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 |
|---|---|---|---|---|
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $12.75 – $30.00 | 5 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $12.01 – $28.26 | 5 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $38.93 – $514.90 | 5 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $199.58 | $415.80 | $85.57 – $514.90 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $221.76 | $462.00 | $109.42 – $257.46 | 5 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $110.88 | $231.00 | $33.16 – $514.90 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $72.00 | $150.00 | $27.85 – $65.54 | 5 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $24.86 – $70.58 | 5 |
| Infect ag ia optc obs influenza CPT 87804 | $76.32 | $159.00 | $14.07 – $33.10 | 5 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | $31.20 | $65.00 | $10.18 – $23.96 | 5 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $15.61 – $36.72 | 5 |
| Infect ag if influenza a CPT 87276 | $23.04 | $48.00 | $13.66 – $32.14 | 5 |
| Infect ag if influenza b CPT 87275 | $23.04 | $48.00 | $10.41 – $24.50 | 5 |
| Infect ag if legionella pneumophila CPT 87278 | $7.29 | $15.18 | $13.26 – $31.20 | 5 |
| Infect ag if nos ea CPT 87299 | not published | not published | $13.68 – $32.20 | 5 |
| Infect ag if pneumocystis carinii CPT 87281 | $59.47 | $123.90 | $10.18 – $23.96 | 5 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $11.41 – $26.84 | 5 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $45.45 – $106.94 | 5 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $22.76 – $70.18 | 5 |
| Infect ag na herpes simplex quant CPT 87530 | $78.00 | $162.50 | $36.41 – $85.68 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $29.83 – $70.18 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $136.80 | $285.00 | $18.04 – $191.60 | 5 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $18.04 – $102.62 | 5 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $23.52 | $49.00 | $43.61 – $102.34 | 5 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,745.28 | $3,636.00 | $46.09 – $833.56 | 5 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $48.32 – $977.32 | 5 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $22.16 – $52.14 | 5 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $79.20 | $165.00 | $24.86 – $82.96 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $101.76 | $212.00 | $10.18 – $23.96 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $11.41 – $26.84 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $120.00 | $250.00 | $11.75 – $27.64 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $120.00 | $250.00 | $10.18 – $23.96 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $69.60 | $145.00 | $12.22 – $28.76 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $179.04 | $373.00 | $8.78 – $20.66 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $11.73 | $24.44 | $8.78 – $20.66 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $179.04 | $373.00 | $20.47 – $48.16 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $132.00 | $275.00 | $10.18 – $23.96 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $113.28 | $236.00 | $10.18 – $23.96 | 5 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $80.64 | $168.00 | $10.18 – $23.96 | 5 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $309.60 | $645.00 | $16.59 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $50.08 | $104.34 | $29.83 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $181.44 | $378.00 | $17.53 – $74.54 | 5 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | not published | not published | $48.32 – $833.56 | 5 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $70.56 | $147.00 | $29.83 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $48.48 | $101.00 | $7.71 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $92.23 | $192.15 | $35.43 – $83.36 | 5 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $49.92 | $104.00 | $29.83 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $83.04 | $173.00 | $30.61 – $102.62 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $382.56 | $797.00 | $6.91 – $285.20 | 5 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $915.84 | $1,908.00 | $12.90 – $285.20 | 5 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | not published | not published | $6.68 – $70.18 | 5 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $78.48 | $163.50 | $11.86 – $70.18 | 5 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $97.92 | $204.00 | $59.65 – $129.83 | 3 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $18.00 – $153.54 | 5 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $577.80 – $1,257.57 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $48.60 – $833.56 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $29.97 – $256.58 | 5 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $29.97 – $525.98 | 5 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $179.52 | $374.00 | $21.35 – $85.68 | 5 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $156.00 | $325.00 | $22.13 – $85.68 | 5 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $202.56 | $422.00 | $36.41 – $85.68 | 5 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $141.60 | $295.00 | $69.63 – $170.20 | 5 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $312.00 | $650.00 | $47.94 – $285.26 | 5 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $26.38 – $65.62 | 6 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $23.83 – $51.87 | 6 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,386.37 | $2,888.27 | $16.38 – $48.16 | 6 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $21.06 – $58.44 | 5 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $60.21 – $179.50 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $40.95 – $62.07 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $421.66 – $917.73 | 4 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $864.77 – $864.77 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $407.95 – $887.89 | 4 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $369.60 | $770.00 | $239.39 – $521.04 | 4 |
| Initial foot exam pt lops HCPCS G0245 | not published | not published | $145.55 – $316.79 | 4 |
| Initiation & management bipap/cpap initial day CPT 94660 | $2,375.04 | $4,948.00 | $239.39 – $521.04 | 4 |
| Init/sub psych care m 1st 30 HCPCS G2214 | not published | not published | $111.06 – $241.72 | 4 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.12 – $12.62 | 6 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $6.18 – $15.11 | 6 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.08 – $0.47 | 6 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.08 – $0.23 | 4 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.08 – $0.23 | 4 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.03 – $0.23 | 4 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $3,480.12 – $8,370.87 | 6 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $0.00 | $0.01 | $130.10 – $197.22 | 2 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $14.95 – $22.60 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $54,639.95 – $135,956.56 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $8.48 – $12.86 | 4 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $30.24 – $74.22 | 6 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $698.19 – $1,711.10 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $256.00 – $690.54 | 6 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.34 – $3.25 | 6 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.24 – $9.57 | 6 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $104.66 – $296.94 | 6 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $43.85 – $99.01 | 6 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $8.13 – $19.59 | 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.