Uci Health-Orange: charges and Medicare payments

Uci Health-Orange reported 3,680 Medicare inpatient stays across 126 DRGs in 2024. Across them it charged 4.1 times what it was paid — among the lower ratios in California, number 175 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: 423 stays at an average charge of $131,659, 46% above the national average. It also billed 10,243 outpatient services, charging 7.03 times what Medicare paid.

1Medicare inpatient stays 3,680
2Charge ÷ paid, inpatient 4.1×
3Rank in CA (highest ratio = 1) 175 of 247
4CMS price-transparency actions 0

Average charge per stay at Uci Health-Orange, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 126 DRGs that can be compared with the national average, Uci Health-Orange charged more than the national average in 113 (90%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	423	$131,659	+46%	$31,746
291 Heart Failure and Shock with MCC	137	$96,845	+72%	$21,706
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	89	$61,537	+25%	$17,053
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	86	$96,210	+60%	$22,569
470 Major Hip and Knee Joint Replacement or Reattachment of...	73	$115,370	+24%	$29,813
698 Other Kidney and Urinary Tract Diagnoses with MCC	62	$93,226	+27%	$26,099
177 Respiratory Infections and Inflammations with MCC	57	$111,871	+58%	$24,214
266 Endovascular Cardiac Valve Replacement and Supplement...	55	$226,823	-20%	$89,941
853 Infectious and Parasitic Diseases with O.R. Procedures with...	54	$454,389	+98%	$103,147
274 Percutaneous and Other Intracardiac Procedures without MCC	52	$144,347	-8%	$47,599
330 Major Small and Large Bowel Procedures with CC	52	$149,601	+26%	$38,421
025 Craniotomy and Endovascular Intracranial Procedures with MCC	50	$402,677	+74%	$83,158
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	49	$119,311	+19%	$28,298
267 Endovascular Cardiac Valve Replacement and Supplement...	46	$180,574	-18%	$68,956
682 Renal Failure with MCC	45	$107,012	+62%	$25,310
699 Other Kidney and Urinary Tract Diagnoses with CC	44	$66,556	+40%	$17,458
280 Acute Myocardial Infarction, Discharged Alive with MCC	42	$139,528	+84%	$31,708
377 Gastrointestinal Hemorrhage with MCC	42	$157,138	+84%	$38,268
101 Seizures without MCC	41	$46,429	-5%	$14,785
312 Syncope and Collapse	41	$83,476	+83%	$15,461
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	41	$62,037	+54%	$15,368
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	40	$56,550	+53%	$13,438
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	39	$104,937	+88%	$16,720
329 Major Small and Large Bowel Procedures with MCC	39	$318,746	+48%	$73,381
483 Major Joint or Limb Reattachment Procedures of Upper...	38	$170,979	+35%	$37,477
643 Endocrine Disorders with MCC	37	$93,434	+26%	$26,246
683 Renal Failure with CC	37	$51,367	+26%	$15,803
309 Cardiac Arrhythmia and Conduction Disorders with CC	34	$50,854	+41%	$12,420
652 Kidney Transplant	34	$347,461	+3%	$45,347
189 Pulmonary Edema and Respiratory Failure	32	$97,425	+69%	$20,456
460 Spinal Fusion except Cervical without MCC	32	$200,120	+17%	$54,567
193 Simple Pneumonia and Pleurisy with MCC	30	$81,427	+36%	$20,706
378 Gastrointestinal Hemorrhage with CC	30	$67,062	+38%	$16,013
870 Septicemia or Severe Sepsis with MV >96 Hours	30	$434,152	+34%	$104,694
389 Gastrointestinal Obstruction with CC	29	$69,850	+79%	$14,478
472 Cervical Spinal Fusion with CC	29	$184,484	+29%	$45,295
690 Kidney and Urinary Tract Infections without MCC	29	$44,966	+19%	$13,290
027 Craniotomy and Endovascular Intracranial Procedures without...	28	$171,496	+23%	$37,681
083 Traumatic Stupor and Coma >1 Hour with CC	28	$100,672	+37%	$22,377
086 Traumatic Stupor and Coma <1 Hour with CC	28	$103,057	+51%	$19,858
308 Cardiac Arrhythmia and Conduction Disorders with MCC	28	$90,634	+60%	$21,491
314 Other Circulatory System Diagnoses with MCC	28	$169,858	+79%	$37,905
331 Major Small and Large Bowel Procedures without CC/MCC	27	$94,771	+10%	$26,429
644 Endocrine Disorders with CC	27	$72,170	+50%	$17,615
082 Traumatic Stupor and Coma >1 Hour with MCC	26	$187,970	+63%	$36,025
252 Other Vascular Procedures with MCC	26	$243,277	+42%	$53,929
435 Malignancy of Hepatobiliary System or Pancreas with MCC	26	$95,113	+1%	$27,095
393 Other Digestive System Diagnoses with MCC	25	$128,087	+67%	$27,458
837 Chemotherapy with Acute Leukemia As Secondary Diagnosis or...	25	$138,126	-41%	$74,623
847 Chemotherapy without Acute Leukemia As Secondary Diagnosis...	25	$47,886	-29%	$20,849
023 Craniotomy with Major Device Implant or Acute Complex Cns...	23	$349,666	+24%	$82,758
454 Combined Anterior and Posterior Spinal Fusion with CC	23	$418,615	+50%	$95,362
481 Hip and Femur Procedures except Major Joint with CC	23	$150,767	+50%	$30,156
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	23	$204,419	+72%	$42,819
552 Medical Back Problems without MCC	23	$94,529	+93%	$15,322
834 Acute Leukemia with MCC	23	$391,455	+37%	$94,769
085 Traumatic Stupor and Coma <1 Hour with MCC	22	$188,944	+74%	$39,804
194 Simple Pneumonia and Pleurisy with CC	22	$60,511	+58%	$14,116
388 Gastrointestinal Obstruction with MCC	22	$109,982	+61%	$25,306
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	22	$83,638	+37%	$21,090

Showing the 60 most frequent of 126 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Level 1 Intraocular Procedures	1,628	$19,830	$2,858
Level 2 Urology and Related Services	815	$1,847	$803
Comprehensive Observation Services	800	$30,308	$3,352
Level 2 Upper GI Procedures	661	$13,241	$2,329
Level 3 Urology and Related Services	534	$12,697	$2,396
Level 3 Extraocular, Repair, and Plastic Eye Procedures	466	$14,196	$2,863
Level 2 Excision/ Biopsy/ Incision and Drainage	427	$15,624	$1,939
Level 3 Airway Endoscopy	427	$6,903	$1,829
Level 2 Intraocular Procedures	420	$26,967	$4,953
Level 5 Urology and Related Services	310	$48,747	$6,333
Level 1 Nerve Procedures	248	$8,636	$1,604
Level 3 Excision/ Biopsy/ Incision and Drainage	237	$27,857	$3,420
Level 3 Vascular Procedures	225	$24,042	$3,919
Level 2 Laparoscopy and Related Services	185	$69,179	$12,543
Level 1 Endovascular Procedures	178	$24,863	$3,996
Level 4 Urology and Related Services	166	$31,674	$4,069
Level 4 Musculoskeletal Procedures	157	$61,628	$8,759
Level 3 Lower GI Procedures	138	$15,021	$3,439
Level 1 Laparoscopy and Related Services	132	$50,374	$7,067
Level 5 Musculoskeletal Procedures	127	$87,391	$15,688
Level 3 Endovascular Procedures	111	$76,991	$13,503
Level 3 ENT Procedures	109	$3,631	$1,699
Level 2 Vascular Procedures	109	$10,755	$1,949
Level 3 Upper GI Procedures	107	$23,065	$4,708
Level 4 Airway Endoscopy	103	$29,402	$4,604

Against the California average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uci Health-Orange charged $131,659 on average, 8% less than the California average of $143,063, and was paid $31,746 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Uci Health-Orange charged $96,845 on average, 4% less than the California average of $100,739, and was paid $21,706 against a state average of $15,556. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Uci Health-Orange charged $61,537 on average, 19% less than the California average of $76,120, and was paid $17,053 against a state average of $12,552. For Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC (DRG 640), Uci Health-Orange charged $96,210 on average, 9% more than the California average of $88,573, and was paid $22,569 against a state average of $15,580. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $19,830 was 6% below the state average of $20,986. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $1,847 was 62% below the state average of $4,853. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $30,308 was 27% below the state average of $41,628. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $13,241 was 30% below the state average of $19,034.

Price-transparency record

No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.

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.