▸ Hospital · CA · CCN 050348

University Of California Irvine Medical Center

101 THE CITY DRIVE SOUTH, ORANGE, CA, 92868

911 bedsAcute Care Hospitals10
Compliance grade
C
77/100
Procedures tracked
51
of 209 target codes
Payers
30
with negotiated rates
Rates published
2,397
last crawl 2026-05-22

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88535$98$20,988$156,386
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06435$98$29,423$225,152
Intracranial hemorrhage/CVA w CCMS-DRG06534$98$15,679$113,113
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06633$98$11,203$76,625
Respiratory infections & inflammations w MCCMS-DRG17734$98$23,266$174,960
COPD w MCCMS-DRG19034$98$17,017$124,018
COPD w CCMS-DRG19133$98$13,381$94,382
COPD w/o CC/MCCMS-DRG19233$98$10,621$71,878
Simple pneumonia & pleurisy w CCMS-DRG19433$98$12,872$90,229
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19533$98$10,540$70,367
AMI discharged alive w MCCMS-DRG28034$98$23,835$179,595
AMI discharged alive w CCMS-DRG28134$98$14,932$102,902
AMI discharged alive w/o CC/MCCMS-DRG28233$98$11,969$80,958
Heart failure & shock w MCCMS-DRG29134$98$19,436$143,734
Heart failure & shock w CCMS-DRG29234$98$13,464$95,054
Heart failure & shock w/o CC/MCCMS-DRG29333$98$9,768.63$63,369
Cardiac arrhythmia w MCCMS-DRG30834$98$18,340$134,800
Cardiac arrhythmia w CCMS-DRG30934$98$12,146$82,369
Cardiac arrhythmia w/o CC/MCCMS-DRG31034$98$9,578.46$63,381
GI hemorrhage w CCMS-DRG37833$98$15,273$109,799
GI hemorrhage w/o CC/MCCMS-DRG37933$98$10,566$70,580
Esophagitis/gastroenteritis w/o MCCMS-DRG39236$98$12,511$87,284
Fractures of femur w/o MCCMS-DRG53333$98$23,335$175,520
Kidney/UTI w MCCMS-DRG68933$98$17,739$129,907
Kidney/UTI w/o MCCMS-DRG69034$98$13,051$90,632
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87136$98$28,482$217,482
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87235$98$15,858$114,569
maternity
Cesarean section w CC/MCCMS-DRG7651$98$98$98
Cesarean section w/o CC/MCCMS-DRG7661$98$98$98
Vaginal delivery w complicating dxMS-DRG7741$98$98$98
Vaginal delivery w/o complicating dxMS-DRG7751$98$98$98
surgery
PCI w drug-eluting stent w MCCMS-DRG2464$98$60,809$104,789
PCI w drug-eluting stent w/o MCCMS-DRG2473$98$56,164$66,516
Major small/large bowel procedures w MCCMS-DRG32935$98$64,933$305,493
Major small/large bowel procedures w CCMS-DRG33035$98$35,422$268,391
Major small/large bowel procedures w/o CC/MCCMS-DRG33134$98$27,409$188,417
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41835$98$25,036$189,392
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41934$98$21,281$152,915
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42033$98$49,084$381,459
Spinal fusion (non-cervical) w MCCMS-DRG4595$98$211,416$397,262
Spinal fusion (non-cervical) w/o MCCMS-DRG4606$98$123,099$409,538
Major joint replacement w MCCMS-DRG46933$98$43,897$339,597
Major joint replacement w/o MCCMS-DRG47035$98$28,296$215,960
Hip & femur procedures except major joint w MCCMS-DRG48033$98$41,802$326,061
Hip & femur procedures except major joint w CCMS-DRG48134$98$31,181$234,500
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48233$98$25,414$182,607
OR procedure for obesity w MCCMS-DRG61933$98$42,289$323,273
OR procedure for obesity w CCMS-DRG62033$98$24,615$179,170
OR procedure for obesity w/o CC/MCCMS-DRG62134$98$23,646$168,880
Uterine & adnexa procedures w CC/MCCMS-DRG74333$98$19,221$138,909
Uterine & adnexa procedures w/o CC/MCCMS-DRG74434$98$29,946$229,417
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 30)

PayerCodes coveredMedian rate
Multiplan51$98
Blue Cross Blue Shield47$32,070
Aetna46$34,939
UnitedHealthcare45$49,880
Cigna45$72,117
Humana44$18,902
Health Net44$35,608
heritage provider network44$23,266
Bright Health43$22,791
caloptima43$15,679
caremore43$18,844
ahmc43$29,153
family choice medical group43$22,791
greater newport physicians medical group43$19,436
healthcare partners43$20,562
hemet community medical group43$19,436
amvi/prospect medical group43$19,436
allied pacific of california43$19,436
brand new day43$19,999
redlands community hospital43$19,436
scan health plan43$24,019
seaside health plan43$26,238
st. joseph43$18,592
st. mary choice medical group43$19,999
alpha care medical group43$19,436
Kaiser Permanente43$29,168
memorialcare medical foundation43$19,436
alignment health plan43$19,436
orange county advantage medical group43$19,999
Oscar Health43$32,537