46/100
#1,384 nationally
Kaiser Foundation Hospital - Orange County - Anaheim
3440 E La Palma Ave, Anaheim, CA 92806 · (714) 279-4000
Charges well above the national norm
For every $1 of care Medicare actually paid for here, Kaiser Foundation Hospital - Orange County - Anaheim billed $3.26 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.3x
- volume-weighted across all its priced work
- Procedures priced
- 12
- inpatient and outpatient combined
- Rank in CA
- #41
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 75% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 29% of U.S. hospitals.
Better than 44% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
100 | $75,787 | $26,792 | +16% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
81 | $36,632 | $3,203 | +89% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
27 | $63,595 | $18,230 | +47% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
24 | $37,191 | $19,174 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
18 | $56,020 | $19,148 | about average |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
15 | $66,794 | $20,657 | +43% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
15 | $66,845 | $14,889 | +7% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
13 | $40,644 | $9,963 | +36% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
12 | $74,379 | $15,547 | +54% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
12 | $13,740 | $1,315 | +36% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$36,632 | $3,203 | +89% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
$74,379 | $15,547 | +54% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$63,595 | $18,230 | +47% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$66,794 | $20,657 | +43% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$40,644 | $9,963 | +36% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$13,740 | $1,315 | +36% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$102,731 | $26,265 | +23% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$75,787 | $26,792 | +16% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$37,191 | $19,174 | -5% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$169,464 | $89,334 | -5% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$56,020 | $19,148 | about average |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$66,845 | $14,889 | +7% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$75,787 | $26,792 | +16% |
|
Hip or Thigh Bone Surgery (with complications)
MS-DRG 481 · Inpatient stay |
$102,731 | $26,265 | +23% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$13,740 | $1,315 | +36% |
|
Urinary Tract Infection (without major complications)
MS-DRG 690 · Inpatient stay |
$40,644 | $9,963 | +36% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.