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 |
|---|---|---|---|---|
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $23.58 – $2,974.74 | 5 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $6.91 – $139.04 | 5 |
| Ftl cgen abnor four anal CPT 81511 | $232.80 | $485.00 | $6.91 – $307.00 | 5 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $36.60 – $111.08 | 5 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $22.28 – $108.60 | 5 |
| Full field erg w/i&r CPT 92273 | not published | not published | $236.06 – $513.77 | 4 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $173.95 – $567.73 | 5 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,692.80 | $5,610.00 | $2,255.66 – $6,920.00 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,692.80 | $5,610.00 | $2,255.66 – $7,908.00 | 6 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $145.45 – $316.58 | 4 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $44.76 | $93.25 | $0.03 – $0.04 | 3 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $1.83 – $1.83 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,200.00 – $9,718.00 | 4 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $13,634.00 – $13,634.00 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $4,666.00 – $17,265.50 | 6 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Fusion of finger joint CPT 26860 | $4,885.44 | $10,178.00 | $3,577.09 – $7,908.00 | 6 |
| Fusion of finger tendons CPT 26471 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,757.92 – $6,920.00 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Fusion of hand joint CPT 26843 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fusion of knee CPT 27580 | not published | not published | $7,908.00 – $30,548.47 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $3,429.00 – $7,883.00 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $7,883.00 – $9,990.00 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fusion of skull arteries CPT 61711 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,285.30 – $9,779.00 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,853.66 – $9,779.00 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Fusion of toes CPT 28280 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $130.47 – $549.66 | 5 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $116.45 – $274.00 | 5 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $233.61 – $549.66 | 5 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $157.42 – $370.40 | 5 |
| G6pc gene CPT 81250 | not published | not published | $49.72 – $116.98 | 5 |
| G6pd full gene sequence CPT 81249 | not published | not published | $240.73 – $1,200.00 | 5 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $148.59 – $349.62 | 5 |
| G6pd known familial variant CPT 81248 | not published | not published | $318.96 – $750.50 | 5 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $39.63 – $47.30 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $42.19 – $109.84 | 5 |
| Gabapentin non-blood CPT 80355 | $5.24 | $10.91 | $0.07 – $166.15 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $43.20 | $90.00 | $0.38 – $1.47 | 3 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.14 – $6.31 | 3 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.17 – $0.83 | 3 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $189.46 | $394.71 | $21.10 – $31.63 | 3 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $17.91 – $42.14 | 5 |
| Galactokinase - sendout CPT 82759 | not published | not published | $15.74 – $42.96 | 5 |
| Galactose transferase test CPT 82776 | not published | not published | $9.98 – $23.48 | 5 |
| Galectin-3 CPT 82777 | not published | not published | $8.91 – $88.50 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $6,609.22 – $15,436.00 | 6 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $0.96 – $8.71 | 5 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $308.97 – $800.17 | 5 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $467.61 – $1,150.06 | 5 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $406.74 – $2,216.65 | 5 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $308.12 – $1,873.21 | 5 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $2.28 – $2.77 | 2 |
| Galsulfase injection HCPCS J1458 | not published | not published | $436.56 – $1,042.49 | 6 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $65.19 – $1,051.03 | 6 |
| Gamma globulin 1 cc inj HCPCS J1460 | $1,509.75 | $3,145.31 | $17.70 – $105.11 | 6 |
| Gammaglobulin iga CPT 82784 | $37.92 | $79.00 | $7.90 – $18.60 | 5 |
| Gammaglobulin ige CPT 82785 | $28.80 | $60.00 | $12.19 – $32.92 | 5 |
| Gamma glutamyltransferase CPT 82977 | $61.92 | $129.00 | $6.12 – $14.40 | 5 |
| Gammagraft HCPCS Q4111 | not published | not published | $10.90 – $296.10 | 6 |
| Gammaplex injection HCPCS J1557 | not published | not published | $54.95 – $123.58 | 6 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $42.27 – $103.95 | 6 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $182.54 | $380.30 | $52.37 – $79.24 | 4 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $8,154.66 – $8,825.26 | 2 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $29.83 – $70.18 | 5 |
| Gardner vag dna quant CPT 87512 | $78.24 | $163.00 | $33.82 – $83.52 | 5 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $5.70 – $13.42 | 5 |
| Gastric emptying imag study CPT 78265 | not published | not published | $437.05 – $951.22 | 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.