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CHILDREN'S HOSPITAL OF ORANGE COUNTY

General Acute Care Hospital, Children·ORANGE, CA·NPI: 1811080526Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$53.7M

$53,688,794

Total Claims

2.8M

Beneficiaries

2.4M

1.2 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$4.1M
+42%
2019
$5.8M
+25%
2020
$7.3M
+7%
2021
$7.8M
+8%
2022
$8.4M
+18%
2023
$9.9M
+4%
2024
$10.3M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (90378) accounts for 22% of total spending.

90378Top 25%

$11.7M

3,931 claims · 21.9%

Your Cost: $2,988.68/claim|Median: $1,627.19
1.8× median
J1745Normal range

Injection, infliximab, excludes biosimilar, 10 mg

$4.7M

2,081 claims · 8.7%

Your Cost: $2,253.50/claim|Median: $1,587.53
1.4× median
0450Normal range

Emergency room visit

$3.8M

324K claims · 7.1%

Your Cost: $11.75/claim|Median: $44.95
0.3× median
J1950Top 5%

Injection, leuprolide acetate, per three point seven five milligrams

$3.0M

399 claims · 5.6%

Your Cost: $7,488.59/claim|Median: $1,442.37
5.2× median
87633Normal range

Respiratory virus detection, 12-25 targets, nucleic acid

$2.1M

14K claims · 3.8%

Your Cost: $148.37/claim|Median: $169.17
0.9× median
J3262Top 5%

Injection, tocilizumab, one milligram

$1.7M

801 claims · 3.2%

Your Cost: $2,155.31/claim|Median: $702.69
3.1× median
J1569Normal range

$1.5M

1,194 claims · 2.8%

Your Cost: $1,236.94/claim|Median: $1,387.65
0.9× median
Z7500Top 25%

$941K

28K claims · 1.8%

Your Cost: $34.08/claim|Median: $33.71
1.0× median
A0429Normal range

Ambulance, BLS emergency transport

$930K

76K claims · 1.7%

Your Cost: $12.22/claim|Median: $138.19
0.1× median
Z7502Normal range

$882K

24K claims · 1.6%

Your Cost: $36.98/claim|Median: $37.17
1.0× median
99283Top 25%

Emergency dept visit, moderate complexity

$730K

9,087 claims · 1.4%

Your Cost: $80.32/claim|Median: $42.48
1.9× median
70553Normal range

MRI brain without contrast, then with contrast

$687K

6,029 claims · 1.3%

Your Cost: $114.00/claim|Median: $133.68
0.9× median
93975Normal range

Duplex scan of arterial inflow and venous outflow, complete

$663K

11K claims · 1.2%

Your Cost: $60.64/claim|Median: $79.28
0.8× median
87635Normal range

COVID-19 SARS-CoV-2 amplified probe detection

$604K

28K claims · 1.1%

Your Cost: $21.77/claim|Median: $39.70
0.5× median
96365Normal range

IV infusion, therapeutic/prophylactic/diagnostic, initial, up to 1 hour

$532K

18K claims · 1.0%

Your Cost: $30.22/claim|Median: $54.77
0.6× median
76705Normal range

Ultrasound, abdominal, limited

$519K

24K claims · 1.0%

Your Cost: $22.08/claim|Median: $23.81
0.9× median
92507Normal range

Speech/hearing/language treatment

$494K

17K claims · 0.9%

Your Cost: $29.02/claim|Median: $49.45
0.6× median
74177Normal range

CT abdomen and pelvis with contrast

$470K

4,410 claims · 0.9%

Your Cost: $106.50/claim|Median: $65.76
1.6× median
J3490Normal range

Unclassified drugs

$450K

82K claims · 0.8%

Your Cost: $5.46/claim|Median: $5.70
1.0× median
87502Normal range

Influenza virus detection, reverse transcription, amplified probe

$442K

15K claims · 0.8%

Your Cost: $28.54/claim|Median: $65.64
0.4× median
80053Normal range

Comprehensive metabolic panel

$436K

79K claims · 0.8%

Your Cost: $5.49/claim|Median: $7.24
0.8× median
0123Normal range

$402K

103 claims · 0.7%

Your Cost: $3,899.56/claim|Median: $3,178.88
1.2× median
99199Top 25%

Unlisted special service, procedure, or report

$395K

27K claims · 0.7%

Your Cost: $14.56/claim|Median: $5.39
2.7× median
95810Normal range

Polysomnography, sleep study, 6+ hours

$384K

3,512 claims · 0.7%

Your Cost: $109.45/claim|Median: $233.73
0.5× median
0760Normal range

$378K

132K claims · 0.7%

Your Cost: $2.87/claim|Median: $22.01
0.1× median
0510Normal range

Revenue code, clinic services

$366K

52K claims · 0.7%

Your Cost: $6.99/claim|Median: $28.38
0.2× median
95782Normal range

$350K

854 claims · 0.7%

Your Cost: $409.35/claim|Median: $216.35
1.9× median
96360Normal range

IV infusion, hydration, initial, 31 minutes to 1 hour

$346K

13K claims · 0.6%

Your Cost: $27.70/claim|Median: $61.57
0.4× median
70450Normal range

CT head/brain without contrast

$346K

7,795 claims · 0.6%

Your Cost: $44.42/claim|Median: $45.53
1.0× median
71046Normal range

Chest X-ray, 2 views

$337K

34K claims · 0.6%

Your Cost: $9.86/claim|Median: $8.92
1.1× median
96374Normal range

Therapeutic/prophylactic/diagnostic IV push, single substance

$316K

14K claims · 0.6%

Your Cost: $22.25/claim|Median: $21.76
1.0× median
96361Normal range

IV infusion, hydration, each additional hour

$271K

18K claims · 0.5%

Your Cost: $15.37/claim|Median: $38.92
0.4× median
76770Normal range

Ultrasound, retroperitoneal, complete

$269K

13K claims · 0.5%

Your Cost: $20.19/claim|Median: $37.35
0.5× median
87634Normal range

$245K

9,710 claims · 0.5%

Your Cost: $25.19/claim|Median: $48.78
0.5× median
G0463Normal range

Hospital outpatient clinic visit

$239K

4,822 claims · 0.4%

Your Cost: $49.51/claim|Median: $26.41
1.9× median
87798Normal range

Infectious agent detection, nucleic acid, not otherwise specified

$224K

14K claims · 0.4%

Your Cost: $16.00/claim|Median: $26.72
0.6× median
93005Normal range

Electrocardiogram, tracing only, without interpretation

$206K

21K claims · 0.4%

Your Cost: $9.83/claim|Median: $7.50
1.3× median
99221Top 5%

Initial hospital care, straightforward/low

$201K

815 claims · 0.4%

Your Cost: $246.83/claim|Median: $39.96
6.2× median
0360Normal range

$201K

27K claims · 0.4%

Your Cost: $7.48/claim|Median: $95.40
0.1× median
97530Normal range

Therapeutic activities, each 15 min

$192K

3,649 claims · 0.4%

Your Cost: $52.67/claim|Median: $33.11
1.6× median
87428Normal range

SARS-CoV-2 COVID-19 antigen detection, immunoassay, each

$190K

5,752 claims · 0.4%

Your Cost: $32.98/claim|Median: $39.63
0.8× median
94640Normal range

Pressurized or nonpressurized inhalation treatment

$189K

18K claims · 0.4%

Your Cost: $10.46/claim|Median: $10.88
1.0× median
96450Normal range

$188K

1,803 claims · 0.4%

Your Cost: $104.42/claim|Median: $174.39
0.6× median
87086Normal range

Urine culture, colony count, with identification

$185K

49K claims · 0.3%

Your Cost: $3.80/claim|Median: $5.31
0.7× median
P9040Normal range

$179K

687 claims · 0.3%

Your Cost: $260.60/claim|Median: $210.57
1.2× median
87581Normal range

$178K

14K claims · 0.3%

Your Cost: $12.60/claim|Median: $17.13
0.7× median
J2405Top 25%

Injection, ondansetron HCl, per one milligram

$178K

40K claims · 0.3%

Your Cost: $4.45/claim|Median: $0.58
7.7× median
87486Normal range

$178K

14K claims · 0.3%

Your Cost: $12.56/claim|Median: $19.16
0.7× median
99215Normal range

Office/outpatient visit, high complexity

$166K

2,885 claims · 0.3%

Your Cost: $57.42/claim|Median: $74.09
0.8× median
85025Normal range

Complete blood count (CBC) with differential, automated

$164K

44K claims · 0.3%

Your Cost: $3.73/claim|Median: $4.71
0.8× median

Other Top Providers in California

View all →

Los Angeles County Department of Mental Health

Clinic/Center, Mental Health (Including Community

$6.78B

County of Santa Clara

Community/Behavioral Health

$1.73B

County of Riverside

Community/Behavioral Health

$1.40B

City & County of San Francisco

Community/Behavioral Health

$1.34B

Los Angeles County Department of Public Health

Public Health or Welfare

$1.13B

Similar Providers

Other top providers in General Acute Care Hospital, Children

Dayton Children's Hospital

Dayton, OH

$290.6M

Connecticut Children's Medical Center

Hartford, CT

$248.9M

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