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 |
|---|---|---|---|---|
| Ultrasound spinal canal and contents CPT 76800 | $327.84 | $683.00 | $114.29 – $248.76 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | $1,271.04 | $2,648.00 | $356.51 – $484.77 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $754.56 | $1,572.00 | $114.29 – $248.76 | 5 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $291.55 – $830.11 | 5 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $957.56 – $2,614.77 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $7.88 – $17.15 | 3 |
| Umbilical artery cath newborn 36660 CPT 36660 | $104.16 | $217.00 | $4,666.00 – $5,357.00 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $333.14 – $5,171.00 | 6 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,200.00 – $8,912.00 | 3 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $31.62 – $68.82 | 4 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $31.62 – $68.82 | 4 |
| Unlisted chemotherapy px CPT 96549 | $106.56 | $222.00 | $51.19 – $111.42 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $258.93 – $6,920.00 | 6 |
| Unlisted CT procedure CPT 76497 | $2,418.24 | $5,038.00 | $95.14 – $207.07 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $140.67 – $1,200.00 | 5 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $221.02 – $5,171.00 | 6 |
| Unlisted fluoroscopic px CPT 76496 | $1,269.60 | $2,645.00 | $95.14 – $207.07 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $221.02 – $7,908.00 | 6 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $6,609.22 – $15,436.00 | 6 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px renal CPT 50549 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px testis CPT 54699 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $258.93 – $6,920.00 | 6 |
| Unlisted misc path test CPT 89240 | $106.08 | $221.00 | $56.97 – $123.99 | 5 |
| Unlisted mr procedure CPT 76498 | $2,382.24 | $4,963.00 | $95.14 – $207.07 | 5 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $258.93 – $6,920.00 | 6 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $140.67 – $306.17 | 4 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $31.62 – $68.82 | 4 |
| Unlisted orl service/px CPT 92700 | not published | not published | $31.62 – $68.82 | 4 |
| Unlisted procedure colon CPT 45399 | not published | not published | $1,016.67 – $5,171.00 | 6 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $991.55 – $5,171.00 | 6 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $347.00 – $6,920.00 | 6 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $258.93 – $9,779.00 | 6 |
| Unlisted procedure liver CPT 47399 | not published | not published | $774.16 – $5,171.00 | 6 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $347.00 – $5,171.00 | 6 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $774.16 – $5,171.00 | 6 |
| Unlisted procedure rectum CPT 45999 | $1,537.44 | $3,203.00 | $1,016.67 – $5,171.00 | 6 |
| Unlisted procedure spine CPT 22899 | not published | not published | $269.67 – $5,171.00 | 6 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $5,171.00 – $13,634.00 | 4 |
| Unlisted px abdomen muscskel CPT 22999 | not published | not published | $269.67 – $7,908.00 | 6 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,523.01 – $5,491.26 | 6 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $269.67 – $11,117.00 | 6 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $991.55 – $5,171.00 | 6 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $177.65 – $1,597.00 | 6 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $347.00 – $5,171.00 | 6 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $4,666.00 – $5,171.00 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $774.16 – $7,908.00 | 6 |
| Unlisted px external ear CPT 69399 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $347.00 – $9,779.00 | 6 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $269.67 – $5,171.00 | 6 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $269.67 – $5,171.00 | 6 |
| Unlisted px hands/fingers CPT 26989 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Unlisted px inner ear CPT 69949 | not published | not published | $258.93 – $6,920.00 | 6 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $347.00 – $5,171.00 | 6 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $269.67 – $1,597.00 | 6 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $273.14 – $5,171.00 | 6 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $4,666.00 – $5,171.00 | 2 |
| Unlisted px middle ear CPT 69799 | not published | not published | $258.93 – $6,920.00 | 6 |
| Unlisted px neck/thorax CPT 21899 | $437.76 | $912.00 | $258.93 – $5,171.00 | 6 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted px pelvis/hip joint CPT 27299 | $486.24 | $1,013.00 | $269.67 – $5,171.00 | 6 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,523.01 – $5,491.26 | 6 |
| Unlisted px salivry glnd/dux CPT 42699 | $486.72 | $1,014.00 | $258.93 – $6,920.00 | 6 |
| Unlisted px small intestine CPT 44799 | $3,611.04 | $7,523.00 | $991.55 – $5,171.00 | 6 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $258.93 – $5,171.00 | 6 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $219.34 – $477.39 | 4 |
| Unlisted surgical path px CPT 88399 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted transfusion med px CPT 86999 | $108.00 | $225.00 | $31.62 – $68.82 | 5 |
| Unlisted ultrasound procedure CPT 76999 | $125.76 | $262.00 | $95.14 – $207.07 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $685.79 – $11,117.00 | 6 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $437.05 – $951.22 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,951.20 | $4,065.00 | $750.31 – $1,633.02 | 4 |
| Upgrade pm system CPT 33214 | $3,962.40 | $8,255.00 | $9,718.00 – $24,869.57 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,677.12 | $9,744.00 | $381.40 – $830.11 | 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.