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 |
|---|---|---|---|---|
| Gastric emptying imag study CPT 78266 | not published | not published | $593.60 – $1,291.95 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $310.07 – $1,200.00 | 5 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $437.05 – $951.22 | 5 |
| Gastrin test CPT 82938 | not published | not published | $15.04 – $35.38 | 5 |
| Gastroduodenostomy CPT 43810 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gastroesophageal reflux study CPT 78262 | not published | not published | $437.05 – $951.22 | 5 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $407.95 – $1,200.00 | 5 |
| Gastrointestinal repair CPT 43360 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gastrointestinal repair CPT 43361 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gastro/jejuno tube, std HCPCS B4087 | $1,113.47 | $2,319.72 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $991.55 – $5,171.00 | 6 |
| Gated heart multiple CPT 78473 | $1,400.64 | $2,918.00 | $437.05 – $951.22 | 5 |
| Gba gene CPT 81251 | not published | not published | $40.16 – $94.50 | 5 |
| Gefitinib oral HCPCS J8565 | not published | not published | $96.70 – $625.65 | 2 |
| Gel-one HCPCS J7326 | not published | not published | $447.77 – $1,157.73 | 6 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $3.62 | 6 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $231.61 | $482.53 | $4.86 – $187.00 | 4 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $204.14 – $501.21 | 6 |
| General health panel CPT 80050 | not published | not published | $94.56 – $393.14 | 3 |
| Generator barostim neo2 2014 HCPCS C1767 | $67,781.79 | $141,212.06 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $45,628.80 | $95,060.00 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $40,320.00 | $84,000.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | not published | not published | $23.41 – $4,897.12 | 5 |
| Genioplasty augmentation CPT 21120 | not published | not published | $4,666.00 – $14,085.70 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,624.60 – $15,436.00 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,624.60 – $15,436.00 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $4,666.00 – $15,436.00 | 6 |
| Genome re-evaluation CPT 81427 | not published | not published | $0.07 – $4,675.30 | 5 |
| Genome sequence analysis CPT 81425 | not published | not published | $0.07 – $10,062.40 | 5 |
| Genome sequence analysis CPT 81426 | not published | not published | $0.07 – $5,419.90 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $117.28 | $244.34 | $3.54 – $6.51 | 4 |
| Gentamicin peak therapeutic drug level CPT 80170 | $59.04 | $123.00 | $13.92 – $32.76 | 5 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $3.12 – $13.57 | 6 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $938.81 – $1,999.00 | 5 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $1,200.00 – $9,718.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $4,177.44 | $8,703.00 | $1,016.67 – $5,171.00 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $1,952.64 | $4,068.00 | $3,175.56 – $6,920.00 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | not published | not published | $8.34 – $19.62 | 5 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | not published | not published | $10.29 – $34.22 | 5 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $220.80 | $460.00 | $86.92 – $204.52 | 5 |
| Ghs analysis neurostim without reprogramming CPT 95970 | not published | not published | $145.45 – $316.58 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | not published | not published | $11.87 – $28.78 | 5 |
| Ghs aspiration bladder - needle CPT 51100 | $554.88 | $1,156.00 | $273.14 – $1,597.00 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | $432.00 | $900.00 | $140.67 – $1,597.00 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $4.10 – $9.64 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,280.64 | $2,668.00 | $771.70 – $5,171.00 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,948.16 | $6,142.00 | $1,894.00 – $5,171.00 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $1,571.04 | $3,273.00 | $273.14 – $5,171.00 | 6 |
| Ghs chemo >8 hrs CPT 96416 | $502.08 | $1,046.00 | $361.10 – $785.93 | 4 |
| Ghs chemo infusion >8 hrs CPT 96425 | $502.08 | $1,046.00 | $361.10 – $785.93 | 4 |
| Ghs chemo IV push, ea addtl CPT 96411 | $162.72 | $339.00 | $78.71 – $171.32 | 4 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $149.43 | $311.31 | $29.83 – $70.18 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $643.68 | $1,341.00 | $269.67 – $1,597.00 | 6 |
| Ghs closed reduction ankle dislocation CPT 27840 | $2,103.36 | $4,382.00 | $269.67 – $5,171.00 | 6 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,936.32 | $4,034.00 | $1,757.92 – $5,171.00 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $6,258.72 | $13,039.00 | $1,757.92 – $5,171.00 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $2,688.00 | $5,600.00 | $3,281.00 – $6,920.00 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $496.80 | $1,035.00 | $269.67 – $5,171.00 | 6 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $6,258.72 | $13,039.00 | $1,757.92 – $5,171.00 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $6,258.72 | $13,039.00 | $1,757.92 – $6,920.00 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | $70.56 | $147.00 | $30.15 – $65.62 | 3 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $466.56 | $972.00 | $488.38 – $1,597.00 | 6 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $466.56 | $972.00 | $145.45 – $1,597.00 | 6 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $466.56 | $972.00 | $488.38 – $1,597.00 | 6 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $466.56 | $972.00 | $145.45 – $1,597.00 | 6 |
| Ghs cricothyroidotomy CPT 31605 | $487.20 | $1,015.00 | $258.93 – $6,920.00 | 6 |
| Ghs cutdown placement age 1 and over CPT 36425 | $411.84 | $858.00 | $488.38 – $5,171.00 | 6 |
| Ghs cutdown placement under 1 yr CPT 36420 | $411.84 | $858.00 | $145.45 – $5,171.00 | 6 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $43.76 | $91.17 | $12.93 – $30.42 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $547.20 | $1,140.00 | $269.67 – $5,171.00 | 6 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,192.32 | $2,484.00 | $991.55 – $7,908.00 | 6 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $372.96 | $777.00 | $305.77 – $1,597.00 | 6 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $2,005.44 | $4,178.00 | $771.70 – $5,171.00 | 6 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | not published | not published | $236.06 – $513.77 | 4 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $106.18 – $1,597.00 | 5 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $140.67 – $306.17 | 4 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $444.42 – $1,597.00 | 6 |
| Ghs excision ingrown nail CPT 11765 | $283.68 | $591.00 | $444.42 – $1,597.00 | 6 |
| Ghs eye exam CPT 92002 | $67.68 | $141.00 | $145.55 – $316.79 | 4 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $642.72 | $1,339.00 | $347.00 – $5,171.00 | 6 |
| Ghs fat & muscle CPT 89160 | not published | not published | $4.12 – $9.70 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | $5,659.20 | $11,790.00 | $1,805.60 – $6,920.00 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | $4,987.68 | $10,391.00 | $3,175.56 – $7,908.00 | 6 |
| Ghs fb removal - incisional CPT 10121 | $4,876.32 | $10,159.00 | $1,805.60 – $6,920.00 | 6 |
| Ghs fb removal - non-incisional CPT 20520 | $1,596.00 | $3,325.00 | $1,805.60 – $5,171.00 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.93 – $13.96 | 5 |
| Ghs fish cytogen CPT 88271 | not published | not published | $18.21 – $42.84 | 5 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $43.51 – $102.38 | 5 |
| Ghs flow volume loop CPT 94375 | $198.24 | $413.00 | $232.99 – $513.77 | 4 |
| Ghs gastric intub aspiration lavage CPT 43753 | $1,653.60 | $3,445.00 | $236.06 – $1,597.00 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $28.32 | $59.00 | $29.83 – $70.18 | 5 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $19.52 – $45.94 | 5 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $13.17 – $30.98 | 5 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $8.05 – $18.94 | 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.