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 |
|---|---|---|---|---|
| Adenovirus antibody,serum - quest CPT 86603 | $11.45 | $23.85 | $10.94 – $25.74 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $8.91 – $43.52 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $4,971.00 – $14,032.00 | 4 |
| Adh-sendout CPT 84588 | $14.40 | $30.00 | $9.47 – $67.88 | 5 |
| Adj gastric band via subq port CPT 43999 | $3,113.28 | $6,486.00 | $991.55 – $4,971.00 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $4,287.36 | $8,932.00 | $7,602.00 – $17,265.50 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,707.20 | $5,640.00 | $2,255.66 – $7,602.00 | 6 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $375.28 | $781.83 | $0.23 – $1.20 | 2 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $176.64 | $368.00 | $78.71 – $171.32 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $396.96 | $827.00 | $78.71 – $171.32 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $566.40 | $1,180.00 | $361.10 – $785.93 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $392.64 | $818.00 | $361.10 – $785.93 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $159.84 | $333.00 | $78.71 – $171.32 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $349.92 | $729.00 | $78.71 – $171.32 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $53.02 | $110.45 | $78.71 – $171.32 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $24.48 | $51.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $78.71 – $171.32 | 4 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $42.09 – $42.09 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | not published | not published | $51.19 – $111.42 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | not published | not published | $51.19 – $111.42 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | not published | not published | $51.19 – $111.42 | 4 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $36.77 – $36.77 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $35.87 – $88.39 | 6 |
| Adrenal cortex & medulla img CPT 78075 | $2,222.40 | $4,630.00 | $1,415.36 – $3,080.50 | 5 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $236.06 – $513.77 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | not published | not published | $236.06 – $513.77 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $236.06 – $513.77 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,501.91 – $6,177.66 | 5 |
| _afb id by dna probe rflx ast CPT 87149 | $20.67 | $43.06 | $16.50 – $40.10 | 5 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.21 – $14.62 | 5 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | not published | not published | $48.32 – $230.72 | 5 |
| Aflibercept injection HCPCS J0178 | not published | not published | $622.10 – $1,711.10 | 6 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $755.92 – $1,645.24 | 3 |
| After cataract laser surgery CPT 66821 | not published | not published | $601.28 – $6,652.00 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $193.44 – $479.11 | 6 |
| Air conduction bilat CPT 92552 | $196.32 | $409.00 | $145.45 – $316.58 | 4 |
| Air injection into abdomen 49400 CPT 49400 | $508.80 | $1,060.00 | $1,394.00 – $11,456.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $140.67 – $306.17 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $32.33 | $67.35 | $6.61 – $15.56 | 5 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $138.31 | $288.15 | $45.12 – $140.95 | 5 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $18.05 – $45.64 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $449.40 | $936.25 | $45.12 – $114.12 | 5 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $9.02 – $56.72 | 5 |
| Albumin ischemia modified CPT 82045 | not published | not published | $13.51 – $67.88 | 5 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $27.36 | $57.00 | $4.91 – $11.56 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $36.86 | $76.80 | $4.21 – $9.90 | 5 |
| Albuterol ipratrop non-comp HCPCS J7620 | $5.28 | $11.00 | $0.27 – $6.31 | 4 |
| Albuterol non-comp con HCPCS J7611 | $12.10 | $25.20 | $0.23 – $0.39 | 4 |
| Albuterol non-comp unit HCPCS J7613 | $5.28 | $11.00 | $0.11 – $0.68 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $0.07 – $34.54 | 5 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $194.05 – $422.33 | 4 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,134.44 – $11,397.71 | 5 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,074.35 – $5,249.20 | 6 |
| Alkaline phosphatase CPT 84075 | $36.05 | $75.10 | $4.40 – $10.36 | 5 |
| Allergen alpha lactalbumin ige CPT 86008 | $2.40 | $5.00 | $15.24 – $35.86 | 5 |
| Allergen egg white ige CPT 86003 | $10.73 | $22.35 | $4.44 – $10.44 | 5 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $6.77 – $15.94 | 5 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $51.19 – $111.42 | 4 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $51.19 – $111.42 | 4 |
| Allergy Skin Testing CPT 95004 | not published | not published | $37.07 – $2,043.29 | 4 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $75.37 – $2,043.29 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $8,741.00 – $30,548.47 | 6 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $6,636.17 | $13,825.35 | not published | 0 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $9,865.79 | $20,553.72 | $117.90 – $296.10 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $136.05 – $296.10 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $25,124.02 | $52,341.71 | not published | 0 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $10,592.27 | $22,067.23 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $25,141.71 | $52,378.56 | $34.85 – $296.10 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $19,984.42 | $41,634.20 | $136.05 – $1,535.00 | 7 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,613.82 | $13,778.80 | $136.05 – $296.10 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $8,248.78 | $17,184.96 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $6,550.32 | $13,646.50 | $136.05 – $296.10 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $7,173.65 | $14,945.10 | $136.05 – $1,535.00 | 7 |
| Alloskin HCPCS Q4115 | not published | not published | $17.64 – $296.10 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $40.83 – $88.87 | 4 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $31.62 – $68.82 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.06 – $11.09 | 6 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $64.80 | $135.00 | $22.45 – $128.82 | 5 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $14.45 – $34.00 | 5 |
| Alpha-fetoprotein tumor marker CPT 82105 | $54.24 | $113.00 | $14.25 – $33.54 | 5 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.01 – $21.99 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $15,492.58 | $32,276.20 | $54.46 – $196.64 | 6 |
| Alt/sgpt CPT 84460 | $21.60 | $45.00 | $4.50 – $10.60 | 5 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.82 – $9.89 | 6 |
| Aluminum - quest CPT 82108 | $5.76 | $12.00 | $6.39 – $50.96 | 5 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,363.00 – $9,400.00 | 6 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $277.44 | $578.00 | $103.94 – $226.21 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.07 – $209.16 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $145.45 – $316.58 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $44.76 | $93.25 | $0.86 – $10.37 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $11.79 – $27.74 | 5 |
| Amino acid single qual CPT 82127 | not published | not published | $8.96 – $28.36 | 5 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $7.05 – $39.22 | 5 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $44.76 | $93.25 | $1.86 – $2.99 | 3 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.51 – $3.83 | 6 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $13.98 – $32.90 | 5 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $171.16 – $847.98 | 6 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $73.40 | $152.91 | $3.50 – $23.76 | 4 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $3.70 – $6.65 | 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.