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 |
|---|---|---|---|---|
| Cholinesterase challenge CPT 95857 | not published | not published | $236.06 – $513.77 | 4 |
| Chorion biopsy CPT 59015 | not published | not published | $1,006.93 – $5,171.00 | 6 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $26.17 – $39.24 | 4 |
| Chrom analysis CPT 88273 | not published | not published | $29.59 – $69.62 | 5 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $33.15 – $78.00 | 5 |
| Chromatography CPT 83021 | $4.47 | $9.32 | $15.35 – $36.12 | 5 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $10.11 – $23.78 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $48.48 – $114.08 | 5 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $147.61 – $347.32 | 5 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $147.19 – $346.34 | 5 |
| Chromosome analysis 15-20 cell count CPT 88262 | $208.32 | $434.00 | $106.67 – $250.98 | 5 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $147.19 – $346.34 | 5 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $127.75 – $300.58 | 5 |
| Chromosome analysis 5 CPT 88261 | $10.29 | $21.43 | $224.69 – $528.68 | 5 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $147.19 – $346.34 | 5 |
| Chromosome analys placenta CPT 88267 | not published | not published | $160.28 – $377.14 | 5 |
| Chromosome banding study CPT 88283 | not published | not published | $58.31 – $137.20 | 5 |
| Chromosome count additional CPT 88285 | $19.20 | $40.00 | $22.87 – $53.82 | 5 |
| Chromosome karyotype study CPT 88280 | $10.29 | $21.43 | $28.45 – $66.94 | 5 |
| Chromosome study additional CPT 88289 | not published | not published | $29.27 – $68.86 | 5 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $10.59 – $24.92 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $12.12 – $123.00 | 5 |
| Cidofovir injection HCPCS J0740 | $1,648.28 | $3,433.92 | $427.08 – $1,121.93 | 6 |
| Cilastatin sodium injection HCPCS J0743 | $44.76 | $93.25 | $10.52 – $25.00 | 4 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,599.17 – $6,920.00 | 6 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $1,189,314.00 | 5 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $1.60 – $2.13 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $114.29 – $248.76 | 5 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $182.40 – $294.90 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $117.17 | $244.10 | $3.01 – $23.52 | 4 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $49.89 – $73.06 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $762.31 – $6,920.00 | 6 |
| Circumcision (newborn) CPT 54150 | $2,242.08 | $4,671.00 | $2,285.30 – $5,171.00 | 6 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $189.41 | $394.61 | $3.90 – $70.55 | 4 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $280.08 – $659.02 | 5 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $7.42 – $21.93 | 6 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $30,576.00 | $63,700.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,577.09 – $11,117.00 | 6 |
| Claviculectomy total CPT 23125 | not published | not published | $3,577.09 – $11,117.00 | 6 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $589.62 – $6,920.00 | 6 |
| Clearance of airways CPT 31720 | $586.56 | $1,222.00 | $239.39 – $5,171.00 | 6 |
| Clearance of tear duct CPT 68530 | not published | not published | $347.00 – $6,920.00 | 6 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $145.45 – $316.58 | 4 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $145.45 – $316.58 | 4 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $145.45 – $316.58 | 4 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $40.83 – $88.87 | 4 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $119.23 | $248.40 | $2.05 – $3.46 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $5,137.97 | $10,704.10 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,538.96 – $7,908.00 | 6 |
| Cllr miami j sm HCPCS L0174 | $779.29 | $1,623.52 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $9.30 – $34.42 | 6 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $64.50 | $134.38 | $23.23 – $85.28 | 4 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $643.68 | $1,341.00 | $269.67 – $1,597.00 | 6 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,103.36 | $4,382.00 | $1,200.00 – $5,171.00 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,541.76 | $3,212.00 | $1,757.92 – $5,171.00 | 6 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $476.16 | $992.00 | $269.67 – $1,597.00 | 6 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $6,796.32 | $14,159.00 | $1,757.92 – $6,920.00 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,123.68 | $2,341.00 | $1,200.00 – $5,171.00 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,696.26 – $15,436.00 | 6 |
| Closed tx orbit without manipulj CPT 21400 | $2,240.64 | $4,668.00 | $589.62 – $6,920.00 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | $2,240.64 | $4,668.00 | $1,696.26 – $7,908.00 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $4,904.64 | $10,218.00 | $1,757.92 – $6,920.00 | 6 |
| Closed tx septal&nose fx CPT 21337 | $5,163.84 | $10,758.00 | $3,281.00 – $7,888.83 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Closed tx vert fx w/manj CPT 22315 | $4,893.60 | $10,195.00 | $3,281.00 – $7,785.43 | 6 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $1,281.60 | $2,670.00 | $258.93 – $1,597.00 | 6 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,696.26 – $7,908.00 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Close tear duct opening CPT 68760 | not published | not published | $347.00 – $5,171.00 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $347.00 – $1,597.00 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $1,894.00 – $9,779.00 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $8.95 – $32.00 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $5,680.80 | $11,835.00 | $1,696.26 – $6,920.00 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,576.64 | $5,368.00 | $589.62 – $5,171.00 | 6 |
| Closure of eyelid by suture CPT 67875 | $1,802.40 | $3,755.00 | $1,089.83 – $5,171.00 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,281.00 – $7,888.83 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,429.00 – $7,888.83 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $685.79 – $5,171.00 | 6 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $16.09 – $37.86 | 5 |
| Clot factor viii reltd antgn CPT 85244 | $86.40 | $180.00 | $15.88 – $40.84 | 5 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $16.09 – $37.86 | 5 |
| Clot factor xii hageman CPT 85280 | not published | not published | $16.45 – $38.70 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $7.74 – $18.22 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $56.11 | $116.90 | $13.89 – $32.68 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $41.86 – $210.06 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $3.41 – $3.41 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $648.96 | $1,352.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,828.80 | $3,810.00 | $1,757.92 – $5,171.00 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
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.