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 |
|---|---|---|---|---|
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $991.55 – $5,171.00 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,097.83 – $7,908.00 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,357.00 – $20,774.00 | 6 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $83.52 | $174.00 | $4.58 – $10.78 | 5 |
| Smear gram stain CPT 87205 | $68.64 | $143.00 | $3.63 – $8.54 | 5 |
| Smear nasal eosinophil CPT 89190 | $50.40 | $105.00 | $4.92 – $11.58 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $71.04 | $148.00 | $5.09 – $11.98 | 5 |
| Smear wet mount CPT 87210 | $68.64 | $143.00 | $4.95 – $11.64 | 5 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $256.15 – $602.70 | 5 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $157.42 – $370.40 | 5 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $39.95 – $94.00 | 5 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $43.41 – $102.14 | 5 |
| Sodium 24 hour urine CPT 84300 | $59.04 | $123.00 | $4.16 – $10.12 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $61.49 | $128.10 | $3.54 – $16.33 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $61.49 | $128.10 | $1.78 – $18.72 | 4 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $61.49 | $128.10 | $0.88 – $14.61 | 4 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $61.49 | $128.10 | $0.11 – $0.22 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $120.79 | $251.64 | $2.78 – $12.67 | 4 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $106.05 – $212.80 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $59.04 | $123.00 | $4.09 – $9.62 | 5 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $44.76 | $93.25 | $0.75 – $2.00 | 5 |
| Soft interface below knee se HCPCS L2820 | $239.28 | $498.51 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $95.14 – $207.07 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $8.92 – $2,690.62 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $12.88 – $2,391.66 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $8.92 – $6,577.02 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $27.00 – $2,092.70 | 5 |
| Somatosensory testing CPT 95927 | not published | not published | $236.06 – $513.77 | 4 |
| Somatropin injection HCPCS J2941 | not published | not published | $69.39 – $105.18 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $23.23 – $5,979.10 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $22.65 – $1,793.74 | 5 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $29.21 – $48.98 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $3,429.00 – $7,883.00 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $3,429.00 – $7,883.00 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Special physics consult CPT 77370 | $844.32 | $1,759.00 | $146.94 – $319.81 | 4 |
| Special radiation dosimetry CPT 77331 | $312.00 | $650.00 | $109.90 – $319.81 | 4 |
| Special radiation treatment CPT 77470 | $1,932.96 | $4,027.00 | $554.60 – $1,314.72 | 4 |
| Special teletx port plan CPT 77321 | $1,922.88 | $4,006.00 | $341.00 – $890.92 | 4 |
| Specific gravity body fluid CPT 84315 | $46.08 | $96.00 | $2.79 – $6.56 | 5 |
| Specimen fat stain CPT 89125 | not published | not published | $5.00 – $11.76 | 5 |
| Speech audiometry complete CPT 92556 | not published | not published | $64.49 – $140.37 | 4 |
| Speech evaluation complex CPT 70371 | not published | not published | $260.85 – $567.73 | 5 |
| Speech recep thresh CPT 92555 | not published | not published | $64.49 – $140.37 | 4 |
| Sperm antibody test CPT 89325 | not published | not published | $9.07 – $21.34 | 5 |
| Sperm evaluation test CPT 89329 | not published | not published | $16.65 – $39.18 | 5 |
| Sperm identification CPT 89257 | not published | not published | $56.97 – $123.99 | 5 |
| Sperm isolation complex CPT 89261 | not published | not published | $56.97 – $123.99 | 5 |
| Sperm isolation simple CPT 89260 | not published | not published | $56.97 – $123.99 | 5 |
| Sperm washing 58323 CPT 58323 | not published | not published | $85.69 – $1,597.00 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $3,034.47 – $7,908.00 | 6 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $3,429.00 – $7,883.00 | 4 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,651.68 | $3,441.00 | $771.70 – $5,171.00 | 6 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $1,597.00 – $30,548.47 | 6 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $236.06 – $513.77 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $323.52 | $674.00 | $407.95 – $887.89 | 4 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $140.67 – $306.17 | 4 |
| Spleen imaging CPT 78185 | not published | not published | $437.05 – $951.22 | 5 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $60.59 | $126.23 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $5,243.04 | $10,923.00 | $3,874.15 – $8,431.97 | 6 |
| Split blood or products CPT 86985 | $102.72 | $214.00 | $128.32 – $405.38 | 5 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,200.00 – $8,912.00 | 4 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $361.10 – $1,597.00 | 6 |
| Sputum specimen collection CPT 89220 | not published | not published | $117.22 – $405.38 | 5 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $1,488.54 – $8,914.63 | 5 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $10,791.00 – $16,338.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $10,791.00 – $16,338.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $3,281.00 – $13,634.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $3,281.00 – $13,634.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $149.09 – $350.80 | 5 |
| Srs linear based CPT 77372 | $17,183.52 | $35,799.00 | $4,864.36 – $17,525.04 | 4 |
| Srs multisource CPT 77371 | not published | not published | $7,774.06 – $17,525.04 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $10,791.00 – $16,338.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $3,281.00 – $13,634.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $140.67 – $306.17 | 4 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $13,634.00 – $13,634.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $342.72 | $714.00 | $100.52 – $218.78 | 3 |
| Staph a dna amp probe CPT 87640 | not published | not published | $6.50 – $70.18 | 5 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $256.32 | $534.00 | $95.83 – $208.57 | 3 |
| Stem cells total count CPT 86367 | not published | not published | $18.16 – $155.56 | 5 |
| Stenger test pure tone CPT 92565 | not published | not published | $64.49 – $140.37 | 4 |
| Stenger test speech CPT 92577 | not published | not published | $407.95 – $887.89 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $22,244.64 | $46,343.00 | $9,779.00 – $59,944.00 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $40,320.00 | $84,000.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $41,901.67 | $87,295.15 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $39,101.09 | $81,460.60 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $8,551.87 | $17,816.40 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $6,050.88 | $12,606.00 | $9,779.00 – $39,963.00 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $6,050.88 | $12,606.00 | $3,429.00 – $10,791.00 | 4 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,597.00 – $13,634.00 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $12,844.80 | $26,760.00 | $9,779.00 – $59,944.00 | 5 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $1,032.42 – $1,032.42 | 1 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $2,002.87 – $3,885.65 | 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.