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 |
|---|---|---|---|---|
| Salivary gland function exam CPT 78232 | not published | not published | $437.05 – $951.22 | 5 |
| Salivary gland imaging CPT 78230 | not published | not published | $437.05 – $951.22 | 5 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $437.05 – $951.22 | 5 |
| Salmonella antibody CPT 86768 | $4.80 | $10.00 | $8.10 – $26.38 | 5 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,538.96 – $7,702.45 | 6 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $145.55 – $316.79 | 4 |
| Sargramostim injection HCPCS J2820 | not published | not published | $52.60 – $128.74 | 6 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $19.82 – $95.15 | 5 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $0.11 – $347.31 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $25.44 | $53.00 | $30.03 – $90.74 | 5 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $59.75 – $147.14 | 5 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,357.00 – $20,774.00 | 6 |
| Sbrt management CPT 77435 | not published | not published | $3,326.05 – $5,647.65 | 2 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $111.06 – $241.72 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,622.40 | $3,380.00 | $260.85 – $567.73 | 4 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $768.96 | $1,602.00 | $114.29 – $248.76 | 4 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $461.28 | $961.00 | $260.85 – $567.73 | 4 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $218.40 | $455.00 | $114.29 – $248.76 | 4 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $764.64 | $1,593.00 | $114.29 – $248.76 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,200.00 | $2,500.00 | $114.29 – $248.76 | 4 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,104.00 | $2,300.00 | $260.85 – $567.73 | 4 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $759.36 | $1,582.00 | $114.29 – $248.76 | 4 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,344.48 | $2,801.00 | $114.29 – $248.76 | 4 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Scan proc spinal CPT 61783 | not published | not published | $1,200.00 – $5,357.00 | 3 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,896.16 | $8,117.00 | $1,805.60 – $5,171.00 | 6 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,577.09 – $20,774.00 | 6 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $8,555.76 | $17,824.50 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.76 – $34.30 | 5 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $52.70 – $141.90 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $27.15 – $63.88 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $37.37 – $87.94 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $22.52 – $52.98 | 5 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $22.99 – $54.10 | 5 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $17.22 – $40.52 | 5 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $52.70 – $185.19 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $1,016.67 – $2,212.75 | 6 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $1,016.67 – $2,212.75 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $15.34 – $36.10 | 5 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $24.03 – $56.54 | 5 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $39.40 – $92.70 | 5 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $20.47 – $48.16 | 5 |
| Screening Mammogram CPT 77067 | $579.84 | $1,208.00 | $92.51 – $1,078.19 | 5 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $52.70 – $191.46 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $16.41 – $38.62 | 5 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $15.76 – $34.30 | 5 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $68,901.12 | $143,544.00 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $121.92 | $254.00 | $78.71 – $171.32 | 4 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $840.48 | $1,751.00 | $4,666.00 – $9,718.00 | 3 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $3,730.56 | $7,772.00 | $1,200.00 – $7,908.00 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $42.72 | $89.00 | $2.30 – $5.40 | 5 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $3,681.30 – $6,245.02 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Select picture audiometry CPT 92583 | not published | not published | $64.49 – $140.37 | 4 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $31.62 – $68.82 | 4 |
| Semen analysis HCPCS G0027 | not published | not published | $5.52 – $13.00 | 5 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $10.24 – $24.10 | 5 |
| Semen analysis w/count CPT 89310 | not published | not published | $7.32 – $17.22 | 5 |
| Sensorimotor examination CPT 92060 | not published | not published | $64.49 – $140.37 | 4 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $40.83 – $88.87 | 4 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,599.17 – $9,779.00 | 6 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $163.20 – $384.00 | 5 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $4,114.00 – $17,265.50 | 6 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $3,577.09 – $7,883.00 | 6 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $4,114.00 – $17,265.50 | 6 |
| Serial tonometry CPT 92100 | $180.00 | $375.00 | $410.43 – $410.43 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.77 – $54.34 | 2 |
| Serpina1 gene CPT 81332 | $43.20 | $90.00 | $37.10 – $87.30 | 5 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.07 – $224.88 | 2 |
| Set radiation therapy field CPT 77280 | $1,801.44 | $3,753.00 | $146.94 – $319.81 | 4 |
| Set radiation therapy field CPT 77285 | $1,871.04 | $3,898.00 | $409.34 – $890.92 | 4 |
| Set radiation therapy field CPT 77290 | $2,021.28 | $4,211.00 | $409.34 – $890.92 | 4 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $335.78 – $1,200.00 | 5 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.11 – $0.24 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.11 – $0.67 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,134.80 – $6,920.00 | 6 |
| Sex chromatin identification CPT 88130 | not published | not published | $6.82 – $35.96 | 5 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.79 – $15.98 | 5 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,853.66 – $8,387.37 | 5 |
| Sex transformation m to f CPT 55970 | not published | not published | $5,171.00 – $9,990.00 | 5 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $164.26 – $386.50 | 5 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,308.22 – $5,171.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $444.42 – $1,597.00 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $444.42 – $1,597.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $918.72 | $1,914.00 | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $918.72 | $1,914.00 | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $444.42 – $1,597.00 | 6 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $1,195.68 | $2,491.00 | $444.42 – $1,597.00 | 6 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $219.34 – $1,597.00 | 6 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $219.34 – $1,597.00 | 6 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $15,289.56 | $31,853.25 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $7,625.52 | $15,886.50 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $10.30 – $48.96 | 5 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $7,908.00 – $17,265.50 | 6 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $7,908.00 – $17,265.50 | 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.