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 |
|---|---|---|---|---|
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,134.80 – $9,779.00 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $2,134.80 – $5,171.00 | 6 |
| Decompressive craniotomy CPT 61322 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $4,297.97 – $12,775.00 | 6 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $1,200.00 – $16,338.00 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $1,200.00 – $15,436.00 | 4 |
| Deep muscle biopsy 20205 CPT 20205 | $4,093.44 | $8,528.00 | $3,175.56 – $7,908.00 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $151.88 | $316.41 | $11.76 – $23.86 | 4 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $0.68 – $9.37 | 6 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $7,908.00 – $19,447.84 | 6 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,255.66 – $9,779.00 | 6 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Delivery of placenta 59414 CPT 59414 | $2,369.28 | $4,936.00 | $3,538.96 – $7,702.45 | 6 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $7,908.00 – $13,634.00 | 2 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $7,908.00 – $13,634.00 | 2 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | $3,702.24 | $7,713.00 | $4,666.00 – $8,912.00 | 4 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $145.55 – $316.79 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $470.88 | $981.00 | $239.39 – $521.04 | 4 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $170.28 – $182.79 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $25.08 – $59.79 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $484.32 | $1,009.00 | $145.45 – $5,171.00 | 6 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $7.53 – $93.82 | 4 |
| Dermabrasion other than face CPT 15782 | not published | not published | $1,894.00 – $5,995.00 | 6 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $774.16 – $5,171.00 | 6 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $444.42 – $1,597.00 | 6 |
| Dermabrasion total face CPT 15780 | not published | not published | $3,175.56 – $7,908.00 | 6 |
| Derma-fat-fascia graft 15770 CPT 15770 | $5,243.04 | $10,923.00 | $3,874.15 – $8,431.97 | 6 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $136.05 – $1,597.00 | 7 |
| Dermagraft HCPCS Q4106 | not published | not published | $62.68 – $109.52 | 2 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,255.66 – $4,909.39 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $78.33 – $296.10 | 6 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $136.05 – $296.10 | 6 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $136.05 – $3,536.73 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $5,035.20 | $10,490.00 | $4,666.00 – $16,338.00 | 2 |
| Description not available HCPCS S0013 | not published | not published | $93.83 – $93.83 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $4,280.52 – $12,775.00 | 6 |
| Design mlc device for imrt CPT 77338 | $1,800.48 | $3,751.00 | $409.34 – $890.92 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.08 | $102.25 | $6.43 – $9.65 | 4 |
| Desoxycorticosterone CPT 82633 | not published | not published | $14.79 – $61.96 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | $2,324.64 | $4,843.00 | $4,666.00 – $9,718.00 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $3,624.96 | $7,552.00 | $4,666.00 – $16,338.00 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | $2,324.64 | $4,843.00 | $4,666.00 – $9,718.00 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $219.34 – $5,171.00 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $219.34 – $5,171.00 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,003.84 | $6,258.00 | $2,134.80 – $7,908.00 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,138.56 | $2,372.00 | $1,200.00 – $5,357.00 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $918.72 | $1,914.00 | $219.34 – $1,597.00 | 6 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $219.34 – $1,597.00 | 6 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $807.98 – $1,758.55 | 6 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $1,195.68 | $2,491.00 | $444.42 – $1,597.00 | 6 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,597.00 – $4,909.39 | 6 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $1,195.68 | $2,491.00 | $444.42 – $1,597.00 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $286.56 | $597.00 | $219.34 – $1,597.00 | 6 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $966.94 – $6,920.00 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,003.84 | $6,258.00 | $2,134.80 – $7,908.00 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,523.01 – $6,920.00 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,599.17 – $6,920.00 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,599.17 – $6,920.00 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $219.34 – $1,597.00 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,599.17 – $5,657.01 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $444.42 – $5,171.00 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $444.42 – $5,171.00 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $444.42 – $5,171.00 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $444.42 – $5,171.00 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $444.42 – $1,597.00 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,255.66 – $5,171.00 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $444.42 – $1,597.00 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $3,034.47 – $20,774.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,429.00 – $7,702.45 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,003.84 | $12,508.00 | $3,429.00 – $7,908.00 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $16.59 – $60.06 | 5 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $14.69 – $87.34 | 5 |
| Determination venous press CPT 93770 | $199.20 | $415.00 | $14.90 – $14.90 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $647.30 – $647.30 | 1 |
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.