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 |
|---|---|---|---|---|
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $146.94 – $319.81 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $258.93 – $4,971.00 | 6 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $258.93 – $4,971.00 | 6 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $437.05 – $951.22 | 5 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $219.34 – $477.39 | 4 |
| Unlisted surgical path px CPT 88399 | not published | not published | $56.97 – $123.99 | 5 |
| Unlisted transfusion med px CPT 86999 | $108.00 | $225.00 | $31.62 – $68.82 | 5 |
| Unlisted ultrasound procedure CPT 76999 | $894.72 | $1,864.00 | $95.14 – $207.07 | 5 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $685.79 – $10,687.00 | 6 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $437.05 – $951.22 | 5 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,807.68 | $3,766.00 | $750.31 – $1,633.02 | 4 |
| Upgrade pm system CPT 33214 | $10,996.80 | $22,910.00 | $11,426.56 – $24,869.57 | 6 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $5,630.40 | $11,730.00 | $381.40 – $830.11 | 5 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,735.20 | $9,865.00 | $381.40 – $830.11 | 5 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $4,400.16 | $9,167.00 | $260.85 – $567.73 | 5 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,222.56 | $2,547.00 | $991.55 – $4,971.00 | 6 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,222.56 | $2,547.00 | $991.55 – $6,652.00 | 6 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | not published | not published | $475.75 – $1,035.46 | 3 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $4,971.00 – $11,456.00 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $991.55 – $6,652.00 | 6 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Urea nitrogen CPT 84520 | $47.52 | $99.00 | $3.36 – $7.90 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $44.16 | $92.00 | $4.73 – $11.12 | 5 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $6.12 – $14.40 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $4.36 – $10.26 | 5 |
| Ureteral embolization/occl CPT 50705 | $1,936.32 | $4,034.00 | $1,394.00 – $11,456.00 | 3 |
| Ureteral reflux study CPT 78740 | not published | not published | $437.05 – $951.22 | 5 |
| Ureter endoscopy CPT 50970 | not published | not published | $2,216.00 – $5,995.00 | 6 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $2,216.00 – $8,387.37 | 6 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $3,363.00 – $12,757.91 | 6 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $683.04 | $1,423.00 | $260.85 – $567.73 | 5 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,853.66 – $12,280.00 | 6 |
| Urethrocystography void s&i CPT 74455 | $725.28 | $1,511.00 | $260.85 – $567.73 | 5 |
| Uric acid blood CPT 84550 | $24.00 | $50.00 | $3.84 – $9.04 | 5 |
| Uric acid urine CPT 84560 | $24.00 | $50.00 | $4.32 – $10.16 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.00 – $9.40 | 5 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $2.59 – $6.10 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $1.84 – $4.34 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $117.12 | $244.00 | $2.69 – $6.34 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $67.20 | $140.00 | $1.91 – $4.50 | 5 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $372.51 – $564.75 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $64.49 – $1,535.00 | 6 |
| Urine Culture Test CPT 87086 | $159.36 | $332.00 | $6.86 – $16.14 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $145.45 – $1,535.00 | 6 |
| Urine pregnancy test CPT 81025 | $122.40 | $255.00 | $7.32 – $17.22 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $20.64 – $59.96 | 5 |
| Urine shunt to intestine CPT 50815 | not published | not published | $4,971.00 – $17,143.00 | 3 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $6.00 – $3,363.00 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $127.26 – $137.90 | 2 |
| Urography, antegrade CPT 74425 | $631.68 | $1,316.00 | $381.40 – $830.11 | 5 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $191.76 – $417.35 | 5 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $790.42 – $790.42 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $96.07 – $96.07 | 1 |
| Use 1st target lesion CPT 76982 | $239.52 | $499.00 | $114.29 – $248.76 | 5 |
| User adjustable heel height HCPCS L5990 | not published | not published | $1,853.35 – $4,033.76 | 3 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $9.88 – $27.54 | 6 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $189.09 – $327.64 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $11,456.00 – $30,548.47 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $229.28 – $347.55 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $208.59 – $316.18 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $221.13 – $335.19 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $124.51 – $188.73 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $92.98 – $140.93 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $34.87 – $76.76 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $117.28 – $265.72 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $90.09 – $329.32 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $229.67 – $804.51 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $86.90 – $290.23 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $78.56 – $90.45 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $49.50 | $103.12 | $33.95 – $42.80 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $222.32 | $463.16 | $102.79 – $155.14 | 3 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $165.88 – $286.10 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $52.85 – $90.99 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | not published | not published | $52.85 – $62.59 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $106.59 – $161.57 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $227.22 | $473.37 | $95.54 – $151.32 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $424.64 | $884.66 | $220.07 – $381.75 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $77.46 | $161.38 | $43.64 – $68.09 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $297.24 – $793.31 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $226.03 – $228.07 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $49.31 – $179.50 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $90.85 – $179.50 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $14.79 – $47.00 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $25.89 – $48.05 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $26.96 – $26.96 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $33.81 – $33.81 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $38.90 – $38.90 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $32.04 – $32.04 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $14.63 – $14.63 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $39.37 – $65.34 | 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.