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 |
|---|---|---|---|---|
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $3,807.36 | $7,932.00 | $4,666.00 – $9,718.00 | 3 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | $4,885.44 | $10,178.00 | $3,281.00 – $7,785.43 | 6 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,019.52 | $2,124.00 | $347.00 – $1,597.00 | 6 |
| Drng of finger abscess comp 26011 CPT 26011 | $2,412.48 | $5,026.00 | $1,805.60 – $5,171.00 | 6 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $774.16 – $1,894.00 | 6 |
| Drng of mouth lesion 40801 CPT 40801 | $2,240.64 | $4,668.00 | $589.62 – $6,920.00 | 6 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $3,538.96 – $7,908.00 | 6 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $3,301.92 | $6,879.00 | $1,308.22 – $5,171.00 | 6 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,624.60 – $7,908.00 | 6 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,164.96 | $8,677.00 | $1,805.60 – $5,171.00 | 6 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $5,171.00 – $13,634.00 | 4 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | $2,240.64 | $4,668.00 | $1,696.26 – $5,171.00 | 6 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $2,240.64 | $4,668.00 | $589.62 – $5,171.00 | 6 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.11 – $8.38 | 4 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $8.68 – $18.43 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,402.52 | $5,005.26 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $4,240.79 | $8,834.97 | $4.68 – $296.10 | 6 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $660.83 | $1,376.73 | $5.14 – $296.10 | 6 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $3.54 – $296.10 | 6 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $136.05 – $296.10 | 5 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $8,713.19 | $18,152.47 | $41.34 – $296.10 | 5 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $35,217.15 | $73,369.07 | $22.03 – $296.10 | 6 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $136.05 – $296.10 | 5 |
| Drug admin & hemodynmic meas CPT 93463 | $70.56 | $147.00 | $1,200.00 – $1,200.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $3.10 – $77.14 | 5 |
| Drug assay posaconazole CPT 80187 | not published | not published | $23.04 – $54.22 | 5 |
| Drug assay rufinamide CPT 80210 | not published | not published | $23.04 – $54.22 | 5 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $32.78 – $77.14 | 5 |
| Drug assay voriconazole CPT 80285 | $76.32 | $159.00 | $23.04 – $54.22 | 5 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $15.84 – $37.28 | 5 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $10.71 – $25.20 | 5 |
| Drug screening tapentadol CPT 80372 | $5.24 | $10.91 | $0.07 – $254.33 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $23.04 – $54.22 | 5 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.07 – $249.04 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $168.93 – $397.48 | 5 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $97.27 – $228.86 | 5 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $209.88 – $493.84 | 5 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $133.10 – $313.18 | 5 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $52.82 – $124.28 | 5 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.57 – $34.28 | 5 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $280.80 | $585.00 | $52.82 – $124.28 | 5 |
| Drvvt confirm - quest CPT 85597 | $3.31 | $6.89 | $15.28 – $35.96 | 5 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $3,429.00 – $9,354.40 | 6 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $799.00 – $4,666.00 | 6 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $444.42 – $5,171.00 | 6 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $444.42 – $5,171.00 | 6 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $807.98 – $5,171.00 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $807.98 – $5,171.00 | 6 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $601.28 – $1,894.00 | 5 |
| Ductogram sgl duct CPT 77053 | not published | not published | $260.85 – $567.73 | 5 |
| Duodenal exclusion CPT 48547 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $262.18 – $1,200.00 | 5 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $260.85 – $567.73 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $114.29 – $248.76 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $623.04 | $1,298.00 | $114.29 – $248.76 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $447.36 | $932.00 | $236.06 – $513.77 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,361.76 | $2,837.00 | $260.85 – $567.73 | 4 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $17,795.19 | $37,073.32 | $33.47 – $33.47 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $73.22 – $180.32 | 6 |
| Dxa bone density axl vrt fx CPT 77085 | $445.92 | $929.00 | $114.29 – $248.76 | 5 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $140.67 – $1,597.00 | 5 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $1,597.00 – $1,597.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | $891.36 | $1,857.00 | $1,945.86 – $6,920.00 | 6 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $891.36 | $1,857.00 | $1,945.86 – $6,920.00 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $891.36 | $1,857.00 | $1,945.86 – $5,171.00 | 6 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $74.43 – $1,062.94 | 4 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $991.55 – $3,281.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $991.55 – $3,281.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | $420.00 | $875.00 | $236.06 – $1,597.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | $375.84 | $783.00 | $140.67 – $1,597.00 | 6 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $163.42 – $316.24 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $439.38 – $849.60 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $142.47 – $274.26 | 2 |
| Dx laryngoscopy newborn CPT 31520 | $230.88 | $481.00 | $427.59 – $5,171.00 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | $2,574.72 | $5,364.00 | $1,945.86 – $6,920.00 | 6 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $279.03 – $539.71 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $273.14 – $6,920.00 | 6 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $208.39 – $208.39 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $225.23 – $513.77 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $589.62 – $1,283.28 | 5 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,696.26 – $6,920.00 | 6 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,281.00 – $15,436.00 | 6 |
| Ear irrigation 69209 CPT 69209 | $221.28 | $461.00 | $64.49 – $1,597.00 | 6 |
| Ear protector evaluation CPT 92596 | not published | not published | $40.83 – $88.87 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $466.81 – $1,213.98 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $288.48 | $601.00 | $64.33 – $140.37 | 4 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $38.39 – $203.89 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $487.20 | $1,015.00 | $33.78 – $140.37 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $103.94 – $226.21 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $322.56 | $672.00 | $145.45 – $316.58 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $1,118.88 | $2,331.00 | $64.49 – $140.37 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $40.83 – $88.87 | 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.