The fee schedule is only offered to customers that prefer to pay cash at time of service. Orange County Diagnostics will not submit a claim to the insurance carrier. Therefore, any money collected will not be applied to any co-payment, deductible or coinsurance. Payment in full is required at time of service.
| MRI without contrast | $ 450 |
| MRI with contrast | $ 500 |
| MRI with & without contrast | $ 650 |
| MR Angiography (MRA) | $ 800 |
| MRI Arthrogram | $ 750 |
| MRI without contrast, multiple studies (2) | $ 675 |
| MRI with contrast, multiple studies (2) | $ 975 |
| MRI Breast without contrast | $ 450 |
| MRI Breast with & without contrast | $ 1,500 |
| MRI IV sedation | $ 100 |
| CT without contrast | $ 350 |
| CT with contrast | $ 400 |
| CT with & without contrast | $ 450 |
| CT Angiography (CTA) | $ 550 |
| CT Arthrogram | $ 650 |
| CT myelogram | $ 850 |
| CT without contrast, multiple studies (2) | $ 525 |
| CT with contrast, multiple studies (2) | $ 675 |
| CT bone density, osteoporosis screening | $ 175 |
| DEXA, Osteoporosis screening | $ 175 |
| Digital Mammography, Screening | $ 150 |
| Digital Mammography, Diagnostic | $ 180 |
| Digital Mammography, Unilateral | $ 100 |
| Ultrasound, single breast | $ 100 |
| Ultrasound, single study | $ 200 |
| Ultrasound, multiple studies (2) | $ 300 |
| Ultrasound, Vascular | $ 300 |
| X-ray, limited | $ 80 |
| X-ray, complete | $ 100 |
| X-ray, Metastatic/ Metabolic bone survey | $ 200 |
| Fluoroscopy | $ 200 |
| Hysterosalpingogram/ Hysterosonogram | $ 340 |
| *Breast Biopsy- Ultrasound guided , single lesion ADDITIONAL CHARGE- pathology, see comments below. |
$ 1,000 |
| *Breast Biopsy- Stereotactic guided , single lesion ADDITIONAL CHARGE- pathology, see comments below. |
$ 1,200 |
| *Breast Biopsy- MRI guided , single lesion ADDITIONAL CHARGE- pathology, see comments below. |
$ 1,500 |
| Breast Cyst Aspiration, single lesion | $ 400 |
| *Thyroid Biopsy, single lesion | $ 800 |
| Myelogram | $ 800 |
| Intravenous Pyelogram (IVP) | $ 300 |
| VCUG- Voiding Cystourethrogram | $500 |
* The price for any biopsy is for the procedure only. There will be an additional charge for lab services that are performed at Saddleback Memorial Hospital. It is recommended that patients contact Saddleback Memorial Pathology Department regarding their rates. We will be happy to send specimens to another facility if requested.
| In Network |
|---|
| Aetna (Eligibility & Claim Status) |
| Affiliated Comp Serv (ACS), W's Comp, OFCCP |
| American Postal Workers (APWU, INFO) |
| Beech Street (PPO, WC) |
| Benesight/Harrington |
| Blue Cross RadMD / NIA (PPO) |
| Blue Shield (Under CARE TRUST) -RadMD / NIA |
| Cal-Optima ("taxidGRP") |
| ChoiceCare NWK / Humana |
| CIGNA (HMO, PPO, POS) (Eligibility) |
| DiaTri (Midwest Dia Mgt) (MDM, AAS, DPN) |
| Definity Health |
| First Health NWK , CCN,(PPO, EPO, W/C) |
| Focus Healthcare Management (Concentra) |
| Galaxy Health Network |
| Gallagher |
| Golden Rule Ins. Co. |
| Gov. Employee hospital Association (GEHA, INFO) |
| Great-West Healthcare (One Health, INFO) |
| Great - West Healthcare (Medsolutions) |
| Health NET (PPO, POS) |
| Health Partners Health NET (PPO, POS) |
| Humana (Gold Choice) |
| Interplan Health Group (IHG) (PPO, W/C) |
| Key Health Management |
| Magnetic Imaging Services, Inc. (MIS) |
| MDIA |
| Medicare (Part B) |
| Medicare Railroad Carrier (Part B) |
| Medfocus Radiology Network |
| MEDI-CAL (MEDICAID) |
| Mid Atlantic Medical Services, Inc. (MAMSI) |
| MONARCH HEALTHCARE |
| MultiPlan Inc (MPI) [PPO] |
| Mutual of Omaha Co's PPO (via CCN) |
| Nationwide CALFARM |
| NGS America (INFO) |
| OC Foundation for Medical Care (OCFPPO) |
| One Call Medical (OCM) [Workers Comp] |
| Office of Workers' Comp Programs (OWCP) |
| Pacificare |
| Private Healthcare Systems (PHCS) [EPO, PPO] |
| Riverside Cty. Foundation for Med Care (RCFMC) |
| State Farm (Acct ID OC863) |
| Three Rivers Provider Network (TRPN) |
| TriWest |
| United Healthcare |
| Universal Care (HMO) |
| WPS TriCare |
Insurance companies are constantly merging and modifying. It is highly recommended that patients contact their insurance provider to verify coverage and plan benefits.