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 |
|---|---|---|---|---|
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $4,114.00 – $73,264.00 | 6 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $1,597.00 – $16,338.00 | 3 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $3,281.00 – $5,357.00 | 4 |
| Install spinal shunt CPT 63740 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $4,114.00 – $20,774.00 | 6 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,408.32 | $2,934.00 | $685.79 – $5,171.00 | 6 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $889.44 | $1,853.00 | $685.79 – $1,894.00 | 6 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,893.47 – $2,963.58 | 3 |
| Instillation anticarcinogenic agent bladder CPT 51720 | not published | not published | $353.13 – $1,597.00 | 6 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $1.09 – $1.66 | 2 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $1,338.12 – $5,171.00 | 6 |
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $273.14 – $1,597.00 | 6 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $1,597.00 – $16,338.00 | 3 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $4.27 – $18.47 | 5 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $8,410.08 | $17,521.00 | $6,083.33 – $20,774.00 | 6 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $12,626.40 | $26,305.00 | $4,114.00 – $13,240.19 | 6 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,256.48 | $10,951.00 | $3,451.89 – $7,883.00 | 6 |
| Ins tun intraperit dia cath CPT 49421 | $3,682.56 | $7,672.00 | $3,914.24 – $8,519.24 | 6 |
| Inst via cath agent pleurds CPT 32560 | $1,321.92 | $2,754.00 | $685.79 – $5,171.00 | 6 |
| Insulin for insulin pump use HCPCS J1817 | $17.91 | $37.32 | $3.57 – $6.47 | 4 |
| Insulin suppression panel CPT 80432 | not published | not published | $140.77 – $331.22 | 5 |
| Insulin tolerance panel CPT 80434 | not published | not published | $242.28 – $570.06 | 5 |
| Insulin tolerance panel CPT 80435 | not published | not published | $87.55 – $206.00 | 5 |
| Insulin total CPT 83525 | $12.98 | $27.05 | $9.72 – $22.86 | 5 |
| Ins vag brachytx device CPT 57156 | $5,563.68 | $11,591.00 | $333.14 – $1,597.00 | 6 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $13,928.40 | $29,017.49 | $1,272.12 – $3,212.85 | 3 |
| Integra meshed bil wound mat HCPCS C9363 | $40,790.56 | $84,980.34 | $95.72 – $296.10 | 4 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $3,716.16 | $7,742.00 | not published | 0 |
| Intens cardiac rehab no exer HCPCS G0423 | not published | not published | $140.93 – $306.72 | 4 |
| Intens cardiac rehab w/exerc HCPCS G0422 | not published | not published | $140.93 – $306.72 | 4 |
| Intercalary algrft compl CPT 20934 | not published | not published | $1,200.00 – $16,338.00 | 3 |
| Interdental fixation CPT 21110 | $2,240.64 | $4,668.00 | $1,696.26 – $5,171.00 | 6 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,696.26 – $6,920.00 | 6 |
| Interdiscal perq aspir dx CPT 62267 | $1,595.52 | $3,324.00 | $774.16 – $5,171.00 | 6 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $55.37 – $73.01 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $20.89 – $27.13 | 2 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $6.74 – $13.22 | 2 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $13.59 – $77.70 | 2 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $66.67 – $117.54 | 2 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $1,199.51 – $4,736.75 | 2 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $124.67 – $1,059.05 | 2 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $521.95 – $21,825.90 | 2 |
| Interfyl, 1 mg HCPCS Q4171 | $5,118.52 | $10,663.59 | $17.39 – $57.20 | 3 |
| Intermediate visual field xm CPT 92082 | not published | not published | $64.49 – $140.37 | 4 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Interrogate subq defib CPT 93261 | $116.16 | $242.00 | $40.80 – $88.80 | 4 |
| Interrogation vad in person CPT 93750 | $272.16 | $567.00 | $103.94 – $1,200.00 | 5 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $40.80 – $88.80 | 4 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $31.62 – $68.82 | 4 |
| Interrog device eval heart CPT 93289 | $99.36 | $207.00 | $40.80 – $88.80 | 4 |
| Interrog evl pm/ldls pm ip CPT 93288 | $56.64 | $118.00 | $40.80 – $88.80 | 4 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $103.94 – $1,597.00 | 5 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $335.78 – $1,597.00 | 5 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $103.94 – $1,597.00 | 5 |
| Interstitial brachy inter CPT 77799 | $1,758.72 | $3,664.00 | not published | 0 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $7,908.00 – $30,548.47 | 6 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Int hrhc lig 1 hroid without img CPT 46945 | $1,990.56 | $4,147.00 | $3,034.47 – $6,604.43 | 6 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Intra-atrial pacing CPT 93610 | not published | not published | $3,281.00 – $18,558.59 | 5 |
| Intra-atrial recording CPT 93602 | not published | not published | $3,281.00 – $18,558.59 | 5 |
| Intracard echo interv w/s&i CPT 93662 | $3,431.52 | $7,149.00 | $895.90 – $1,200.00 | 2 |
| Intracran angioplsty w/stent CPT 61635 | $7,157.76 | $14,912.00 | $4,666.00 – $13,634.00 | 2 |
| Intracranial angioplasty CPT 61630 | $6,840.48 | $14,251.00 | $4,666.00 – $13,634.00 | 2 |
| Intracranial complete study CPT 93886 | $1,113.60 | $2,320.00 | $260.85 – $567.73 | 4 |
| Intracranial limited study CPT 93888 | $780.48 | $1,626.00 | $114.29 – $248.76 | 4 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Intranasal biopsy 30100 CPT 30100 | $2,240.64 | $4,668.00 | $1,696.26 – $5,171.00 | 6 |
| Intranasal reconstruction CPT 30620 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $1,200.00 – $5,171.00 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $4,652.16 | $9,692.00 | $589.62 – $6,920.00 | 6 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $95.14 – $207.07 | 4 |
| Intrapul surf admin endo tube CPT 94610 | $116.64 | $243.00 | $239.39 – $521.04 | 4 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $482.31 – $5,171.00 | 6 |
| Intraventricular pacing CPT 93612 | $10,991.52 | $22,899.00 | $3,281.00 – $18,558.59 | 5 |
| Intrinsic factor antibody CPT 86340 | $45.36 | $94.50 | $12.82 – $30.16 | 5 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $145.55 – $316.79 | 4 |
| Intro cath dialysis circuit CPT 36901 | $866.40 | $1,805.00 | $1,720.93 – $15,436.00 | 6 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,104.16 | $12,717.00 | $6,222.26 – $15,436.00 | 6 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,336.48 | $25,701.00 | $11,790.00 – $27,468.35 | 6 |
| Intro catheter aorta CPT 36200 | $1,916.16 | $3,992.00 | $1,200.00 – $9,718.00 | 3 |
| Intro cath svc/ivc CPT 36010 | $1,293.12 | $2,694.00 | $1,200.00 – $5,357.00 | 3 |
| Intro long gi tube CPT 44500 | $1,626.72 | $3,389.00 | $991.55 – $5,171.00 | 6 |
| Intro long gi tube w/mult fluo CPT 74340 | $475.68 | $991.00 | $462.19 – $982.06 | 2 |
| Intro windpipe wire/tube CPT 31730 | $2,714.88 | $5,656.00 | $1,945.86 – $5,171.00 | 6 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,267.36 | $6,807.00 | $1,200.00 – $5,357.00 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,579.68 | $3,291.00 | $1,200.00 – $5,357.00 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,770.72 | $3,689.00 | $258.93 – $5,171.00 | 6 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $364.39 – $364.39 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $64.49 – $140.37 | 4 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $362.34 – $2,465.38 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $336.87 – $733.19 | 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.