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 |
|---|---|---|---|---|
| Injection into brain canal CPT 61026 | $414.72 | $864.00 | $771.70 – $5,171.00 | 6 |
| Injection into brain canal CPT 61055 | $1,988.64 | $4,143.00 | $335.57 – $5,171.00 | 6 |
| Injection into hemorrhoid(s) CPT 46500 | $2,364.96 | $4,927.00 | $1,016.67 – $5,171.00 | 6 |
| Injection into spinal artery CPT 62294 | not published | not published | $966.94 – $7,908.00 | 6 |
| Injection into vocal cord CPT 31513 | not published | not published | $427.59 – $6,920.00 | 6 |
| Injection intraop add-on CPT 48400 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Injection, isavuconazonium HCPCS J1833 | $1,213.46 | $2,528.05 | $0.86 – $2.13 | 5 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Injection jugular CPT 36299 | $1,048.80 | $2,185.00 | $1,200.00 – $1,200.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $1.92 – $3.56 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $4.87 – $12.32 | 6 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $78.71 – $171.32 | 4 |
| Injection of sinus tract CPT 20500 | $1,249.92 | $2,604.00 | $1,597.00 – $3,462.00 | 6 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,860.48 | $3,876.00 | $5.54 – $13.93 | 6 |
| Injection, pentamidine iseth HCPCS S0080 | $304.27 | $633.90 | $74.86 – $74.86 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.43 – $3.61 | 5 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $6.88 – $6.88 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $273.14 – $1,597.00 | 6 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $624.00 | $1,300.00 | $437.05 – $1,200.00 | 5 |
| Injection, renflexis HCPCS Q5104 | $1,479.34 | $3,081.96 | $22.78 – $59.88 | 6 |
| Injection, ruconest HCPCS J0596 | not published | not published | $31.17 – $74.71 | 6 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $771.70 – $1,894.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,472.64 | $3,068.00 | $771.70 – $5,171.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,472.64 | $3,068.00 | $771.70 – $5,171.00 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,315.20 | $2,740.00 | $966.94 – $5,171.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $3,504.48 | $7,301.00 | $1,200.00 – $5,357.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $3,504.48 | $7,301.00 | $966.94 – $5,171.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $3,115.68 | $6,491.00 | $1,200.00 – $5,357.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,115.68 | $6,491.00 | $966.94 – $5,171.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,509.92 | $5,229.00 | $771.70 – $5,171.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $2,509.92 | $5,229.00 | $771.70 – $5,171.00 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $147.96 – $351.25 | 6 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $934.56 | $1,947.00 | $335.57 – $1,597.00 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $834.72 | $1,739.00 | $335.57 – $1,597.00 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $849.60 | $1,770.00 | $335.57 – $1,597.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $130.08 | $271.00 | $51.19 – $111.42 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $98.88 | $206.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $176.64 | $368.00 | $232.54 – $506.11 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $95.52 | $199.00 | $78.71 – $171.32 | 4 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $24.72 – $24.72 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $5.82 – $5.82 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,523.01 – $5,491.26 | 6 |
| Injection treatment of eye CPT 66030 | $5,063.04 | $10,548.00 | $2,523.01 – $5,491.26 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $2,134.80 – $5,171.00 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $2,134.80 – $5,171.00 | 6 |
| Injection treatment of nerve CPT 64681 | not published | not published | $966.94 – $5,171.00 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $589.62 – $6,920.00 | 6 |
| Inject sacroiliac joint CPT 27096 | $906.24 | $1,888.00 | $1,200.00 – $5,357.00 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $347.00 – $1,597.00 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $347.00 – $1,597.00 | 6 |
| Inject/treat eye socket CPT 67515 | not published | not published | $347.00 – $1,597.00 | 6 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $27.14 – $78.54 | 4 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $35.52 – $100.99 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $29.18 – $71.75 | 6 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $31.40 – $72.07 | 6 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $326.51 – $820.23 | 6 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $47.29 – $111.76 | 6 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,280.64 | $2,668.00 | $771.70 – $5,171.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,472.64 | $3,068.00 | $966.94 – $5,171.00 | 6 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.94 – $4.84 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.09 – $2.60 | 6 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $12.32 – $36.87 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.00 – $10.64 | 5 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $142.39 – $412.80 | 5 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $167.99 – $400.57 | 6 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $16.51 – $39.78 | 6 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.01 – $5,013,800.00 | 5 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $8.46 – $20.49 | 6 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $27.94 – $74.65 | 6 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $47.38 – $47.38 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $18.64 – $44.78 | 6 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $119.60 – $288.66 | 6 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.05 – $0.05 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.05 – $2.37 | 6 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $10.24 – $15.37 | 4 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.16 – $6.49 | 6 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $130.10 – $130.10 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $287.27 – $287.27 | 1 |
| Inj for ext venography CPT 36005 | $637.44 | $1,328.00 | $1,200.00 – $5,357.00 | 3 |
| Inj for mammo ductogram CPT 19030 | $919.68 | $1,916.00 | $1,200.00 – $5,357.00 | 3 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.03 – $2.60 | 6 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $445.55 – $1,360.69 | 6 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $4.96 – $8.71 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $5.41 – $50.16 | 6 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $30.07 – $99.35 | 5 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $4.99 – $19.46 | 3 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $88.02 – $129.00 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $323.13 – $323.13 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $10.58 – $19.52 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $102.84 – $250.41 | 6 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,414.58 – $5,961.52 | 6 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $2.39 – $3.70 | 4 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | $44.76 | $93.25 | $2.85 – $4.21 | 2 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $281.82 – $412.80 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.29 – $11.37 | 6 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $57.64 – $151.42 | 6 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $16.55 – $31.07 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.01 – $7,923,323.34 | 5 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.57 – $6.32 | 4 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $50.92 – $135.28 | 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.