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 |
|---|---|---|---|---|
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,468.89 – $11,902.87 | 6 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,666.00 – $15,436.00 | 6 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $258.56 – $258.56 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $1,969.88 – $4,460.84 | 5 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,179.58 – $2,984.24 | 5 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $100.48 – $239.94 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $61.65 – $1,201.83 | 5 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $27.59 – $867.76 | 5 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $765.81 – $2,215.70 | 5 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $20.46 – $49.73 | 5 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $17.65 – $44.89 | 5 |
| I131 max 100uci HCPCS A9531 | not published | not published | $9.05 – $9.05 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $79.85 – $774.73 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $23.09 | $48.11 | $11.41 – $26.84 | 5 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $20.17 – $70.18 | 5 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $15.38 – $36.18 | 5 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $18.99 – $90.56 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $31.86 – $246.93 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $19.91 – $4,897.12 | 5 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $4.27 – $23.63 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $918.69 | $1,913.94 | $186.33 – $405.55 | 5 |
| Icatibant injection HCPCS J1744 | not published | not published | $179.69 – $269.44 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $52,380.00 | $109,125.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $34,920.00 | $72,750.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $14,256.00 | $29,700.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $7,292.40 | $15,192.50 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $236.06 – $513.77 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $40.83 – $88.87 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $60.85 – $140.37 | 4 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $31.62 – $68.82 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $5,357.00 – $17,265.50 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $4,803.84 | $10,008.00 | $3,281.00 – $7,888.83 | 6 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $71.00 – $720.94 | 4 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,805.60 – $5,171.00 | 6 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.01 – $1,134,388.29 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $56.97 – $123.99 | 5 |
| Idet 1 or more levels CPT 22527 | not published | not published | $5,357.00 – $8,912.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $5,357.00 – $8,912.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $4,885.44 | $10,178.00 | $3,429.00 – $7,785.43 | 6 |
| Idh1 common variants CPT 81120 | $127.50 | $265.62 | $80.55 – $386.50 | 5 |
| Idh2 common variants CPT 81121 | $127.50 | $265.63 | $65.07 – $591.58 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $5,620.32 | $11,709.00 | $3,034.47 – $6,920.00 | 6 |
| I&d lacrimal gland CPT 68400 | $1,802.40 | $3,755.00 | $1,089.83 – $3,281.00 | 6 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,894.00 – $6,920.00 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,451.20 | $13,440.00 | $3,175.56 – $5,995.00 | 6 |
| Idursulfase injection HCPCS J1743 | not published | not published | $474.49 – $1,166.53 | 6 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $4,987.68 | $10,391.00 | $3,175.56 – $6,911.51 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | $4,987.68 | $10,391.00 | $3,175.56 – $5,995.00 | 6 |
| Ifnl3 gene CPT 81283 | not published | not published | $62.36 – $146.74 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $200.92 | $418.59 | $40.17 – $232.44 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $175.48 – $414.62 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $58.27 – $137.10 | 5 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $168.29 – $395.98 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $250.34 – $589.04 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $146.82 – $345.46 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $122.40 | $255.00 | $129.20 – $581.78 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $185.28 | $386.00 | $391.87 – $852.89 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $133.44 | $278.00 | $124.87 – $405.38 | 5 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $25.62 – $27.69 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $33.41 – $78.62 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | $3,338.40 | $6,955.00 | $123.20 – $123.20 | 1 |
| Iliac revasc add-on 37222 CPT 37222 | $6,050.88 | $12,606.00 | $3,429.00 – $10,791.00 | 4 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $109.25 – $319.83 | 3 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $110.59 – $110.59 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $49.44 – $119.35 | 6 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $64.49 – $140.37 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $40.83 – $88.87 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $64.49 – $140.37 | 4 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $295.36 | $615.34 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $166.94 | $347.80 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $120.00 | $249.99 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $4,114.00 – $19,447.84 | 6 |
| Immune complex assay CPT 86332 | not published | not published | $18.62 – $48.74 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $5,158.80 | $10,747.50 | $41.72 – $97.03 | 6 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $3,593.90 | $7,487.30 | $65.30 – $174.17 | 6 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $2,705.47 | $5,636.40 | $39.98 – $103.33 | 6 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $31.72 – $128.44 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $61.44 | $128.00 | $17.69 – $41.62 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $47.04 | $98.00 | $14.02 – $41.62 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $18.07 – $51.14 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $17.76 | $37.00 | $10.18 – $23.96 | 5 |
| Immunodiffusion nes CPT 86329 | $8.16 | $17.00 | $11.94 – $28.10 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $287.49 – $287.49 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $74.40 | $155.00 | $18.88 – $44.68 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $105.12 | $219.00 | $127.76 – $726.93 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $552.00 | $1,150.00 | $98.86 – $566.82 | 5 |
| Immunoglobulin assay CPT 86023 | $88.80 | $185.00 | $10.59 – $24.92 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $145.45 – $316.58 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $6,920.00 – $41,720.12 | 6 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $1,597.00 – $16,338.00 | 4 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $6,308.54 | $13,142.80 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,905.12 | $3,969.00 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $5,171.00 – $39,167.04 | 6 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $4,666.00 – $16,338.00 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,281.00 – $9,718.00 | 3 |
| Implant brain electrodes CPT 61533 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,281.00 – $13,634.00 | 3 |
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.