UCI Health - Lakewood
UCI Health - Lakewood in Orange, CA publishes cash prices for 25 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 | $5,974.00 | $14,935.00 | 60% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD & PELVIS W/CM | $5,974.00 | $14,935.00 | 60% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,770.80 | $9,427.00 | 60% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD/BRAIN WO CONTRST | $3,770.80 | $9,427.00 | 60% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS WITH CONTRAST | $2,811.20 | $7,028.00 | 60% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS WITH CONTRAST | $2,811.20 | $7,028.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI LOWR EXT JNT W/O CM | $3,369.60 | $8,424.00 | 60% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MRI LOWR EXT JNT W/O CM | $3,369.60 | $8,424.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI LE JNT WO/W CM | $2,958.80 | $7,397.00 | 60% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MRI LE JNT WO/W CM | $2,958.80 | $7,397.00 | 60% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN W/O CONTRAST | $4,289.20 | $10,723.00 | 60% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MRI BRAIN W/O CONTRAST | $4,289.20 | $10,723.00 | 60% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN WO/W CONTRAST | $4,257.20 | $10,643.00 | 60% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MRI BRAIN WO/W CONTRAST | $4,257.20 | $10,643.00 | 60% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SPINE LUMBAR W/O CM | $4,289.20 | $10,723.00 | 60% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MRI SPINE LUMBAR W/O CM | $4,289.20 | $10,723.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB COMP>14WK SGL GEST | $1,409.60 | $3,524.00 | 60% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB COMP>14WK SGL GEST | $1,409.60 | $3,524.00 | 60% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NOT OB | $975.60 | $2,439.00 | 60% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NOT OB | $975.60 | $2,439.00 | 60% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $1,483.60 | $3,709.00 | 60% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $1,483.60 | $3,709.00 | 60% |
| X-ray of the lower back, 4 or more views CPT 72110 SPINE LUMBAR MIN 4VWS | $779.20 | $1,948.00 | 60% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 SPINE LUMBAR MIN 4VWS | $779.20 | $1,948.00 | 60% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $790.00 | $1,975.00 | 60% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $790.00 | $1,975.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $273.60 | $684.00 | 60% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $273.60 | $684.00 | 60% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH AUTO DIFF | $429.20 | $1,073.00 | 60% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH AUTO DIFF | $429.20 | $1,073.00 | 60% |
| Complete blood count (CBC), no differential CPT 85027 CBC AUTO W/O DIFF | $149.60 | $374.00 | 60% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC AUTO W/O DIFF | $149.60 | $374.00 | 60% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMP METABOLIC PANEL | $1,024.00 | $2,560.00 | 60% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMP METABOLIC PANEL | $1,024.00 | $2,560.00 | 60% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $368.80 | $922.00 | 60% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $368.80 | $922.00 | 60% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA TOTAL/2 | $11.69 | $29.22 | 60% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA TOTAL/2 | $11.69 | $29.22 | 60% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $322.00 | $805.00 | 60% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $322.00 | $805.00 | 60% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $287.60 | $719.00 | 60% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $287.60 | $719.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $197.60 | $494.00 | 60% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $197.60 | $494.00 | 60% |
| Urinalysis with microscope exam, automated CPT 81001 UA AUTO W/MICRO | $223.20 | $558.00 | 60% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 UA AUTO W/MICRO | $223.20 | $558.00 | 60% |
| Urinalysis without microscope exam, automated CPT 81003 UA AUTO W/O MICRO/2 | $90.40 | $226.00 | 60% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 UA AUTO W/O MICRO/2 | $90.40 | $226.00 | 60% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 #2 | $91.60 | $229.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 OT THERAPTC EXER EA 15 | $121.20 | $303.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 PT THER EX EA 15 | $145.20 | $363.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 #2 | $91.60 | $229.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 OT THERAPTC EXER EA 15 | $121.20 | $303.00 | 60% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 PT THER EX EA 15 | $145.20 | $363.00 | 60% |
Source file: https://www.ucihealth.org/pricetransparency/952226406_uci-health-lakewood_standardcharges.json