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 |
|---|---|---|---|---|
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $157.44 | $328.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $157.44 | $328.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $359.42 – $359.42 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $340.92 – $340.92 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $365.45 – $365.45 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | $309.12 | $644.00 | $483.27 – $483.27 | 1 |
| Ghs nailbed repair/nail removal CPT 11760 | $651.84 | $1,358.00 | $807.98 – $4,971.00 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $516.00 | $1,075.00 | $966.94 – $4,971.00 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,345.44 | $2,803.00 | $771.70 – $4,971.00 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | $516.00 | $1,075.00 | $966.94 – $4,971.00 | 6 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $966.94 – $4,971.00 | 6 |
| Ghs nerve block celiac plexus CPT 64530 | $2,341.92 | $4,879.00 | $966.94 – $4,971.00 | 6 |
| Ghs nerve block interscaline CPT 64510 | $516.00 | $1,075.00 | $966.94 – $4,971.00 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $966.94 – $4,971.00 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,345.44 | $2,803.00 | $771.70 – $2,216.00 | 6 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $771.70 – $4,971.00 | 6 |
| Ghs ng placement w fluoro guidance CPT 43752 | $606.24 | $1,263.00 | $488.38 – $1,535.00 | 6 |
| Ghs o2 saturation CPT 82810 | $10.56 | $22.00 | $8.30 – $19.54 | 5 |
| Ghs o2 uptake rest & exercise CPT 94680 | $202.56 | $422.00 | $140.67 – $306.17 | 4 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $64.49 – $140.37 | 4 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $94.56 | $197.00 | $51.19 – $111.42 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,968.48 | $4,101.00 | $685.79 – $4,971.00 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,492.80 | $3,110.00 | $1,720.93 – $4,971.00 | 6 |
| Ghs optokenetic CPT 92544 | not published | not published | $140.67 – $306.17 | 4 |
| Ghs oscillating trac CPT 92545 | not published | not published | $236.06 – $513.77 | 4 |
| Ghs ot dds rom CPT 95851 | not published | not published | $5.85 – $227.91 | 4 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $8.33 – $1,535.00 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $37.92 – $82.53 | 3 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $58.19 – $126.65 | 3 |
| Ghs pacing - transcutaneous CPT 92953 | $741.12 | $1,544.00 | $722.57 – $2,216.00 | 5 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $558.72 | $1,164.00 | $1,394.00 – $11,456.00 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $685.92 | $1,429.00 | $1,394.00 – $11,456.00 | 4 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $52.70 – $224.16 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $991.20 | $2,065.00 | $258.93 – $4,971.00 | 6 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $4.68 – $11.00 | 5 |
| Ghs picc line insert < 5 CPT 36568 | $3,531.84 | $7,358.00 | $1,720.93 – $4,971.00 | 6 |
| Ghs plngl fx pm cl CPT 26725 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.66 – $8.62 | 5 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,008.80 | $4,185.00 | $938.81 – $2,043.29 | 4 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $145.45 – $316.58 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $18.72 | $39.00 | $31.62 – $68.82 | 5 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $8.21 – $19.32 | 5 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.77 – $11.22 | 5 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $12.20 – $28.70 | 5 |
| Ghs pr without cont pulse ox CPT 94625 | $72.48 | $151.00 | $64.49 – $140.37 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $10.41 – $24.50 | 5 |
| Ghs quinidine CPT 80194 | not published | not published | $12.41 – $29.20 | 5 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $361.10 – $1,394.00 | 5 |
| Ghs removal intranasal foreign body CPT 30300 | $198.24 | $413.00 | $145.45 – $1,535.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $303.36 | $632.00 | $488.38 – $1,535.00 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,905.44 | $6,053.00 | $1,757.92 – $7,602.00 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $4,596.00 | $9,575.00 | $3,577.09 – $9,400.00 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $13.51 – $31.78 | 5 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.66 – $8.62 | 5 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $21.12 | $44.00 | $11.82 – $27.82 | 5 |
| Ghs sedimentation rate CPT 85651 | $38.40 | $80.00 | $3.63 – $8.54 | 5 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.46 – $24.62 | 5 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.36 – $19.68 | 5 |
| Ghs sensitivity (per antimicro) CPT 87184 | $94.08 | $196.00 | $6.36 – $14.96 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $563.04 | $1,173.00 | $444.42 – $6,652.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $563.04 | $1,173.00 | $444.42 – $6,652.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $563.04 | $1,173.00 | $444.42 – $6,652.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $566.40 | $1,180.00 | $444.42 – $6,652.00 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $563.04 | $1,173.00 | $219.34 – $1,535.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $563.04 | $1,173.00 | $219.34 – $1,535.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $563.04 | $1,173.00 | $219.34 – $1,535.00 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $563.04 | $1,173.00 | $219.34 – $6,652.00 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $685.44 | $1,428.00 | $219.34 – $6,652.00 | 6 |
| Ghs sleep study unattended CPT 95800 | $643.20 | $1,340.00 | $236.06 – $513.77 | 4 |
| Ghs somatosensory testing lower extremit CPT 95926 | $1,142.40 | $2,380.00 | $236.06 – $513.77 | 4 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $938.81 – $1,999.00 | 4 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $45.20 – $98.38 | 3 |
| Ghs sphenopalatine ganglion block CPT 64505 | $630.24 | $1,313.00 | $335.57 – $4,971.00 | 6 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $145.45 – $316.58 | 4 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $262.56 | $547.00 | $96.30 – $209.60 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | $317.76 | $662.00 | $145.45 – $1,535.00 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $203.04 | $423.00 | $65.78 – $143.17 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $94.56 | $197.00 | $51.19 – $111.42 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $294.72 | $614.00 | $232.54 – $506.11 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $906.24 | $1,888.00 | $807.98 – $4,971.00 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $701.76 | $1,462.00 | $444.42 – $4,971.00 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,972.80 | $4,110.00 | $1,696.26 – $4,971.00 | 6 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $6.20 – $14.60 | 5 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $462.24 | $963.00 | $269.67 – $1,535.00 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $7.13 – $48.60 | 5 |
| Ghs urine, porphyrins quant CPT 84120 | $63.00 | $131.25 | $12.50 – $29.42 | 5 |
| Ghs vaginal delivery only CPT 59409 | $2,981.76 | $6,212.00 | $3,363.00 – $7,702.45 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,752.32 | $5,734.00 | $407.95 – $887.89 | 4 |
| Ghs windowing of cast CPT 29730 | $290.40 | $605.00 | $177.65 – $1,535.00 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $11.57 – $27.22 | 5 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $10.67 – $29.44 | 5 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $260.85 – $567.73 | 5 |
| Gi inhouse confirmation CPT 87045 | $87.84 | $183.00 | $8.02 – $18.88 | 5 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,624.60 – $9,230.00 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $437.05 – $951.22 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,608.96 | $3,352.00 | $991.55 – $3,845.00 | 5 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,016.67 – $2,212.75 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $991.55 – $3,845.00 | 5 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $991.55 – $6,652.00 | 6 |
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.