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Healthcare Pricing Data: ORANGE, CA

3 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

3

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

4.9x

Across all procedures

vs National Average

+12%

Chargemaster rates

About This Data

ORANGE, CA has 3 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 4.9x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in ORANGE is KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC (DRG 650), with an average chargemaster rate of $355,102 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$92,60135.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$90,30034.9x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$70,04036.0x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$49,64433.9x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$49,41334.7x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$38,26235.5x
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC650$355,10226.5x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC454$297,36624.6x
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS870$291,18724.8x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$280,20725.9x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$274,32225.3x
KIDNEY TRANSPLANT652$260,27228.0x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$250,66723.5x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$229,43325.0x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$215,39724.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$199,15824.6x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$180,83825.3x
OTHER VASCULAR PROCEDURES WITH CC253$169,94126.3x
OTHER VASCULAR PROCEDURES WITH MCC252$162,52924.1x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$159,40524.1x
OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC673$154,19823.8x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$150,99922.9x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$138,29525.0x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$130,29525.4x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$129,96624.3x
CERVICAL SPINAL FUSION WITH CC472$120,47724.1x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC064$119,84525.5x
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$113,06123.3x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$112,16025.0x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$109,09024.6x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error