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Short Term Acute Care HospitalProprietary

Foothill Regional Medical Center

Prospect Medical Holdings · Tustin, CA

14662 Newport Avenue, Tustin, CA 92780(714) 619-7700

3 of 5

CMS star rating

153

Beds

4,778

Inpatient discharges a year

$98.8M

Net patient revenue a year

26

In-network payers

About this hospital

Foothill Regional Medical Center is a 153-bed proprietary hospital in Tustin, CA, affiliated with Prospect Medical Holdings. Below you'll find publicly disclosed negotiated rates and facility details, including 26 in-network payers and 276 disclosed rate categories.

  • Disproportionate share hospital
CCN
050780
NPI
1043632938
Health system
Prospect Medical Holdings
Teaching
No Medicare-funded residents
County
Orange County
Metro area
Los Angeles-Long Beach-Anaheim, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
2015
Last CMS survey
2021

Prices for common services

The 24 services Foothill 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, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$350 - $1,660

from 4 insurers · median $1,198

Aetna$1,660
Insurer A*$350
Insurer B*$1,146
Insurer C*$1,250
Medicare $356Nearby hospitals $575108% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$246 - $1,660

from 4 insurers · median $805

Aetna$1,660
Insurer A*$246
Insurer B*$359
Insurer C*$1,250
Medicare $107Nearby hospitals $285182% above nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,181 - $4,848

from 4 insurers · median $2,450

Anthem / Blue Shield$2,468
Insurer A*$2,181
Insurer B*$2,432
Insurer C*$4,848
Medicare $927Nearby hospitals $3,08621% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$2,181 - $4,848

from 4 insurers · median $2,825

Anthem / Blue Shield$3,218
Insurer A*$2,181
Insurer B*$2,432
Insurer C*$4,848
Medicare $1,223Nearby hospitals $2,18529% above nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Foothill Regional Medical Center

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.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*22
488%
184
Insurer B*24
307%
120
Insurer C*24
282%
183
Insurer D*24
144%
25

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Foothill Regional Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Aspirus Health PlanAvera Health PlansBanner HealthCenteneEMI HealthHarvard Pilgrim Health Care (Point32Health)

More about this hospital

  • Quality

    3 of 5 stars

    • 155 min in the ER before going home (US median 148)
    • No Medicare readmissions penalty
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 25 services
    • 95 affiliated clinicians
    See doctors and services
  • Finances

    $98.8M net patient revenue

    • Operating margin on patient care -93.0%
    • $19.7M unreimbursed and uncompensated care
    • $593,068 net income
    See finances
  • Ownership and leadership

    Owned by Astrana Care Hospital, LLC

    • Private (for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Foothill Regional Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
30-0804393Foothill Regional Medical Center38Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 33 more1043632938 Alta Newport Hospital LLC1689096406 Alta Newport Hospital LLC1710158498 On-line Radiology Medical Group Inc

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

14662 Newport Avenue, Tustin, CA 92780

(714) 619-7700

Get directions

Frequently asked questions

About Foothill Regional Medical Center's rates and hospital price transparency.

How much does an MRI cost at Foothill Regional Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Foothill Regional Medical Center range from $792 to $1,811 across 4 insurers. Cigna's rate is $1,811. The median at nearby comparable hospitals is $579. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Foothill Regional Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Foothill Regional Medical Center range from $350 to $1,660 across 4 insurers. Aetna's rate is $1,660. The median at nearby comparable hospitals is $575. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Foothill Regional Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Foothill Regional Medical Center range from $2,181 to $4,848 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,218. The median at nearby comparable hospitals is $2,185. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Foothill Regional Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Foothill Regional Medical Center range from $110 to $1,827 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $295. The median at nearby comparable hospitals is $192. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Foothill Regional Medical Center's CMS star rating?

Foothill Regional Medical Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Foothill Regional Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Foothill Regional Medical Center for fiscal year 2027.

Does Medicare penalize Foothill Regional Medical Center for readmissions?

No. Foothill Regional Medical Center has no Hospital Readmissions Reduction Program penalty in fiscal year 2027.

What are the most common Medicare inpatient stays at Foothill Regional Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (217 discharges), miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc (81 discharges), kidney and urinary tract infections with mcc (59 discharges).

What is Foothill Regional Medical Center's case mix index?

Foothill Regional Medical Center's Medicare case mix index is 1.46 for fiscal year 2027, higher than 24% of hospitals paid under the inpatient prospective payment system.

How many patients does Foothill Regional Medical Center admit?

Foothill Regional Medical Center reported 4,778 inpatient discharges and 18,800 inpatient days from Jan 1, 2025 to Dec 31, 2025.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "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
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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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.

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  • Missing, duplicate and outdated charge lines identified
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