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 |
|---|---|---|---|---|
| ER Visit (level 5, high severity) CPT 99285 | $3,332.64 | $6,943.00 | $651.06 – $1,417.01 | 4 |
| Erwinaze injection HCPCS J9019 | not published | not published | $560.43 – $1,039.96 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $239.09 | $498.10 | $5.71 – $150.11 | 4 |
| Escharotomy ea addl incision CPT 16036 | $597.60 | $1,245.00 | $3,281.00 – $5,357.00 | 3 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $4,214.96 – $9,173.75 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | $209.91 | $437.32 | $0.59 – $0.88 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $422.33 | $879.86 | $0.41 – $1.03 | 4 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $516.87 – $1,173.87 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Esophageal motility CPT 78258 | not published | not published | $437.05 – $951.22 | 5 |
| Esophageal recording CPT 93615 | not published | not published | $1,331.06 – $3,281.00 | 5 |
| Esophageal recording CPT 93616 | not published | not published | $1,331.06 – $3,281.00 | 5 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,429.00 – $9,173.75 | 5 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $991.55 – $5,171.00 | 6 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,114.00 – $14,445.15 | 6 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,097.83 – $6,920.00 | 6 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,097.83 – $6,920.00 | 6 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $1,274.40 | $2,655.00 | $991.55 – $5,171.00 | 6 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $991.55 – $5,171.00 | 6 |
| Esophagoscopy flex remove fb CPT 43215 | $1,607.04 | $3,348.00 | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $4,114.00 – $9,173.75 | 6 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,281.00 – $9,173.75 | 6 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,114.00 – $14,085.70 | 6 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $2,097.83 – $6,920.00 | 6 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esophagus motility study CPT 91010 | not published | not published | $403.28 – $1,200.00 | 5 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $407.95 – $1,200.00 | 5 |
| Esoph egd dilation <30 mm CPT 43249 | $1,691.52 | $3,524.00 | $2,097.83 – $6,920.00 | 6 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $132.72 – $1,200.00 | 2 |
| Esoph imped function test CPT 91037 | not published | not published | $236.06 – $1,200.00 | 5 |
| Esoph imped funct test > 1hr CPT 91038 | $933.60 | $1,945.00 | $407.95 – $1,200.00 | 5 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,097.83 – $6,920.00 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Esrd svc pr day pt 20+ CPT 90970 | $472.32 | $984.00 | not published | 0 |
| Essure 58565 CPT 58565 | not published | not published | $5,468.89 – $15,436.00 | 6 |
| Establish access to aorta CPT 36160 | $156.96 | $327.00 | $1,200.00 – $5,357.00 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Estradiol total CPT 82670 | $70.56 | $147.00 | $13.04 – $55.88 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $10.47 – $16.78 | 4 |
| Estrogens total-sendout CPT 82672 | $69.55 | $144.90 | $6.54 – $43.40 | 5 |
| Etanercept injection HCPCS J1438 | not published | not published | $239.74 – $1,700.18 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $1,552.41 | $3,234.18 | $99.09 – $1,070.06 | 6 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $247.51 – $401.94 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,624.60 – $7,908.00 | 6 |
| Ethylene glycol -sendout CPT 82693 | $48.00 | $100.00 | $12.66 – $29.80 | 5 |
| Etonogestrel implant system HCPCS J7307 | $3,288.24 | $6,850.51 | $959.54 – $3,133.75 | 2 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $192.48 | $400.99 | $1.75 – $23.18 | 4 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $64.96 – $164.39 | 6 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $89.74 – $276.73 | 6 |
| Euglobulin lysis CPT 85360 | $43.32 | $90.25 | $7.15 – $16.82 | 5 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,538.96 – $11,117.00 | 6 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $140.67 – $306.17 | 4 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $314.40 | $655.00 | $114.57 – $249.36 | 3 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $8.82 – $20.76 | 5 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $246.72 | $514.00 | $19.53 – $196.22 | 5 |
| Evaluation heart device CPT 93640 | $239.04 | $498.00 | $1,200.00 – $16,338.00 | 3 |
| Evaluation of speech fluency 92521 CPT 92521 | $362.40 | $755.00 | $123.13 – $267.99 | 3 |
| Evaluation psychiatric diagnostic CPT 90791 | $159.36 | $332.00 | $194.05 – $422.33 | 4 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $5,252.16 | $10,942.00 | $1,597.00 – $5,357.00 | 3 |
| Evasc prlng admn rx agnt add CPT 61651 | $5,252.16 | $10,942.00 | $1,597.00 – $5,357.00 | 3 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,597.00 – $13,634.00 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,417.28 | $5,036.00 | $4,666.00 – $14,805.00 | 4 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $5,035.20 | $10,490.00 | $4,666.00 – $14,805.00 | 4 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $3,008.16 | $6,267.00 | $4,666.00 – $14,805.00 | 4 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $2,417.28 | $5,036.00 | $1,597.00 – $13,634.00 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,417.28 | $5,036.00 | $4,666.00 – $14,805.00 | 4 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $2,417.28 | $5,036.00 | $4,666.00 – $14,805.00 | 4 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $2,333.28 | $4,861.00 | $4,666.00 – $16,178.00 | 4 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $4,495.68 | $9,366.00 | $4,666.00 – $16,178.00 | 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.