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 |
|---|---|---|---|---|
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $6,796.32 | $14,159.00 | $1,757.92 – $5,171.00 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $504.48 | $1,051.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $650.88 | $1,356.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,345.92 | $9,054.00 | $1,757.92 – $6,920.00 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,828.80 | $3,810.00 | $1,757.92 – $7,908.00 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $643.68 | $1,341.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,103.36 | $4,382.00 | $1,757.92 – $7,908.00 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $739.20 | $1,540.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,103.36 | $4,382.00 | $1,200.00 – $6,920.00 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $504.48 | $1,051.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $5,325.12 | $11,094.00 | $305.77 – $5,171.00 | 6 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $2,240.64 | $4,668.00 | $589.62 – $7,908.00 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $547.20 | $1,140.00 | $269.67 – $6,920.00 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,885.44 | $10,178.00 | $3,281.00 – $7,785.43 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,680.80 | $11,835.00 | $3,281.00 – $7,888.83 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $799.00 – $5,357.00 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,123.68 | $2,341.00 | $1,757.92 – $6,920.00 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | $132.96 | $277.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx pelvic ring fx CPT 27198 | $132.96 | $277.00 | $269.67 – $6,920.00 | 6 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $6,796.32 | $14,159.00 | $1,757.92 – $5,171.00 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $451.68 | $941.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,103.36 | $4,382.00 | $1,200.00 – $5,171.00 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,828.80 | $3,810.00 | $1,757.92 – $6,920.00 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,828.80 | $3,810.00 | $1,200.00 – $6,920.00 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $5,325.12 | $11,094.00 | $1,757.92 – $5,171.00 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,885.44 | $10,178.00 | $3,281.00 – $7,785.43 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $313.92 | $654.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,936.32 | $4,034.00 | $1,757.92 – $5,171.00 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $132.96 | $277.00 | $269.67 – $5,171.00 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $475.68 | $991.00 | $269.67 – $1,597.00 | 6 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $475.68 | $991.00 | $269.67 – $6,920.00 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $496.80 | $1,035.00 | $269.67 – $1,597.00 | 6 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $475.68 | $991.00 | $269.67 – $6,920.00 | 6 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,103.36 | $4,382.00 | $1,757.92 – $6,920.00 | 6 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $923.52 | $1,924.00 | $1,757.92 – $6,920.00 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $496.80 | $1,035.00 | $269.67 – $5,171.00 | 6 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,103.36 | $4,382.00 | $1,200.00 – $5,171.00 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Cltx lunate dislc w/mnpj CPT 25690 | $5,618.40 | $11,705.00 | $1,757.92 – $5,171.00 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $13,195.20 | $27,490.00 | $6,471.81 – $14,085.70 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | $5,524.32 | $11,509.00 | $1,696.26 – $9,779.00 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,859.84 | $12,208.00 | $3,624.60 – $7,908.00 | 6 |
| Cltx palatal/max fx wire fix CPT 21421 | $9,632.64 | $20,068.00 | $3,624.60 – $9,779.00 | 6 |
| Cltx post ankle fx CPT 27767 | $475.68 | $991.00 | $269.67 – $6,920.00 | 6 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,828.80 | $3,810.00 | $1,200.00 – $6,920.00 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,103.36 | $4,382.00 | $1,200.00 – $5,171.00 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $475.68 | $991.00 | $269.67 – $5,171.00 | 6 |
| Cltx thigh fx CPT 27267 | $4,893.60 | $10,195.00 | $3,281.00 – $7,785.43 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,696.26 – $6,920.00 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,468.89 – $11,902.87 | 6 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $407.95 – $887.89 | 4 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $938.81 – $2,043.29 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $938.81 – $2,043.29 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $64.49 – $1,597.00 | 5 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $64.49 – $1,597.00 | 5 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $11.96 – $28.14 | 5 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.48 – $17.60 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | $129.33 | $269.44 | $16.63 – $39.12 | 5 |
| Cmv pcr-sendout CPT 87496 | $139.20 | $290.00 | $22.79 – $70.18 | 5 |
| Co2 monitor per day CPT 94681 | $397.44 | $828.00 | $407.95 – $887.89 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $5,782.99 | $12,047.90 | $2.24 – $5.44 | 6 |
| Coagulation time activated teg CPT 85347 | $91.20 | $190.00 | $3.64 – $8.56 | 5 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.82 – $8.98 | 5 |
| Cocaine 4 % nasal solution HCPCS C9046 | $807.71 | $1,682.73 | $2.43 – $2.43 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $140.67 – $306.17 | 4 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $140.67 – $306.17 | 4 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.48 – $2.09 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $6.86 – $16.14 | 5 |
| Cold agglutinin titer CPT 86157 | $11.75 | $24.47 | $6.85 – $16.12 | 5 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $4,666.00 – $13,634.00 | 2 |
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.