Providence Saint Joseph Health · Orange, CA
34
In-network payers
369
Disclosed rate categories
426
Beds
3
Care quality
St Joseph Hospital - Orange is a 426-bed voluntary non-profit - church hospital in Orange, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 369 disclosed rate categories.
CCN (Medicare provider number)
050069
NPI
1912982216
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Church
Beds
426
Care Quality
3
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 St Joseph Hospital - Orange 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
$11,313 - $17,107
from 4 insurers · median $15,720
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
$15,838 - $20,740
from 4 insurers · median $18,450
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 · Inpatient
MS-DRG 460
$54,428 - $77,342
from 3 insurers · median $62,139
41 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 74177
$611 - $3,351
from 4 insurers · median $2,188
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$3,751 - $12,050
from 4 insurers · median $6,691
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$3,751 - $12,050
from 4 insurers · median $6,781
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$6,319 - $20,938
from 4 insurers · median $15,295
107 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$11,313 - $17,107
from 4 insurers · median $15,720
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
Digestive procedures
CPT 43239
$3,751 - $8,904
from 4 insurers · median $4,069
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$164,801 - $393,084
from 3 insurers · median $228,575
Hospital reports cardiac thoracic surgery services to CMS
Digestive procedures
CPT 45378
$3,751 - $9,795
from 4 insurers · median $6,387
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$246 - $1,390
from 2 insurers · median $818
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$373 - $2,706
from 4 insurers · median $1,576
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$6,969 - $21,465
from 4 insurers · median $14,185
40 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Cardiology and vascular testing
CPT 93306
$589 - $4,427
from 4 insurers · median $1,526
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$38,777 - $48,628
from 3 insurers · median $45,069
14 Medicare discharges for this DRG in CMS hospital data
CT imaging
CPT 71260
$468 - $3,185
from 4 insurers · median $2,155
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$160 - $1,415
from 4 insurers · median $391
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $4,541
from 3 insurers · median $2,175
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$394 - $4,204
from 3 insurers · median $2,175
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,324 - $18,213
from 3 insurers · median $6,316
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $4,204
from 3 insurers · median $2,152
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 31231
$1,394 - $4,019
from 4 insurers · median $2,514
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$396 - $4,510
from 3 insurers · median $2,152
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* | 22 | 986% | 16 | 3 |
| Insurer B* | 19 | 773% | 14 | 1 |
| Insurer C* | 21 | 421% | 9 | 6 |
| Insurer D* | 24 | 221% | 4 | 9 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 15 are common here based on CMS Medicare volume, and 5 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 St Joseph Hospital - Orange.
1100 West Stewart Drive, Orange, CA 92868
(714) 633-9111
The nearest hospitals of similar type and size. Their rates are compared with St Joseph Hospital - Orange for the same insurers and services above.
Unversity Of California Irvine Medical Center
▼ Rates typically 12% lower than St Joseph Hospital - Orange (21 services)
Orange County Global Medical Center
▼ Rates typically 43% lower than St Joseph Hospital - Orange (20 services)
Ahmc Anaheim Regional Medical Center
▼ Rates typically 35% lower than St Joseph Hospital - Orange (21 services)
Fountain Valley Regional Hospital
▼ Rates typically 23% lower than St Joseph Hospital - Orange (21 services)
Orange Coast Memorial Medical Center
▼ Rates typically 26% lower than St Joseph Hospital - Orange (21 services)
West Anaheim Medical Center
▼ Rates typically 75% lower than St Joseph Hospital - Orange (17 services)
Chapman Global Medical Center
Providence St Johns Health Center
Queen Of The Valley - Napa
About St Joseph Hospital - Orange's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at St Joseph Hospital - Orange range from $792 to $4,541 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $975. 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 St Joseph Hospital - Orange range from $611 to $3,351 across 4 insurers. Aetna's rate is $1,450. The median at nearby comparable hospitals is $1,368. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at St Joseph Hospital - Orange range from $3,751 to $12,050 across 4 insurers. Cigna's rate is $12,050. The median at nearby comparable hospitals is $4,146. 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 St Joseph Hospital - Orange range from $11,313 to $17,107 across 4 insurers. Aetna's rate is $11,313. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at St Joseph Hospital - Orange range from $160 to $1,415 across 4 insurers. UnitedHealthcare's rate is $160. The median at nearby comparable hospitals is $240. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at St Joseph Hospital - Orange range from $38,777 to $48,628 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $38,777. The median at nearby comparable hospitals is $39,232. What a patient pays depends on their plan's deductible, coinsurance and network status.
St Joseph Hospital - Orange has 426 beds. Facility type: Short Term Acute Care Hospital.
St Joseph Hospital - Orange is located at 1100 West Stewart Drive, Orange, CA 92868. Its main phone number is (714) 633-9111.
St Joseph Hospital - Orange's CMS Certification Number (CCN), also called its Medicare provider number, is 050069.
The National Provider Identifier (NPI) on file for St Joseph Hospital - Orange is 1912982216.
St Joseph Hospital - Orange is affiliated with Providence Saint Joseph Health.
St Joseph Hospital - Orange lists 34 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.
369 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