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 |
|---|---|---|---|---|
| Destruction ciliary body CPT 66700 | not published | not published | $2,523.01 – $6,652.00 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,599.17 – $6,652.00 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,599.17 – $6,652.00 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $219.34 – $1,535.00 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $3,034.47 – $6,604.43 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,599.17 – $5,657.01 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $444.42 – $4,971.00 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $444.42 – $4,971.00 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $444.42 – $4,971.00 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $444.42 – $4,971.00 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $444.42 – $1,535.00 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,255.66 – $4,971.00 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $444.42 – $1,535.00 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $3,034.47 – $19,970.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $3,363.00 – $7,702.45 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,363.00 – $7,702.45 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $2,255.66 – $6,652.00 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $16.59 – $60.06 | 5 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $14.69 – $87.34 | 5 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $598.08 – $598.08 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $140.67 – $306.17 | 4 |
| Device ablt adv novasure HCPCS C1886 | $9,072.00 | $18,900.00 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,880.00 | $12,250.00 | $1,535.00 – $1,535.00 | 1 |
| Device intraute mirena HCPCS J7298 | $3,165.72 | $6,595.24 | $1,410.01 – $3,133.75 | 2 |
| Device sut capio slim opn HCPCS C2631 | $2,232.34 | $4,650.71 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $10,190.40 | $21,230.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $294.72 | $614.00 | $95.14 – $207.07 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $78.66 – $237.96 | 6 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $5.83 – $12.74 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.29 | $11.02 | $0.03 – $0.56 | 4 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $44.76 | $93.25 | $0.16 – $2.26 | 4 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $173.22 – $441.27 | 6 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.92 – $1.38 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $42.28 – $174.06 | 6 |
| Dextran 40 infusion HCPCS J7100 | $61.49 | $128.10 | $110.79 – $200.37 | 2 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $61.49 | $128.10 | $1.78 – $28.30 | 4 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $61.49 | $128.10 | $1.69 – $13.01 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $61.49 | $128.10 | $2.60 – $16.12 | 4 |
| Dextrose 5 % IV bolus HCPCS J7070 | $61.49 | $128.10 | $5.18 – $17.36 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $72.00 | $150.00 | $5.52 – $44.46 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $62.40 | $130.00 | $8.25 – $19.42 | 5 |
| Diab manage trn ind/group HCPCS G0109 | $52.80 | $110.00 | $14.86 – $32.34 | 3 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,945.86 – $6,652.00 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $6,609.22 – $14,384.78 | 6 |
| Diagnostic anoscopy CPT 46601 | $288.00 | $600.00 | $488.38 – $1,535.00 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,308.22 – $4,971.00 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $285.12 | $594.00 | $145.45 – $1,535.00 | 6 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $34.56 | $72.00 | $192.86 – $777.91 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $34.56 | $72.00 | $151.28 – $641.87 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $151.68 | $316.00 | $218.22 – $4,971.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $1,344.48 | $2,801.00 | $218.22 – $1,535.00 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $395.52 | $824.00 | $102.68 – $1,206.18 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $309.60 | $645.00 | $83.26 – $942.18 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | $145.92 | $304.00 | $95.14 – $207.07 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $11,068.32 | $23,059.00 | $1,394.00 – $11,456.00 | 4 |
| Dialysis one evaluation CPT 90945 | $648.96 | $1,352.00 | $456.17 – $992.84 | 4 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.00 – $15.24 | 3 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $43.20 | $90.00 | $0.11 – $0.19 | 3 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $60.00 | $125.00 | $5.75 – $12.45 | 4 |
| Dicyclomine injection HCPCS J0500 | $44.76 | $93.25 | $18.32 – $27.65 | 4 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.18 – $0.19 | 2 |
| Diffusing capacity CPT 94729 | $418.08 | $871.00 | $401.87 – $401.87 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $2,354.01 – $2,354.01 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $44.76 | $93.25 | $3.04 – $10.49 | 4 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $10,945.58 | $22,803.30 | $1,099.26 – $10,682.45 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $178.56 | $372.00 | $11.29 – $26.56 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $404.62 | $842.95 | $48.26 – $194.15 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $1,623.84 | $3,383.00 | $1,394.00 – $11,456.00 | 4 |
| Dilate esophagus CPT 43453 | not published | not published | $2,097.83 – $4,971.00 | 6 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $991.55 – $4,971.00 | 6 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $8,589.60 | $17,895.00 | $5,463.00 – $11,456.00 | 2 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $5,463.00 – $11,456.00 | 2 |
| Dilate ic vasospasm init CPT 61640 | $10,604.64 | $22,093.00 | $5,463.00 – $14,032.00 | 2 |
| Dilate tear duct opening CPT 68801 | not published | not published | $488.38 – $4,971.00 | 6 |
| Dilate urethra stricture CPT 53600 | $519.36 | $1,082.00 | $273.14 – $4,971.00 | 6 |
| Dilate urethra stricture CPT 53601 | not published | not published | $145.45 – $4,971.00 | 6 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,845.00 – $6,652.00 | 6 |
| Dilate urethra stricture CPT 53621 | not published | not published | $273.14 – $1,535.00 | 6 |
| Dilation/female urethra/initial 53660 CPT 53660 | $273.12 | $569.00 | $140.67 – $1,535.00 | 6 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,308.22 – $4,971.00 | 6 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,363.00 – $7,702.45 | 6 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,308.22 – $4,971.00 | 6 |
| Dilation of salivary duct CPT 42660 | not published | not published | $589.62 – $4,971.00 | 6 |
| Dilation of urethra CPT 53661 | not published | not published | $145.45 – $1,535.00 | 6 |
| Dilation of urethra CPT 53665 | not published | not published | $2,285.30 – $5,463.00 | 6 |
| Dilation of vagina CPT 57400 | not published | not published | $3,538.96 – $7,702.45 | 6 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,696.26 – $4,971.00 | 6 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $378.72 | $789.00 | $762.31 – $6,652.00 | 6 |
| Dilator fascial 10fx20cm HCPCS C2627 | $572.52 | $1,192.75 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,363.00 – $5,995.00 | 6 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $3,853.66 – $19,970.00 | 6 |
| Dimecaprol injection HCPCS J0470 | $521.83 | $1,087.14 | $42.51 – $42.51 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $4.40 – $17.95 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,927.01 | $4,014.60 | $96.74 – $1,536.65 | 6 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.40 | $5.00 | $0.12 – $2.80 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $44.76 | $93.25 | $0.94 – $2.48 | 4 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $23.05 – $36.16 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $40.83 – $88.87 | 4 |
| Disability dlco CPT 94727 | not published | not published | $236.06 – $513.77 | 4 |
| Disaccharidases CPT 82657 | $42.24 | $88.00 | $11.29 – $44.34 | 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.