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 |
|---|---|---|---|---|
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $64.49 – $1,597.00 | 5 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $236.06 – $513.77 | 5 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $906.16 – $3,548.23 | 5 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,424.64 | $2,968.00 | $593.60 – $1,291.95 | 5 |
| C-reactive protein CPT 86140 | $43.68 | $91.00 | $4.40 – $10.36 | 5 |
| C-reactive protein high sensitivity CPT 86141 | $83.52 | $174.00 | $11.01 – $25.90 | 5 |
| C-reactive protein, quantitative CPT 86406 | $89.76 | $187.00 | $9.04 – $21.28 | 5 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Create eardrum opening CPT 69436 | not published | not published | $1,696.26 – $7,908.00 | 6 |
| Create passage to kidney CPT 52334 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Create tear duct drain CPT 68745 | not published | not published | $4,297.97 – $9,779.00 | 6 |
| Create tear duct drain CPT 68750 | not published | not published | $4,297.97 – $9,779.00 | 6 |
| Create tear sac drain CPT 68720 | not published | not published | $4,297.97 – $9,779.00 | 6 |
| Creatine isoforms CPT 82554 | not published | not published | $10.09 – $23.74 | 5 |
| Creatine kinase CPT 82550 | $61.92 | $129.00 | $5.53 – $13.02 | 5 |
| Creatine kinase isoenzymes CPT 82552 | $25.12 | $52.34 | $11.38 – $26.78 | 5 |
| Creatine kinase mb CPT 82553 | $93.60 | $195.00 | $9.82 – $23.10 | 5 |
| Creatine - sendout CPT 82540 | $20.14 | $41.96 | $3.94 – $9.28 | 5 |
| Creatinine CPT 82565 | $59.04 | $123.00 | $4.35 – $10.24 | 5 |
| Creatinine 24 hour urine CPT 82570 | $59.04 | $123.00 | $4.40 – $10.36 | 5 |
| Creatinine clearance urine CPT 82575 | $67.68 | $141.00 | $8.04 – $18.92 | 5 |
| #creutz-prot.,western blot CPT 84182 | $53.25 | $110.93 | $15.69 – $58.42 | 5 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Crisis psychotherapy 90839 CPT 90839 | $212.64 | $443.00 | $194.05 – $422.33 | 4 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $106.56 | $222.00 | not published | 0 |
| Critical care 30-74 minutes CPT 99291 | $4,854.72 | $10,114.00 | $903.05 – $1,965.46 | 4 |
| Critical care each additional 30 minutes CPT 99292 | $591.84 | $1,233.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | $5,857.63 | $12,203.40 | $110.45 – $278.43 | 6 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $5,171.00 – $16,338.00 | 4 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.43 – $0.62 | 4 |
| Cross-over vein graft CPT 34520 | not published | not published | $6,083.33 – $15,436.00 | 6 |
| Crotalidae poly immune fab HCPCS J0840 | $3,521.00 | $7,335.42 | $1,564.87 – $3,774.99 | 6 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $11,335.68 | $23,616.00 | $4,666.00 – $16,338.00 | 3 |
| Cryoablate prostate CPT 55873 | not published | not published | $10,349.13 – $22,524.58 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $333.14 – $5,171.00 | 6 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $12.02 – $28.28 | 5 |
| Cryoprecipitate each unit HCPCS P9012 | $269.28 | $561.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $758.42 – $1,917.04 | 5 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $186.26 – $405.38 | 5 |
| Cryopreservation sperm CPT 89259 | not published | not published | $186.26 – $405.38 | 5 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $482.31 – $5,171.00 | 6 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $56.97 – $123.99 | 5 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $4,280.52 – $9,316.42 | 6 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $219.34 – $1,597.00 | 6 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $64.49 – $1,597.00 | 6 |
| Cryptococcus abs qn - sendout CPT 86641 | $22.56 | $47.00 | $12.25 – $28.82 | 5 |
| Cryptosporidium antigen CPT 87272 | $25.92 | $54.00 | $10.18 – $23.96 | 5 |
| Crystal identification light microscopy CPT 89060 | $81.60 | $170.00 | $6.23 – $14.66 | 5 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $7,908.00 – $13,634.00 | 2 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,415.36 – $3,080.50 | 5 |
| Csf shunt reprogram 62252 CPT 62252 | $179.04 | $373.00 | $335.78 – $5,171.00 | 6 |
| Csf ventriculography CPT 78635 | not published | not published | $593.60 – $1,291.95 | 5 |
| CT 3d report other modality w/workstation CPT 76377 | $1,081.44 | $2,253.00 | $309.90 – $1,332.26 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,752.96 | $3,652.00 | $191.76 – $417.35 | 5 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,348.64 | $4,893.00 | $191.76 – $417.35 | 5 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,481.12 | $5,169.00 | $191.76 – $417.35 | 5 |
| Cta neck without &/or w/contrast CPT 70498 | $1,776.00 | $3,700.00 | $191.76 – $417.35 | 5 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,848.80 | $5,935.00 | $381.40 – $830.11 | 5 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,543.52 | $5,299.00 | $191.76 – $417.35 | 5 |
| CT Angiogram of the Head CPT 70496 | $1,587.36 | $3,307.00 | $191.76 – $417.35 | 5 |
| CT angio hrt w/3d image CPT 75574 | $1,380.48 | $2,876.00 | $291.55 – $830.11 | 5 |
| CT angio pelvis CPT 72191 | $1,615.20 | $3,365.00 | $191.76 – $417.35 | 5 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,612.64 | $5,443.00 | $191.76 – $417.35 | 5 |
| CT bone density axial CPT 77078 | not published | not published | $95.14 – $207.07 | 5 |
| CT cerebral perf w cont & prcssng CPT 70473 | $2,628.00 | $5,475.00 | $191.76 – $417.35 | 4 |
| CT colonography dx CPT 74261 | $194.40 | $405.00 | $114.29 – $248.76 | 5 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $191.76 – $417.35 | 5 |
| CT colonography screening CPT 74263 | not published | not published | $260.85 – $1,033.60 | 5 |
| CT guidance for needle placement CPT 77012 | $1,572.96 | $3,277.00 | $608.94 – $3,076.97 | 2 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,140.00 | $2,375.00 | $441.96 – $1,173.96 | 2 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $269.67 – $7,908.00 | 6 |
| CT guid parench tis ablat CPT 77013 | $1,572.96 | $3,277.00 | $2,031.16 – $3,231.47 | 2 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $95.52 | $199.00 | $95.14 – $207.07 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $653.28 | $1,361.00 | $291.55 – $830.11 | 5 |
| CT hrt w/3d image CPT 75572 | $1,028.16 | $2,142.00 | $291.55 – $830.11 | 5 |
| CT limited or localized follow-up study CPT 76380 | $565.92 | $1,179.00 | $95.14 – $207.07 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,481.12 | $5,169.00 | $191.76 – $417.35 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,757.28 | $3,661.00 | $114.29 – $248.76 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,661.60 | $5,545.00 | $191.76 – $417.35 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $1,776.00 | $3,700.00 | $191.76 – $417.35 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $1,705.44 | $3,553.00 | $114.29 – $248.76 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,414.40 | $5,030.00 | $191.76 – $417.35 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,414.40 | $5,030.00 | $191.76 – $417.35 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,776.00 | $3,700.00 | $191.76 – $417.35 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,705.44 | $3,553.00 | $114.29 – $248.76 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $616.80 | $1,285.00 | $258.93 – $5,171.00 | 6 |
| CT scan for therapy guide CPT 77014 | $1,029.12 | $2,144.00 | $853.64 – $1,016.28 | 2 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,915.04 | $6,073.00 | $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.