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 |
|---|---|---|---|---|
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $72.00 | $150.00 | $3.72 – $6.74 | 4 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $157.30 | $327.70 | $0.47 – $48.41 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.07 – $224.88 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $13.93 – $13.93 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $19.24 – $46.25 | 6 |
| Ammonia CPT 82140 | $59.04 | $123.00 | $7.13 – $29.14 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,002.24 | $2,088.00 | $1,006.93 – $5,171.00 | 6 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $333.14 – $5,171.00 | 6 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.13 – $18.70 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $5,680.80 | $11,835.00 | $3,281.00 – $9,779.00 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | $28.80 | $60.00 | $0.07 – $195.34 | 2 |
| Amphetamines 5 or more CPT 80326 | $5.24 | $10.91 | $0.07 – $234.32 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $141.17 | $294.10 | $28.20 – $107.65 | 4 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $14.61 – $22.15 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $625.20 | $1,302.49 | $19.39 – $50.12 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $44.76 | $93.25 | $0.85 – $6.16 | 4 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $53.57 | $111.61 | $2.25 – $11.99 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $6.03 – $525.98 | 5 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,893.60 | $10,195.00 | $3,577.09 – $7,785.43 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,757.92 – $7,908.00 | 6 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,577.09 – $14,208.00 | 6 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $4,666.00 – $9,990.00 | 6 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,577.09 – $7,883.00 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | $4,885.44 | $10,178.00 | $3,577.09 – $7,785.43 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Amylase CPT 82150 | $74.40 | $155.00 | $5.51 – $12.96 | 5 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $80.83 – $125.37 | 2 |
| Ana ds-dna CPT 86226 | not published | not published | $10.29 – $24.22 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $0.07 – $254.33 | 2 |
| Anal pressure record CPT 91122 | $463.20 | $965.00 | $403.28 – $1,200.00 | 3 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $140.67 – $1,597.00 | 6 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $273.14 – $5,171.00 | 6 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | not published | not published | $103.94 – $226.21 | 4 |
| Analysis gene f2 20210g>a variant CPT 81240 | $96.00 | $200.00 | $55.84 – $131.38 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $123.22 | $256.70 | $62.36 – $146.74 | 5 |
| Analysis nerve CPT 88356 | not published | not published | $56.97 – $123.99 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | not published | not published | $40.80 – $88.80 | 4 |
| Analysis tumor CPT 88358 | not published | not published | $186.26 – $405.38 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $103.94 – $226.21 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $29.83 – $70.18 | 5 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $48.00 | $100.00 | $12.79 – $30.10 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $1,774.56 | $3,697.00 | $3,429.00 – $8,519.24 | 6 |
| Androstanediol CPT 82154 | not published | not published | $8.91 – $57.66 | 5 |
| An fluoro guide for cvp CPT 77001 | $566.88 | $1,181.00 | $497.56 – $544.89 | 2 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $1,348.32 | $2,809.00 | $1,200.00 – $13,634.00 | 4 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $6,050.88 | $12,606.00 | $9,718.00 – $16,652.00 | 5 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $6,050.88 | $12,606.00 | $9,779.00 – $16,652.00 | 5 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $6,050.88 | $12,606.00 | $3,429.00 – $10,791.00 | 4 |
| Angiotensin ii CPT 82163 | not published | not published | $17.44 – $41.04 | 5 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $4,466.93 | $9,306.10 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $6,050.88 | $12,606.00 | $9,779.00 – $39,963.00 | 5 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,052.32 | $6,359.00 | $1,200.00 – $13,634.00 | 3 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,104.16 | $12,717.00 | $5,171.00 – $13,542.56 | 6 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,101.28 | $6,461.00 | $1,200.00 – $13,634.00 | 3 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,135.36 | $12,782.00 | $5,171.00 – $13,542.56 | 6 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.68 – $3.31 | 4 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Ankle X-ray CPT 73610 | $434.88 | $906.00 | $95.14 – $207.07 | 5 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $335.78 – $1,597.00 | 6 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $6.20 – $13.50 | 3 |
| Anogenital exam child w imag CPT 99170 | $403.68 | $841.00 | $221.02 – $481.05 | 4 |
| Anora (draw only) CPT 99001 | not published | not published | $12.28 – $132.02 | 2 |
| Anorectal myomectomy CPT 45108 | not published | not published | $3,034.47 – $6,920.00 | 6 |
| Anoscopy CPT 46611 | not published | not published | $1,016.67 – $5,171.00 | 6 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $3,034.47 – $6,920.00 | 6 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Anoscopy control bleeding 46614 CPT 46614 | $3,136.80 | $6,535.00 | $1,308.22 – $5,171.00 | 6 |
| Anoscopy remove fb 46608 CPT 46608 | $1,457.76 | $3,037.00 | $1,016.67 – $5,171.00 | 6 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $236.06 – $513.77 | 4 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $5,468.89 – $11,902.87 | 6 |
| Antibody CPT 86744 | not published | not published | $10.66 – $31.98 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $19.25 | $40.10 | $10.95 – $25.76 | 5 |
| Antibody elution rbc reference CPT 86860 | $161.76 | $337.00 | $156.02 – $405.38 | 5 |
| Antibody htlv/hiv confirm test CPT 86689 | $26.40 | $55.00 | $13.00 – $38.70 | 5 |
| Antibody htlv-i CPT 86687 | not published | not published | $7.73 – $18.18 | 5 |
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.