California / Orange County Global Medical Center

CMS certification 050746 · Santa Ana, CA · 6 entries in CMS's price-transparency list

Orange County Global Medical Center: charges and Medicare payments

Orange County Global Medical Center reported 678 Medicare inpatient stays across 30 DRGs in 2024. Across them it charged 4.71 times what it was paid — mid-range in California, number 149 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 128 stays at an average charge of $96,400, 7% above the national average. It also billed 83 outpatient services, charging 9.64 times what Medicare paid.

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  1. 1Medicare inpatient stays 678
  2. 2Charge ÷ paid, inpatient 4.71×
  3. 3Rank in CA (highest ratio = 1) 149 of 247
  4. 4CMS price-transparency actions 6
DRG 871$96,400DRG 064$142,280DRG 291$59,436DRG 086$70,815DRG 089$64,790DRG 640$71,520DRG 853$234,399DRG 605$51,707DRG 689$56,257DRG 085$113,481
Average charge per stay at Orange County Global Medical Center, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 30 DRGs that can be compared with the national average, Orange County Global Medical Center charged more than the national average in 18 (60%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC128$96,400+7%$20,837
064 Intracranial Hemorrhage or Cerebral Infarction with MCC37$142,280+42%$22,659
291 Heart Failure and Shock with MCC37$59,436+5%$13,886
086 Traumatic Stupor and Coma <1 Hour with CC36$70,815+4%$13,227
089 Concussion with CC35$64,790+4%$12,540
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...29$71,520+19%$13,614
853 Infectious and Parasitic Diseases with O.R. Procedures with...29$234,399+2%$50,370
605 Trauma To The Skin, Subcutaneous Tissue and Breast without...26$51,707+11%$10,187
689 Kidney and Urinary Tract Infections with MCC21$56,257+10%$12,593
085 Traumatic Stupor and Coma <1 Hour with MCC20$113,481+5%$20,326
082 Traumatic Stupor and Coma >1 Hour with MCC19$111,379-3%$24,159
682 Renal Failure with MCC18$60,531-8%$14,625
870 Septicemia or Severe Sepsis with MV >96 Hours18$258,245-20%$63,628
003 ECMO or Tracheostomy with MV >96 Hours or Principal...17$694,957-34%$153,780
193 Simple Pneumonia and Pleurisy with MCC17$63,638+6%$14,241
552 Medical Back Problems without MCC15$57,003+17%$10,494
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...14$67,130+20%$12,099
177 Respiratory Infections and Inflammations with MCC14$68,381-3%$17,416
690 Kidney and Urinary Tract Infections without MCC14$40,069+6%$9,072
083 Traumatic Stupor and Coma >1 Hour with CC13$66,722-9%$14,767
280 Acute Myocardial Infarction, Discharged Alive with MCC13$64,907-14%$16,382
312 Syncope and Collapse13$42,636-6%$9,650
313 Chest Pain13$30,833-23%$8,256
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...13$36,476-2%$8,676
069 Transient Ischemia without Thrombolytic12$52,508+4%$10,340
308 Cardiac Arrhythmia and Conduction Disorders with MCC12$70,976+25%$13,167
580 Other Skin, Subcutaneous Tissue and Breast Procedures with...12$70,635-15%$18,123
088 Concussion with MCC11$90,205+23%$16,435
604 Trauma To The Skin, Subcutaneous Tissue and Breast with MCC11$64,657-11%$16,323
698 Other Kidney and Urinary Tract Diagnoses with MCC11$89,586+22%$18,121

Outpatient services

Service (APC)ServicesAvg chargeMedicare allowed
Comprehensive Observation Services37$30,869$3,231
Level 4 ENT Procedures24$29,052$3,958
Level 1 Endovascular Procedures22$18,369$4,013

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Orange County Global Medical Center charged $96,400 on average, 33% less than the California average of $143,063, and was paid $20,837 against a state average of $23,020. For Intracranial Hemorrhage or Cerebral Infarction with MCC (DRG 064), Orange County Global Medical Center charged $142,280 on average, 18% less than the California average of $174,368, and was paid $22,659 against a state average of $24,500. For Heart Failure and Shock with MCC (DRG 291), Orange County Global Medical Center charged $59,436 on average, 41% less than the California average of $100,739, and was paid $13,886 against a state average of $15,556. For Traumatic Stupor and Coma <1 Hour with CC (DRG 086), Orange County Global Medical Center charged $70,815 on average, 40% less than the California average of $117,658, and was paid $13,227 against a state average of $16,076. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,869 was 26% below the state average of $41,628. For Level 4 ENT Procedures (outpatient APC 5164), its average charge of $29,052 was 11% below the state average of $32,583. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $18,369 was 55% below the state average of $40,544.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Orange County Global Medical Center in Santa Ana, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.