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 |
|---|---|---|---|---|
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $4,885.44 | $10,178.00 | $3,577.09 – $7,785.43 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,624.60 – $7,908.00 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $3,281.00 – $14,085.70 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,624.60 – $9,779.00 | 6 |
| Pertussis ag if CPT 87265 | not published | not published | $10.18 – $23.96 | 5 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $8,143.67 | $16,965.97 | $14.46 – $34.89 | 6 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $51.19 – $135.43 | 6 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $150.35 | $313.23 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,570.08 | $9,521.00 | $1,563.28 – $3,402.43 | 5 |
| Pet CT whole body initial CPT 78816 | $5,439.36 | $11,332.00 | $1,563.28 – $3,402.43 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | $3,517.92 | $7,329.00 | $1,563.28 – $3,402.43 | 5 |
| Pet image full body CPT 78813 | $4,508.16 | $9,392.00 | $1,563.28 – $3,402.43 | 5 |
| Pet image ltd area CPT 78811 | $3,727.20 | $7,765.00 | $1,415.36 – $3,080.50 | 5 |
| Pet image skull-thigh CPT 78812 | $4,021.92 | $8,379.00 | $1,563.28 – $3,402.43 | 5 |
| Pet image w/ct lmtd CPT 78814 | $3,772.80 | $7,860.00 | $1,563.28 – $3,402.43 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $437.05 – $951.22 | 5 |
| Pet scan brain perf study CPT 78609 | not published | not published | $8,226.00 – $9,190.51 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $61,223.82 | $127,549.63 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Pharmacologic management w/psytx CPT 90863 | $103.68 | $216.00 | not published | 0 |
| Ph body fluid CPT 83986 | $59.04 | $123.00 | $3.04 – $7.16 | 5 |
| Phencyclidine (pcp) CPT 83992 | $48.00 | $100.00 | $0.07 – $169.06 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $88.86 | $185.12 | $5.48 – $63.30 | 4 |
| Phenobarbital therapeutic drug level CPT 80184 | $59.04 | $123.00 | $13.00 – $30.60 | 5 |
| Phentolaine mesylate inj HCPCS J2760 | $1,434.01 | $2,987.53 | $51.37 – $966.00 | 6 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $116.24 | $242.16 | $0.02 – $0.11 | 3 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $82.12 – $210.85 | 5 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.74 – $2.74 | 4 |
| Phenytoin total therapeutic drug level CPT 80185 | $59.04 | $123.00 | $11.26 – $26.50 | 5 |
| Phlebotomy therapeutic CPT 99195 | $158.88 | $331.00 | $145.45 – $316.58 | 4 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $3,451.89 – $12,775.00 | 6 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $3,451.89 – $12,775.00 | 6 |
| Phosphorus CPT 84100 | $59.04 | $123.00 | $4.03 – $9.48 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $61.92 | $129.00 | $4.91 – $11.56 | 5 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $64.49 – $140.37 | 4 |
| Photochemotherapy puva CPT 96912 | not published | not published | $64.49 – $140.37 | 4 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $444.42 – $967.27 | 4 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Photo patch test CPT 95052 | not published | not published | $64.49 – $140.37 | 4 |
| Photopheresis CPT 36522 | not published | not published | $4,114.00 – $15,436.00 | 6 |
| Photosensitivity tests CPT 95056 | not published | not published | $83.51 – $316.58 | 4 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $56.97 – $123.99 | 5 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $186.26 – $405.38 | 5 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $31.62 – $68.82 | 5 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $89.29 | $186.03 | $3.51 – $7.65 | 4 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $1,597.00 – $4,666.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $294.52 – $714.75 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $233.61 – $549.66 | 5 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $6,920.00 – $17,265.50 | 6 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,640.00 | $24,250.00 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,315.20 | $2,740.00 | $807.98 – $6,920.00 | 6 |
| Pin finger dislocation CPT 26776 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Pin finger fracture each CPT 26756 | $4,885.44 | $10,178.00 | $3,577.09 – $7,785.43 | 6 |
| Pin hand dislocation CPT 26676 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Pin service 60m per month HCPCS G0023 | not published | not published | $111.06 – $241.72 | 4 |
| Pinworm exam CPT 87172 | $40.32 | $84.00 | $3.63 – $8.54 | 5 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.63 – $8.54 | 5 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $69.73 | $145.27 | $1.61 – $8.90 | 4 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $492.56 – $1,158.96 | 5 |
| Place breast cath for rad CPT 19297 | not published | not published | $5,357.00 – $20,774.00 | 4 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $5,357.00 – $21,313.00 | 6 |
| Place cath intracranial art CPT 36228 | $288.00 | $600.00 | $1,200.00 – $9,718.00 | 4 |
| Place cath xtrnl carotid CPT 36227 | $3,252.48 | $6,776.00 | $1,200.00 – $9,718.00 | 4 |
| Place cecostomy tube perc CPT 49442 | $2,404.32 | $5,009.00 | $1,308.22 – $6,920.00 | 6 |
| Place device/marker, non pro HCPCS C9728 | $3,389.76 | $7,062.00 | $1,513.19 – $3,293.41 | 4 |
| Place duod/jej tube perc CPT 49441 | $3,262.08 | $6,796.00 | $2,097.83 – $6,920.00 | 6 |
| Place endorectal app HCPCS C9725 | not published | not published | $1,016.67 – $2,212.75 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Place gastrostomy tube perc CPT 49440 | $3,605.76 | $7,512.00 | $2,097.83 – $6,920.00 | 6 |
| Placement bile duct support CPT 47801 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $2,094.24 | $4,363.00 | $1,805.60 – $3,281.00 | 5 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $1,920.48 | $4,001.00 | $1,200.00 – $5,357.00 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $2,094.24 | $4,363.00 | $774.16 – $1,894.00 | 5 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,946.56 | $8,222.00 | $2,285.30 – $5,171.00 | 6 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $310.08 | $646.00 | $1,200.00 – $5,357.00 | 2 |
| Placement of drain pancreas CPT 48001 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Placement of seton CPT 46020 | $1,990.56 | $4,147.00 | $3,034.47 – $7,908.00 | 6 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $12,844.80 | $26,760.00 | $8,912.00 – $27,468.35 | 6 |
| Place ndl musc/tis for right CPT 20555 | $5,060.16 | $10,542.00 | $3,429.00 – $7,785.43 | 6 |
| Place needles h&n for right CPT 41019 | $11,581.44 | $24,128.00 | $3,429.00 – $14,085.70 | 6 |
| Place needles pelvic for right CPT 55920 | $7,878.72 | $16,414.00 | $3,429.00 – $11,902.87 | 6 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,972.32 | $10,359.00 | $3,451.89 – $7,883.00 | 6 |
| Placental lactogen CPT 83632 | not published | not published | $17.19 – $40.44 | 5 |
| Place po breast cath for rad CPT 19296 | $20,022.24 | $41,713.00 | $5,357.00 – $20,774.00 | 6 |
| Place right device/marker pros CPT 55876 | not published | not published | $1,513.19 – $20,774.00 | 6 |
| Place slctv cath carotd art uni CPT 36224 | $9,826.56 | $20,472.00 | $5,171.00 – $13,240.19 | 6 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,003.36 | $12,507.00 | $3,451.89 – $7,883.00 | 6 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,003.36 | $12,507.00 | $4,114.00 – $13,240.19 | 6 |
| Place slctv cath subclavian art CPT 36225 | $6,003.36 | $12,507.00 | $3,451.89 – $7,883.00 | 6 |
| Place slctv cath vertebral art uni CPT 36226 | $9,890.40 | $20,605.00 | $5,171.00 – $13,240.19 | 6 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $14.40 | $30.00 | not published | 0 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $30.02 – $65.34 | 4 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $6.89 – $15.00 | 4 |
| Plasma volume multiple CPT 78111 | not published | not published | $438.39 – $3,080.50 | 5 |
| Plasma volume single CPT 78110 | not published | not published | $352.66 – $3,080.50 | 5 |
| Plastic surgery neck CPT 15819 | not published | not published | $4,114.00 – $5,995.00 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $99.36 | $207.00 | $20.77 – $49.82 | 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.