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 |
|---|---|---|---|---|
| Revis reconst shoulder joint CPT 23474 | not published | not published | $10,791.00 – $30,548.47 | 6 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $136.05 – $436.24 | 5 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $136.05 – $2,214.80 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $6,083.33 – $13,240.19 | 5 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $6,083.33 – $13,240.19 | 5 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,861.74 – $12,757.91 | 6 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,597.00 – $8,318.67 | 6 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,429.00 – $8,318.67 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $4,666.00 – $13,634.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $6,121.92 | $12,754.00 | $3,429.00 – $8,318.67 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,429.00 – $8,318.67 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $13,634.00 – $41,720.12 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $13,634.00 – $41,720.12 | 5 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $1,597.00 – $73,423.09 | 6 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,597.00 – $41,720.12 | 6 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,114.00 – $26,513.03 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | $12,844.80 | $26,760.00 | $3,429.00 – $10,791.00 | 4 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.17 – $22.40 | 6 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,134.80 – $7,908.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $69.12 | $144.00 | $5.22 – $12.28 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $67.68 | $141.00 | $4.82 – $11.34 | 5 |
| Rh ig IV CPT 90386 | not published | not published | $242.89 – $1,424.87 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $67.03 – $148.00 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $4,666.00 – $14,085.70 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $7.01 – $17.81 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $33.87 – $63.93 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $29.12 – $69.90 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $241.55 | $503.23 | $110.64 – $176.15 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $189.85 – $280.64 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $3,544.22 – $7,883.00 | 5 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $3,544.22 – $7,883.00 | 5 |
| Rhythm ecg with report CPT 93040 | not published | not published | $72.17 – $201.95 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,471.81 – $15,436.00 | 6 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,509.99 – $5,882.40 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $550.10 | $1,146.04 | $0.20 – $0.32 | 3 |
| Right heart cath congenital CPT 93530 | not published | not published | $9,990.00 – $13,634.00 | 2 |
| Right ventric recording CPT 93603 | $1,758.72 | $3,664.00 | $1,331.06 – $3,281.00 | 5 |
| Rilonacept injection HCPCS J2793 | not published | not published | $40.07 – $58.05 | 2 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,474.50 | $5,155.20 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $12.41 – $31.95 | 6 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $9.18 – $22.58 | 6 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $63.03 – $164.32 | 6 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $30.84 – $80.69 | 6 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $3,808.50 | $7,934.37 | $26.59 – $74.73 | 6 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $17.22 – $71.14 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $11.63 – $53.62 | 6 |
| R & l heart cath congenital CPT 93531 | not published | not published | $9,990.00 – $16,338.00 | 3 |
| R & l heart cath congenital CPT 93532 | not published | not published | $9,990.00 – $16,338.00 | 2 |
| R & l heart cath congenital CPT 93533 | not published | not published | $9,990.00 – $16,338.00 | 2 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $3,544.22 – $7,883.00 | 5 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $3,544.22 – $7,883.00 | 5 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $767.04 | $1,598.00 | $774.16 – $5,171.00 | 6 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,171.00 – $14,384.78 | 6 |
| Rmvl ext fixj sys under anes CPT 20694 | $1,828.80 | $3,810.00 | $1,757.92 – $5,171.00 | 6 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $4,987.68 | $10,391.00 | $3,175.56 – $6,920.00 | 6 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $6,182.88 | $12,881.00 | $1,308.22 – $5,171.00 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $1,596.00 | $3,325.00 | $1,805.60 – $5,171.00 | 6 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,597.00 – $10,791.00 | 6 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $1,200.00 – $3,429.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $2,503.68 | $5,216.00 | $4,085.40 – $8,891.76 | 6 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $13,199.04 | $27,498.00 | $5,357.00 – $52,926.57 | 6 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $13,199.04 | $27,498.00 | $5,357.00 – $74,686.95 | 6 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,906.72 | $26,889.00 | $5,357.00 – $52,926.57 | 6 |
| Rmvl icd pulse gen only CPT 33241 | $2,583.36 | $5,382.00 | $4,085.40 – $8,891.76 | 6 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $1,200.00 – $3,429.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $1,597.00 – $13,634.00 | 3 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,908.48 | $3,976.00 | $685.79 – $1,894.00 | 6 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $1,200.00 – $3,429.00 | 3 |
| Rmvl perm pm pulse gen CPT 33233 | $3,602.88 | $7,506.00 | $4,114.00 – $19,690.54 | 6 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $1,597.00 – $13,634.00 | 3 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $1,597.00 – $8,318.67 | 6 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $1,597.00 – $8,318.67 | 6 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $1,597.00 – $8,318.67 | 6 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $17,990.88 | $37,481.00 | $5,357.00 – $45,831.45 | 6 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,248.00 | $27,600.00 | $5,357.00 – $19,690.54 | 6 |
| Rmvl pq iabp CPT 33968 | $1,323.84 | $2,758.00 | $3,429.00 – $14,208.00 | 3 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $885.60 | $1,845.00 | $4,666.00 – $15,041.00 | 3 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $3,577.09 – $7,883.00 | 6 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Rmvl sq defib electrode CPT 33272 | $2,194.08 | $4,571.00 | $1,597.00 – $8,891.76 | 6 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,100.64 | $2,293.00 | $774.16 – $9,779.00 | 6 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $4,996.32 | $10,409.00 | $3,175.56 – $6,911.51 | 6 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $411.84 | $858.00 | $488.38 – $5,171.00 | 6 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,932.80 – $17,265.50 | 5 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $7,932.80 – $17,265.50 | 5 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Rmvl tv pm lead dual CPT 33235 | $4,224.96 | $8,802.00 | $4,085.40 – $8,891.76 | 6 |
| Rmvl tv pm lead sgl CPT 33234 | $2,813.28 | $5,861.00 | $4,085.40 – $8,891.76 | 6 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $1,597.00 – $7,883.00 | 6 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $1,597.00 – $7,883.00 | 6 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $1,597.00 – $7,883.00 | 6 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $1,597.00 – $7,883.00 | 3 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $1,597.00 – $26,513.03 | 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.