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 |
|---|---|---|---|---|
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,624.60 – $9,779.00 | 6 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Realignment of knee CPT 27457 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Realignment of knee CPT 27455 | not published | not published | $6,920.00 – $17,265.50 | 6 |
| Realignment of tendons CPT 26437 | not published | not published | $3,281.00 – $7,908.00 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $4,666.00 – $5,357.00 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $5,171.00 – $13,240.19 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Recon, cta for surg plan HCPCS G0288 | not published | not published | $3,867.66 – $3,867.66 | 1 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,171.00 – $14,085.70 | 6 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,171.00 – $14,085.70 | 6 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $6,920.00 – $17,265.50 | 6 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $4,666.00 – $15,436.00 | 6 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $6,920.00 – $64,562.94 | 6 |
| Reconstruct bronchus CPT 31775 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,624.60 – $11,117.00 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $11,117.00 – $41,720.12 | 6 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $7,883.00 – $30,548.47 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $7,883.00 – $30,548.47 | 6 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,281.00 – $11,117.00 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Reconstruct finger joint CPT 26548 | $4,893.60 | $10,195.00 | $3,577.09 – $9,779.00 | 6 |
| Reconstruct head of radius CPT 24365 | not published | not published | $7,883.00 – $30,548.47 | 6 |
| Reconstruct head of radius CPT 24366 | not published | not published | $11,117.00 – $30,548.47 | 6 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $6,920.00 – $41,720.12 | 6 |
| Reconstruction knee CPT 27427 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Reconstruction knee CPT 27429 | not published | not published | $9,779.00 – $30,548.47 | 6 |
| Reconstruction of anus CPT 46753 | not published | not published | $3,034.47 – $7,908.00 | 6 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,599.17 – $7,908.00 | 6 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $2,599.17 – $7,908.00 | 6 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $4,297.97 – $9,354.40 | 6 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $2,599.17 – $7,908.00 | 6 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $6,920.00 – $30,548.47 | 6 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $6,920.00 – $17,265.50 | 6 |
| Reconstruction of jaw CPT 21245 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruction of jaw CPT 21246 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruction of jaw CPT 21248 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruction of jaw CPT 21249 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $7,883.00 – $59,944.00 | 6 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Reconstruction of midface CPT 21188 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of mouth CPT 40840 | not published | not published | $4,114.00 – $14,085.70 | 6 |
| Reconstruction of mouth CPT 40842 | not published | not published | $4,666.00 – $14,085.70 | 6 |
| Reconstruction of mouth CPT 40843 | not published | not published | $4,666.00 – $14,085.70 | 6 |
| Reconstruction of mouth CPT 40844 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of mouth CPT 40845 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of nail bed CPT 11762 | $2,688.00 | $5,600.00 | $2,255.66 – $5,171.00 | 6 |
| Reconstruction of nose CPT 30410 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of nose CPT 30420 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of orbit CPT 21256 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Reconstruction of throat CPT 42950 | not published | not published | $4,114.00 – $14,085.70 | 6 |
| Reconstruction of urethra CPT 53410 | not published | not published | $4,114.00 – $12,757.91 | 6 |
| Reconstruction of urethra CPT 53415 | not published | not published | $5,171.00 – $13,634.00 | 3 |
| Reconstruction of urethra CPT 53430 | not published | not published | $4,114.00 – $12,757.91 | 6 |
| Reconstruction of urethra CPT 54308 | not published | not published | $5,861.74 – $12,757.91 | 6 |
| Reconstruction of urethra CPT 54312 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Reconstruction of urethra CPT 54316 | not published | not published | $7,883.00 – $16,652.00 | 6 |
| Reconstruction of urethra CPT 54318 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Reconstruction of urethra CPT 54322 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,853.66 – $7,908.00 | 6 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $3,624.60 – $7,888.83 | 6 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $4,114.00 – $14,085.70 | 6 |
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.