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Short Term Acute Care HospitalProprietary

Orange Coast Memorial Medical Center

MemorialCare Health System · Fountain Valley, CA

9920 Talbert Avenue, Fountain Valley, CA 92708(714) 378-7406

4 of 5

CMS star rating

221

Beds

11,787

Inpatient discharges a year

$471.4M

Net patient revenue a year

31

In-network payers

About this hospital

Orange Coast Memorial Medical Center is a 221-bed proprietary hospital in Fountain Valley, CA, affiliated with MemorialCare Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 31 in-network payers and 317 disclosed rate categories.

  • Disproportionate share hospital
  • 340B participant
CCN
050678
NPI
1497702575
Health system
MemorialCare Health System
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
1986
Last CMS survey
2010

Prices for common services

The 24 services Orange Coast Memorial 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.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$6,535 - $20,625

from 4 insurers · median $16,896

UnitedHealthcare$6,535
Insurer A*$14,410
Insurer B*$19,382
Insurer C*$20,625

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

Cesarean delivery, hospital stay

MS-DRG 788

$9,294 - $25,087

from 4 insurers · median $20,023

UnitedHealthcare$9,294
Insurer A*$19,965
Insurer B*$20,081
Insurer C*$25,087

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

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$10,219 - $22,757

from 4 insurers · median $14,307

Aetna$10,219
Insurer A*$13,649
Insurer B*$14,965
Insurer C*$22,757
Medicare $7,900Nearby hospitals $15,2646% below nearby hospitals

143 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

Medicine & Surgery · Inpatient

Spinal fusion except cervical without MCC

MS-DRG 460

$69,384 - $120,764

from 3 insurers · median $86,381

Aetna$120,764
Insurer A*$69,384
Insurer B*$86,381
Medicare $28,280Nearby hospitals $96,66211% below nearby hospitals

15 Medicare discharges for this DRG in CMS hospital data

How the insurers pay at Orange Coast Memorial 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*24
613%
137
Insurer B*24
304%
117
Insurer C*24
296%
317
Insurer D*23
243%
99

How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 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 Orange Coast Memorial 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)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

More about this hospital

  • Quality

    4 of 5 stars

    • 154 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.21%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 37 services
    • 610 affiliated clinicians
    See doctors and services
  • Finances

    $471.4M net patient revenue

    • Operating margin on patient care -9.1%
    • $27.2M unreimbursed and uncompensated care
    • $30.9M net income
    See finances
  • Ownership and leadership

    Owned by Memorial Health Services

    • Private (for profit)
    • David S Kim, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Orange Coast Memorial 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
33-0687414Orange Coast Memorial Medical Center62Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), AMPS, Allied Benefit Systems and 57 more1497702575 Orange Coast Memorial Medical Center1093756173 Cep America-california1104372846 Orange Coast Memorial Medical Center

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

9920 Talbert Avenue, Fountain Valley, CA 92708

(714) 378-7406

Get directions

Frequently asked questions

About Orange Coast Memorial Medical Center's rates and hospital price transparency.

How much does a CT scan cost at Orange Coast Memorial Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Orange Coast Memorial Medical Center range from $458 to $2,877 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,877. The median at nearby comparable hospitals is $1,415. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Orange Coast Memorial Medical Center?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Orange Coast Memorial Medical Center range from $2,649 to $7,419 across 4 insurers. Cigna's rate is $3,074. The median at nearby comparable hospitals is $4,201. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Orange Coast Memorial Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Orange Coast Memorial Medical Center range from $6,535 to $20,625 across 4 insurers. UnitedHealthcare's rate is $6,535. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Orange Coast Memorial Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Orange Coast Memorial Medical Center range from $120 to $1,224 across 4 insurers. UnitedHealthcare's rate is $120. The median at nearby comparable hospitals is $310. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Orange Coast Memorial Medical Center's CMS star rating?

Orange Coast Memorial Medical Center has a CMS overall hospital star rating of 4 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is higher than 58% of US hospitals.

Is Orange Coast Memorial Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Orange Coast Memorial Medical Center for fiscal year 2027.

Does Medicare penalize Orange Coast Memorial Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Orange Coast Memorial Medical Center's base inpatient payments by an estimated 0.21% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Orange Coast Memorial Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (354 discharges), heart failure and shock with mcc (116 discharges), respiratory infections and inflammations with mcc (77 discharges).

What is Orange Coast Memorial Medical Center's case mix index?

Orange Coast Memorial Medical Center's Medicare case mix index is 1.99 for fiscal year 2027, higher than 78% of hospitals paid under the inpatient prospective payment system.

How many patients does Orange Coast Memorial Medical Center admit?

Orange Coast Memorial Medical Center reported 11,787 inpatient discharges and 53,236 inpatient days from Jul 1, 2024 to Jun 30, 2025.

For hospital finance and compliance teams

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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.

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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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