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 |
|---|---|---|---|---|
| Platelet automated CPT 85049 | $37.92 | $79.00 | $3.81 – $8.96 | 5 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $482.31 – $5,171.00 | 6 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $590.40 | $1,230.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $585.12 | $1,219.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $585.12 | $1,219.00 | $516.32 – $1,123.75 | 4 |
| Platelet survival CPT 78191 | not published | not published | $437.05 – $951.22 | 5 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $247.66 – $582.72 | 5 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,196.64 | $8,743.00 | $3,914.24 – $8,519.24 | 6 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,299.84 | $2,708.00 | $1,200.00 – $9,779.00 | 4 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,489.44 | $9,353.00 | $3,853.66 – $7,883.00 | 6 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,489.44 | $9,353.00 | $3,853.66 – $8,387.37 | 6 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $4,666.00 – $11,790.00 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,933.44 | $4,028.00 | $774.16 – $5,171.00 | 6 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,017.12 | $2,119.00 | $1,200.00 – $5,357.00 | 3 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $3,429.00 – $9,718.00 | 4 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,874.40 | $3,905.00 | $1,200.00 – $5,357.00 | 3 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,920.48 | $4,001.00 | $1,200.00 – $5,357.00 | 3 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,728.48 | $3,601.00 | $1,200.00 – $5,357.00 | 3 |
| Plerixafor injection HCPCS J2562 | not published | not published | $27.83 – $60.57 | 6 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $262.56 | $547.00 | $396.76 – $887.89 | 4 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Plmt access bil tree sm bwl CPT 47541 | $4,300.80 | $8,960.00 | $4,114.00 – $9,990.00 | 6 |
| Plmt biliary drainage cath CPT 47534 | $4,555.20 | $9,490.00 | $3,914.24 – $8,519.24 | 6 |
| Plmt nephroureteral catheter CPT 50433 | $3,976.80 | $8,285.00 | $3,853.66 – $5,995.00 | 6 |
| Plmt ureteral stent prq CPT 50694 | $4,489.44 | $9,353.00 | $3,853.66 – $8,387.37 | 6 |
| Pm device progr eval dual CPT 93280 | $89.28 | $186.00 | $40.80 – $88.80 | 4 |
| Pm device progr eval multi CPT 93281 | not published | not published | $40.80 – $88.80 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $176.21 – $414.62 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $604.45 – $1,516.72 | 5 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $654.14 – $1,539.16 | 5 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $39.61 – $93.20 | 5 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $40.80 – $88.80 | 4 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $172.98 – $407.00 | 5 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $575.02 – $1,353.00 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $281.35 – $662.00 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $685.79 – $5,171.00 | 6 |
| #pnh-flow cytometry interp CPT 88187 | $33.75 | $70.31 | $78.68 – $650.74 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $226.08 | $471.00 | $22.16 – $52.14 | 5 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $116.64 – $285.37 | 6 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $938.81 – $2,043.29 | 4 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $938.81 – $2,043.29 | 4 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $938.81 – $2,043.29 | 4 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $8.93 – $21.02 | 5 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $4,619.72 – $52,091.10 | 2 |
| Positional change of finger CPT 26555 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $21.25 – $50.00 | 5 |
| Post d/c phone follow up HCPCS G0544 | not published | not published | $111.06 – $241.72 | 4 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $1,200.00 – $13,634.00 | 4 |
| Postop app non-wgt bear dsg HCPCS L5450 | $1,244.51 | $2,592.73 | not published | 0 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $2,761.78 | $5,753.70 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $407.95 – $887.89 | 4 |
| Postpartum Care Only CPT 59430 | not published | not published | $1,597.00 – $3,429.00 | 2 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $1,200.00 – $13,634.00 | 4 |
| Potassium 24 hour urine CPT 84133 | $59.04 | $123.00 | $4.02 – $9.46 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $119.40 | $248.75 | $0.30 – $1.14 | 4 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.96 – $11.66 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.04 | $123.00 | $4.05 – $9.52 | 5 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $116.45 – $274.00 | 5 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $469.98 – $2,274.19 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,131.84 | $2,358.00 | $453.58 – $732.31 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $19,287.36 | $40,182.00 | $5,357.00 – $17,265.50 | 6 |
| Pq thr inj ext pse CPT 36002 | $850.08 | $1,771.00 | $685.79 – $5,171.00 | 6 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $2,346.72 | $4,889.00 | $1,200.00 – $15,436.00 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $6,413.28 | $13,361.00 | $3,577.09 – $11,117.00 | 6 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $6,413.28 | $13,361.00 | $3,577.09 – $11,117.00 | 6 |
| Pralatrexate injection HCPCS J9307 | $18,313.88 | $38,153.92 | $275.25 – $803.61 | 6 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $270.01 | $562.53 | $159.14 – $223.69 | 2 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $5,680.80 | $11,835.00 | $3,281.00 – $7,785.43 | 6 |
| Pr application of long arm splint CPT 29105 | $680.64 | $1,418.00 | $177.65 – $1,597.00 | 6 |
| Pr application splint static short arm CPT 29125 | $680.64 | $1,418.00 | $145.45 – $1,597.00 | 6 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | not published | not published | $40.83 – $88.87 | 4 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,552.32 | $3,234.00 | $444.42 – $6,920.00 | 6 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $7,883.00 – $21,313.00 | 6 |
| Pr correction hammertoe CPT 28285 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $46.56 | $97.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $4,224.48 | $8,801.00 | $1,597.00 – $9,718.00 | 3 |
| Prcrd drg 6+yr without anomly CPT 33017 | $989.76 | $2,062.00 | $1,597.00 – $9,718.00 | 3 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $365.28 | $761.00 | $219.34 – $1,597.00 | 6 |
| Prealbumin CPT 84134 | $59.04 | $123.00 | $12.40 – $29.18 | 5 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $45.79 – $155.39 | 2 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $142.75 – $581.25 | 2 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $1.48 – $1.48 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $19.88 | $41.41 | $0.55 – $1.03 | 4 |
| Prednisone 1 mg tablet HCPCS J7512 | $978.91 | $2,039.40 | $0.01 – $3.07 | 4 |
| Pregabalin - sendout CPT 80366 | $5.24 | $10.91 | $0.07 – $0.07 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,691.52 | $3,524.00 | $2,097.83 – $6,920.00 | 6 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $12.79 – $30.10 | 5 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $634.56 | $1,322.00 | $114.29 – $248.76 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $615.36 | $1,282.00 | $114.29 – $248.76 | 5 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $1,597.00 – $1,597.00 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $5,171.00 – $5,171.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $236.06 – $513.77 | 4 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $407.95 – $887.89 | 4 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $407.95 – $887.89 | 4 |
| Preparation for bladder xray CPT 51605 | not published | not published | $1,200.00 – $5,357.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $589.62 – $1,597.00 | 6 |
| Prepare donor heart CPT 33944 | not published | not published | $4,666.00 – $9,718.00 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $4,666.00 – $9,718.00 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $4,666.00 – $9,718.00 | 2 |
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.