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 |
|---|---|---|---|---|
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | $1,960.32 | $4,084.00 | $3,853.66 – $7,908.00 | 6 |
| Cysto/uretero stricture tx CPT 52344 | $1,960.32 | $4,084.00 | $3,853.66 – $8,387.37 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $5,357.00 – $12,757.91 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $5,357.00 – $12,757.91 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $4,666.00 – $12,757.91 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,853.66 – $9,779.00 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,853.66 – $9,779.00 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,945.60 | $8,220.00 | $2,285.30 – $6,920.00 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,200.00 – $8,912.00 | 4 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,597.00 – $4,666.00 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $3,853.66 – $7,908.00 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $3,853.66 – $7,908.00 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $166.60 | $347.08 | $1.33 – $11.42 | 4 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $36.02 – $84.76 | 5 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $34.60 – $81.40 | 5 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $555.78 – $2,320.00 | 5 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $453.77 – $1,800.00 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $44.54 | $92.80 | $12.23 – $28.78 | 5 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $43.26 | $90.13 | $14.32 – $33.70 | 5 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $11.41 – $26.84 | 5 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,188.21 – $3,895.82 | 6 |
| Cyto/molecular report CPT 88291 | $10.27 | $21.40 | $69.30 – $244.72 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $21.56 – $50.74 | 5 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $8.03 – $29.30 | 5 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $31.62 – $68.82 | 5 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $94.08 | $196.00 | $56.97 – $123.99 | 5 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | not published | not published | $22.62 – $53.22 | 5 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | not published | not published | $6.82 – $40.52 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $58.08 | $121.00 | $40.83 – $88.87 | 5 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $54.72 | $114.00 | $40.83 – $88.87 | 5 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $82.08 | $171.00 | $14.44 – $59.00 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $111.36 | $232.00 | $136.25 – $405.38 | 5 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $66.24 | $138.00 | $56.97 – $123.99 | 5 |
| Cytopath smear other source CPT 88160 | $71.52 | $149.00 | $31.62 – $68.82 | 5 |
| Cytopath smear other source CPT 88162 | $94.08 | $196.00 | $56.97 – $123.99 | 5 |
| Cytopath smear oth prep screen & interp CPT 88161 | $47.04 | $98.00 | $31.62 – $68.82 | 5 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $5.88 – $34.30 | 5 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $46.63 – $157.30 | 5 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $19.87 – $59.36 | 5 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $186.26 – $566.82 | 5 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $160.77 | $334.93 | $7.35 – $22.60 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $536.90 | $1,118.55 | $21.46 – $624.69 | 6 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,639.81 | $5,499.60 | $12.75 – $33.48 | 6 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $23.00 – $227.53 | 4 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $403.57 | $840.77 | $0.05 – $0.57 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.06 – $0.11 | 4 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $46.78 – $113.93 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.61 – $6.28 | 6 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.61 – $6.28 | 6 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $222.02 – $535.39 | 6 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $237.81 | $495.43 | $33.36 – $56.76 | 4 |
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $219.34 – $1,200.00 | 5 |
| D&c after delivery 59160 CPT 59160 | $4,107.36 | $8,557.00 | $3,538.96 – $7,908.00 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $4,100.64 | $8,543.00 | $3,538.96 – $7,702.45 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $4.28 – $10.08 | 5 |
| Dch pulmonary stress test CPT 94621 | not published | not published | $407.95 – $887.89 | 4 |
| Dch validity tests CPT 81002 | $20.16 | $42.00 | $2.96 – $6.96 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $2,134.80 – $20,774.00 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,624.60 – $15,436.00 | 6 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $2,134.80 – $5,171.00 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,538.96 – $7,908.00 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $40.80 | $85.00 | $10.24 – $23.06 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $934.08 | $1,946.00 | $444.42 – $1,597.00 | 6 |
| Debridement (>20 cm) charge pt CPT 97598 | $109.92 | $229.00 | $1,200.00 – $3,429.00 | 3 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,412.48 | $5,026.00 | $1,805.60 – $6,920.00 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $248.64 | $518.00 | $1,200.00 – $5,357.00 | 3 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $248.64 | $518.00 | $1,200.00 – $5,357.00 | 3 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $934.08 | $1,946.00 | $444.42 – $6,920.00 | 6 |
| Debride nail1-5 11720 CPT 11720 | $257.76 | $537.00 | $64.49 – $1,597.00 | 6 |
| Debride nail6 or more 11721 CPT 11721 | $257.76 | $537.00 | $64.49 – $1,597.00 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,152.96 | $2,402.00 | $774.16 – $6,920.00 | 6 |
| Debride skin bone at fx site CPT 11012 | $5,235.84 | $10,908.00 | $1,894.00 – $6,920.00 | 6 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $248.64 | $518.00 | $1,200.00 – $5,357.00 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $219.34 – $1,597.00 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,152.96 | $2,402.00 | $774.16 – $6,920.00 | 6 |
| Debr inf skin add-on 11001 CPT 11001 | $248.64 | $518.00 | $1,200.00 – $5,357.00 | 4 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,315.20 | $2,740.00 | $807.98 – $6,920.00 | 6 |
| Decalcification CPT 88311 | $50.88 | $106.00 | $18.04 – $49.29 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $401.08 | $835.58 | $2.89 – $44.07 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,192.80 | $2,485.00 | $361.10 – $1,597.00 | 6 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,757.92 – $7,908.00 | 6 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,757.92 – $7,908.00 | 6 |
| Decompress fasciotomyhand 26037 CPT 26037 | $4,893.60 | $10,195.00 | $3,281.00 – $7,785.43 | 6 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Decompression fasct forearm CPT 24495 | not published | not published | $4,114.00 – $17,265.50 | 6 |
| Decompression of leg CPT 27892 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Decompression of leg CPT 27893 | not published | not published | $5,357.00 – $17,265.50 | 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.