UCI Health - Los Alamitos
UCI Health - Los Alamitos in Orange, CA publishes cash prices for 32 common procedures listed here, from its own machine-readable price file updated Apr 1, 2026. Click a procedure to compare it with other hospitals nearby.
101 City Drive South, Orange, CA 92868 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CM | $1,248.00 | $3,120.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $1,248.00 | $3,120.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $821.60 | $2,054.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $821.60 | $2,054.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $1,088.80 | $2,722.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $1,088.80 | $2,722.00 | 60% |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO+CAD BILAT | $403.20 | $1,008.00 | 60% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 DX MAMMO+CAD BILAT | $403.20 | $1,008.00 | 60% |
| Diagnostic mammogram, one breast one side CPT 77065 DX MAMMO+CAD UNILAT | $322.40 | $806.00 | 60% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 DX MAMMO+CAD UNILAT | $322.40 | $806.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $1,530.00 | $3,825.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $1,530.00 | $3,825.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $2,196.80 | $5,492.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $2,196.80 | $5,492.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $1,430.80 | $3,577.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $1,430.80 | $3,577.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $1,920.00 | $4,800.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $1,920.00 | $4,800.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $1,532.00 | $3,830.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $1,532.00 | $3,830.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $655.20 | $1,638.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $655.20 | $1,638.00 | 60% |
| Screening mammogram, both breasts both sides CPT 77067 SCRN MAMMO+CAD BILAT | $201.60 | $504.00 | 60% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 SCRN MAMMO+CAD BILAT | $201.60 | $504.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $416.40 | $1,041.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $416.40 | $1,041.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $725.60 | $1,814.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $725.60 | $1,814.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $472.00 | $1,180.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $472.00 | $1,180.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $44.80 | $112.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $44.80 | $112.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $32.00 | $80.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $32.00 | $80.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $26.80 | $67.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF | $26.80 | $67.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $50.00 | $125.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $50.00 | $125.00 | 60% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $68.00 | $170.00 | 60% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $68.00 | $170.00 | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $26.80 | $67.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $26.80 | $67.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL | $21.20 | $53.00 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL | $21.20 | $53.00 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $37.60 | $94.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $37.60 | $94.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $29.20 | $73.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $29.20 | $73.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $23.60 | $59.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $23.60 | $59.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $68.80 | $172.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $68.80 | $172.00 | 60% |
| Urinalysis without microscope exam, manual CPT 81002 UA NON-AUTO W/O MICRO/4 | $15.20 | $38.00 | 60% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 UA NON-AUTO W/O MICRO/4 | $15.20 | $38.00 | 60% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic one side CPT 93452 CATH LT HRT W/LTVENT | $2,267.20 | $5,668.00 | 60% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 CATH LT HRT W/LTVENT | $2,267.20 | $5,668.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 E&M-NEW PATIENT-LVL III | $72.00 | $180.00 | 60% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E&M-NEW PATIENT-LVL III | $72.00 | $180.00 | 60% |
| New patient office visit, about 45 minutes CPT 99204 E&M-NEW PATIENT-LVL IV | $72.00 | $180.00 | 60% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E&M-NEW PATIENT-LVL IV | $72.00 | $180.00 | 60% |
| New patient office visit, about 60 minutes CPT 99205 E&M-NEW PATIENT-LVL V | $72.00 | $180.00 | 60% |
| New patient office visit, about 60 minutes inpatient CPT 99205 E&M-NEW PATIENT-LVL V | $72.00 | $180.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PTA THER EX EA 15MIN | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC EXER EA 15 | $102.40 | $256.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PTA THER EX EA 15MIN | $102.40 | $256.00 | 60% |
Source file: https://www.ucihealth.org/pricetransparency/952226406_uci-health-los-alamitos_standardcharges.json