Anaheim, CA
35
In-network payers
219
Disclosed rate categories
223
Beds
4
Care quality
Ahmc Anaheim Regional Medical Center is a 223-bed voluntary non-profit - private hospital in Anaheim, CA. Below you'll find publicly disclosed negotiated rates and facility details, including 35 in-network payers and 219 disclosed rate categories.
CCN (Medicare provider number)
050226
NPI
1891938122
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
223
Care Quality
4
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Ahmc Anaheim Regional Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,406 - $10,937
from 4 insurers · median $7,537
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,974 - $15,968
from 4 insurers · median $9,666
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$4,406 - $10,937
from 4 insurers · median $7,537
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 216
$40,030 - $99,589
from 4 insurers · median $68,275
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 47562
$7,035 - $18,450
from 3 insurers · median $15,228
17 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$2,972 - $6,408
from 3 insurers · median $5,067
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$4,120 - $6,654
from 3 insurers · median $5,067
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$602 - $2,488
from 4 insurers · median $872
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,254 - $5,067
from 3 insurers · median $4,120
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$4,120 - $5,777
from 3 insurers · median $5,067
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $1,856
from 4 insurers · median $581
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$4,431 - $14,999
from 3 insurers · median $11,116
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$618 - $1,170
from 4 insurers · median $861
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$376 - $1,446
from 4 insurers · median $654
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,374 - $18,450
from 3 insurers · median $10,691
Typical for a hospital with this service line
CT imaging
CPT 71275
$292 - $2,510
from 4 insurers · median $860
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$153 - $1,223
from 4 insurers · median $216
Common here, based on CMS Medicare volume
Urology
CPT 50590
$5,496 - $18,450
from 3 insurers · median $16,797
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,272 - $11,116
from 3 insurers · median $7,886
Typical for a hospital with this service line
Gynecology
CPT 58661
$4,036 - $18,450
from 3 insurers · median $10,691
Typical for a hospital with this service line
Ear, nose and throat
CPT 31231
$1,067 - $2,972
from 3 insurers · median $1,536
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$4,273 - $7,886
from 3 insurers · median $5,067
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,273 - $11,116
from 3 insurers · median $7,605
Typical for a hospital with this service line
MRI imaging
CPT 70551
$394 - $3,065
from 4 insurers · median $941
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 569% | 17 | 3 |
| Insurer B* | 11 | 350% | 4 | 4 |
| Insurer C* | 24 | 299% | 12 | 5 |
| Insurer D* | 24 | 215% | 9 | 10 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 11 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ahmc Anaheim Regional Medical Center.
1111 West La Palma Avenue, Anaheim, CA 92801
(714) 774-1450
The nearest hospitals of similar type and size. Their rates are compared with Ahmc Anaheim Regional Medical Center for the same insurers and services above.
Anaheim Global Medical Center
â–¼ Rates typically 38% lower than Ahmc Anaheim Regional Medical Center (21 services)
West Anaheim Medical Center
â–¼ Rates typically 61% lower than Ahmc Anaheim Regional Medical Center (15 services)
Unversity Of California Irvine Medical Center
â–² Rates typically 49% higher than Ahmc Anaheim Regional Medical Center (21 services)
St Jude Medical Center
â–² Rates typically 25% higher than Ahmc Anaheim Regional Medical Center (21 services)
Garden Grove Hospital Medical Center
â–¼ Rates typically 60% lower than Ahmc Anaheim Regional Medical Center (17 services)
Placentia-Linda Community Hospital
â–¼ Rates typically 7% lower than Ahmc Anaheim Regional Medical Center (21 services)
Orange County - Anaheim Medical Center
Saddleback Memorial Medical Center
About Ahmc Anaheim Regional Medical Center's rates and hospital price transparency.
For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Ahmc Anaheim Regional Medical Center range from $394 to $3,065 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,065. The median at nearby comparable hospitals is $515. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ahmc Anaheim Regional Medical Center range from $602 to $2,488 across 4 insurers. Cigna's rate is $950. The median at nearby comparable hospitals is $780. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Ahmc Anaheim Regional Medical Center range from $4,120 to $6,654 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $6,654. The median at nearby comparable hospitals is $2,015. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Ahmc Anaheim Regional Medical Center range from $4,406 to $10,937 across 4 insurers. UnitedHealthcare's rate is $4,406. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ahmc Anaheim Regional Medical Center range from $153 to $1,223 across 4 insurers. UnitedHealthcare's rate is $153. The median at nearby comparable hospitals is $226. What a patient pays depends on their plan's deductible, coinsurance and network status.
Ahmc Anaheim Regional Medical Center has 223 beds. Facility type: Short Term Acute Care Hospital.
Ahmc Anaheim Regional Medical Center is located at 1111 West La Palma Avenue, Anaheim, CA 92801. Its main phone number is (714) 774-1450.
Ahmc Anaheim Regional Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050226.
The National Provider Identifier (NPI) on file for Ahmc Anaheim Regional Medical Center is 1891938122.
Ahmc Anaheim Regional Medical Center lists 35 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
219 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers