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, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $9,338.04 – $14,154.53 | 2 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $59.90 – $174.28 | 6 |
| Inj perflexane lip micros,ml HCPCS Q9955 | not published | not published | $194.08 – $194.08 | 1 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Inj., perseris, 0.5 mg HCPCS J2798 | $2,318.34 | $4,829.88 | $10.35 – $26.12 | 6 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $32.63 – $71.03 | 5 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $2.98 – $7.68 | 6 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $77.97 – $223.28 | 5 |
| Inj proc ankle arthr CPT 27648 | $331.20 | $690.00 | $1,200.00 – $5,357.00 | 3 |
| Inj proc elbow arthro CPT 24220 | $268.32 | $559.00 | $1,200.00 – $5,357.00 | 3 |
| Inj proc for lymphang CPT 38790 | $354.72 | $739.00 | $1,200.00 – $5,357.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | $633.12 | $1,319.00 | $1,200.00 – $5,357.00 | 3 |
| Inj proc myelogram lumbar CPT 62284 | $1,949.76 | $4,062.00 | $1,200.00 – $5,357.00 | 3 |
| Inj proc sialogram CPT 42550 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Inj progesterone per 50 mg HCPCS J2675 | $44.76 | $93.25 | $0.94 – $5.71 | 4 |
| Inj prohance multipack HCPCS A9576 | not published | not published | $2.05 – $10.14 | 3 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $37.67 – $37.67 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $1.89 – $4.60 | 6 |
| Inj, releuko 1 mcg HCPCS Q5125 | $503.56 | $1,049.09 | $0.27 – $0.92 | 6 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $0.99 – $1.53 | 4 |
| Inj retro urethrocysto CPT 51610 | $396.48 | $826.00 | $1,200.00 – $5,357.00 | 2 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $11.29 – $27.95 | 6 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $0.01 – $25,816.79 | 5 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $1.60 – $1.60 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $24.24 – $61.32 | 5 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $11.08 – $28.01 | 5 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $444.42 – $5,171.00 | 6 |
| Inj scleros sol sgl vein CPT 36470 | $1,180.32 | $2,459.00 | $444.42 – $5,171.00 | 6 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.14 – $4.00 | 5 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $459.15 – $1,158.21 | 5 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $34.19 – $91.53 | 5 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $15.34 – $38.12 | 6 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $0.92 – $2.28 | 5 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $55.87 – $132.07 | 6 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $444.42 – $5,171.00 | 6 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | not published | not published | $26.84 – $51.03 | 4 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $64.77 – $171.44 | 6 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $16.70 – $38.98 | 6 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $303.69 – $727.84 | 6 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $34.56 – $87.38 | 6 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $29.33 – $69.70 | 6 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.67 – $3.87 | 6 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $32.63 – $80.22 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $312.72 – $758.00 | 6 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.08 – $0.11 | 4 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $0.11 – $2.77 | 4 |
| Inj testosterone cypionate HCPCS J1071 | $60.00 | $125.00 | $0.05 – $0.11 | 4 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $0.46 – $2.26 | 2 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $1,200.00 – $1,597.00 | 2 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $4.45 – $7.27 | 2 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $100.47 – $282.64 | 6 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $49.53 – $1,210.00 | 5 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $136.01 – $333.98 | 6 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $4.47 – $12.84 | 6 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $167.35 – $417.98 | 5 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $15.84 – $38.72 | 6 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.34 – $0.34 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $8.96 – $22.10 | 6 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,165.19 – $7,537.99 | 6 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $2.78 – $12.02 | 6 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $3.77 – $8.75 | 6 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $21.38 – $52.93 | 6 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $9.04 – $14.16 | 3 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $9.38 – $14.06 | 3 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $44.76 | $93.25 | $0.95 – $4.45 | 4 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $1.30 – $7.53 | 6 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $29.46 – $103.37 | 6 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $395.45 – $956.71 | 6 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $238.13 – $700.73 | 5 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $99.34 – $145.51 | 2 |
| Inj vocal cord bulking agent HCPCS L8607 | not published | not published | $132.63 – $132.63 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $1,558.08 | $3,246.00 | $232.54 – $1,597.00 | 6 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $13.06 – $30.70 | 6 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $40.61 – $103.69 | 6 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $450.41 – $1,127.83 | 6 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,394.25 – $5,714.98 | 6 |
| Ins cath ren art 1st bi CPT 36252 | $5,545.44 | $11,553.00 | $3,451.89 – $7,883.00 | 5 |
| Ins cath ren art 1st uni CPT 36251 | $2,301.12 | $4,794.00 | $3,451.89 – $7,883.00 | 5 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $3,451.89 – $7,883.00 | 5 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,365.92 | $11,179.00 | $4,114.00 – $13,240.19 | 5 |
| Ins cerv dilator (sep proc) CPT 59200 | $446.40 | $930.00 | $333.14 – $1,597.00 | 6 |
| Ins device for right guide open CPT 49412 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Insemination of oocytes CPT 89268 | not published | not published | $186.26 – $405.38 | 5 |
| Insert abdomen-venous drain CPT 49425 | $24,799.68 | $51,666.00 | $3,281.00 – $5,357.00 | 4 |
| Insert and remove bone pin CPT 20650 | $4,885.44 | $10,178.00 | $3,577.09 – $7,908.00 | 6 |
| Insert ant drainage device CPT 66183 | not published | not published | $4,518.83 – $9,835.10 | 6 |
| Insert balloon device CPT 33973 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $7,883.00 – $16,652.00 | 6 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Insert cath pleura with image CPT 32557 | $2,950.08 | $6,146.00 | $1,720.93 – $5,171.00 | 6 |
| Insert cath pleura without image CPT 32556 | $1,659.36 | $3,457.00 | $2,097.83 – $5,171.00 | 6 |
| Insert cv cath inf & sup app HCPCS C9780 | not published | not published | $8,828.57 – $19,215.13 | 5 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $488.38 – $1,200.00 | 5 |
| Insert drug delivery implant CPT 11981 | not published | not published | $145.45 – $1,597.00 | 6 |
| Insert electrodes for eeg CPT 95830 | not published | not published | $5,357.00 – $5,357.00 | 1 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $4,666.00 – $5,357.00 | 2 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $4,666.00 – $13,634.00 | 2 |
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.