Office visit, established patient (30-39 min) CPT Code: `99214`	$108	$108	$123	0.9×
Psychiatric evaluation (first visit) CPT Code: `90791`	$86	$86	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$89	$89	$181	unverified
Family therapy session CPT Code: `90847`	$95	$95	$173	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$90	$90	$201	unverified
Typhoid vaccine HCPCS Code: `90675`	$317	$317	$347	0.9×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$81	$49	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	—	$81	$49	1.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$101	$101	$203	0.5×
Orthotic fitting and training CPT Code: `97760`	$70	$70	$51	1.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$31	$53	$40	1.3×
Occupational therapy (self-care training) CPT Code: `97535`	$79	$49	$38	1.3×
Pneumococcal vaccine HCPCS Code: `90732`	$71	$71	$140	0.5×
Blood antibody screen CPT Code: `86850`	$52	$90	$46	unverified
Prosthetic fitting and training CPT Code: `97761`	$50	$60	$45	1.3×
Flu vaccine injection HCPCS Code: `G0008`	—	$81	$48	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$26	$20	1.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$37	$48	$38	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$24	$19	$14	1.4×
Physical therapy (gait training) CPT Code: `97116`	$69	$41	$33	1.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$102	$43	$35	1.2×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$68	$46	$38	1.2×
Physical therapy (manual therapy) CPT Code: `97140`	$54	$39	$34	1.1×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$60	$60	$111	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$68	$68	$166	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$22	$8	$6	1.3×
Culture, bacterial CPT Code: `87070`	$71	$12	$9	1.3×
Speech therapy (group session) CPT Code: `92508`	—	$36	$27	1.3×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$36	$27	1.3×
Blood test, vitamin D CPT Code: `82306`	$28	$40	$31	1.3×
Blood test, calcium CPT Code: `82310`	$9	$7	$5	1.4×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$69	$4	$3	1.3×
Blood test, PSA (prostate screen) CPT Code: `84153`	$14	$25	$19	1.3×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$12	$13	$10	1.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$11	$18	$14	1.3×
Blood test, amylase CPT Code: `82150`	$9	$9	$7	1.3×
Blood test, ferritin (iron stores) CPT Code: `82728`	$21	$18	$14	1.3×
Blood test, lipase CPT Code: `83690`	$11	$9	$7	1.3×
Blood test, magnesium CPT Code: `83735`	$17	$9	$7	1.3×
Blood test, thyroid (TSH) CPT Code: `84443`	$16	$23	$18	1.3×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$50	$14	$11	1.3×
Culture, blood CPT Code: `87040`	$188	$14	$11	1.3×
Hepatitis C antibody test CPT Code: `86803`	$9	$19	$15	1.3×
Blood test, vitamin B12 CPT Code: `82607`	$20	$20	$16	1.3×
Blood test, glucose (blood sugar) CPT Code: `82947`	$45	$5	$4	1.3×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$13	$5	$4	1.3×
Blood test, complete blood count (CBC) CPT Code: `85025`	$32	$10	$8	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$45	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$27	$11	$9	1.2×
Blood test, potassium CPT Code: `84132`	$12	$6	$5	1.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$16	$16	$25	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$35	$35	$56	0.6×
Blood test, sodium CPT Code: `84295`	$15	$6	$5	1.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	$6	$5	1.2×
Blood test, hemoglobin CPT Code: `85018`	$7	$3	$3	1.0×
Behavioral health outpatient services HCPCS Code: `H2015`	$10	$10	$16	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$188	$20	$35	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$22	$22	$39	0.6×
Flu vaccine (high dose) HCPCS Code: `90656`	$9	$9	$25	0.4×
Hepatitis B vaccine HCPCS Code: `90744`	$13	$13	$37	0.4×
Drug screening test HCPCS Code: `G0480`	$16	$16	$116	0.1×
Behavioral health assessment HCPCS Code: `H0001`	$19	$19	$157	0.1×

Showing top 25 high-impact procedures of 126 total

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

Audit a Bill or Quote at UCI Health-Orange (Zero PHI Required)

CMS CCN: 050348

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $46,171

1. Amount on Your Bill or Quote ($) Pre-filled with UCI Health-Orange’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 UCI Health-Orange'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 +$80,035 Above Fair BaseRate

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

Your bill ($110,810) is $80,035 above the denoised Fair BaseRate ($30,775) and 4.7× 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)

Public IRS & CMS ownership records classify UCI Health-Orange 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 Recommend69%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait323 min

Left ER Before Seen2%

30-Day Mortality vs U.S.better

Unplanned Readmissionsame

Hip/Knee Complication Rate2.6%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (480 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 UCI Health-Orange.

Price Index: 1.32× regional baseline

Quality: 76/100 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 79/100 · Corroborated CMS CCN 050348

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

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050348) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,391 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050348

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