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 |
|---|---|---|---|---|
| Sternal debridement CPT 21627 | not published | not published | $3,577.09 – $10,791.00 | 6 |
| St evaluate speech sound production CPT 92522 | $315.36 | $657.00 | $102.66 – $223.44 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $315.36 | $657.00 | $211.93 – $461.26 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $378.72 | $789.00 | $83.21 – $181.10 | 3 |
| St evaluation swallow function CPT 92610 | $263.04 | $548.00 | $51.27 – $111.59 | 3 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.07 – $195.34 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $2,134.80 – $5,171.00 | 6 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $186.26 – $405.38 | 5 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $186.26 – $566.82 | 5 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $186.26 – $405.38 | 5 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $186.26 – $405.38 | 5 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $5,171.00 – $13,634.00 | 2 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $372.96 | $777.00 | $177.65 – $1,597.00 | 6 |
| Strapping of chest CPT 29200 | $324.48 | $676.00 | $177.65 – $1,597.00 | 6 |
| Strapping of elbow or wrist 29260 CPT 29260 | $192.48 | $401.00 | $64.49 – $1,597.00 | 6 |
| Strapping of hand or finger CPT 29280 | $372.96 | $777.00 | $64.49 – $1,597.00 | 6 |
| Strapping of hip CPT 29520 | $411.84 | $858.00 | $145.45 – $1,597.00 | 6 |
| Strapping of knee CPT 29530 | $294.72 | $614.00 | $145.45 – $1,597.00 | 6 |
| Strapping of toes 29550 CPT 29550 | $338.88 | $706.00 | $64.49 – $1,597.00 | 6 |
| Strep a ag ia CPT 87430 | not published | not published | $14.29 – $33.62 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $5.88 – $40.10 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $7.97 – $83.52 | 5 |
| Strep b assay w/optic CPT 87802 | $25.44 | $53.00 | $10.82 – $25.46 | 5 |
| Strep b dna amp probe CPT 87653 | not published | not published | $13.55 – $70.18 | 5 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $152.99 – $152.99 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $10.76 – $25.32 | 5 |
| Streptomycin injection HCPCS J3000 | not published | not published | $9.48 – $62.71 | 4 |
| Streptozocin injection HCPCS J9320 | not published | not published | $196.02 – $365.11 | 2 |
| Stress test pulmonary CPT 94618 | $266.40 | $555.00 | $124.26 – $316.58 | 4 |
| Stress tte complete CPT 93351 | $1,220.64 | $2,543.00 | $597.36 – $1,300.14 | 4 |
| Str markers spec anal addl CPT 81266 | not published | not published | $259.09 – $609.62 | 5 |
| Str markers specimen anal CPT 81265 | not published | not published | $198.11 – $466.14 | 5 |
| St treatment speech individual CPT 92507 | $258.72 | $539.00 | $69.05 – $150.29 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | $272.16 | $567.00 | $78.55 – $170.96 | 3 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $771.70 – $5,171.00 | 6 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $219.34 – $1,597.00 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $807.98 – $1,758.55 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,200.00 – $6,920.00 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $7,883.00 – $9,990.00 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $8,912.00 – $30,548.47 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $80.58 | $167.87 | $3.40 – $5.37 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,874.15 – $8,431.97 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,255.66 – $7,908.00 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $9.80 – $23.06 | 5 |
| Sugars single quant CPT 84378 | not published | not published | $9.80 – $23.06 | 5 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $52.10 | $108.54 | $0.08 – $0.13 | 3 |
| Sulfonylurea screen qn-sendout CPT 80377 | $5.24 | $10.91 | $0.07 – $271.71 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $44.76 | $93.25 | $43.38 – $352.08 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $51.19 – $111.42 | 4 |
| Supply of digital device HCPCS G0552 | not published | not published | $145.55 – $316.79 | 4 |
| Support clav 29.6-40.5in med HCPCS L3650 | $41.93 | $87.36 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $25,686.68 – $97,205.89 | 6 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $3,034.47 – $6,920.00 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $5,357.00 – $15,436.00 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $7,883.00 – $15,436.00 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,853.66 – $7,883.00 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $5,171.00 – $9,990.00 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $5,171.00 – $17,265.50 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $5,171.00 – $9,990.00 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,429.00 – $12,757.91 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $991.55 – $5,171.00 | 6 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,696.26 – $6,920.00 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $36.96 | $77.00 | $31.62 – $68.82 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $98.40 | $205.00 | $40.83 – $88.87 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $126.72 | $264.00 | $56.97 – $123.99 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $192.48 | $401.00 | $56.97 – $123.99 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $292.80 | $610.00 | $262.62 – $852.89 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $636.96 | $1,327.00 | $358.40 – $1,917.04 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $136.05 – $1,597.00 | 6 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | $26.88 | $56.00 | $4.04 – $9.50 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $46.08 | $96.00 | $4.04 – $9.50 | 5 |
| Susceptibility mic per plate CPT 87186 | $86.13 | $179.44 | $7.35 – $17.30 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.64 – $13.28 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $3,853.66 – $8,387.37 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $4,666.00 – $9,718.00 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $5,171.00 – $13,299.00 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Svc venogram s&i CPT 75827 | $2,553.60 | $5,320.00 | $875.03 – $3,745.56 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $21.59 – $123.99 | 5 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,134.80 – $6,920.00 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,134.80 – $6,920.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $4,666.00 – $13,634.00 | 3 |
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.