Thank you for visiting the UCI Health hospital pricing transparency information page. We are committed to providing our patients with tools that help them understand their potential financial liability for services they obtain at our hospital. That is why we are directing our patients and visitors to review the list of standard charges contained within our Charge Description Master, also known as the CDM.
The CDM includes all charges billed to patients, guarantors and insurance companies. These charges represent retail pricing as published on June 1, 2019, and are subject to change as a result of new technology, the addition or elimination of services, variation of actual dosage and quantity, as well as any other changes made by manufacturers and suppliers, including the cost of goods and services.
It is important to note that our CDM pricing is not a true representation of what a patient’s out-of-pocket expense will be. The actual out-of-pocket cost is dependent on various factors, such as: actual services rendered, the patient’s insurance plan benefits and coverage, as well as our contract with the patient’s insurance company. Additionally, the patient will need to consider any potential co-payments, co-insurance payments and annual deductibles.
Our CDM pricing is available for review on the Office of Statewide Health Planning and Development (OSHPD) website. This information is published annually in June and meets all the state requirements for compliance with AB 1627 and AB 1045, as set forth by the State of California. To access our CDM, please refer to the OSHPD website and search “Irvine.” The Payers’ Bill of Rights currently requires each hospital to annually submit three documents regarding its pricing to OSHPD:
- A copy of the hospital’s CDM as of July 2019
- A list of average charges for 25 common outpatient procedures
- A calculated estimate of the percentage of change in the gross revenue (charges) due to price changes, along with supporting documentation. (The gross revenue percentage estimate must be submitted by UCI Health to OSHPD, along with the other two documents beginning July 1, 2006 and every July 1 thereafter. There is a one-year delay in the data because the estimate is based on the 12-month period beginning with the effective date of the last CDM UCI Health filed with OSHPD.)
Please note: These documents include hospital services only and do not include prices for physician services.
To view our average charge for Medicare Severity Diagnosis Related Groups (MSDRG), please reference our MSDRG Average Charges document.
UCI Health provides discounted care to low income and uninsured patients through our Financial Assistance program If you believe you may qualify for financial assistance, please fill out an application or call our UC Irvine Shared Billing Office at 833-353-7700, select option 8 for assistance. Otherwise, you may reach us at 714-456-8999 for additional information.