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 |
|---|---|---|---|---|
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $111.49 – $283.24 | 5 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $15.56 – $38.23 | 6 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,035.65 – $7,408.00 | 6 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $2.64 – $4.00 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.76 – $6.75 | 6 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $44.05 – $111.43 | 5 |
| Inj. asceniv HCPCS J1554 | not published | not published | $425.79 – $1,067.86 | 6 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $47.84 – $116.92 | 6 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $27.15 – $66.39 | 5 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $87.89 – $231.00 | 6 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $69.02 – $167.31 | 6 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $59.19 – $59.19 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $138.85 – $351.10 | 6 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $27.74 – $100.75 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $0.01 – $6,338,658.66 | 5 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $33.85 – $85.72 | 6 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $181.92 – $451.31 | 6 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.26 – $0.39 | 4 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $21.60 – $56.48 | 4 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | $2,411.59 | $5,024.15 | $2.94 – $10.56 | 5 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $2,239.25 | $4,665.11 | $5.92 – $35.48 | 5 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.34 – $14.27 | 4 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $131.22 – $131.22 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $354.63 – $914.61 | 6 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,418.51 – $3,658.48 | 6 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $300.11 – $730.98 | 6 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $2,214.80 – $2,214.80 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.20 – $3.05 | 6 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.71 – $1.08 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $60.27 – $239.99 | 6 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $44.76 | $93.25 | $1.83 – $2.56 | 2 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $0.07 – $558.36 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $1.78 – $4.34 | 4 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $44.76 | $93.25 | $1.41 – $2.11 | 4 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $44.76 | $93.25 | $1.40 – $2.09 | 4 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $8.33 – $21.23 | 4 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $7.24 – $12.90 | 4 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $717.33 | $1,494.43 | $2.06 – $4.90 | 6 |
| Inj ceftolozane tazobactam HCPCS J0695 | $445.07 | $927.22 | $7.31 – $17.29 | 6 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $103.00 – $295.90 | 5 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $14.38 – $33.58 | 6 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $70.96 – $315.53 | 6 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $78.54 – $193.18 | 6 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $3.97 – $5.91 | 2 |
| Inj, clindamycin (baxter) HCPCS J0737 | $117.79 | $245.40 | $3.43 – $7.65 | 4 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $479.52 | $999.00 | $1,200.00 – $5,357.00 | 3 |
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $126.46 – $191.69 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,791.85 | $5,816.35 | $1,456.94 – $2,243.63 | 4 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $468.79 – $1,185.75 | 5 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $11.84 – $34.71 | 6 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $14.94 – $35.86 | 6 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.17 – $12.49 | 5 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $6.39 – $19.46 | 6 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.44 – $1.87 | 6 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.43 – $3.78 | 6 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.11 – $9.33 | 6 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.09 – $0.15 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | $132.80 | $276.67 | $0.08 – $0.23 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.05 – $0.08 | 4 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $2.63 – $6.43 | 6 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.26 – $8.79 | 4 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.01 – $7,143,317.60 | 5 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.34 – $0.34 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $3.52 – $8.99 | 6 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $335.57 – $1,597.00 | 6 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $5.72 – $14.90 | 6 |
| Inj dx for sinogram CPT 20501 | $389.76 | $812.00 | $1,200.00 – $5,357.00 | 3 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,280.64 | $2,668.00 | $771.70 – $1,894.00 | 6 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $286.56 | $597.00 | $1,200.00 – $5,357.00 | 3 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $45.14 – $109.48 | 6 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $423.91 – $1,009.94 | 6 |
| Injection, cangrelor HCPCS C9460 | $2,638.56 | $5,496.99 | $17.02 – $40.23 | 5 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $681.07 – $1,482.34 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $740.16 | $1,542.00 | $335.57 – $1,597.00 | 6 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $141.27 – $412.80 | 5 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $5.25 – $5.25 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | $4,425.02 | $9,218.79 | $60.16 – $145.40 | 6 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.78 – $0.78 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.53 – $9.13 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $266.40 | $555.00 | $1,200.00 – $5,357.00 | 2 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $12.90 – $43.88 | 6 |
| Injection epidural blood patch or clot CPT 62273 | $1,473.12 | $3,069.00 | $771.70 – $5,171.00 | 6 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.69 – $1.60 | 2 |
| Injection eye drug CPT 67028 | $214.08 | $446.00 | $361.10 – $5,171.00 | 6 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.63 – $1.63 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $293.76 | $612.00 | $1,200.00 – $5,357.00 | 3 |
| Injection for bladder x-ray CPT 51600 | $497.28 | $1,036.00 | $1,200.00 – $5,357.00 | 2 |
| Injection for hip x-ray CPT 27095 | $268.32 | $559.00 | $1,200.00 – $5,357.00 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $217.92 | $454.00 | $1,200.00 – $5,357.00 | 3 |
| Injection for spleen x-ray CPT 38200 | $296.64 | $618.00 | $1,200.00 – $5,357.00 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Injection for ureter x-ray CPT 50684 | $625.44 | $1,303.00 | $1,200.00 – $5,357.00 | 3 |
| Injection for ureter x-ray CPT 50690 | $512.16 | $1,067.00 | $1,200.00 – $5,357.00 | 3 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $91.36 – $91.36 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $9.45 – $14.84 | 4 |
| Injection glatiramer acetate HCPCS J1595 | $179.13 | $373.18 | $55.60 – $348.69 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $381.74 – $830.84 | 4 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $10.72 – $26.38 | 6 |
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.