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 |
|---|---|---|---|---|
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $219.34 – $1,200.00 | 5 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Ped crit care transport CPT 99466 | $420.00 | $875.00 | not published | 0 |
| Ped crit care transport addl CPT 99467 | $333.60 | $695.00 | not published | 0 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $140.67 – $306.17 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $140.67 – $306.17 | 4 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,692.80 | $5,610.00 | $2,255.66 – $7,908.00 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $239.29 – $332.43 | 2 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $1,825.58 – $1,951.43 | 2 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $2,205.40 – $58,201.64 | 6 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,961.32 | $12,419.41 | $28.34 – $235.65 | 6 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $113.31 – $288.64 | 6 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $2,356.03 | $4,908.39 | $115.51 – $351.74 | 6 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $134.52 – $540.19 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $67.57 – $242.74 | 6 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $95.31 – $352.92 | 6 |
| Peginesatide injection HCPCS J0890 | not published | not published | $19.07 – $19.07 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,799.23 – $1,799.23 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $506.43 – $7,665.44 | 6 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $189.89 – $487.90 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,887.84 | $3,933.00 | $191.76 – $417.35 | 5 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,572.96 | $3,277.00 | $191.76 – $417.35 | 5 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,441.44 | $3,003.00 | $114.29 – $248.76 | 5 |
| Pelvic exenteration CPT 45126 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $6,444.96 | $13,427.00 | $381.40 – $830.11 | 5 |
| Pelvic MRI (with contrast) CPT 72196 | $3,071.52 | $6,399.00 | $381.40 – $830.11 | 5 |
| Pelvic MRI (without contrast) CPT 72195 | $2,909.28 | $6,061.00 | $260.85 – $567.73 | 5 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,883.00 – $17,265.50 | 5 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,932.80 – $17,265.50 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $831.36 | $1,732.00 | $114.29 – $248.76 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $217.44 | $453.00 | $114.29 – $248.76 | 5 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $52.06 – $127.60 | 6 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $5,605.03 | $11,677.14 | $3.43 – $8.11 | 6 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $5.59 – $37.35 | 6 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $568.42 | $1,184.21 | $7.08 – $58.21 | 6 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $190.17 | $396.18 | $1.11 – $3.54 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $14.04 – $101.46 | 2 |
| Penile injection CPT 54235 | $732.00 | $1,525.00 | $273.14 – $1,597.00 | 6 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $23,726.69 | $49,430.61 | not published | 0 |
| Penile vascular study CPT 93980 | $225.60 | $470.00 | $114.29 – $248.76 | 4 |
| Penile vascular study CPT 93981 | $229.92 | $479.00 | $114.29 – $248.76 | 4 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Penis study CPT 54240 | not published | not published | $236.06 – $1,597.00 | 6 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $114.00 – $170.93 | 4 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $22.38 – $22.38 | 1 |
| Pentazocine injection HCPCS J3070 | not published | not published | $44.75 – $57.02 | 2 |
| Pentobarbital sodium inj HCPCS J2515 | $2,958.72 | $6,164.00 | $3.65 – $145.17 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,232.38 – $5,747.87 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $20,419.68 | $42,541.00 | $7,908.00 – $25,292.72 | 6 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $1,200.00 – $16,338.00 | 3 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $9,551.04 | $19,898.00 | $11,117.00 – $43,618.46 | 6 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $1,200.00 – $16,338.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $9,551.04 | $19,898.00 | $11,117.00 – $27,468.35 | 6 |
| Perc d-e cor stent ather br HCPCS C9603 | $9,551.04 | $19,898.00 | $1,200.00 – $16,338.00 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $9,551.04 | $19,898.00 | $11,117.00 – $43,618.46 | 6 |
| Perc drug-el cor stent bran HCPCS C9601 | $7,896.96 | $16,452.00 | $1,200.00 – $16,338.00 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $7,896.96 | $16,452.00 | $11,117.00 – $27,468.35 | 6 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Percut ablate liver rf CPT 47382 | $10,285.44 | $21,428.00 | $6,609.22 – $15,436.00 | 6 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $5,357.00 – $5,357.00 | 1 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $153.36 | $319.50 | $60.06 – $101.03 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $1,156.32 | $2,409.00 | $1,597.00 – $9,718.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,108.32 | $2,309.00 | $1,720.93 – $5,171.00 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $4,013.28 | $8,361.00 | $4,666.00 – $13,634.00 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,280.52 – $9,779.00 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,538.96 – $11,117.00 | 6 |
| Peripheral vascular rehab CPT 93668 | $76.32 | $159.00 | $64.49 – $140.37 | 4 |
| Peri-proc device eval icd CPT 93287 | $66.24 | $138.00 | $76.56 – $152.12 | 2 |
| Peri-proc device eval pm CPT 93286 | $53.76 | $112.00 | $70.41 – $136.60 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $4,114.00 – $20,774.00 | 6 |
| Peritoneogram rs&i CPT 74190 | $1,500.96 | $3,127.00 | $485.74 – $1,300.14 | 5 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $437.05 – $951.22 | 5 |
| Permanent tear duct plug HCPCS A4263 | $351.62 | $732.55 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.40 – $1.56 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $11.07 – $11.07 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | $6,597.60 | $13,745.00 | $4,666.00 – $14,805.00 | 3 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,121.60 | $10,670.00 | $7,883.00 – $15,041.00 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | $2,001.12 | $4,169.00 | $774.16 – $1,894.00 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | $2,223.84 | $4,633.00 | $774.16 – $1,894.00 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $7,883.00 – $22,524.58 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $7,883.00 – $22,524.58 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $5,171.00 – $27,468.35 | 6 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $5,171.00 – $43,618.46 | 6 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $5,171.00 – $27,468.35 | 6 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $5,171.00 – $27,468.35 | 6 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $1,200.00 – $3,429.00 | 3 |
| Perq plmt bile duct stent CPT 47538 | $11,294.88 | $23,531.00 | $5,357.00 – $14,384.78 | 6 |
| Perq plmt bile duct stent CPT 47539 | $12,989.28 | $27,061.00 | $5,357.00 – $14,384.78 | 6 |
| Perq plmt bile duct stent CPT 47540 | $12,989.28 | $27,061.00 | $5,357.00 – $14,384.78 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,286.40 | $2,680.00 | $273.14 – $5,171.00 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,429.00 – $7,785.43 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,429.00 – $12,775.00 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $5,357.00 – $5,995.00 | 2 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,200.00 – $5,347.98 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $13,634.00 – $43,618.46 | 5 |
| Perq transcath cls aortic CPT 93591 | $21,953.76 | $45,737.00 | $12,158.21 – $43,618.46 | 5 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $13,634.00 – $43,618.46 | 5 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $4,666.00 – $16,178.00 | 3 |
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.