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 |
|---|---|---|---|---|
| Facial bones <3 CPT 70140 | $491.04 | $1,023.00 | $95.14 – $207.07 | 5 |
| Facial nerve function test CPT 92516 | not published | not published | $236.06 – $513.77 | 4 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,597.00 – $7,888.83 | 6 |
| Factor ix CPT 85250 | $88.34 | $184.05 | $7.95 – $38.08 | 5 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.04 – $7.63 | 6 |
| Factor ix complex HCPCS J7194 | not published | not published | $0.68 – $3.57 | 6 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $4.52 – $11.14 | 6 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.16 – $2.97 | 6 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.82 – $9.29 | 6 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.48 – $3.50 | 6 |
| Factor ix recombinant nos HCPCS J7195 | $6,825.53 | $14,219.85 | $1.56 – $3.98 | 6 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.87 – $5.14 | 6 |
| Factor viii CPT 85240 | $96.97 | $202.02 | $15.21 – $35.80 | 5 |
| Factor viii HCPCS J7190 | not published | not published | $1.18 – $2.58 | 6 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.09 – $4.99 | 6 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.00 – $2.56 | 6 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.82 – $4.52 | 6 |
| Factor viii recombinant nos HCPCS J7192 | $9,254.62 | $19,280.45 | $1.33 – $3.35 | 6 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.20 – $3.01 | 6 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.75 – $6.94 | 6 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $9.16 – $22.53 | 6 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $15.58 – $37.28 | 6 |
| Fallopian tube recnl CPT 58345 | not published | not published | $3,429.00 – $7,908.00 | 6 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $40.96 – $1,597.00 | 5 |
| Family therapy without pt 50min 90846 CPT 90846 | $178.08 | $371.00 | $194.05 – $422.33 | 4 |
| Family therapy with patient 50 min 90847 CPT 90847 | $212.64 | $443.00 | $194.05 – $422.33 | 4 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $44.76 | $93.25 | $0.02 – $0.02 | 3 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $26.57 – $62.14 | 6 |
| Fancc gene CPT 81242 | not published | not published | $31.13 – $73.24 | 5 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| Fat/lipids feces qualitative CPT 82705 | $15.22 | $31.70 | $4.34 – $10.20 | 5 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $15.88 – $37.54 | 5 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,031.10 | $2,148.12 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.88 – $9.12 | 5 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $54.67 – $137.45 | 6 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $1,016.67 – $2,212.75 | 4 |
| #fecal-sodium CPT 84302 | $25.28 | $52.66 | $4.13 – $9.72 | 5 |
| Feeding tube reposition CPT 74355 | not published | not published | $596.82 – $982.24 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $71.09 – $154.73 | 3 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $37.13 | $77.36 | $15.84 – $37.28 | 5 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Fem/popl revasc w/stent CPT 37226 | $12,844.80 | $26,760.00 | $9,779.00 – $39,963.00 | 5 |
| Feno poc CPT 95012 | not published | not published | $40.83 – $88.87 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $130.60 | $272.08 | $1.20 – $1.93 | 4 |
| Fern test HCPCS Q0114 | not published | not published | $8.28 – $19.48 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | $2,448.90 | $5,101.87 | $0.94 – $2.43 | 6 |
| Ferritin CPT 82728 | $72.96 | $152.00 | $11.59 – $27.26 | 5 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.19 – $0.71 | 6 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.19 – $0.71 | 6 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $21.90 – $1,590.00 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $825.12 | $1,719.00 | $114.29 – $248.76 | 5 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $10.71 – $1,518.10 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $6.82 – $1,518.10 | 5 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $424.32 | $884.00 | $221.02 – $1,597.00 | 6 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $333.14 – $5,171.00 | 6 |
| Fetal fibronectin CPT 82731 | $743.04 | $1,548.00 | $13.28 – $128.82 | 5 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $333.14 – $5,171.00 | 6 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $190.56 | $397.00 | $6.57 – $15.46 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $81.60 | $170.00 | $7.96 – $18.72 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $5.51 – $38.64 | 5 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $1,597.00 – $4,666.00 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Fetal non stress test CPT 59025 | $751.68 | $1,566.00 | $221.02 – $1,597.00 | 6 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $333.14 – $5,171.00 | 6 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $333.14 – $5,171.00 | 6 |
| #_fet/norfentcnfrmur CPT 80354 | $38.40 | $80.00 | $0.07 – $244.46 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $9.56 – $15.52 | 4 |
| Fibrin degradation d dimer quantitative CPT 85379 | $95.52 | $199.00 | $8.65 – $20.36 | 5 |
| Fibrin degradation products CPT 85362 | $38.88 | $81.00 | $5.86 – $13.78 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $8.26 – $19.44 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $8.65 – $20.36 | 5 |
| Fibrinogen activity CPT 85384 | $93.60 | $195.00 | $8.26 – $19.44 | 5 |
| Fibrinogen test CPT 85370 | not published | not published | $10.57 – $24.86 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $23.04 | $48.00 | $13.16 – $30.96 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $6.55 – $15.42 | 5 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $6.55 – $15.42 | 5 |
| Fibrinolytic plasminogen CPT 85415 | $55.44 | $115.50 | $8.91 – $34.38 | 5 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $8.65 – $20.36 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $5.55 – $13.06 | 5 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.24 – $0.62 | 6 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.86 – $2.11 | 6 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.30 – $0.71 | 6 |
| Filleted finger/toe flap CPT 14350 | $2,688.00 | $5,600.00 | $2,255.66 – $7,908.00 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $40.83 – $88.87 | 4 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $9,118.31 | $18,996.48 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,357.68 | $9,078.50 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $5,171.00 – $13,634.00 | 4 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $8.27 – $8.27 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $2,314.08 | $4,821.00 | $774.16 – $1,894.00 | 6 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $576.48 | $1,201.00 | $1,200.00 – $5,357.00 | 3 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $2,314.08 | $4,821.00 | $1,200.00 – $5,357.00 | 3 |
| Fine needle asp without image guide 10021 CPT 10021 | $469.44 | $978.00 | $444.42 – $1,597.00 | 6 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $64.49 – $140.37 | 4 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $64.49 – $140.37 | 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.