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 |
|---|---|---|---|---|
| Fitg spect low vis 1system CPT 92354 | not published | not published | $40.83 – $88.87 | 4 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $40.83 – $88.87 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $221.02 – $1,597.00 | 6 |
| Fixation of ankle joint CPT 27860 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Fixation of knee joint CPT 27570 | $3,171.36 | $6,607.00 | $1,757.92 – $5,171.00 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fix g/colon tube w/device CPT 49460 | $1,692.00 | $3,525.00 | $991.55 – $5,171.00 | 6 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $6,583.20 | $13,715.00 | $3,577.09 – $7,908.00 | 6 |
| Flebogamma injection HCPCS J1572 | not published | not published | $63.18 – $167.87 | 5 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $15.84 – $37.28 | 5 |
| Fl exam g/colon tube w contrast CPT 49465 | $1,722.24 | $3,588.00 | $260.85 – $5,171.00 | 6 |
| Flexible Sigmoidoscopy CPT 45330 | $1,204.32 | $2,509.00 | $1,016.67 – $5,171.00 | 6 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $7,908.00 – $10,791.00 | 6 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Floor of mouth biopsy 41108 CPT 41108 | $2,412.48 | $5,026.00 | $1,805.60 – $5,171.00 | 6 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,346.97 – $2,931.64 | 5 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $315.35 – $7,976.50 | 5 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $570.54 – $1,401.09 | 5 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $177.56 – $1,069.54 | 3 |
| Flow cytometry marker each additional CPT 88185 | $33.75 | $70.31 | $44.76 – $371.33 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $33.76 | $70.33 | $391.87 – $852.89 | 5 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $387.00 – $387.00 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $131.97 – $296.10 | 6 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $132.08 – $811.95 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $200.24 – $8,574.91 | 6 |
| Flt3 gene CPT 81245 | not published | not published | $70.33 – $331.02 | 5 |
| Flt3 gene analysis CPT 81246 | not published | not published | $60.11 – $166.00 | 5 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $119.28 | $248.50 | $4.51 – $143.27 | 4 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $97.16 – $238.72 | 4 |
| Fluidotherapy charges pt CPT 97022 | $104.16 | $217.00 | $14.87 – $32.36 | 3 |
| Fluid pressure muscle 20950 CPT 20950 | $547.68 | $1,141.00 | $774.16 – $1,894.00 | 6 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $11.53 – $11.53 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $433.34 – $1,055.16 | 6 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $287.97 – $731.09 | 6 |
| Fluorescein angioscopy i&r CPT 92230 | not published | not published | $407.95 – $887.89 | 4 |
| Fluorescein angrph mltiframe CPT 92235 | not published | not published | $236.06 – $513.77 | 4 |
| Fluorescein&icg angiography CPT 92242 | not published | not published | $236.06 – $513.77 | 4 |
| Fluorescent antibody titer dna CPT 86256 | $24.00 | $50.00 | $10.24 – $24.10 | 5 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $707.24 – $1,582.77 | 5 |
| Fluoroestradiol f 18 HCPCS A9591 | not published | not published | $64.29 – $1,072.14 | 5 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $566.88 | $1,181.00 | $187.55 – $481.68 | 2 |
| Fluoroguide needle placement CPT 77002 | $637.44 | $1,328.00 | $274.97 – $630.54 | 2 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $5.05 – $37.82 | 5 |
| Fluoroscopy up to 1 hour CPT 76000 | $468.00 | $975.00 | $260.85 – $567.73 | 5 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $229.88 | $478.92 | $3.31 – $4.75 | 4 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $12.66 – $88.02 | 4 |
| Flurpiridaz f18, diag, 1 mci HCPCS A9611 | not published | not published | $450.50 – $1,107.25 | 5 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $5.53 – $5.53 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $1,652.41 – $4,013.15 | 5 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $20.44 – $25.74 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $19.41 – $106.68 | 2 |
| Fmri brain by phys/psych CPT 70555 | not published | not published | $260.85 – $567.73 | 5 |
| Fmri brain by tech CPT 70554 | not published | not published | $260.85 – $567.73 | 5 |
| Fna bx w/ct gdn 1st les CPT 10009 | $3,997.44 | $8,328.00 | $774.16 – $1,894.00 | 6 |
| Fna bx w/ct gdn ea addl CPT 10010 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Fna bx w/mr gdn 1st les CPT 10011 | $4,917.60 | $10,245.00 | $774.16 – $1,894.00 | 6 |
| Fna bx w/mr gdn ea addl CPT 10012 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Foam drg >16<=48 sq in without b HCPCS A6210 | $37.32 | $77.74 | not published | 0 |
| Foam drg <=16 sq in w/border HCPCS A6212 | $15.54 | $32.37 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $5.05 – $37.82 | 5 |
| Folic acid CPT 82746 | $78.72 | $164.00 | $12.50 – $29.40 | 5 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $44.76 | $93.25 | $0.09 – $0.13 | 3 |
| Follow-up angiography CPT 75898 | $1,713.60 | $3,570.00 | $337.67 – $7,512.94 | 5 |
| Followup eval of foot pt lop HCPCS G0246 | not published | not published | $145.55 – $316.79 | 4 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $2,599.17 – $6,920.00 | 6 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,585.61 | $3,303.36 | $1.94 – $13.24 | 5 |
| Fondaparinux sodium HCPCS J1652 | $221.58 | $461.63 | $1.23 – $12.79 | 4 |
| Foot X-ray CPT 73630 | $434.88 | $906.00 | $95.14 – $207.07 | 5 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | $5,243.04 | $10,923.00 | $3,874.15 – $8,431.97 | 6 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $1,151.26 – $4,000.73 | 2 |
| Forensic cytopathology CPT 88125 | not published | not published | $15.26 – $123.99 | 5 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $957.60 | $1,995.00 | $273.14 – $5,171.00 | 6 |
| Formoterol fumarate, inh HCPCS J7606 | $47.27 | $98.47 | $2.43 – $9.13 | 4 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $1,042.00 | $2,170.84 | $0.19 – $2.85 | 4 |
| Foscarnet sodium injection HCPCS J1455 | $1,144.22 | $2,383.80 | $31.01 – $54.30 | 4 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $151.24 | $315.09 | $1.13 – $16.51 | 5 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $24.22 – $57.00 | 5 |
| Fracture assessment via dxa CPT 77086 | not published | not published | $95.14 – $207.07 | 5 |
| _fragile x methylation-sendout CPT 81244 | not published | not published | $38.16 – $89.78 | 5 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,853.66 – $20,774.00 | 6 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Free omental flap microvasc CPT 49906 | not published | not published | $4,666.00 – $5,171.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Frenotomy 40806 CPT 40806 | not published | not published | $589.62 – $5,171.00 | 6 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,285.30 – $6,920.00 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $38.40 | $80.00 | $62.70 – $136.47 | 4 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $77.28 | $161.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $121.44 | $253.00 | $98.16 – $405.38 | 5 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $40.83 – $88.87 | 5 |
| Frozen blood prep CPT 86930 | not published | not published | $186.26 – $566.82 | 5 |
| Frozen blood thaw CPT 86931 | not published | not published | $186.26 – $566.82 | 5 |
| Frozen cell preparation CPT 88241 | not published | not published | $10.28 – $24.18 | 5 |
| Frozen plasma, pooled, sd HCPCS P9023 | not published | not published | $1.50 – $103.53 | 4 |
| Fructosamine glycated protein CPT 82985 | $18.24 | $38.00 | $9.23 – $33.52 | 5 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,200.00 – $6,920.00 | 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.