Uci Health-orange
UCI Health-Orange in Orange, CA charges 4.8x the Medicare reimbursement rate across 126 analyzed procedures, with this government-owned hospital showing outlier pricing on 7% of services.
Orange, CA 92868 · Acute Care Hospitals · CMS Rating: 4/5
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
No credit card required. Results in 60 seconds.
Billing patterns — government
Government hospitals in our dataset demonstrate distinct billing patterns compared to other ownership types. With 374 facilities analyzed, these hospitals show an average markup of 4.2x Medicare rates, which typically falls below the industry average for comparable services. Government hospitals often maintain more standardized pricing structures due to regulatory oversight and public accountability requirements. Patients may encounter charges above the benchmark for certain procedures, though the potential difference between government hospital billing and private facilities can vary significantly by service type and geographic region. Common charge patterns include transparent itemization of services and adherence to established fee schedules. Patients should be aware that government hospitals frequently offer financial assistance programs and sliding scale payment options based on income eligibility. These facilities often provide detailed cost estimates upon request and maintain patient financial counselors to discuss billing arrangements before treatment when possible.
Pricing grade
C
Average
Avg markup vs Medicare
4.8x
Charge / Medicare rate
Max markup
8.82x
Worst procedure
Procedures analyzed
126
With pricing data
Outlier procedures
7.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $337,335 | $168,668 | — | 8.8x |
| MAJOR CHEST TRAUMA WITH CC | 184 | $93,040 | $46,520 | — | 7.6x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | 660 | $128,774 | $64,387 | — | 7.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $437,249 | $218,624 | — | 7x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $73,802 | $36,901 | — | 7x |
| OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | 964 | $128,186 | $64,093 | — | 7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $79,821 | $39,911 | — | 6.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $74,194 | $37,097 | — | 6.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $175,596 | $87,798 | — | 6.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $75,825 | $37,912 | — | 6.1x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $83,681 | $41,840 | — | 6.1x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $106,169 | $53,085 | — | 6.1x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $69,216 | $34,608 | — | 6x |
| SYNCOPE AND COLLAPSE | 312 | $63,166 | $31,583 | — | 6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $155,113 | $77,557 | — | 5.8x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $73,710 | $36,855 | — | 5.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $90,668 | $45,334 | — | 5.8x |
| OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | 315 | $67,781 | $33,891 | — | 5.7x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $95,273 | $47,636 | — | 5.7x |
| NERVOUS SYSTEM NEOPLASMS WITH MCC | 054 | $85,561 | $42,780 | — | 5.7x |
| OTHER VASCULAR PROCEDURES WITH CC | 253 | $210,046 | $105,023 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $167,402 | $83,701 | — | 5.7x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $107,664 | $53,832 | — | 5.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $252,076 | $126,038 | — | 5.6x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | 981 | $332,810 | $166,405 | — | 5.6x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | 840 | $246,052 | $123,026 | — | 5.6x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $365,340 | $182,670 | — | 5.5x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $84,044 | $42,022 | — | 5.5x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $47,764 | $23,882 | — | 5.5x |
| TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | 086 | $81,205 | $40,602 | — | 5.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $67,947 | $33,973 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $120,650 | $60,325 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $34,660 | $17,330 | — | 5.4x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $67,735 | $33,867 | — | 5.3x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $153,662 | $76,831 | — | 5.3x |
| ACUTE LEUKEMIA WITH MCC | 834 | $483,376 | $241,688 | — | 5.3x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $173,600 | $86,800 | — | 5.3x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $160,726 | $80,363 | — | 5.2x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $116,646 | $58,323 | — | 5.2x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $105,449 | $52,724 | — | 5.2x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | 082 | $154,267 | $77,134 | — | 5.2x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $106,319 | $53,160 | — | 5.2x |
| LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 492 | $247,982 | $123,991 | — | 5.1x |
| ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NEC | 003 | $1,055,777 | $527,889 | — | 5.1x |
| HYPERTENSION WITH MCC | 304 | $65,287 | $32,643 | — | 5.1x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $252,586 | $126,293 | — | 5.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $82,838 | $41,419 | — | 5.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $47,654 | $23,827 | — | 5x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | 286 | $193,720 | $96,860 | — | 5x |
| RENAL FAILURE WITH MCC | 682 | $83,627 | $41,813 | — | 5x |
Showing 50 of 126 procedures
How UCI HEALTH-ORANGE compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
Got a bill from UCI HEALTH-ORANGE?
Upload your bill and our AI compares every line item against these benchmark prices. Free analysis in 60 seconds. You only pay if we find savings.
Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
FAQ — government hospital billing
How do government hospital billing rates compare to Medicare benchmarks?
Why do government hospitals charge above Medicare rates if they're publicly owned?
What should I expect when reviewing a government hospital bill?
Are there potential billing differences between government hospitals and other facility types?
Related pricing data
Got a bill from Uci Health-orange?
Free guides to help you take action
Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use