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 |
|---|---|---|---|---|
| Granisetron hcl injection HCPCS J1626 | $81.52 | $169.83 | $0.43 – $30.37 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Great toe with reduction 28495 CPT 28495 | $547.20 | $1,140.00 | $269.67 – $1,597.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,255.66 – $5,171.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,874.15 – $20,774.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,200.00 – $9,718.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,874.15 – $20,774.00 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $10.80 – $23.50 | 3 |
| Group train without patient HCPCS G0543 | not published | not published | $31.62 – $68.82 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.38 – $31.48 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $56.70 – $133.40 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $109.93 – $258.66 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $14.79 – $151.20 | 5 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $40.96 – $1,597.00 | 5 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $40.96 – $1,597.00 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $5,171.00 – $13,634.00 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,097.83 – $5,171.00 | 6 |
| G-tube reposition CPT 43761 | $2,548.80 | $5,310.00 | $273.14 – $1,597.00 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $478.86 – $4,973.88 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,564.16 | $5,342.00 | $774.16 – $5,171.00 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $10,552.80 | $21,985.00 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $6,301.13 | $13,127.35 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $18,228.00 | $37,975.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $3,692.16 | $7,692.00 | $208.23 – $633.72 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,696.26 – $9,779.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $21,050.40 | $43,855.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,280.52 – $9,779.00 | 6 |
| Hair analysis HCPCS P2031 | not published | not published | $7.91 – $567.45 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $807.98 – $1,758.55 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $444.42 – $7,908.00 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $444.42 – $7,908.00 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $44.76 | $93.25 | $6.61 – $52.97 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $44.76 | $93.25 | $1.11 – $12.33 | 4 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $11.54 – $11.54 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,956.00 | $16,575.00 | $13,634.00 – $13,634.00 | 1 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $3,281.00 – $17,265.50 | 6 |
| Hand tendon reconstruction CPT 26502 | $4,885.44 | $10,178.00 | $3,577.09 – $9,779.00 | 6 |
| Hand X-ray CPT 73130 | $434.88 | $906.00 | $95.14 – $207.07 | 5 |
| Haptoglobin quantitative CPT 83010 | $92.64 | $193.00 | $10.69 – $25.16 | 5 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $1,702.64 – $5,171.00 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,599.17 – $5,657.01 | 6 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $482.31 – $5,171.00 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $1,200.00 – $15,436.00 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $145.45 – $316.58 | 4 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $145.45 – $316.58 | 4 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $255.04 – $1,200.00 | 5 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $172.04 – $404.80 | 5 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $188.66 – $750.50 | 5 |
| Hbb full gene sequence CPT 81364 | not published | not published | $275.89 – $649.16 | 5 |
| Hbb gene com variants CPT 81361 | not published | not published | $148.59 – $349.62 | 5 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $172.04 – $404.80 | 5 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $95.74 – $750.50 | 5 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.25 – $19.42 | 5 |
| Hbot, full body chamber, 30m HCPCS G0277 | $290.88 | $606.00 | $150.44 – $6,920.00 | 5 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $931.68 | $1,941.00 | $191.76 – $417.35 | 5 |
| Hcg free betachain test CPT 84704 | $3.36 | $7.00 | $5.91 – $30.58 | 5 |
| Hcg qualitative CPT 84703 | $93.60 | $195.00 | $5.91 – $15.04 | 5 |
| Hcg quantitative CPT 84702 | $116.64 | $243.00 | $12.79 – $30.10 | 5 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | not published | not published | $42.45 – $203.07 | 2 |
| Hc metata joint dislocation anes CPT 28635 | $4,865.76 | $10,137.00 | $1,757.92 – $5,171.00 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $807.98 – $5,171.00 | 6 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $807.98 – $5,171.00 | 6 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $593.60 – $1,291.95 | 5 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $437.05 – $951.22 | 5 |
| Hc nm kidney imaging with flow CPT 78701 | $668.64 | $1,393.00 | $437.05 – $951.22 | 5 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $593.60 – $2,035.50 | 5 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $4,102.56 | $8,547.00 | $1,415.36 – $3,080.50 | 5 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $7,358.88 | $15,331.00 | $1,200.00 – $9,718.00 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $7,345.92 | $15,304.00 | $761.42 – $1,657.20 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $8,927.52 | $18,599.00 | $761.42 – $1,657.20 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $10,508.64 | $21,893.00 | $761.42 – $1,657.20 | 4 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $421.66 – $917.73 | 4 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $421.66 – $917.73 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $1,752.96 | $3,652.00 | $191.76 – $417.35 | 5 |
| Head CT scan (with contrast) CPT 70460 | $1,705.44 | $3,553.00 | $191.76 – $417.35 | 5 |
| Head CT scan (without contrast) CPT 70450 | $1,587.36 | $3,307.00 | $114.29 – $248.76 | 5 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $8.58 – $1,359.14 | 5 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $8.58 – $3,250.00 | 5 |
| Heart first pass add-on CPT 78496 | not published | not published | $317.69 – $634.78 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $593.60 – $1,291.95 | 5 |
| Heart image spect CPT 78494 | not published | not published | $437.05 – $951.22 | 5 |
| Heart infarct image CPT 78466 | not published | not published | $437.05 – $951.22 | 5 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $593.60 – $1,291.95 | 5 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Heavy metal qual any number CPT 83015 | not published | not published | $17.79 – $41.88 | 5 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.57 – $8.40 | 5 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.80 – $13.64 | 5 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $12.08 – $33.70 | 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.