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 |
|---|---|---|---|---|
| Gjb2 gene full sequence CPT 81252 | not published | not published | $85.95 – $202.24 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $52.29 – $123.04 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $29.75 – $70.00 | 5 |
| Glassia injection HCPCS J0257 | not published | not published | $4.81 – $11.72 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,518.83 – $9,835.10 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,518.83 – $9,835.10 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,523.01 – $6,652.00 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,523.01 – $9,400.00 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $120.86 – $263.05 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $69.91 – $410.13 | 6 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $380.05 | $791.77 | $114.75 – $323.45 | 6 |
| Glucagon plasma - sendout CPT 82943 | $65.24 | $135.92 | $12.15 – $28.58 | 5 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $39.16 – $92.14 | 5 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $42.92 – $101.00 | 5 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.10 – $35.54 | 5 |
| Glucose 1 hr post dose CPT 82950 | $70.08 | $146.00 | $4.04 – $9.50 | 5 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.14 – $12.10 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.79 – $6.56 | 5 |
| Glucose blood quantitative CPT 82947 | $86.40 | $180.00 | $3.34 – $7.86 | 5 |
| Glucose body fluid CPT 82945 | $69.60 | $145.00 | $3.34 – $7.86 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $64.49 – $140.37 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $132.00 | $275.00 | $9.49 – $25.74 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $35.52 | $74.00 | $3.33 – $7.84 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $44.76 | $93.25 | $0.72 – $1.10 | 4 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $17.14 – $28.51 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $9.59 – $23.16 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $43.10 | $89.80 | $10.15 – $37.16 | 5 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $126.15 – $296.82 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $45.60 | $95.00 | $15.74 – $37.04 | 5 |
| Gonioscopy CPT 92020 | not published | not published | $145.45 – $316.58 | 4 |
| Goniotomy CPT 65820 | not published | not published | $3,363.00 – $9,835.10 | 6 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $4,652.18 | $9,692.04 | $757.16 – $1,516.05 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $3,873.96 | $8,070.75 | $43.25 – $296.10 | 6 |
| Graft axiofill 1000mg HCPCS J3590 | $10,410.88 | $21,689.34 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $136.05 – $2,270.34 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $18,726.12 | $39,012.75 | $90.63 – $296.10 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,577.09 – $9,230.00 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $29,839.25 | $62,165.11 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,301.20 – $4,294.63 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $36,480.00 | $76,000.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $35,001.26 | $72,919.30 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $30,287.13 | $63,098.19 | $60.89 – $296.10 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $9,504.86 | $19,801.80 | $136.05 – $1,535.00 | 7 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $15,379.20 | $32,040.00 | $136.05 – $296.10 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $73.78 – $296.10 | 6 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $37,230.35 | $77,563.23 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $6,350.40 | $13,230.00 | $53.42 – $296.10 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $39,602.30 | $82,504.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,207.52 | $10,849.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $83.35 – $110.94 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.43 – $29.99 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Great toe with reduction 28495 CPT 28495 | $489.60 | $1,020.00 | $269.67 – $1,535.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,255.66 – $4,971.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,874.15 – $19,970.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,394.00 – $11,840.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,874.15 – $19,970.00 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $10.80 – $23.50 | 3 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.38 – $31.48 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $56.70 – $133.40 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $109.93 – $258.66 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $14.79 – $151.20 | 5 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $40.96 – $1,535.00 | 5 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $40.96 – $1,535.00 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $2,097.83 – $5,463.00 | 6 |
| G-tube reposition CPT 43761 | $974.40 | $2,030.00 | $273.14 – $1,535.00 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $469.65 – $4,973.88 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $524.64 | $1,093.00 | $774.16 – $4,971.00 | 6 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $8,864.35 | $18,467.40 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $5,995.25 | $12,490.10 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $13,243.20 | $27,590.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $766.56 | $1,597.00 | $204.22 – $585.53 | 2 |
| Gum graft CPT 41870 | not published | not published | $1,696.26 – $9,400.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $15,293.76 | $31,862.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $4,280.52 – $9,400.00 | 6 |
| Hair analysis HCPCS P2031 | not published | not published | $7.91 – $556.54 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $807.98 – $1,758.55 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $444.42 – $7,602.00 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $444.42 – $7,602.00 | 6 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $44.08 – $95.94 | 3 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,648.14 – $5,763.60 | 3 |
| Halo cervical into jckt vest HCPCS L0810 | $5,214.67 | $10,863.90 | $3,359.28 – $7,311.37 | 3 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $4,083.85 – $8,888.38 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $44.76 | $93.25 | $6.57 – $52.32 | 4 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $44.76 | $93.25 | $1.10 – $12.18 | 4 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $219.75 – $478.28 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $11.54 – $11.54 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $98.06 – $213.43 | 3 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,254.00 | $15,112.50 | $14,032.00 – $14,032.00 | 1 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $2,037.11 – $4,433.71 | 3 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,984.56 – $4,319.34 | 3 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $840.18 – $1,828.63 | 3 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,087.58 – $4,543.56 | 3 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,577.09 – $9,230.00 | 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.