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 |
|---|---|---|---|---|
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $4,971.00 – $4,971.00 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $131.52 | $274.00 | $13.52 – $29.42 | 3 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $172.80 | $360.00 | $16.99 – $36.98 | 3 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $60.00 | $125.00 | $13.45 – $29.27 | 3 |
| Pt application of modality traction mechanical CPT 97012 | $78.72 | $164.00 | $13.33 – $29.01 | 3 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $133.87 – $600.00 | 5 |
| Pten gene full sequence CPT 81321 | not published | not published | $164.76 – $1,200.00 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $39.61 – $93.20 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,463.00 – $14,085.70 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $188.16 | $392.00 | $91.43 – $199.00 | 3 |
| Pt evaluation low complexity patient/family CPT 97161 | $84.00 | $175.00 | $90.78 – $197.58 | 3 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $125.28 | $261.00 | $87.56 – $190.57 | 3 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $21.56 – $261.39 | 4 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,122.61 – $2,443.33 | 3 |
| Pt re-evaluation patient/family CPT 97164 | $59.04 | $123.00 | $60.55 – $131.78 | 3 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $101.28 | $211.00 | $25.74 – $56.02 | 3 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $43.20 | $90.00 | $11.87 – $25.83 | 3 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $84.48 | $176.00 | $25.91 – $56.39 | 3 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $88.32 | $184.00 | $28.18 – $61.33 | 3 |
| Pt wheelchair management each 15 minutes CPT 97542 | $72.48 | $151.00 | $29.15 – $63.46 | 3 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $12,620.59 – $27,468.35 | 6 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $11,456.00 – $14,839.00 | 3 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $6.72 – $11,000.00 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,463.00 – $17,143.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $4,971.00 – $17,143.00 | 3 |
| Pulmonary vent imaging CPT 78579 | $845.28 | $1,761.00 | $437.05 – $951.22 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $298.08 | $621.00 | $140.67 – $306.17 | 4 |
| Pulse ox multiple CPT 94761 | $123.84 | $258.00 | $298.47 – $298.47 | 1 |
| Pulse ox single CPT 94760 | not published | not published | $115.46 – $115.46 | 1 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $1,519.80 | $3,166.25 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $1,011.84 | $2,108.00 | $771.70 – $4,971.00 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $100.32 | $209.00 | $145.45 – $1,394.00 | 5 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $987.36 | $2,057.00 | $444.42 – $1,535.00 | 6 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,363.00 – $7,888.83 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,959.84 | $4,083.00 | $771.70 – $4,971.00 | 6 |
| Puraply 1 sq cm HCPCS Q4195 | $10,305.27 | $21,469.32 | $136.05 – $1,535.00 | 7 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $104.75 – $1,535.00 | 7 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $1,394.00 – $11,456.00 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $771.70 – $4,971.00 | 6 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $771.70 – $4,971.00 | 6 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $700.98 – $1,525.66 | 3 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $16,605.32 – $36,140.99 | 3 |
| Pyelotomy complicated CPT 50135 | not published | not published | $14,032.00 – $14,032.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $4,971.00 – $11,840.00 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $45.29 | $94.35 | $4.85 – $27.03 | 4 |
| Pyruvate CPT 84210 | $48.70 | $101.45 | $12.31 – $28.96 | 5 |
| Pyruvate kinase CPT 84220 | not published | not published | $8.02 – $18.88 | 5 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $292.53 – $636.68 | 3 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $49.05 – $1,535.00 | 5 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $772.32 | $1,609.00 | $593.60 – $1,291.95 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,098.24 | $2,288.00 | $437.05 – $951.22 | 5 |
| Quest t3 uptake CPT 84479 | $60.48 | $126.00 | $5.50 – $12.94 | 5 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $498.51 – $1,084.99 | 3 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $6.04 – $9.16 | 2 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $129.23 – $746.74 | 5 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $205.85 – $518.47 | 6 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $5,352.19 | $11,150.40 | $131.01 – $623.31 | 6 |
| Rabies vaccine id CPT 90676 | not published | not published | $153.11 – $568.61 | 5 |
| Radial keratotomy CPT 65771 | not published | not published | $5,463.00 – $14,839.00 | 4 |
| Radiation handling CPT 77790 | $1,142.40 | $2,380.00 | $178.69 – $216.32 | 2 |
| Radiation physics consult CPT 77336 | $879.36 | $1,832.00 | $146.94 – $319.81 | 4 |
| Radiation therapy dose plan CPT 77300 | $539.04 | $1,123.00 | $146.94 – $319.81 | 4 |
| Radiation therapy management CPT 77431 | not published | not published | $480.19 – $730.65 | 2 |
| Radiation treatment aid(s) CPT 77332 | $450.72 | $939.00 | $146.94 – $319.81 | 4 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $98.27 – $319.81 | 4 |
| Radiation treatment aid(s) CPT 77334 | $1,151.04 | $2,398.00 | $409.34 – $890.92 | 4 |
| Radiation treatment delivery CPT 77401 | not published | not published | $142.05 – $542.10 | 2 |
| Radiation treatment delivery CPT 77402 | $844.80 | $1,760.00 | $111.54 – $242.77 | 4 |
| Radiation treatment delivery CPT 77412 | $1,480.32 | $3,084.00 | $604.06 – $1,314.72 | 4 |
| Radiation tx management x5 CPT 77427 | not published | not published | $872.77 – $1,612.20 | 2 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $5,463.00 – $17,143.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $6,652.00 – $17,265.50 | 6 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $6,652.00 – $17,265.50 | 6 |
| Radical resection of elbow CPT 24149 | not published | not published | $4,971.00 – $17,265.50 | 6 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $6,652.00 – $17,265.50 | 6 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Radiesse injection HCPCS Q2026 | not published | not published | $296.81 – $716.85 | 5 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $5,628.98 – $12,251.31 | 3 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $819.61 – $1,783.86 | 3 |
| Radiology port images(s) CPT 77417 | $697.44 | $1,453.00 | $82.99 – $200.45 | 2 |
| Radiotherapy dose plan imrt CPT 77301 | $8,262.72 | $17,214.00 | $1,513.19 – $3,293.41 | 4 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $145.43 – $363.48 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $2,315.52 | $4,824.00 | $593.60 – $2,035.50 | 5 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,315.52 | $4,824.00 | $593.60 – $2,035.50 | 5 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,315.52 | $4,824.00 | $1,415.36 – $3,080.50 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,315.52 | $4,824.00 | $593.60 – $2,035.50 | 5 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,300.32 | $2,709.00 | $437.05 – $951.22 | 5 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $431.68 – $964.50 | 2 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $3,175.56 – $7,602.00 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $3,175.56 – $7,602.00 | 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.