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UCI Health-Orange

101 City Drive South, Orange, CA 92868 · (714) 456-7890

Price file

Prices published

File dated 2026-04-01

1,318 price rows for 69 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $48

$45
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,703

$1,248
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,428

$822
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,774

$1,089
cash
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cash
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cash
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cash
Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $35

$5
cash
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cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 3 lines · metro median $32

$32
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $58

$50
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $422

$403
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $22

$16
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 10 lines · metro median $349

$72
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines · metro median $227

$50
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $342

$49
cash
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cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 7 lines · metro median $35

$5
cash
Group psychotherapy

CPT 90853 · metro median $197

$72
cash
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Laser treatment after cataract surgery (YAG)

CPT 66821 · lowest of 2 lines · metro median $1,570

$408
cash
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cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 6 lines · metro median $18

$5
cash
Liver function panel

CPT 80076 · metro median $45

$27
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,967

$1,920
cash
$1,530
cash
$1,532
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $2,093

$1,532
cash
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cash
Nerve block injection, lower back, with imaging guidance

CPT 64483 · lowest of 2 lines · metro median $1,199

$2,712
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $233

$72
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines · metro median $276

$72
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines · metro median $349

$72
cash
PSA test (prostate)

CPT 84153 · lowest of 3 lines · metro median $18

$7
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 4 lines · metro median $15

$6
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 6 lines · metro median $90

$102
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $706

$78
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · lowest of 4 lines · metro median $141

$74
cash
Preventive visit, new patient age 40 to 64

CPT 99386 · lowest of 4 lines · metro median $74

$74
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $3,636

$1,751
cash
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cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 5 lines · metro median $9

$2
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines · metro median $227

$36
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines · metro median $318

$48
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $342

$70
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 2 lines · metro median $4,196

$254
cash
Screening mammogram (both breasts)

CPT 77067 · metro median $281

$202
cash
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Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,473

$723
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,829

$883
cash
TSH test (thyroid)

CPT 84443 · lowest of 5 lines · metro median $18

$9
cash
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cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $515

$62
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $1,147

$74
cash
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Urinalysis with microscope

CPT 81001 · metro median $35

$69
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $652

$26
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.