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 |
|---|---|---|---|---|
| Warde protein c antigen CPT 85302 | $93.43 | $194.65 | $10.21 – $24.02 | 5 |
| Warde sex hormone binding globulin CPT 84270 | $49.31 | $102.72 | $3.26 – $43.46 | 5 |
| Warde somatomedin CPT 84305 | $74.40 | $155.00 | $5.49 – $42.52 | 5 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $34.94 | $72.80 | $4.68 – $11.00 | 5 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $99.29 | $206.85 | $13.40 – $31.52 | 5 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $163.30 | $340.20 | $16.54 – $101.72 | 5 |
| Warde topiramate therapeutic drug level CPT 80201 | $29.21 | $60.85 | $10.13 – $23.84 | 5 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $121.92 | $254.00 | $22.16 – $52.14 | 5 |
| Warde viscosity CPT 85810 | $38.57 | $80.35 | $9.92 – $23.34 | 5 |
| Warde vitamin a CPT 84590 | $50.90 | $106.05 | $9.87 – $23.22 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $55.20 | $115.00 | $18.05 – $42.46 | 5 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $84.00 | $175.00 | $10.36 – $56.20 | 5 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $31.75 | $66.15 | $8.41 – $19.78 | 5 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $108.96 | $227.00 | $13.37 – $77.00 | 5 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $39.84 | $83.00 | $12.05 – $28.36 | 5 |
| Warde zinc CPT 84630 | $32.14 | $66.96 | $9.68 – $22.78 | 5 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $192.83 – $989.78 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $482.31 – $5,171.00 | 6 |
| Wbc automated CPT 85048 | not published | not published | $2.16 – $5.08 | 5 |
| Wcd device interrogate CPT 93292 | not published | not published | $40.80 – $88.80 | 4 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $7,883.00 – $17,644.36 | 6 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Wedging of cast CPT 29740 | $1,255.20 | $2,615.00 | $305.77 – $1,597.00 | 6 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $305.77 – $1,597.00 | 6 |
| Western blot test CPT 84181 | $91.20 | $190.00 | $14.48 – $34.06 | 5 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $15.76 – $34.30 | 5 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $20.06 – $2,574.00 | 5 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $39.70 – $1,872.00 | 5 |
| Who nontorsion jnts pre cst HCPCS L3915 | $974.40 | $2,030.00 | not published | 0 |
| Wilate injection HCPCS J7183 | not published | not published | $1.12 – $2.75 | 6 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $672.96 | $1,402.00 | $1,200.00 – $5,357.00 | 4 |
| Wound closure by adhesive HCPCS G0168 | $657.60 | $1,370.00 | $1,200.00 – $5,171.00 | 2 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $136.05 – $588.05 | 6 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $717.60 | $1,495.00 | $444.42 – $967.27 | 4 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $731.04 | $1,523.00 | $444.42 – $799.00 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $367.20 | $765.00 | $219.34 – $477.39 | 4 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $754.56 | $1,572.00 | $444.42 – $967.27 | 4 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,757.92 – $20,774.00 | 6 |
| Wrist X-ray CPT 73110 | $383.52 | $799.00 | $95.14 – $207.07 | 5 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,518.83 – $11,117.00 | 6 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,523.01 – $15,041.00 | 6 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $1,597.00 – $12,661.56 | 6 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,518.83 – $11,117.00 | 6 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $33.54 – $33.54 | 1 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,171.00 – $12,661.56 | 6 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $46.61 – $585.57 | 2 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,692.80 | $5,610.00 | $2,255.66 – $6,920.00 | 6 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $4,454.40 | $9,280.00 | $2,255.66 – $7,908.00 | 6 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $40.32 – $1,828.00 | 5 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.07 – $1,828.00 | 5 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $31.62 – $68.82 | 5 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $1,200.00 – $13,634.00 | 4 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,814.88 | $3,781.00 | $4,666.00 – $13,634.00 | 2 |
| X-ray abdomen 1 view CPT 74018 | $329.76 | $687.00 | $95.14 – $207.07 | 5 |
| X-ray abdomen 2 views CPT 74019 | $429.60 | $895.00 | $114.29 – $248.76 | 5 |
| X-ray abdomen >=3 views CPT 74021 | $481.92 | $1,004.00 | $114.29 – $248.76 | 5 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $481.92 | $1,004.00 | $114.29 – $248.76 | 5 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $319.20 | $665.00 | $95.14 – $207.07 | 5 |
| X-ray ankle 2 views (both sides) CPT 73600 | $350.88 | $731.00 | $95.14 – $207.07 | 5 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $530.40 | $1,105.00 | $381.40 – $830.11 | 5 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.64 – $25.04 | 5 |
| X-ray bone age studies CPT 77072 | $213.60 | $445.00 | $80.78 – $248.76 | 5 |
| X-ray bone length studies CPT 77073 | $319.20 | $665.00 | $114.29 – $248.76 | 5 |
| X-ray bone survey complete CPT 77075 | $883.68 | $1,841.00 | $114.29 – $248.76 | 5 |
| X-ray bone survey infant CPT 77076 | $210.72 | $439.00 | $114.29 – $248.76 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $350.88 | $731.00 | $95.14 – $207.07 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $595.68 | $1,241.00 | $114.29 – $248.76 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $611.52 | $1,274.00 | $114.29 – $248.76 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $350.88 | $731.00 | $95.14 – $207.07 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $660.48 | $1,376.00 | $191.76 – $417.35 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $778.56 | $1,622.00 | $191.76 – $417.35 | 5 |
| X-ray consultation CPT 76140 | not published | not published | $198.52 – $213.77 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $350.88 | $731.00 | $95.14 – $207.07 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $434.88 | $906.00 | $95.14 – $207.07 | 5 |
| Xray endovasc thor ao repr CPT 75956 | $6,560.16 | $13,667.00 | $1,767.71 – $5,195.42 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $5,357.28 | $11,161.00 | $1,512.98 – $4,451.02 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $622.56 | $1,297.00 | $191.76 – $417.35 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $450.24 | $938.00 | $114.29 – $248.76 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | $696.96 | $1,452.00 | $114.29 – $248.76 | 5 |
| X-ray exam of arm infant CPT 73092 | $503.04 | $1,048.00 | $114.29 – $248.76 | 5 |
| X-ray exam of eye sockets CPT 70200 | $375.84 | $783.00 | $114.29 – $248.76 | 5 |
| X-ray exam of femur 1 CPT 73551 | $153.12 | $319.00 | $95.14 – $207.07 | 5 |
| X-ray exam of jaw joint CPT 70328 | $217.44 | $453.00 | $95.14 – $207.07 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $114.29 – $248.76 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $170.06 – $1,300.14 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $114.29 – $248.76 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $95.14 – $207.07 | 5 |
| X-ray exam of sinuses CPT 70210 | $304.32 | $634.00 | $95.14 – $207.07 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $260.85 – $567.73 | 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.