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 |
|---|---|---|---|---|
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.07 – $226.38 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $2,417.28 | $5,036.00 | $3,429.00 – $9,718.00 | 4 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $139.25 – $558.00 | 5 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $233.61 – $549.66 | 5 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $116.45 – $274.00 | 5 |
| Dna antibody native/double stranded CPT 86225 | $23.04 | $48.00 | $11.68 – $27.48 | 5 |
| Dna gardnerella CPT 87510 | not published | not published | $17.04 – $40.10 | 5 |
| Dna probe chlamydia CPT 87490 | not published | not published | $19.34 – $45.50 | 5 |
| Dna probe gc CPT 87590 | not published | not published | $22.85 – $53.76 | 5 |
| Dna trichomonas CPT 87660 | not published | not published | $13.55 – $40.10 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $120.12 | $250.25 | $11.67 – $19.64 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $306.29 | $638.10 | $0.76 – $34.13 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.37 – $110.98 | 6 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $25.46 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $113.60 – $309.11 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $119.88 | $249.75 | $0.57 – $1.53 | 4 |
| Doppler echo complete CPT 93320 | $514.56 | $1,072.00 | $257.80 – $823.32 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,774.56 | $3,697.00 | $1,200.00 – $1,200.00 | 1 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $528.00 | $1,100.00 | $236.06 – $513.77 | 4 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $473.76 | $987.00 | $145.45 – $316.58 | 4 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.40 – $1.48 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | $466.14 | $971.13 | $22.49 – $115.22 | 4 |
| Dornhoffer fixed part w/window HCPCS L8614 | $33,280.80 | $69,335.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $210.02 – $516.30 | 6 |
| Double transfer toe-hand CPT 26554 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $398.25 | $829.69 | $5.14 – $87.56 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $61.08 – $323.38 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $87.58 | $182.46 | $0.17 – $0.26 | 3 |
| Dpyd gene common variants CPT 81232 | not published | not published | $148.59 – $349.62 | 5 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $779.52 | $1,624.00 | $774.16 – $1,894.00 | 6 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,152.96 | $2,402.00 | $774.16 – $1,894.00 | 6 |
| Drainage external ear complex 69005 CPT 69005 | $2,412.48 | $5,026.00 | $1,805.60 – $5,171.00 | 6 |
| Drainage external ear simple 69000 CPT 69000 | $779.52 | $1,624.00 | $774.16 – $1,894.00 | 6 |
| Drainage lymph node lesion 38300 CPT 38300 | $4,987.68 | $10,391.00 | $3,175.56 – $5,995.00 | 6 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $3,175.56 – $6,920.00 | 6 |
| Drainage mouth roof lesion CPT 42000 | $559.68 | $1,166.00 | $258.93 – $6,920.00 | 6 |
| Drainage of abdomen CPT 48000 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $4,839.36 | $10,082.00 | $1,805.60 – $6,920.00 | 6 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $3,175.56 – $6,911.51 | 6 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,577.09 – $7,883.00 | 6 |
| Drainage of eye CPT 65800 | $5,063.04 | $10,548.00 | $1,200.00 – $5,491.26 | 6 |
| Drainage of eye CPT 65810 | not published | not published | $2,523.01 – $7,908.00 | 6 |
| Drainage of eye CPT 65815 | not published | not published | $2,523.01 – $6,920.00 | 6 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,757.92 – $6,920.00 | 6 |
| Drainage of kidney lesion CPT 50390 | $1,317.12 | $2,744.00 | $774.16 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41005 | $486.72 | $1,014.00 | $258.93 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41007 | $3,059.52 | $6,374.00 | $1,696.26 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41008 | $7,812.00 | $16,275.00 | $3,281.00 – $7,888.83 | 6 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $589.62 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41015 | $2,240.64 | $4,668.00 | $589.62 – $5,171.00 | 6 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $3,429.00 – $14,085.70 | 6 |
| Drainage of mouth lesion CPT 41017 | $4,803.84 | $10,008.00 | $3,281.00 – $7,888.83 | 6 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Drainage of nose lesion int 30000 CPT 30000 | $486.72 | $1,014.00 | $258.93 – $5,171.00 | 6 |
| Drainage of nose lesion sept 30020 CPT 30020 | $2,240.64 | $4,668.00 | $589.62 – $5,171.00 | 6 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,757.92 – $5,171.00 | 6 |
| Drainage of pelvis lesion 26990 CPT 26990 | $4,885.44 | $10,178.00 | $3,429.00 – $7,785.43 | 6 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,429.00 – $5,995.00 | 6 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Drainage of rectal abscess CPT 45005 | $3,797.28 | $7,911.00 | $1,308.22 – $6,920.00 | 6 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $3,034.47 – $6,920.00 | 6 |
| Drainage of salivary gland CPT 42305 | $4,803.84 | $10,008.00 | $3,624.60 – $7,888.83 | 6 |
| Drainage of salivary gland CPT 42320 | $2,240.64 | $4,668.00 | $589.62 – $5,171.00 | 6 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Drainage of throat abscess CPT 42725 | not published | not published | $4,114.00 – $14,085.70 | 6 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,853.66 – $6,920.00 | 6 |
| Drainage of urethra abscess 53060 CPT 53060 | $4,371.84 | $9,108.00 | $2,285.30 – $6,920.00 | 6 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $762.31 – $7,908.00 | 6 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $2,285.30 – $5,171.00 | 6 |
| Drain bladder by trocar/cath CPT 51101 | $601.92 | $1,254.00 | $938.81 – $5,171.00 | 6 |
| Drain blood from under nail 11740 CPT 11740 | $144.48 | $301.00 | $145.45 – $1,597.00 | 6 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,318.88 | $4,831.00 | $1,805.60 – $5,171.00 | 6 |
| Drain cath image guided visceral pq CPT 49405 | $2,318.88 | $4,831.00 | $1,805.60 – $5,171.00 | 6 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $2,005.44 | $4,178.00 | $771.70 – $5,171.00 | 6 |
| Drain chest lesion CPT 21502 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Drain finger abscess;simple 26010 CPT 26010 | $484.32 | $1,009.00 | $219.34 – $1,597.00 | 6 |
| Drain lower leg bursa CPT 27604 | $4,893.60 | $10,195.00 | $3,577.09 – $7,785.43 | 6 |
| Drain lower leg lesion 27603 CPT 27603 | $4,987.68 | $10,391.00 | $3,175.56 – $6,920.00 | 6 |
| Drain neck/chest lesion 21501 CPT 21501 | $4,987.68 | $10,391.00 | $3,175.56 – $6,920.00 | 6 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,538.96 – $7,702.45 | 6 |
| Drain ovary abscess open CPT 58820 | not published | not published | $3,538.96 – $7,908.00 | 6 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Drain penis lesion CPT 54015 | $6,451.20 | $13,440.00 | $1,805.60 – $9,779.00 | 6 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,757.92 – $7,908.00 | 6 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $3,175.56 – $7,908.00 | 6 |
| Drain shoulder lesion CPT 23030 | $6,971.52 | $14,524.00 | $3,175.56 – $6,911.51 | 6 |
| Drain thigh/knee lesion 27301 CPT 27301 | $6,630.72 | $13,814.00 | $3,175.56 – $7,908.00 | 6 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $737.28 | $1,536.00 | $219.34 – $6,920.00 | 6 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $565.44 | $1,178.00 | $219.34 – $1,597.00 | 6 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $890.40 | $1,855.00 | $444.42 – $6,920.00 | 6 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,315.20 | $2,740.00 | $807.98 – $5,171.00 | 6 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $18,807.93 | $39,183.19 | $22.03 – $296.10 | 6 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $4,501.92 | $9,379.00 | $4,666.00 – $13,634.00 | 3 |
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.