Providence Mission Hospital - Mission Viejo
27700 Medical Center Rd, Mission Viejo, CA · Providence · · NPI 1003956913
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,518.83 – $9,835.10 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,357.00 – $12,661.56 | 6 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $1,597.00 – $30,548.47 | 6 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $504.48 | $1,051.00 | $269.67 – $5,171.00 | 6 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,668.48 | $15,976.00 | $4,666.00 – $13,634.00 | 3 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $11,701.44 | $24,378.00 | $4,666.00 – $13,634.00 | 3 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $1,597.00 – $13,634.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,050.88 | $12,606.00 | $3,429.00 – $10,791.00 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $6,595.20 | $13,740.00 | $3,429.00 – $10,791.00 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $14,000.16 | $29,167.00 | $8,912.00 – $27,468.35 | 6 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $6,197.76 | $12,912.00 | $3,451.89 – $7,883.00 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $7,116.48 | $14,826.00 | $3,429.00 – $13,240.19 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $6,663.36 | $13,882.00 | $1,894.00 – $7,908.00 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $6,662.40 | $13,880.00 | $1,894.00 – $7,908.00 | 6 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $4,795.20 | $9,990.00 | $3,429.00 – $7,908.00 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $7,944.48 | $16,551.00 | $3,874.15 – $8,431.97 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $3,454.08 | $7,196.00 | $1,200.00 – $5,357.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $4,528.80 | $9,435.00 | $2,255.66 – $7,908.00 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $3,347.04 | $6,973.00 | $2,255.66 – $7,908.00 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $19.38 – $1,281.46 | 5 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $16.97 – $6,480.00 | 5 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Troponin quantitative CPT 84484 | $102.24 | $213.00 | $10.60 – $24.94 | 5 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $601.28 – $12,775.00 | 6 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $3,853.66 – $5,995.00 | 6 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $92.93 – $296.10 | 5 |
| Tte w or without contr, cont ecg HCPCS C8930 | $2,006.88 | $4,181.00 | $857.02 – $5,171.00 | 5 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,006.40 | $4,180.00 | $857.02 – $1,865.27 | 4 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $857.02 – $1,865.27 | 4 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $857.02 – $1,865.27 | 4 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $649.96 | $1,354.08 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $482.31 – $5,171.00 | 6 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $5,171.00 – $17,644.36 | 6 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $5,171.00 – $16,338.00 | 3 |
| Tx atrial fib pulm vein isol CPT 93656 | $13,690.08 | $28,521.00 | $11,790.00 – $62,192.66 | 6 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $269.67 – $5,171.00 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $5,618.40 | $11,705.00 | $3,281.00 – $7,785.43 | 6 |
| Tx closed tib shaft fx without manip CPT 27750 | $504.48 | $1,051.00 | $269.67 – $5,171.00 | 6 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $799.00 – $1,894.00 | 6 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $807.98 – $1,758.55 | 6 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $4,666.00 – $15,436.00 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Tx l/r atrial fib addl CPT 93657 | $13,690.08 | $28,521.00 | $1,200.00 – $16,338.00 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $4,885.44 | $10,178.00 | $3,577.09 – $11,117.00 | 6 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $8,207.04 | $17,098.00 | $3,577.09 – $9,779.00 | 6 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $8,207.04 | $17,098.00 | $3,577.09 – $7,785.43 | 6 |
| Tx open nsl fx uncomp CPT 21325 | $7,947.84 | $16,558.00 | $3,624.60 – $9,779.00 | 6 |
| Tx open nsl sptl fx CPT 21336 | $4,893.60 | $10,195.00 | $3,577.09 – $9,779.00 | 6 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $8,207.04 | $17,098.00 | $3,577.09 – $9,779.00 | 6 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $4,114.00 – $9,718.00 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,696.26 – $9,779.00 | 6 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $3,429.00 – $7,888.83 | 6 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $236.06 – $513.77 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $589.62 – $5,171.00 | 6 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Tyms gene com variants CPT 81346 | not published | not published | $148.59 – $349.62 | 5 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $16.52 – $194.04 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $164.26 – $386.50 | 5 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.42 – $8.04 | 5 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $58.43 – $147.62 | 6 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $198.90 – $468.00 | 5 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $218.40 | $455.00 | $114.29 – $248.76 | 5 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $43.87 – $248.76 | 5 |
| Ultrasound breast complete CPT 76641 | $525.12 | $1,094.00 | $114.29 – $248.76 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $469.44 | $978.00 | $95.14 – $207.07 | 5 |
| Ultrasound chest CPT 76604 | $524.16 | $1,092.00 | $114.29 – $248.76 | 5 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $305.76 | $637.00 | $114.29 – $248.76 | 5 |
| Ultrasound dx ophth b-scan CPT 76512 | $135.84 | $283.00 | $114.29 – $248.76 | 5 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $181.19 – $495.26 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | $326.88 | $681.00 | $114.29 – $248.76 | 5 |
| Ultrasound encephalogram CPT 76506 | $327.84 | $683.00 | $114.29 – $248.76 | 5 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $392.17 – $392.17 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $344.16 | $717.00 | $114.29 – $248.76 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $396.00 | $825.00 | $114.29 – $248.76 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | $173.76 | $362.00 | $111.82 – $167.91 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $634.08 | $1,321.00 | $570.14 – $939.08 | 2 |
| Ultrasound guide intraoperative CPT 76998 | $931.20 | $1,940.00 | $311.22 – $850.57 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | $634.08 | $1,321.00 | $362.82 – $634.87 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $499.68 | $1,041.00 | $95.14 – $207.07 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | $416.16 | $867.00 | $95.14 – $207.07 | 5 |
| Ultrasound joint complete left CPT 76881 | $633.60 | $1,320.00 | $114.29 – $248.76 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $521.28 | $1,086.00 | $57.47 – $248.76 | 5 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $78.75 – $248.76 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $825.60 | $1,720.00 | $284.67 – $1,017.34 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $548.16 | $1,142.00 | $166.22 – $290.49 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $657.60 | $1,370.00 | $260.85 – $567.73 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $604.80 | $1,260.00 | $114.29 – $248.76 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $445.44 | $928.00 | $114.29 – $248.76 | 5 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $542.88 | $1,131.00 | $114.29 – $248.76 | 5 |
| Ultrasound prostate/transrectal CPT 76872 | $548.64 | $1,143.00 | $114.29 – $248.76 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | $260.64 | $543.00 | $114.29 – $248.76 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $831.36 | $1,732.00 | $114.29 – $248.76 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.