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 |
|---|---|---|---|---|
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $11.23 – $40.98 | 4 |
| Synthetic sentence id test CPT 92576 | not published | not published | $40.83 – $88.87 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $5.92 – $19.89 | 6 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $1.40 | $2.92 | $3.74 – $8.80 | 5 |
| System cardiomems hosp electronics HCPCS C2624 | $54,696.36 | $113,950.75 | not published | 0 |
| System pacing micra av HCPCS C1786 | $32,810.40 | $68,355.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $9,600.00 | $20,000.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $1,079.57 | $2,249.10 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $100.32 | $209.00 | $14.40 – $33.88 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $87.36 | $182.00 | $9.49 – $28.36 | 5 |
| T4 (thyroxine) free CPT 84439 | $80.16 | $167.00 | $7.67 – $18.04 | 5 |
| T4 (thyroxine) total CPT 84436 | $53.76 | $112.00 | $5.84 – $13.74 | 5 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.68 – $1.23 | 4 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.71 – $3.89 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $20.98 | $43.71 | $0.27 – $6.74 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $785.68 | $1,636.84 | $194.31 – $548.38 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $74.40 | $155.00 | $11.67 – $27.46 | 5 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $12.04 – $29.95 | 6 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,666.00 – $16,338.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $62.85 – $151.32 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $63.64 – $150.50 | 6 |
| Talymed HCPCS Q4127 | not published | not published | $55.30 – $296.10 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $4.99 – $4.99 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,200.00 – $5,357.00 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $960.00 | $2,000.00 | $8.25 – $1,519.06 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $19.10 – $5,839.20 | 5 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $88.70 – $1,195.82 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,332.56 – $3,377.16 | 6 |
| Tas congenital car anomal CPT 33741 | not published | not published | $4,666.00 – $16,338.00 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $807.98 – $1,758.55 | 6 |
| Tavr perq femoral CPT 33361 | $12,600.00 | $26,250.00 | $4,666.00 – $16,338.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.21 – $0.80 | 6 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $116.45 – $274.00 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $66.45 – $402.58 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.61 – $95.24 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $95.14 – $207.07 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $12.17 – $207.07 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $17.30 – $200.00 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $115.20 | $240.00 | $18.23 – $123.96 | 5 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $733.91 – $1,094.63 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,148.21 – $1,740.45 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $624.19 – $1,470.17 | 5 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,239.48 – $1,667.00 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $88.07 – $128.66 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $794.01 – $2,236.69 | 5 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,376.07 – $1,725.03 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $279.31 – $706.49 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $185.92 – $226.72 | 2 |
| Tc-99m maa HCPCS A9540 | not published | not published | $35.11 – $63.30 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $97.10 – $243.94 | 2 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $127.26 – $238.32 | 2 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $726.58 – $1,651.69 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $12.90 – $14.18 | 2 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $53.54 – $108.49 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $26.50 – $59.81 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $43.82 – $43.82 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $2.82 – $22.94 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $40.28 – $87.63 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $188.03 – $968.75 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $206.52 – $1,431.23 | 5 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $86.76 – $1,615.51 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $184.94 – $339.38 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $398.80 – $398.80 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $807.98 – $1,758.55 | 6 |
| Tcd emboli detect w/inj CPT 93893 | $1,245.12 | $2,594.00 | $114.29 – $248.76 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $114.29 – $248.76 | 4 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $2,420.23 – $2,420.23 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $482.31 – $5,171.00 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $150.55 | $313.65 | $20.66 – $93.96 | 5 |
| T cells absolute cd 4 count CPT 86361 | $61.27 | $127.65 | $17.97 – $53.56 | 5 |
| T cells total count CPT 86359 | $45.08 | $93.91 | $17.72 – $75.46 | 5 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $236.06 – $1,597.00 | 5 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $236.06 – $1,597.00 | 5 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $236.06 – $5,171.00 | 5 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $4,666.00 – $5,357.00 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $4,666.00 – $13,634.00 | 3 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $189.12 – $461.73 | 6 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $857.02 – $1,865.27 | 4 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $857.02 – $1,865.27 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $3.65 – $15.24 | 6 |
| Telethx isodose plan cplx CPT 77307 | $2,611.20 | $5,440.00 | $409.34 – $890.92 | 4 |
| Telethx isodose plan simple CPT 77306 | $1,258.56 | $2,622.00 | $400.33 – $890.92 | 4 |
| Temozolomide HCPCS J8700 | $105.11 | $218.98 | $0.62 – $5.25 | 4 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $8.33 – $22.38 | 6 |
| Temperature gradient studies CPT 93740 | not published | not published | $62.79 – $306.17 | 4 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $13,634.00 – $59,944.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $25.57 – $65.19 | 6 |
| Tendon lengthening CPT 26476 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,577.09 – $9,779.00 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $3,281.00 – $7,785.43 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,606.90 | $30,431.04 | $88.25 – $365.27 | 6 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $371.83 – $6,439.55 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,883.00 – $17,265.50 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,281.00 – $7,908.00 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,577.09 – $7,908.00 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,883.00 – $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.