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 |
|---|---|---|---|---|
| X-ray ankle 2 views (both sides) CPT 73600 | $369.60 | $770.00 | $95.14 – $207.07 | 5 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $545.76 | $1,137.00 | $381.40 – $830.11 | 5 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.64 – $25.04 | 5 |
| X-ray bone age studies CPT 77072 | $226.08 | $471.00 | $79.23 – $248.76 | 5 |
| X-ray bone length studies CPT 77073 | $516.00 | $1,075.00 | $114.29 – $248.76 | 5 |
| X-ray bone survey complete CPT 77075 | $1,131.36 | $2,357.00 | $114.29 – $248.76 | 5 |
| X-ray bone survey infant CPT 77076 | $685.44 | $1,428.00 | $114.29 – $248.76 | 5 |
| X-ray cervical spine 2-3 views CPT 72040 | $468.48 | $976.00 | $95.14 – $207.07 | 5 |
| X-ray cervical spine 4-5 views CPT 72050 | $655.20 | $1,365.00 | $114.29 – $248.76 | 5 |
| X-ray cervical spine >= 6 views CPT 72052 | $844.80 | $1,760.00 | $114.29 – $248.76 | 5 |
| X-ray clavicle complete (both sides) CPT 73000 | $367.20 | $765.00 | $95.14 – $207.07 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $720.48 | $1,501.00 | $191.76 – $417.35 | 5 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $948.96 | $1,977.00 | $191.76 – $417.35 | 5 |
| X-ray consultation CPT 76140 | not published | not published | $194.70 – $197.51 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $369.60 | $770.00 | $95.14 – $207.07 | 5 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $468.48 | $976.00 | $95.14 – $207.07 | 5 |
| Xray endovasc thor ao repr CPT 75956 | $905.28 | $1,886.00 | $1,733.71 – $4,800.35 | 2 |
| Xray endovasc thor ao repr CPT 75957 | $775.20 | $1,615.00 | $1,483.87 – $4,112.56 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $492.00 | $1,025.00 | $191.76 – $417.35 | 5 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $709.92 | $1,479.00 | $114.29 – $248.76 | 5 |
| X-ray exam entire spi 6/> vw CPT 72084 | $792.48 | $1,651.00 | $114.29 – $248.76 | 5 |
| X-ray exam of arm infant CPT 73092 | $284.64 | $593.00 | $114.29 – $248.76 | 5 |
| X-ray exam of eye sockets CPT 70200 | $553.92 | $1,154.00 | $114.29 – $248.76 | 5 |
| X-ray exam of femur 1 CPT 73551 | $306.24 | $638.00 | $95.14 – $207.07 | 5 |
| X-ray exam of jaw joint CPT 70328 | $274.08 | $571.00 | $95.14 – $207.07 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray exam of mastoids CPT 70120 | $364.32 | $759.00 | $114.29 – $248.76 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $166.79 – $1,300.14 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $114.29 – $248.76 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $95.14 – $207.07 | 5 |
| X-ray exam of sinuses CPT 70210 | $348.00 | $725.00 | $95.14 – $207.07 | 5 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray exam of teeth CPT 70300 | not published | not published | $48.73 – $207.07 | 5 |
| X-ray exam of teeth CPT 70310 | not published | not published | $147.16 – $567.73 | 5 |
| X-ray exam si joints CPT 72200 | $464.16 | $967.00 | $114.29 – $248.76 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $709.92 | $1,479.00 | $114.29 – $248.76 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $125.76 | $262.00 | $95.14 – $207.07 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $687.36 | $1,432.00 | $114.29 – $248.76 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $315.56 – $1,084.77 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $360.48 | $751.00 | $95.14 – $207.07 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $318.24 | $663.00 | $95.14 – $207.07 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $335.04 | $698.00 | $95.14 – $207.07 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $404.16 | $842.00 | $95.14 – $207.07 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $335.04 | $698.00 | $109.67 – $248.76 | 5 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $65.89 – $207.07 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $338.88 | $706.00 | $95.14 – $207.07 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $709.92 | $1,479.00 | $114.29 – $248.76 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $462.24 | $963.00 | $114.29 – $248.76 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $490.56 | $1,022.00 | $114.29 – $248.76 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $763.68 | $1,591.00 | $114.29 – $248.76 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $235.20 | $490.00 | $95.14 – $207.07 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $367.20 | $765.00 | $95.14 – $207.07 | 5 |
| X-ray joint survey 1 view CPT 77077 | $685.44 | $1,428.00 | $114.29 – $248.76 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $243.84 | $508.00 | $95.14 – $207.07 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $517.44 | $1,078.00 | $95.14 – $207.07 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $243.84 | $508.00 | $95.14 – $207.07 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $328.32 | $684.00 | $95.14 – $207.07 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $915.36 | $1,907.00 | $114.29 – $248.76 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $816.48 | $1,701.00 | $114.29 – $248.76 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $852.96 | $1,777.00 | $114.29 – $248.76 | 5 |
| X-ray male genital tract CPT 74440 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $662.88 | $1,381.00 | $114.29 – $248.76 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $396.48 | $826.00 | $95.14 – $207.07 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $364.31 – $364.31 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $439.68 | $916.00 | $95.14 – $207.07 | 5 |
| X-ray neck soft tissue CPT 70360 | $286.56 | $597.00 | $95.14 – $207.07 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $292.80 | $610.00 | $95.14 – $207.07 | 5 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $260.85 – $567.73 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $95.14 – $207.07 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $270.24 | $563.00 | $100.15 – $248.76 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $543.84 | $1,133.00 | $114.29 – $248.76 | 5 |
| Xray place dist ext thor ao CPT 75959 | $1,562.88 | $3,256.00 | $863.84 – $2,400.62 | 2 |
| Xray place prox ext thor ao CPT 75958 | $480.00 | $1,000.00 | $984.37 – $2,741.95 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $668.64 | $1,393.00 | $381.40 – $830.11 | 5 |
| X-ray ribs 2 views left CPT 71100 | $426.72 | $889.00 | $95.14 – $207.07 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $482.40 | $1,005.00 | $114.29 – $248.76 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $454.08 | $946.00 | $114.29 – $248.76 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $571.20 | $1,190.00 | $114.29 – $248.76 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $464.16 | $967.00 | $114.29 – $248.76 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $478.08 | $996.00 | $95.14 – $207.07 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $360.48 | $751.00 | $114.29 – $248.76 | 5 |
| X-ray sella turcica CPT 70240 | not published | not published | $95.14 – $207.07 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $288.96 | $602.00 | $90.63 – $207.07 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $638.88 | $1,331.00 | $95.14 – $207.07 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $274.56 | $572.00 | $199.17 – $1,300.14 | 5 |
| X-ray skull < 4 views CPT 70250 | $388.32 | $809.00 | $114.29 – $248.76 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $665.28 | $1,386.00 | $114.29 – $248.76 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $114.29 – $248.76 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $784.32 | $1,634.00 | $191.76 – $417.35 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $236.64 | $493.00 | $248.92 – $447.01 | 2 |
| X-ray spine single view CPT 72020 | $314.88 | $656.00 | $90.63 – $207.07 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $249.60 | $520.00 | $95.14 – $207.07 | 5 |
| X-ray sternum > 2 views CPT 71120 | $355.20 | $740.00 | $95.14 – $207.07 | 5 |
| X-ray surgical specimen CPT 76098 | $665.76 | $1,387.00 | $62.07 – $1,300.14 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $598.56 | $1,247.00 | $191.76 – $417.35 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $444.96 | $927.00 | $95.14 – $207.07 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $424.80 | $885.00 | $114.29 – $248.76 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $614.88 | $1,281.00 | $114.29 – $248.76 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $373.44 | $778.00 | $95.14 – $207.07 | 5 |
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.