▸ Hospital · CA · CCN 050678
Memorialcare Orange Coast Medical Center
9920 TALBERT AVENUE, FOUNTAIN VALLEY, CA, 92708
221 bedsAcute Care Hospitals2
Compliance grade
C
77/100
Procedures tracked
45
of 209 target codes
Payers
19
with negotiated rates
Rates published
2,078
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 19 | — | — | $13,358 | $18,674 | $43,748 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $19,057 | $27,002 | $61,738 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $9,770.88 | $13,771 | $31,566 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $6,746.56 | $9,317.31 | $21,363 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $14,897 | $21,616 | $50,173 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $10,675 | $14,991 | $34,865 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $8,218.36 | $11,545 | $26,665 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $6,353.09 | $8,729.71 | $20,088 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $7,874.07 | $11,120 | $25,451 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $6,227.81 | $8,454.33 | $19,330 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $15,281 | $21,520 | $50,949 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $8,924.56 | $12,426 | $28,611 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $7,105.69 | $9,774.07 | $22,506 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $12,309 | $17,374 | $40,501 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $8,274.03 | $11,634 | $26,733 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $5,647.82 | $7,519.94 | $17,040 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $11,568 | $16,299 | $37,432 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $7,222.61 | $10,050 | $22,946 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $5,648.74 | $7,534.47 | $17,366 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $9,496.2 | $13,339 | $30,600 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $6,245.44 | $8,599.58 | $19,759 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $7,630 | $10,604 | $24,219 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $14,944 | $21,023 | $47,327 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $11,163 | $15,824 | $36,327 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $7,907.48 | $10,900 | $24,911 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $18,422 | $26,413 | $60,906 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $9,891.52 | $13,950 | $32,000 |
| surgery | ||||||||
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $43,051 | $60,944 | $142,517 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $22,641 | $32,029 | $73,365 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $16,013 | $22,503 | $51,244 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $16,093 | $22,304 | $51,477 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $13,070 | $17,817 | $40,896 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $32,013 | $45,078 | $109,539 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $89,145 | $101,879 | $123,168 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $49,166 | $56,189 | $67,931 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $28,543 | $43,179 | $101,448 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $18,295 | $25,513 | $58,522 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $27,421 | $39,302 | $91,283 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $19,832 | $28,036 | $64,401 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $15,531 | $21,500 | $49,239 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 19 | — | — | $27,190 | $35,626 | $84,622 |
| OR procedure for obesity w CC | MS-DRG | 620 | 19 | — | — | $15,246 | $21,730 | $49,565 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 19 | — | — | $14,393 | $20,172 | $45,368 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $11,909 | $15,907 | $37,202 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $19,411 | $25,768 | $60,645 |
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 45 | $18,286 |
| centivo | 43 | $29,153 |
| central health | 43 | $14,252 |
| Cigna | 43 | $31,323 |
| citizens choice | 43 | $12,957 |
| clever care | 43 | $13,605 |
| Health Net | 43 | $21,947 |
| healthcare partners | 43 | $19,949 |
| heritage provider network | 43 | $12,957 |
| Humana | 43 | $12,957 |
| la care | 43 | $12,957 |
| Molina | 43 | $13,345 |
| monarch health plan | 43 | $16,048 |
| onecare | 43 | $12,957 |
| select health | 43 | $17,492 |
| UnitedHealthcare | 43 | $25,097 |
| universal care | 43 | $13,605 |
| Aetna | 43 | $27,298 |
| WellCare | 43 | $12,957 |