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 |
|---|---|---|---|---|
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $531.93 – $531.93 | 1 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $40.80 – $88.80 | 4 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $329.47 – $329.47 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $450.46 – $450.46 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $110.14 | $229.45 | $0.58 – $0.88 | 3 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $93.60 | $195.00 | $0.20 – $0.68 | 3 |
| Io radiation tx management CPT 77469 | not published | not published | $1,437.25 – $2,844.59 | 2 |
| Io rad tx deliver by elctrns CPT 77425 | $5,956.80 | $12,410.00 | $1,140.73 – $17,525.04 | 4 |
| Io rad tx delivery by x-ray CPT 77424 | $5,956.80 | $12,410.00 | $1,616.52 – $17,525.04 | 4 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $159.09 – $387.47 | 6 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.11 – $0.11 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $5.28 | $11.00 | $0.52 – $5.82 | 4 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $127.39 | $265.39 | $2.68 – $234.60 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $56.42 – $140.35 | 6 |
| Iron CPT 83540 | $59.04 | $123.00 | $5.50 – $12.94 | 5 |
| Iron binding capacity CPT 83550 | $36.96 | $77.00 | $6.55 – $17.48 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $52.91 | $110.22 | $15.39 – $37.04 | 6 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.85 – $13.76 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $60.52 | $126.09 | $0.33 – $1.03 | 4 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $40.83 – $88.87 | 5 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $142.56 | $297.00 | $64.49 – $140.37 | 4 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,696.26 – $5,171.00 | 6 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $64.49 – $1,597.00 | 6 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $71.04 – $169.55 | 6 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,255.66 – $6,920.00 | 6 |
| Ivc venogram s&i CPT 75825 | $2,553.60 | $5,320.00 | $857.53 – $7,512.94 | 5 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $100.35 – $100.35 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $117.12 | $244.00 | $78.71 – $171.32 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $98.88 | $206.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $120.96 | $252.00 | $51.19 – $111.42 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $389.76 | $812.00 | $232.54 – $506.11 | 4 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $237.84 – $951.22 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $488.38 – $5,171.00 | 6 |
| Ivp w/nephrotomography CPT 74415 | $1,100.64 | $2,293.00 | $191.76 – $417.35 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $762.24 | $1,588.00 | $191.76 – $417.35 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $3,030.79 | $6,314.14 | $112.79 – $292.85 | 6 |
| Jak2 targeted sequence analysis CPT 81279 | $188.16 | $392.00 | $102.36 – $370.40 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,097.83 – $6,920.00 | 6 |
| John cunningham antibody CPT 86711 | $725.32 | $1,511.08 | $14.21 – $33.78 | 5 |
| J-tube placement CPT 44015 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,162.01 | $4,504.19 | not published | 0 |
| Keratomileusis CPT 65760 | not published | not published | $4,666.00 – $15,436.00 | 4 |
| Keratophakia CPT 65765 | not published | not published | $4,666.00 – $15,436.00 | 4 |
| Keratoprosthesis CPT 65770 | not published | not published | $10,791.00 – $34,515.96 | 6 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $136.05 – $1,517.15 | 5 |
| Ketamine and metabolite screen - quest CPT 80357 | $5.24 | $10.91 | $0.07 – $174.88 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $6.51 – $30.94 | 5 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $143.04 | $298.00 | $6.94 – $16.34 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $44.76 | $93.25 | $0.29 – $1.08 | 6 |
| Kidney endoscopy CPT 50551 | not published | not published | $3,281.00 – $12,757.91 | 6 |
| Kidney endoscopy CPT 50553 | not published | not published | $3,429.00 – $12,757.91 | 6 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,894.00 – $8,387.37 | 6 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,171.00 – $12,757.91 | 6 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,281.00 – $16,652.00 | 6 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,894.00 – $5,995.00 | 6 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $3,429.00 – $22,524.58 | 6 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $3,429.00 – $12,757.91 | 6 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $3,281.00 – $16,652.00 | 6 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $3,281.00 – $12,757.91 | 6 |
| Kidney function study CPT 78725 | $544.80 | $1,135.00 | $437.05 – $951.22 | 5 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $2,215.81 – $2,215.81 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $437.05 – $951.22 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | $1,424.64 | $2,968.00 | $593.60 – $1,291.95 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,217.28 | $2,536.00 | $593.60 – $1,291.95 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $984.96 | $2,052.00 | $114.29 – $248.76 | 5 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $1,597.00 – $9,718.00 | 2 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $7.05 | $14.69 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $11,280.00 | $23,500.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $106.14 – $249.74 | 5 |
| Kit hfx iq ipg bundle HCPCS C1822 | $34,920.00 | $72,750.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $59,904.00 | $124,800.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $43,650.00 | $90,937.50 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,074.46 | $4,321.80 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $6,457.78 | $13,453.70 | $22.03 – $296.10 | 6 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $13,429.15 | $27,977.40 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,760.37 | $5,750.78 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,757.92 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,757.92 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,577.09 – $11,117.00 | 6 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $7,908.00 – $30,548.47 | 6 |
| Knee MRI (with and without contrast) CPT 73723 | $5,361.60 | $11,170.00 | $381.40 – $830.11 | 5 |
| Knee MRI (with contrast) CPT 73722 | $3,054.72 | $6,364.00 | $857.02 – $1,865.27 | 5 |
| Knee MRI (without contrast) CPT 73721 | $2,652.96 | $5,527.00 | $260.85 – $567.73 | 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.