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 |
|---|---|---|---|---|
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $140.67 – $306.17 | 4 |
| Device ablt adv novasure HCPCS C1886 | $9,199.08 | $19,164.75 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,180.00 | $12,875.00 | $1,597.00 – $1,597.00 | 1 |
| Device intraute mirena HCPCS J7298 | $3,165.72 | $6,595.24 | $1,427.61 – $3,133.75 | 2 |
| Device sut capio slim opn HCPCS C2631 | $6,226.99 | $12,972.90 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $13,068.00 | $27,225.00 | not published | 0 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $354.65 – $664.76 | 2 |
| Devise bowel pouch CPT 44316 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $111.06 – $241.72 | 4 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $444.00 | $925.00 | $95.14 – $207.07 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $78.66 – $237.96 | 6 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $5.83 – $12.90 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $53.86 | $112.20 | $0.03 – $0.57 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $44.76 | $93.25 | $0.16 – $2.28 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $173.22 – $441.27 | 6 |
| Dexamethasone panel CPT 80420 | not published | not published | $137.60 – $323.76 | 5 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.92 – $1.38 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $42.28 – $174.06 | 6 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $110.79 – $202.87 | 2 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $132.09 – $132.09 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.36 – $0.36 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $61.49 | $128.10 | $1.79 – $28.65 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $61.49 | $128.10 | $1.71 – $13.01 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $61.49 | $128.10 | $2.61 – $16.33 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $61.49 | $128.10 | $5.21 – $17.58 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $72.00 | $150.00 | $5.52 – $44.46 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $52.32 | $109.00 | $8.25 – $19.42 | 5 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $14.86 – $32.34 | 3 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,945.86 – $6,920.00 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $5,357.00 – $14,384.78 | 6 |
| Diagnostic anoscopy CPT 46601 | $391.20 | $815.00 | $488.38 – $1,597.00 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $133.92 | $279.00 | $145.45 – $1,597.00 | 6 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $36.96 | $77.00 | $192.86 – $841.93 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $36.96 | $77.00 | $151.28 – $654.46 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $386.40 | $805.00 | $218.22 – $5,171.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $386.40 | $805.00 | $218.22 – $1,597.00 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $702.72 | $1,464.00 | $102.68 – $1,305.45 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $548.64 | $1,143.00 | $83.26 – $1,019.72 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | $122.88 | $256.00 | $95.14 – $207.07 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $7,802.40 | $16,255.00 | $1,200.00 – $9,779.00 | 4 |
| Dialysis one evaluation CPT 90945 | $1,081.92 | $2,254.00 | $456.17 – $992.84 | 4 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.00 – $15.24 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.11 – $0.20 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $60.00 | $125.00 | $5.82 – $12.45 | 4 |
| Dicyclomine injection HCPCS J0500 | $145.99 | $304.14 | $18.44 – $27.65 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.18 – $0.19 | 2 |
| Diffusing capacity CPT 94729 | $375.36 | $782.00 | $434.94 – $434.94 | 1 |
| Digital analysis of eeg CPT 95957 | $1,216.32 | $2,534.00 | $2,547.75 – $2,547.75 | 1 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $337.01 | $702.10 | $3.08 – $10.49 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,945.58 | $22,803.30 | $1,112.98 – $10,682.45 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $59.04 | $123.00 | $11.29 – $26.56 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $404.62 | $842.95 | $48.86 – $194.15 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $2,304.96 | $4,802.00 | $1,200.00 – $7,908.00 | 4 |
| Dilate esophagus CPT 43453 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $991.55 – $5,171.00 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $6,840.48 | $14,251.00 | $4,666.00 – $5,357.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $4,666.00 – $5,357.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | $6,840.48 | $14,251.00 | $4,666.00 – $13,634.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $488.38 – $5,171.00 | 6 |
| Dilate urethra stricture CPT 53600 | $554.88 | $1,156.00 | $273.14 – $5,171.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $145.45 – $5,171.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,281.00 – $6,920.00 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $273.14 – $1,597.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | $375.84 | $783.00 | $140.67 – $1,597.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,429.00 – $7,702.45 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $589.62 – $5,171.00 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $145.45 – $1,597.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $2,285.30 – $5,171.00 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $3,538.96 – $7,702.45 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,210.56 | $2,522.00 | $762.31 – $6,920.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $460.47 | $959.32 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,429.00 – $5,995.00 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,853.66 – $20,774.00 | 6 |
| Dimecaprol injection HCPCS J0470 | $521.83 | $1,087.14 | $43.04 – $43.04 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $4.45 – $17.95 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $97.95 – $1,536.65 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.12 – $2.80 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $44.76 | $93.25 | $0.94 – $2.51 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $23.34 – $36.16 | 2 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $5.50 – $40.76 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.83 – $88.87 | 4 |
| Disability dlco CPT 94727 | $220.80 | $460.00 | $236.06 – $513.77 | 4 |
| Disaccharidases CPT 82657 | $42.24 | $88.00 | $11.29 – $44.34 | 5 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Disarticulation shoulder CPT 23920 | not published | not published | $6,920.00 – $30,548.47 | 6 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $511.88 – $4,646.33 | 5 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,200.00 – $4,235.11 | 6 |
| Dissect brain w/scope CPT 62161 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Dissolve clot heart vessel CPT 92975 | $995.04 | $2,073.00 | $4,666.00 – $5,357.00 | 2 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $6,083.33 – $15,436.00 | 6 |
| Div aberrant vsl w/reanast CPT 33803 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $3,281.00 – $9,718.00 | 4 |
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.