Providence St Joseph Hospital Orange
1100 W Stewart Dr, Orange, CA · Providence · · NPI 1912982216
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 |
|---|---|---|---|---|
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $8,741.00 – $14,839.00 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $9,230.00 – $14,839.00 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,853.66 – $9,230.00 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $4,971.00 – $17,265.50 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,971.00 – $9,990.00 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $4,971.00 – $17,265.50 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,971.00 – $9,990.00 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $4,971.00 – $17,143.00 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $991.55 – $4,971.00 | 6 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,696.26 – $6,652.00 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $101.76 | $212.00 | $31.62 – $68.82 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $152.16 | $317.00 | $40.83 – $88.87 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $203.52 | $424.00 | $56.97 – $123.99 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $286.56 | $597.00 | $56.97 – $123.99 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $492.48 | $1,026.00 | $242.65 – $852.89 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $517.44 | $1,078.00 | $331.14 – $1,917.04 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $136.05 – $1,535.00 | 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 | $78.72 | $164.00 | $4.04 – $9.50 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $4.04 – $9.50 | 5 |
| Susceptibility mic per plate CPT 87186 | $248.64 | $518.00 | $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 | $4,971.00 – $11,840.00 | 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 | $4,971.00 – $11,840.00 | 3 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $4,971.00 – $13,043.00 | 4 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $129.08 – $280.94 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Svc venogram s&i CPT 75827 | $3,416.64 | $7,118.00 | $858.19 – $3,745.56 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $21.18 – $123.99 | 5 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,504.94 – $5,451.93 | 3 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,832.23 – $8,340.74 | 3 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $265.15 – $577.09 | 3 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $422.05 – $918.58 | 3 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $245.91 – $535.22 | 3 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $573.35 – $1,247.88 | 3 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,134.80 – $6,652.00 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,134.80 – $6,652.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,577.09 – $9,400.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $11.23 – $40.48 | 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 | $37,328.86 | $77,768.45 | not published | 0 |
| System pacing micra av HCPCS C1786 | $30,028.32 | $62,559.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $16,665.93 | $34,720.68 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $1,314.18 | $2,737.87 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $76.32 | $159.00 | $14.40 – $33.88 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $74.88 | $156.00 | $9.49 – $28.36 | 5 |
| T4 (thyroxine) free CPT 84439 | $54.72 | $114.00 | $7.67 – $18.04 | 5 |
| T4 (thyroxine) total CPT 84436 | $55.68 | $116.00 | $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 | $8.91 | $18.57 | $1.69 – $3.89 | 4 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $29.03 | $60.48 | $0.27 – $6.65 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $785.68 | $1,636.84 | $191.91 – $548.38 | 6 |
| Tacrolimus therapeutic drug level CPT 80197 | $78.72 | $164.00 | $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 | $5,463.00 – $17,143.00 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,463.00 – $17,143.00 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $4,971.00 – $17,143.00 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | $874.51 | $1,821.90 | $62.85 – $151.32 | 6 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $12,360.00 | $25,750.00 | $63.64 – $150.50 | 6 |
| Talymed HCPCS Q4127 | not published | not published | $54.62 – $296.10 | 6 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $4.93 – $4.93 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,394.00 – $11,456.00 | 4 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,394.00 – $11,456.00 | 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 | $2,429.76 | $5,062.00 | $4,971.00 – $17,143.00 | 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 | $12,472.32 | $25,984.00 | $5,463.00 – $17,143.00 | 3 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $423.36 | $882.00 | $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 – $371.97 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.61 – $88.00 | 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 | $11.94 – $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 | $724.86 – $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 | $616.50 – $1,470.17 | 5 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,224.21 – $1,667.00 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $86.98 – $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 | $1,359.11 – $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 | $183.63 – $226.72 | 2 |
| Tc-99m maa HCPCS A9540 | not published | not published | $34.68 – $63.30 | 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.