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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,328.00 | $4,850.00 | $381.40 – $830.11 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,082.72 | $4,339.00 | $260.85 – $567.73 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $2,160.96 | $4,502.00 | $191.76 – $417.35 | 5 |
| CT thoracic spine without contrast CPT 72128 | $1,773.12 | $3,694.00 | $114.29 – $248.76 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $190.08 | $396.00 | $114.29 – $248.76 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,848.80 | $5,935.00 | $191.76 – $417.35 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,114.40 | $4,405.00 | $381.40 – $830.11 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,757.28 | $3,661.00 | $114.29 – $248.76 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $2,289.12 | $4,769.00 | $191.76 – $417.35 | 5 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $186.26 – $405.38 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $186.26 – $405.38 | 5 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $68.64 | $143.00 | $6.87 – $16.16 | 5 |
| Culture afb any source CPT 87116 | $242.40 | $505.00 | $9.18 – $21.60 | 5 |
| Culture anaerobic additional method definitive id each CPT 87076 | $107.04 | $223.00 | $6.87 – $16.16 | 5 |
| Culture anaerobic except blood CPT 87075 | $92.16 | $192.00 | $8.05 – $18.94 | 5 |
| Culture bact stool aero addl path ea CPT 87046 | $27.84 | $58.00 | $8.02 – $18.88 | 5 |
| Culture body fluid CPT 87070 | $136.32 | $284.00 | $7.33 – $17.24 | 5 |
| Culture fungi definitive id mold CPT 87107 | $101.28 | $211.00 | $8.77 – $20.64 | 5 |
| Culture fungi definitive id yeast CPT 87106 | $88.32 | $184.00 | $8.77 – $20.64 | 5 |
| Culture fungi other (except blood) CPT 87102 | $190.08 | $396.00 | $7.15 – $16.82 | 5 |
| Culture fungi skin/hair/nail CPT 87101 | $216.00 | $450.00 | $6.55 – $15.42 | 5 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $176.16 | $367.00 | $12.42 – $29.22 | 5 |
| Culture mycoplasma any source CPT 87109 | $101.90 | $212.30 | $13.08 – $30.78 | 5 |
| Culture quantitative aerobic other source CPT 87071 | not published | not published | $8.41 – $19.78 | 5 |
| Culture screening strep group a CPT 87081 | $117.60 | $245.00 | $5.64 – $13.26 | 5 |
| Culture typing added method CPT 87158 | not published | not published | $6.58 – $15.48 | 5 |
| Culture typing immunologic CPT 87147 | $40.32 | $84.00 | $4.40 – $10.36 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | not published | not published | $48.32 – $436.12 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | not published | not published | $14.47 – $70.18 | 5 |
| Culture urine each isolate CPT 87088 | not published | not published | $6.88 – $16.18 | 5 |
| Culture virus isolation CPT 87250 | not published | not published | $16.63 – $39.12 | 5 |
| Curette/treat cornea CPT 65435 | $2,042.40 | $4,255.00 | $1,089.83 – $5,171.00 | 6 |
| Curette/treat cornea CPT 65436 | $4,632.48 | $9,651.00 | $2,599.17 – $5,657.01 | 6 |
| Cutter lead HCPCS C1773 | $22,050.00 | $45,937.50 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,964.64 | $4,093.00 | $1,720.93 – $5,171.00 | 6 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $79.63 – $324.97 | 2 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $120.92 – $397.46 | 2 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $11.62 | $24.20 | $12.17 – $28.64 | 5 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $44.76 | $93.25 | $0.96 – $4.57 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $43.20 | $90.00 | $11.01 – $25.90 | 5 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $702.71 | $1,463.98 | $0.66 – $1.72 | 6 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $40.49 | $84.36 | $1.85 – $3.96 | 4 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $227.62 | $474.21 | $47.61 – $153.51 | 4 |
| Cyclosporine 2 hour CPT 80158 | $162.24 | $338.00 | $15.34 – $36.10 | 5 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $14.98 | $31.20 | $1.06 – $1.94 | 4 |
| Cyclosporine oral 100 mg HCPCS J7502 | $52.63 | $109.65 | $2.90 – $8.22 | 4 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $35,712.68 | $74,401.42 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $247.66 – $582.72 | 5 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $148.59 – $349.62 | 5 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $188.66 – $901.82 | 5 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $148.59 – $349.62 | 5 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $148.59 – $349.62 | 5 |
| Cystatin c CPT 82610 | $54.43 | $113.40 | $15.74 – $37.04 | 5 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $378.47 – $998.00 | 5 |
| Cystine urine quantitative CPT 82131 | not published | not published | $15.91 – $45.96 | 5 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $350.40 | $730.00 | $259.39 – $830.11 | 5 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $6,920.00 – $22,524.58 | 6 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $1,597.00 – $22,524.58 | 6 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,666.00 – $22,524.58 | 5 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $762.31 – $5,171.00 | 6 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $5,171.00 – $13,634.00 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $4,114.00 – $16,652.00 | 6 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $1,597.00 – $12,757.91 | 6 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,853.66 – $9,779.00 | 6 |
| Cystoscopy and treatment CPT 52214 | $1,960.32 | $4,084.00 | $3,853.66 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,853.66 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,894.00 – $5,171.00 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,285.30 – $7,908.00 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $762.31 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $4,114.00 – $12,757.91 | 6 |
| Cystoscopy and treatment CPT 52310 | $4,153.44 | $8,653.00 | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,853.66 – $11,117.00 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,092.48 | $2,276.00 | $762.31 – $5,171.00 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $762.31 – $6,920.00 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,853.66 – $20,774.00 | 6 |
| Cystoscopy inject material CPT 52327 | not published | not published | $4,114.00 – $12,757.91 | 6 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cystoscopy removal of clots CPT 52001 | $1,960.32 | $4,084.00 | $3,281.00 – $8,387.37 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $3,945.60 | $8,220.00 | $2,285.30 – $6,920.00 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $7,086.72 | $14,764.00 | $2,285.30 – $9,779.00 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,853.66 – $9,779.00 | 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.