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 |
|---|---|---|---|---|
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.30 – $18.88 | 5 |
| Assay of salicylate CPT 80179 | $126.72 | $264.00 | $15.84 – $37.28 | 5 |
| Assay of semen fructose CPT 82757 | not published | not published | $14.74 – $34.68 | 5 |
| Assay of sialic acid CPT 84275 | not published | not published | $10.70 – $26.88 | 5 |
| Assay of silica CPT 84285 | not published | not published | $10.70 – $50.42 | 5 |
| Assay of somatostatin CPT 84307 | not published | not published | $7.67 – $36.56 | 5 |
| Assay of thiocyanate CPT 84430 | not published | not published | $9.89 – $23.26 | 5 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.58 – $20.18 | 5 |
| Assay of tyrosine CPT 84510 | not published | not published | $9.04 – $21.26 | 5 |
| Assay of urine sulfate CPT 84392 | $16.80 | $35.00 | $4.67 – $10.98 | 5 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $8.12 – $19.10 | 5 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.14 – $12.10 | 5 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $7.13 – $33.04 | 5 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $7.30 – $21.46 | 5 |
| Assay rbc glutathione CPT 82979 | not published | not published | $8.02 – $18.88 | 5 |
| Assay toxin or antitoxin CPT 87230 | $15.59 | $32.48 | $16.78 – $39.48 | 5 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $85.83 – $758.59 | 4 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | not published | not published | $111.06 – $241.72 | 4 |
| Assess cyst contrast inject CPT 49424 | $939.36 | $1,957.00 | $1,200.00 – $5,357.00 | 3 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $6.24 | $13.00 | $3.63 – $8.54 | 5 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $140.67 – $306.17 | 4 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,200.00 – $15,436.00 | 4 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $34.22 – $74.48 | 3 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $880.80 – $1,917.04 | 5 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $186.26 – $405.38 | 5 |
| Ast/sgot CPT 84450 | $59.04 | $123.00 | $4.40 – $10.36 | 5 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $79.90 – $192.19 | 6 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $12,844.80 | $26,760.00 | $9,779.00 – $39,963.00 | 5 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $12,844.80 | $26,760.00 | $9,779.00 – $59,944.00 | 5 |
| Atomic absorption CPT 82190 | not published | not published | $13.52 – $31.80 | 5 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $44.76 | $93.25 | $0.13 – $0.46 | 4 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $4,666.00 – $13,634.00 | 4 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $4,666.00 – $11,902.87 | 6 |
| Attach ocular implant CPT 65140 | not published | not published | $4,297.97 – $9,354.40 | 6 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $140.67 – $306.17 | 4 |
| Audiometry air + bone CPT 92553 | not published | not published | $140.67 – $306.17 | 4 |
| Auditory function 60 min CPT 92620 | not published | not published | $140.67 – $306.17 | 4 |
| Augmentation cheek bone CPT 21270 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $4,666.00 – $14,085.70 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $6,471.81 – $20,774.00 | 6 |
| Augmentation of facial bones CPT 21208 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,637.76 | $15,912.00 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $14,403.36 | $30,007.00 | $1,200.00 – $15,436.00 | 4 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $21,429.60 | $44,645.00 | $5,357.00 – $17,265.50 | 6 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,932.80 – $20,774.00 | 6 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,932.80 – $20,774.00 | 6 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $28.26 – $1,681.30 | 5 |
| Autologous blood op salvage CPT 86891 | not published | not published | $589.36 – $1,917.04 | 5 |
| Autologous blood process CPT 86890 | not published | not published | $186.26 – $405.38 | 5 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,255.66 – $4,909.39 | 4 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,255.66 – $4,909.39 | 4 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.50 – $12.94 | 5 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $145.45 – $316.58 | 4 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $140.67 – $306.17 | 4 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $145.45 – $316.58 | 4 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $89.71 – $208.85 | 6 |
| Av fistula revision CPT 36833 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $6,083.33 – $15,436.00 | 6 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,451.89 – $7,908.00 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Avul nail plate addl CPT 11732 | $283.68 | $591.00 | $1,200.00 – $5,357.00 | 4 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $283.68 | $591.00 | $219.34 – $1,597.00 | 6 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $47.30 – $135.45 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.01 – $1,081,107.57 | 5 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $4,114.00 – $14,384.78 | 6 |
| Azacitidine injection HCPCS J9025 | $929.72 | $1,936.92 | $0.42 – $6.62 | 4 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.28 | $11.00 | $1.46 – $177.41 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $138.37 – $483.69 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $44.76 | $93.25 | $3.19 – $38.70 | 4 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $222.49 | $463.53 | $3.56 – $5.33 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $1,960.36 | $4,084.08 | $151.34 – $375.82 | 6 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $77.17 – $134.41 | 4 |
| Baclofen eval charges CPT 97750 | $91.68 | $191.00 | $30.26 – $65.86 | 3 |
| Bacterial meningitis antigen CPT 86403 | $60.96 | $127.00 | $9.81 – $23.08 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $143.04 | $298.00 | $14.29 – $140.40 | 5 |
| Bactericidal level serum CPT 87197 | not published | not published | $12.77 – $30.04 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $80.64 | $168.00 | $29.83 – $70.18 | 5 |
| Balloon dilate urtrl strix CPT 50706 | $1,694.40 | $3,530.00 | $1,200.00 – $5,357.00 | 3 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,461.92 | $11,379.00 | $3,538.96 – $7,702.45 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $29.83 – $70.18 | 5 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $236.06 – $513.77 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $2,476.08 – $10,078.47 | 6 |
| Bausch health Ultrasound surg HCPCS V2788 | $2,883.17 | $6,006.60 | not published | 0 |
| B cells total count CPT 86355 | $45.08 | $93.91 | $16.87 – $75.46 | 5 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.88 – $6.75 | 6 |
| Bckdhb gene CPT 81205 | not published | not published | $80.74 – $189.98 | 5 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $63.91 – $63.91 | 1 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $111.06 – $241.72 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.31 – $8.36 | 6 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $5,153.33 | $10,736.10 | $48.61 – $118.19 | 6 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.84 – $3.99 | 6 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $11.85 – $30.53 | 6 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $3,017.01 | $6,285.44 | $10.97 – $29.20 | 6 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $26.98 – $58.71 | 6 |
| Benign lesion paring 2-4 CPT 11056 | $918.72 | $1,914.00 | $219.34 – $1,597.00 | 6 |
| Benign lesion paring 4+ CPT 11057 | $918.72 | $1,914.00 | $219.34 – $1,597.00 | 6 |
| #_benzodiazconfur CPT 80346 | $12.00 | $25.00 | $0.07 – $232.38 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $86.71 | $180.65 | $9.93 – $36.06 | 4 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $42.17 | $87.85 | $17.76 – $50.90 | 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.