▸ Hospital · CA · CCN 050230

Garden Grove Hospital & Medical Center

12601 GARDEN GROVE BLVD, GARDEN GROVE, CA, 92634

167 bedsAcute Care Hospitals4
Compliance grade
A
100/100
Procedures tracked
163
of 209 target codes
Payers
22
with negotiated rates
Rates published
4,810
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88518$13,541$6,301.33$13,542$26,114
Psychiatric diagnostic evaluationCPT9079119$577.6$227$128.08$227.16$352.1
Psychiatric eval with medical servicesCPT9079219$577.6$227$103.25$227.16$352.1
Psychotherapy 30 minutesCPT9083219$849.49$227$18.98$227.16$352.1
Psychotherapy 45 minutesCPT9083419$849.49$227$67.16$227.16$352.1
Psychotherapy 60 minutesCPT9083719$577.6$227$38.01$227.16$352.1
Crisis psychotherapy 60 minutesCPT9083919$577.6$227$38.01$227.16$352.1
emergency
ED visit level 1CPT9928119$832.13$107$21.77$107.92$167.28
ED visit level 2CPT9928219$1,403.06$196$34.97$196.51$304.59
ED visit level 3CPT9928319$2,399.11$349$51$349.37$541.52
ED visit level 4CPT9928420$3,573.47$534$51$534.03$827.75
ED visit level 5CPT9928519$5,161.88$762$51$762.2$1,181.41
Critical care, first hourCPT9929119$7,235.81$1,057$51$1,057.2$1,638.66
imaging
CT head without contrastCPT7045019$5,370$133$51$133.8$207.39
CT head with contrastCPT7046019$4,043.42$224$137.27$224.48$347.94
CT head with and without contrastCPT7047019$5,656.4$224$163.9$224.48$347.94
CT neck with contrastCPT7049119$4,923.45$224$184.4$224.48$347.94
MRI brain without contrastCPT7055119$6,099.97$305$188.21$305.38$473.34
MRI brain with contrastCPT7055219$5,743.16$446$276.68$446.5$692.08
MRI brain with and without contrastCPT7055319$9,097.01$446$316.79$446.5$692.08
Chest X-ray single viewCPT7104519$678.28$111$9.71$111.37$172.62
Chest X-ray 2 viewsCPT7104620$879.3$111$18.13$111.37$172.62
Chest X-ray 3 viewsCPT7104719$395.28$111$22.92$111.37$172.62
CT chest without contrastCPT7125019$4,488.53$133$133.32$133.8$207.39
CT chest with contrastCPT7126019$5,560.76$224$170.83$224.48$347.94
CT chest with and without contrastCPT7127019$6,224.59$224$208.88$224.48$347.94
MRI chest without contrastCPT7155019$4,471.68$305$305.38$308.43$473.34
MRI chest with contrastCPT7155119$4,200.12$1,003$306.79$1,003.31$1,555.13
MRI chest with and without contrastCPT7155219$6,094$446$387.38$446.5$692.08
Lumbosacral spine X-rayCPT7210019$1,091.25$133$29.98$133.8$207.39
CT cervical spine without contrastCPT7212519$5,497.09$133$129.09$133.8$207.39
CT thoracic spine without contrastCPT7212819$4,923.45$133$132.34$133.8$207.39
CT lumbar spine without contrastCPT7213119$4,913.34$133$131.98$133.8$207.39
MRI cervical spine without contrastCPT7214119$6,140.76$305$181.08$305.38$473.34
MRI thoracic spine without contrastCPT7214619$6,180.38$305$183.45$305.38$473.34
MRI lumbar spine without contrastCPT7214819$6,212.5$305$181.42$305.38$473.34
MRI lumbar spine with and without contrastCPT7214919$5,670.53$446$281.85$446.5$692.08
MRI cervical spine with and without contrastCPT7215619$7,070$446$319.01$446.5$692.08
MRI lumbar spine with contrastCPT7215819$8,752.5$446$318.04$446.5$692.08
CT pelvis without contrastCPT7219219$5,110.51$133$117.13$133.8$207.39
CT pelvis with contrastCPT7219319$5,082.28$224$222.88$224.48$347.94
Shoulder X-rayCPT7303021$1,051.89$111$25.59$111.37$172.62
Humerus X-rayCPT7306019$846.05$111$21.46$111.37$172.62
Hand X-ray 3 viewsCPT7313019$1,017.13$111$26.32$111.37$172.62
MRI upper extremity joint without contrastCPT7322119$5,785.73$305$206.55$305.38$473.34
MRI upper extremity joint with and without contrastCPT7322319$7,171$446$301.18$446.5$692.08
Knee X-ray 1-2 viewsCPT7356019$863.81$111$20.19$111.37$172.62
Ankle X-ray 3 viewsCPT7361019$1,016.88$111$26.32$111.37$172.62
MRI lower extremity joint without contrastCPT7372119$6,090.54$305$206.2$305.38$473.34
MRI lower extremity joint with and without contrastCPT7372319$6,867$446$300.2$446.5$692.08
CT abdomen without contrastCPT7415019$4,484.59$133$116.66$133.8$207.39
CT abdomen with contrastCPT7416019$4,676.52$224$221.59$224.48$347.94
CT abdomen with and without contrastCPT7417019$6,865.49$224$224.48$226.72$347.94
CT abdomen and pelvis without contrastCPT7417619$7,681.25$305$101.1$305.38$473.34
CT abdomen and pelvis with contrastCPT7417719$9,123.98$446$202.9$446.5$692.08
CT abdomen and pelvis with and without contrastCPT7417819$10,644$446$233.05$446.5$692.08
MRI abdomen without contrastCPT7418119$6,293.45$305$216.39$305.38$473.34
MRI abdomen with and without contrastCPT7418319$6,936$446$263.48$446.5$692.08
Abdominal ultrasound completeCPT7670019$2,441.38$133$82.35$133.8$207.39
Abdominal ultrasound limitedCPT7670519$1,918.21$133$60.12$133.8$207.39
Retroperitoneal ultrasound completeCPT7677019$2,062.9$133$79.89$133.8$207.39
Obstetric ultrasound first trimesterCPT7680119$1,333.67$133$47.84$133.8$207.39
Obstetric ultrasound after first trimesterCPT7680519$1,553$133$90.65$133.8$207.39
Obstetric ultrasound with fetal anatomyCPT7681119$1,700.01$305$77.75$305.38$473.34
Transvaginal ultrasoundCPT7683019$1,709.31$133$70.84$133.8$207.39
Pelvic ultrasound completeCPT7685619$2,116.25$133$67.93$133.8$207.39
Scrotal ultrasoundCPT7687019$1,609.31$133$47.16$133.8$207.39
Diagnostic mammography unilateralCPT7706519$743.8$101$84.3$101.77$157.74
Diagnostic mammography bilateralCPT7706619$906.9$130$108.06$130.44$202.18
Screening mammography bilateralCPT7706719$506.25$107$88.39$107.7$166.94
EKG tracing onlyCPT9300520$720$75$23.52$75.5$117.03
Transthoracic echocardiogram completeCPT9330619$5,766.25$699$177.42$699.34$1,083.98
Transthoracic echocardiogramCPT9330719$3,128.92$305$129.18$305.38$473.34
Stress echocardiogramCPT9335019$2,280.96$699$68.94$699.34$1,083.98
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06418$19,307$19,308$19,404$36,851
Intracranial hemorrhage/CVA w CCMS-DRG06518$9,913$9,913.36$9,962.93$18,839
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06618$6,853$6,853.95$6,888.22$12,751
Respiratory infections & inflammations w MCCMS-DRG17718$15,099$15,089$15,099$29,947
COPD w MCCMS-DRG19018$10,827$10,696$10,828$20,804
COPD w CCMS-DRG19118$8,342$8,342.82$8,384.54$15,915
COPD w/o CC/MCCMS-DRG19218$6,455$5,930.6$6,455.92$11,990
Simple pneumonia & pleurisy w CCMS-DRG19418$7,994$7,994.54$8,034.52$15,191
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19518$6,329$6,329.19$6,360.84$11,536
AMI discharged alive w MCCMS-DRG28018$15,487$15,488$15,565$30,408
AMI discharged alive w CCMS-DRG28118$9,057$9,057.22$9,102.51$17,077
AMI discharged alive w/o CC/MCCMS-DRG28218$7,217$7,217.25$7,253.34$13,433
Heart failure & shock w MCCMS-DRG29118$12,480$12,481$12,543$24,172
Heart failure & shock w CCMS-DRG29218$8,399$8,399.15$8,441.15$15,954
Heart failure & shock w/o CC/MCCMS-DRG29318$5,742$5,742.46$5,771.17$10,405
Cardiac arrhythmia w MCCMS-DRG30818$11,731$11,360$11,732$22,340
Cardiac arrhythmia w CCMS-DRG30918$7,335$6,288.3$7,335.54$13,696
Cardiac arrhythmia w/o CC/MCCMS-DRG31018$5,743$5,341.92$5,743.4$10,407
GI hemorrhage w CCMS-DRG37818$9,635$9,635.49$9,683.67$18,264
GI hemorrhage w/o CC/MCCMS-DRG37918$6,347$6,347.02$6,378.76$11,795
Esophagitis/gastroenteritis w/o MCCMS-DRG39218$7,747$7,638.59$7,747.65$14,456
Fractures of femur w/o MCCMS-DRG53318$15,146$15,146$15,222$28,250
Kidney/UTI w MCCMS-DRG68918$11,321$11,322$11,378$21,681
Kidney/UTI w/o MCCMS-DRG69018$8,028$7,447.89$8,028.34$14,869
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87118$18,664$18,664$18,758$36,349
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87218$10,035$8,911.88$10,035$19,100
Hospital discharge, <30 minCPT992385$188.32$53.93$55.82$188.32
lab
Basic metabolic panel (BMP)CPT8004820$714.15$8$8.34$8.46$30
Electrolyte panelCPT8005119$297.5$7$7.01$7.08$10.87
Comprehensive metabolic panelCPT8005319$1,248.75$10$10.55$10.56$16.37
Lipid panelCPT8006119$869.4$13$13.24$13.39$20.75
Renal function panelCPT8006919$416.09$8$8.68$8.72$13.45
Hepatic function panelCPT8007619$643.8$8$7.32$8.17$12.66
Urinalysis non-automatedCPT8100219$96.12$3$2.47$3.48$5.39
Urinalysis automatedCPT8100319$140.11$2$2.25$2.25$3.49
Glucose quantitativeCPT8294719$158.16$3$3.79$3.93$6.09
Hemoglobin A1cCPT8303619$293.93$9$9.71$9.8$15.05
Thyroid stimulating hormone (TSH)CPT8444319$423.95$16$16.8$16.94$26.04
Complete blood count with automated differentialCPT8502520$467.5$7$7.75$7.77$30
Complete blood count without differentialCPT8502719$360$6$6.47$6.53$10.03
Urine culture bacterialCPT8708619$502.91$8$6.48$8.07$12.51
Urine culture identificationCPT8708819$266.88$8$6.98$8.09$12.54
Tissue exam by pathologist level IVCPT8830519$830.82$66$11.76$66.69$103.37
maternity
Fetal non-stress testCPT590254$405.35$19.62$19.62$20.99
Vaginal delivery onlyCPT5940919$16,485$4,143$780.72$4,143.08$6,421.77
office
Office visit, new patient, 15-29 minCPT992026$421.05$49.2$50.92$421.05
Office visit, new patient, 30-44 minutesCPT992035$558.8$82.05$82.05$558.8
Office visit, new patient, 45-59 minCPT992045$720.05$98.83$98.83$720.05
Office visit, new patient, 60-74 minCPT992055$946.65$118.62$118.62$946.65
Office visit, established patient, 5 minCPT992116$338$9.85$17.21$338
Office visit, established patient, 10-19 minCPT992126$376.28$16.37$16.95$376.28
Office visit, established patient, 20-29 minutesCPT992136$522$34.43$35.64$522
Office visit, established patient, 30-39 minutesCPT992146$643.49$53.79$55.68$643.49
Office visit, established patient, 40-54 minCPT992156$846$82.05$84.92$846
preventive
Upper GI endoscopy diagnosticCPT4323519$6,196.8$1,160$321.48$1,160.81$1,799.26
Upper GI endoscopy with biopsyCPT4323919$6,016.31$1,160$335.91$1,160.81$1,799.26
Sigmoidoscopy diagnosticCPT4533019$4,845.3$1,190$78.5$1,190.22$1,844.84
Sigmoidoscopy with biopsyCPT4533119$4,845.3$1,190$103.61$1,190.22$1,844.84
Colonoscopy diagnosticCPT4537819$6,238.32$1,190$423.48$1,190.22$1,844.84
Colonoscopy with biopsyCPT4538019$7,892.25$1,531$473.68$1,531.54$2,373.89
Colonoscopy with polyp removalCPT4538519$7,892.25$1,531$574.08$1,531.54$2,373.89
surgery
Knee arthroscopy with meniscectomyCPT2988119$8,373.22$4,187$790.35$4,187.71$6,490.95
Major small/large bowel procedures w MCCMS-DRG32918$43,579$43,579$43,797$85,068
Major small/large bowel procedures w CCMS-DRG33018$22,932$22,933$23,048$43,789
Major small/large bowel procedures w/o CC/MCCMS-DRG33118$16,227$16,227$16,309$30,586
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41818$16,309$16,309$16,391$30,723
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41918$13,250$13,251$13,317$24,409
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42018$32,413$32,414$32,576$67,826
Laparoscopic appendectomyCPT4497019$13,125$7,737$391.98$7,737.45$11,993
Spinal fusion (non-cervical) w MCCMS-DRG4591$95,128$95,128$95,128
Spinal fusion (non-cervical) w/o MCCMS-DRG4601$52,466$52,466$52,466
Major joint replacement w MCCMS-DRG46918$28,903$28,903$29,048$60,555
Major joint replacement w/o MCCMS-DRG47018$18,536$18,537$18,629$34,930
Lap cholecystectomy with cholangiographyCPT4756319$17,250$7,737$769.53$7,737.45$11,993
Hip & femur procedures except major joint w MCCMS-DRG48018$27,768$27,769$27,907$54,484
Hip & femur procedures except major joint w CCMS-DRG48118$20,091$20,091$20,192$38,439
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48218$15,740$15,740$15,819$29,389
Lap salpingo-oophorectomyCPT5866119$24,600$7,737$701.38$7,737.45$11,993
OR procedure for obesity w MCCMS-DRG61918$27,534$27,535$27,672$50,510
OR procedure for obesity w CCMS-DRG62018$15,452$15,452$15,529$29,585
OR procedure for obesity w/o CC/MCCMS-DRG62118$14,589$14,589$14,662$27,081
Uterine & adnexa procedures w CC/MCCMS-DRG74318$12,076$12,076$12,137$22,207
Uterine & adnexa procedures w/o CC/MCCMS-DRG74418$19,665$18,056$19,665$36,199
PCI single major coronary arteryCPT9292019$30,408$7,284$435.12$7,284.43$11,291
PCI with drug-eluting stentCPT9292819$61,892$14,775$483.05$14,775$22,901
PCI bypass graftCPT9293719$61,892$14,775$482.46$14,775$22,901
Left heart catheterizationCPT9345219$15,282$4,149$549.26$4,149.23$6,431.31
Coronary angiography with cathCPT9345519$15,282$4,149$671.23$4,149.23$6,431.31
Coronary angiography with bypass cathCPT9345819$25,380$4,149$693.51$4,149.23$6,431.31

Payer mix (top 22)

PayerCodes coveredMedian rate
Molina161$230.11
Health Net161$429.36
brand new day160$346.8
Blue Cross Blue Shield156$397.94
Aetna152$570.55
medcare partners health plan150$446.5
Medicare150$446.5
workers compensation150$588.2
central health plan150$446.5
employer direct healthcare150$625.1
imperial health plan of ca150$473.29
innovative mgmt svcs150$446.5
naphcare150$692.08
patient choice health plan150$446.5
renal payer solutions150$446.5
TRICARE150$446.5
verda healthplan150$446.5
traditional medi-cal118$102.18
caloptima118$102.18
national healthcare solutions, inc (nhsi)43$19,969
UnitedHealthcare4$80
keenan3$30