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 |
|---|---|---|---|---|
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,255.66 – $11,117.00 | 6 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $139.37 – $327.40 | 6 |
| Blind cor sinus reducer impl HCPCS C9783 | not published | not published | $12,620.59 – $27,468.35 | 5 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $407.95 – $887.89 | 4 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $14,208.00 – $40,758.05 | 5 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $14,208.00 – $40,758.05 | 5 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $10,433.67 – $22,708.57 | 5 |
| Blink reflex test CPT 95933 | not published | not published | $64.49 – $140.37 | 4 |
| Blm gene CPT 81209 | not published | not published | $33.41 – $78.62 | 5 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $11,280.00 | $23,500.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $14,018.40 | $29,205.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,427.17 | $2,973.27 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $6,001.92 | $12,504.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $18,345.60 | $38,220.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $7,403.64 | $15,424.25 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $548.64 | $1,143.00 | $966.94 – $5,171.00 | 6 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,628.64 | $3,393.00 | $966.94 – $5,171.00 | 6 |
| Block paracervical nrv CPT 64435 | not published | not published | $771.70 – $5,171.00 | 6 |
| Block plantar digital nerve CPT 64455 | $851.04 | $1,773.00 | $335.57 – $5,171.00 | 6 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,780.32 | $3,709.00 | $1,200.00 – $5,357.00 | 4 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,780.32 | $3,709.00 | $1,200.00 – $5,357.00 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $73.44 | $153.00 | $3.65 – $8.58 | 5 |
| Blood Clotting (PTT) Test CPT 85730 | $83.04 | $173.00 | $5.11 – $12.02 | 5 |
| Blood Count (CBC) Test CPT 85025 | $84.00 | $175.00 | $6.60 – $15.54 | 5 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $46.56 | $97.00 | $5.50 – $12.94 | 5 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $5.95 – $14.00 | 5 |
| Blood Culture Test CPT 87040 | $241.92 | $504.00 | $8.77 – $20.64 | 5 |
| Blood draw capillary 36416 CPT 36416 | $2.88 | $6.00 | $5.78 – $5,357.00 | 2 |
| Blood gases o2 saturation direct measurement CPT 82805 | $59.04 | $123.00 | $15.93 – $157.54 | 5 |
| Blood gases ph venous CPT 82800 | $131.04 | $273.00 | $9.35 – $22.00 | 5 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $59.04 | $123.00 | $13.53 – $31.84 | 5 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $30.24 | $63.00 | $3.60 – $8.46 | 5 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $59.04 | $123.00 | $3.72 – $8.76 | 5 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $7.68 | $16.00 | $4.52 – $10.64 | 5 |
| Blood smear interpretation CPT 85060 | $39.36 | $82.00 | $50.52 – $206.01 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.23 – $7.60 | 5 |
| Blood split unit HCPCS P9011 | $177.12 | $369.00 | not published | 0 |
| Blood typing abo CPT 86900 | $91.68 | $191.00 | $4.78 – $316.58 | 5 |
| Blood typing ag donor ea ag CPT 86902 | $155.04 | $323.00 | $10.14 – $852.89 | 5 |
| Blood typing patient serum CPT 86904 | not published | not published | $16.50 – $140.37 | 5 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $236.64 | $493.00 | $6.12 – $852.89 | 5 |
| Blood typing rh (d) CPT 86901 | $33.60 | $70.00 | $4.78 – $88.87 | 5 |
| Blood typing rh phenotype complete reference CPT 86906 | $33.60 | $70.00 | $12.38 – $88.87 | 5 |
| Blood volume CPT 78122 | not published | not published | $518.02 – $1,291.95 | 5 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Bone biopsy open superficial CPT 20240 | $4,987.68 | $10,391.00 | $3,175.56 – $6,920.00 | 6 |
| Bone Density Scan (DEXA) CPT 77080 | $520.80 | $1,085.00 | $114.29 – $248.76 | 5 |
| Bone filler cerament 10cc HCPCS C1602 | $17,672.69 | $36,818.10 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,446.72 | $3,014.00 | $437.05 – $951.22 | 5 |
| Bone/joint imaging ltd area CPT 78300 | $1,165.44 | $2,428.00 | $437.05 – $951.22 | 5 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,240.80 | $2,585.00 | $1,597.00 – $3,929.83 | 6 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,436.16 | $2,992.00 | $1,597.00 – $3,929.83 | 6 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,702.64 – $5,171.00 | 6 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $4,761.62 – $10,363.52 | 6 |
| Bone marrow imaging body CPT 78104 | not published | not published | $437.05 – $951.22 | 5 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $437.05 – $951.22 | 5 |
| Bone marrow imaging mult CPT 78103 | $695.52 | $1,449.00 | $437.05 – $951.22 | 5 |
| Bone marrow interpretation CPT 85097 | $575.52 | $1,199.00 | $298.81 – $1,917.04 | 5 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Bone survey-lead poisoning CPT 77074 | $327.84 | $683.00 | $114.29 – $248.76 | 5 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $141.99 – $141.99 | 1 |
| Boot j walker l HCPCS L4386 | $66.30 | $138.12 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $150.57 | $313.69 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $716.27 | $1,492.23 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $232.10 | $483.54 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $11.37 – $26.76 | 5 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $61.08 | $127.25 | $14.48 – $34.06 | 5 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $29.83 – $70.18 | 5 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,411.62 | $5,024.21 | $3.18 – $50.23 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.92 – $6.86 | 5 |
| Bowel imaging CPT 78290 | $958.08 | $1,996.00 | $437.05 – $951.22 | 5 |
| Brace afo lg left 6607 HCPCS L1930 | $547.16 | $1,139.91 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,467.53 | $3,057.36 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $83.55 | $174.07 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $54.23 | $112.97 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $2,624.88 | $5,468.49 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,136.05 | $2,366.78 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $3,711.94 | $7,733.20 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $4,420.90 | $9,210.20 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $535.08 | $1,114.75 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $835.20 | $1,740.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $342.63 | $713.82 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $216.29 | $450.61 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $300.13 | $625.27 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $565.66 | $1,178.45 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $2,586.96 | $5,389.51 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $319.92 | $666.49 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $34.22 | $71.30 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $3,175.56 – $6,911.51 | 6 |
| Brach/thor cath 1st CPT 36215 | $1,916.16 | $3,992.00 | $1,200.00 – $9,718.00 | 3 |
| Brach/thor cath 2nd CPT 36216 | $1,494.24 | $3,113.00 | $1,200.00 – $9,718.00 | 3 |
| Brach/thor cath 3rd CPT 36217 | $2,770.56 | $5,772.00 | $1,200.00 – $9,718.00 | 3 |
| Brach/thor cath addl CPT 36218 | $1,344.48 | $2,801.00 | $1,200.00 – $5,357.00 | 3 |
| Brachy source palladium HCPCS C2640 | $192.63 | $401.31 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $54.81 – $119.29 | 4 |
| Brachy source yttrium-90 HCPCS C2616 | $44,918.76 | $93,580.75 | $15,105.36 – $32,876.37 | 4 |
| Brachy src nonstrand c-131 HCPCS C2643 | $275.18 | $573.30 | $84.83 – $184.63 | 4 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $378.72 | $789.00 | not published | 0 |
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.