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 |
|---|---|---|---|---|
| Ghs histoplasma antigen CPT 87385 | $55.50 | $115.63 | $11.26 – $26.50 | 5 |
| Ghs HIV antibody CPT 86703 | $39.19 | $81.65 | $9.13 – $27.42 | 5 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $16.50 – $212.28 | 5 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $3,648.96 | $7,602.00 | $2,285.30 – $6,920.00 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $6,182.88 | $12,881.00 | $1,308.22 – $7,908.00 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,103.84 | $4,383.00 | $774.16 – $5,171.00 | 6 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $1,419.36 | $2,957.00 | $774.16 – $1,894.00 | 6 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $19.82 – $59.84 | 5 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $637.92 | $1,329.00 | $273.14 – $5,171.00 | 6 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $408.48 | $851.00 | $218.22 – $6,920.00 | 6 |
| Ghs inf midline insertion CPT 36140 | $2,004.96 | $4,177.00 | $1,200.00 – $5,357.00 | 3 |
| Ghs inhibitor screen CPT 85335 | $96.97 | $202.03 | $10.94 – $25.74 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | $286.56 | $597.00 | $219.34 – $1,597.00 | 6 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $2,877.12 | $5,994.00 | $966.94 – $5,171.00 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,007.84 | $4,183.00 | $966.94 – $5,171.00 | 6 |
| Ghs inj tendon origin/insertion CPT 20551 | $851.04 | $1,773.00 | $335.57 – $1,597.00 | 6 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,472.64 | $3,068.00 | $966.94 – $5,171.00 | 6 |
| Ghs insertion of needle - bone CPT 36680 | $819.84 | $1,708.00 | $488.38 – $1,597.00 | 6 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,375.20 | $2,865.00 | $807.98 – $6,920.00 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,445.76 | $3,012.00 | $2,255.66 – $6,920.00 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $98.88 | $206.00 | $1,200.00 – $5,357.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $637.92 | $1,329.00 | $273.14 – $5,171.00 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $51.19 – $111.42 | 4 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $466.56 | $972.00 | $361.10 – $5,171.00 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $382.08 | $796.00 | $488.38 – $6,920.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $1,375.20 | $2,865.00 | $444.42 – $5,171.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $1,375.20 | $2,865.00 | $807.98 – $6,920.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,375.20 | $2,865.00 | $807.98 – $6,920.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,375.20 | $2,865.00 | $799.00 – $6,920.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $2,688.00 | $5,600.00 | $2,255.66 – $6,920.00 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,375.20 | $2,865.00 | $444.42 – $6,920.00 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $7.31 – $17.20 | 5 |
| Ghs mbp CPT 83873 | $56.95 | $118.65 | $6.62 – $34.40 | 5 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $225.60 | $470.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $225.60 | $470.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $225.60 | $470.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $188.64 | $393.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $168.00 | $350.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $389.00 – $389.00 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $368.98 – $368.98 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $395.52 – $395.52 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $309.12 | $644.00 | $523.04 – $523.04 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,177.44 | $2,453.00 | $807.98 – $5,171.00 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,636.80 | $3,410.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,636.80 | $3,410.00 | $771.70 – $5,171.00 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | $548.64 | $1,143.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve block brachial plexus CPT 64415 | $548.64 | $1,143.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve block celiac plexus CPT 64530 | $3,060.48 | $6,376.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve block interscaline CPT 64510 | $1,645.44 | $3,428.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $3,084.48 | $6,426.00 | $966.94 – $5,171.00 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,280.64 | $2,668.00 | $771.70 – $1,894.00 | 6 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $771.70 – $5,171.00 | 6 |
| Ghs ng placement w fluoro guidance CPT 43752 | $404.64 | $843.00 | $488.38 – $1,597.00 | 6 |
| Ghs o2 saturation CPT 82810 | $59.04 | $123.00 | $8.30 – $19.54 | 5 |
| Ghs o2 uptake rest & exercise CPT 94680 | $782.88 | $1,631.00 | $140.67 – $306.17 | 4 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $64.49 – $140.37 | 4 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $114.24 | $238.00 | $51.19 – $111.42 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $2,804.16 | $5,842.00 | $685.79 – $5,171.00 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | $2,719.68 | $5,666.00 | $1,720.93 – $5,171.00 | 6 |
| Ghs optokenetic CPT 92544 | not published | not published | $140.67 – $306.17 | 4 |
| Ghs oscillating trac CPT 92545 | not published | not published | $236.06 – $513.77 | 4 |
| Ghs ot dds rom CPT 95851 | not published | not published | $5.85 – $246.66 | 4 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $8.33 – $1,597.00 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $37.92 – $82.53 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $72.96 | $152.00 | $58.19 – $126.65 | 3 |
| Ghs pacing - transcutaneous CPT 92953 | $1,712.16 | $3,567.00 | $722.57 – $1,894.00 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $2,487.36 | $5,182.00 | $1,200.00 – $5,357.00 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $3,504.48 | $7,301.00 | $1,200.00 – $5,357.00 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $52.70 – $242.61 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,132.80 | $2,360.00 | $258.93 – $5,171.00 | 6 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.68 – $11.00 | 5 |
| Ghs picc line insert < 5 CPT 36568 | $3,084.48 | $6,426.00 | $1,720.93 – $5,171.00 | 6 |
| Ghs plngl fx pm cl CPT 26725 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.66 – $8.62 | 5 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,382.88 | $2,881.00 | $938.81 – $2,043.29 | 4 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $145.45 – $316.58 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $31.62 – $68.82 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.21 – $19.32 | 5 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.77 – $11.22 | 5 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $12.20 – $28.70 | 5 |
| Ghs pr without cont pulse ox CPT 94625 | $105.60 | $220.00 | $64.49 – $140.37 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $10.41 – $24.50 | 5 |
| Ghs quinidine CPT 80194 | not published | not published | $12.41 – $29.20 | 5 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $361.10 – $1,200.00 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $221.28 | $461.00 | $145.45 – $1,597.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $337.44 | $703.00 | $488.38 – $1,597.00 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $5,680.80 | $11,835.00 | $1,757.92 – $7,908.00 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,885.44 | $10,178.00 | $3,577.09 – $9,779.00 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $13.51 – $31.78 | 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.