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 |
|---|---|---|---|---|
| Bx breast add lesion mr imag CPT 19086 | $1,728.48 | $3,601.00 | $1,200.00 – $5,357.00 | 3 |
| Bx breast add lesion strtctc CPT 19082 | $1,972.80 | $4,110.00 | $1,200.00 – $5,357.00 | 3 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,972.80 | $4,110.00 | $1,200.00 – $5,357.00 | 3 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $3,429.00 – $9,316.42 | 6 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $333.14 – $5,171.00 | 6 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $4,114.00 – $9,316.42 | 6 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $4,114.00 – $9,316.42 | 6 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $6,920.00 – $14,208.00 | 3 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $3,175.56 – $6,920.00 | 6 |
| Bx liver with other CPT 47001 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Bx muscle CPT 20200 | not published | not published | $1,805.60 – $6,920.00 | 6 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $3,624.60 – $7,888.83 | 6 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $4,114.00 – $9,316.42 | 6 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $3,538.96 – $7,702.45 | 6 |
| Bx pancreas pq ndl CPT 48102 | $1,972.32 | $4,109.00 | $1,805.60 – $5,171.00 | 6 |
| Bx perianal mass CPT 46999 | $1,537.44 | $3,203.00 | $1,016.67 – $5,171.00 | 6 |
| Bx pleura pq ndl CPT 32400 | $1,055.52 | $2,199.00 | $1,805.60 – $5,171.00 | 6 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $4,517.28 | $9,411.00 | $3,853.66 – $8,387.37 | 4 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $3,281.00 – $6,920.00 | 6 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $3,175.56 – $6,920.00 | 6 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $657.60 | $1,370.00 | $1,200.00 – $5,357.00 | 3 |
| Bx skin punch ea sep/ addl les CPT 11105 | $597.60 | $1,245.00 | $1,200.00 – $5,357.00 | 3 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $459.36 | $957.00 | $1,200.00 – $5,357.00 | 3 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $3,354.72 | $6,989.00 | $1,805.60 – $5,171.00 | 6 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $3,857.76 | $8,037.00 | $1,805.60 – $6,920.00 | 6 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $5,522.40 | $11,505.00 | $1,805.60 – $6,920.00 | 6 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $3,434.40 | $7,155.00 | $1,805.60 – $5,171.00 | 6 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,395.84 | $2,908.00 | $774.16 – $1,894.00 | 6 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $1,006.93 – $1,999.00 | 6 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $1,446.24 | $3,013.00 | $1,006.93 – $5,171.00 | 6 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Bypass temp external fem-fem CPT 37799 | $378.72 | $789.00 | $685.79 – $5,171.00 | 6 |
| C-1 esterase, berinert HCPCS J0597 | $8,764.85 | $18,260.10 | $60.73 – $155.38 | 6 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $55.68 – $137.34 | 6 |
| C1 esterase inhibitor func - sendout CPT 86161 | $32.52 | $67.75 | $10.20 – $24.00 | 5 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $17,401.48 | $36,253.09 | $196.39 – $476.68 | 6 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $8.49 | $17.68 | $5.15 – $39.41 | 2 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Cable cath 22-pin diag HCPCS C1730 | $8,484.00 | $17,675.00 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $12,702.10 | $26,462.70 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $20.55 – $49.73 | 6 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $266.12 – $1,692.54 | 5 |
| Cad breast MRI w/r&i HCPCS C8937 | $99.84 | $208.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $298.56 | $622.00 | $232.54 – $506.11 | 4 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $44.76 | $93.25 | $4.36 – $5.25 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $69.76 – $164.54 | 6 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,494.49 | $3,113.53 | $76.03 – $1,933.30 | 2 |
| Calcium 24 hour urine CPT 82340 | $59.04 | $123.00 | $5.13 – $12.06 | 5 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.06 – $0.23 | 2 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $187.03 | $389.64 | $0.06 – $0.34 | 4 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $119.21 | $248.35 | $0.11 – $0.34 | 4 |
| Calcium ionized CPT 82330 | $66.24 | $138.00 | $11.63 – $27.36 | 5 |
| Calcium total CPT 82310 | $61.92 | $129.00 | $4.39 – $10.32 | 5 |
| Calculi urinary-sendout CPT 82360 | $18.72 | $39.00 | $10.94 – $25.74 | 5 |
| Calculus analysis qual CPT 82355 | not published | not published | $9.84 – $23.16 | 5 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $56.97 – $1,597.00 | 5 |
| Calprotectin fecal CPT 83993 | $84.00 | $175.00 | $8.91 – $39.26 | 5 |
| Campylobacter antibody CPT 86625 | $76.72 | $159.84 | $11.15 – $26.24 | 5 |
| Canakinumab injection HCPCS J0638 | not published | not published | $127.14 – $293.60 | 6 |
| Candida dna CPT 87480 | not published | not published | $17.04 – $40.10 | 5 |
| Candida skin test CPT 86485 | not published | not published | $31.62 – $68.82 | 5 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $205,632.00 | $428,400.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $567.01 – $1,466.86 | 6 |
| Canthotomy 67715 CPT 67715 | $5,249.28 | $10,936.00 | $2,599.17 – $5,657.01 | 6 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $69.61 | $145.02 | $0.03 – $0.15 | 6 |
| Cap nerve 2x15mm HCPCS C1763 | $64,735.03 | $134,864.64 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.91 – $7.27 | 6 |
| Capsular contracture release CPT 23020 | not published | not published | $3,577.09 – $7,883.00 | 6 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,757.92 – $7,908.00 | 6 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Cap trach decann 15mm HCPCS C1750 | $6,526.08 | $13,596.00 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $11.26 – $26.50 | 5 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $6.47 – $37.28 | 5 |
| Carbamazepine total therapeutic drug level CPT 80156 | $59.04 | $123.00 | $2.99 – $29.14 | 5 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $3.54 – $506.91 | 6 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $15.35 – $36.12 | 5 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.68 – $11.00 | 5 |
| Carbon dioxide CPT 82374 | $23.04 | $48.00 | $4.15 – $9.76 | 5 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $217.57 | $453.28 | $4.22 – $210.06 | 4 |
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.