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 |
|---|---|---|---|---|
| Closure of eyelid by suture CPT 67875 | $1,336.32 | $2,784.00 | $1,089.83 – $4,971.00 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,363.00 – $7,888.83 | 6 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,363.00 – $7,888.83 | 6 |
| Closure paravalvlr leak pq CPT 33999 | $19,020.48 | $39,626.00 | $685.79 – $4,971.00 | 6 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $16.09 – $37.86 | 5 |
| Clot factor viii reltd antgn CPT 85244 | $86.40 | $180.00 | $15.88 – $40.84 | 5 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $16.09 – $37.86 | 5 |
| Clot factor xii hageman CPT 85280 | not published | not published | $16.45 – $38.70 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $7.74 – $18.22 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $56.11 | $116.90 | $13.89 – $32.68 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $41.86 – $194.09 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $3.37 – $3.37 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $489.60 | $1,020.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $489.60 | $1,020.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $1,720.32 | $3,584.00 | $1,757.92 – $4,971.00 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,225.76 | $4,637.00 | $1,757.92 – $4,971.00 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $500.64 | $1,043.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,840.32 | $3,834.00 | $1,757.92 – $6,652.00 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,720.32 | $3,584.00 | $1,757.92 – $7,602.00 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,599.20 | $5,415.00 | $1,757.92 – $7,602.00 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,128.00 | $2,350.00 | $1,394.00 – $6,652.00 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $444.48 | $926.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $4,501.92 | $9,379.00 | $305.77 – $4,971.00 | 6 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,843.20 | $3,840.00 | $589.62 – $7,602.00 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $489.60 | $1,020.00 | $269.67 – $6,652.00 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $4,596.00 | $9,575.00 | $3,577.09 – $7,785.43 | 6 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,614.08 | $11,696.00 | $3,624.60 – $7,888.83 | 6 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $799.00 – $11,456.00 | 2 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,808.00 | $5,850.00 | $1,757.92 – $6,652.00 | 6 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $489.60 | $1,020.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $125.28 | $261.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx pelvic ring fx CPT 27197 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx pelvic ring fx CPT 27198 | $425.76 | $887.00 | $269.67 – $6,652.00 | 6 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,905.44 | $6,053.00 | $1,757.92 – $4,971.00 | 6 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $423.36 | $882.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,128.00 | $2,350.00 | $1,394.00 – $4,971.00 | 6 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $462.24 | $963.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $1,720.32 | $3,584.00 | $1,757.92 – $6,652.00 | 6 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,720.32 | $3,584.00 | $1,394.00 – $6,652.00 | 6 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $4,501.92 | $9,379.00 | $1,757.92 – $4,971.00 | 6 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $4,596.00 | $9,575.00 | $3,363.00 – $7,785.43 | 6 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $336.96 | $702.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $489.60 | $1,020.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,128.00 | $2,350.00 | $1,757.92 – $4,971.00 | 6 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $456.00 | $950.00 | $269.67 – $4,971.00 | 6 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $425.76 | $887.00 | $269.67 – $1,535.00 | 6 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $425.76 | $887.00 | $269.67 – $6,652.00 | 6 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $465.60 | $970.00 | $269.67 – $1,535.00 | 6 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $425.76 | $887.00 | $269.67 – $6,652.00 | 6 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,128.00 | $2,350.00 | $1,757.92 – $6,652.00 | 6 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,720.32 | $3,584.00 | $1,757.92 – $6,652.00 | 6 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $1,128.00 | $2,350.00 | $1,394.00 – $4,971.00 | 6 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,225.76 | $4,637.00 | $1,757.92 – $4,971.00 | 6 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $10,394.88 | $21,656.00 | $6,471.81 – $14,085.70 | 6 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,119.20 | $4,415.00 | $1,696.26 – $9,400.00 | 6 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,158.08 | $10,746.00 | $3,624.60 – $7,888.83 | 6 |
| Cltx palatal/max fx wire fix CPT 21421 | $5,158.08 | $10,746.00 | $3,624.60 – $9,400.00 | 6 |
| Cltx post ankle fx CPT 27767 | $425.76 | $887.00 | $269.67 – $6,652.00 | 6 |
| Cltx post ankle fx w/mnpj CPT 27768 | $1,720.32 | $3,584.00 | $1,394.00 – $6,652.00 | 6 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,905.44 | $6,053.00 | $1,394.00 – $4,971.00 | 6 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $425.76 | $887.00 | $269.67 – $4,971.00 | 6 |
| Cltx thigh fx CPT 27267 | $4,919.04 | $10,248.00 | $3,363.00 – $7,785.43 | 6 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $1,696.26 – $6,652.00 | 6 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,468.89 – $11,902.87 | 6 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $407.95 – $887.89 | 4 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $938.81 – $2,043.29 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $938.81 – $2,043.29 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $64.49 – $1,535.00 | 5 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $64.49 – $1,535.00 | 5 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $11.96 – $28.14 | 5 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.48 – $17.60 | 5 |
| #cmvcul-virus inoculation shell CPT 87254 | $129.33 | $269.44 | $16.63 – $39.12 | 5 |
| Cmv pcr-sendout CPT 87496 | $139.20 | $290.00 | $22.79 – $70.18 | 5 |
| Co2 monitor per day CPT 94681 | $369.60 | $770.00 | $407.95 – $887.89 | 4 |
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.