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 |
|---|---|---|---|---|
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,696.26 – $4,971.00 | 6 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,363.00 – $7,888.83 | 6 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Revision of knee joint CPT 27440 | not published | not published | $9,230.00 – $30,548.47 | 6 |
| Revision of knee joint CPT 27441 | not published | not published | $9,230.00 – $30,548.47 | 6 |
| Revision of knee joint CPT 27442 | not published | not published | $9,230.00 – $30,548.47 | 6 |
| Revision of knee joint CPT 27443 | not published | not published | $9,230.00 – $30,548.47 | 6 |
| Revision of knee joint CPT 27446 | not published | not published | $13,043.00 – $30,548.47 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $6,652.00 – $14,520.00 | 4 |
| Revision of larynx CPT 31400 | not published | not published | $4,035.00 – $14,085.70 | 6 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $2,216.00 – $7,602.00 | 6 |
| Revision of lung CPT 32940 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Revision of mitral valve CPT 33420 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Revision of mitral valve CPT 33422 | not published | not published | $5,463.00 – $17,143.00 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $4,035.00 – $9,990.00 | 6 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Revision of neck muscle CPT 21725 | not published | not published | $774.16 – $7,602.00 | 6 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $6,652.00 – $17,265.50 | 6 |
| Revision of nose CPT 30120 | not published | not published | $3,363.00 – $7,888.83 | 6 |
| Revision of nose CPT 30430 | not published | not published | $5,463.00 – $14,085.70 | 6 |
| Revision of nose CPT 30435 | not published | not published | $6,471.81 – $14,085.70 | 6 |
| Revision of nose CPT 30450 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revision of nose CPT 30460 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revision of nose CPT 30462 | not published | not published | $6,471.81 – $19,970.00 | 6 |
| Revision of pelvis CPT 27158 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Revision of penis CPT 54300 | not published | not published | $3,853.66 – $9,230.00 | 6 |
| Revision of penis CPT 54304 | not published | not published | $3,853.66 – $9,230.00 | 6 |
| Revision of penis CPT 54420 | not published | not published | $3,853.66 – $9,400.00 | 6 |
| Revision of penis CPT 54430 | $558.72 | $1,164.00 | $4,971.00 – $11,456.00 | 3 |
| Revision of penis CPT 54435 | $5,943.84 | $12,383.00 | $3,853.66 – $9,400.00 | 6 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $5,463.00 – $17,143.00 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $5,463.00 – $17,143.00 | 3 |
| Revision of radius CPT 25350 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Revision of radius CPT 25355 | not published | not published | $3,577.09 – $9,230.00 | 6 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $2,134.80 – $6,652.00 | 6 |
| Revision of scrotum CPT 55175 | not published | not published | $3,363.00 – $9,230.00 | 6 |
| Revision of scrotum CPT 55180 | not published | not published | $4,035.00 – $12,757.91 | 6 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,734.68 – $9,230.00 | 6 |
| Revision of testis CPT 54660 | not published | not published | $4,035.00 – $12,757.91 | 6 |
| Revision of thigh muscles CPT 27430 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Revision of toe CPT 28312 | not published | not published | $3,577.09 – $7,785.43 | 6 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $5,463.00 – $17,143.00 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $5,463.00 – $17,143.00 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,932.80 – $17,265.50 | 6 |
| Revision of upper arm CPT 24940 | not published | not published | $11,564.00 – $30,548.47 | 6 |
| Revision of ureter CPT 50700 | not published | not published | $4,971.00 – $14,032.00 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $3,363.00 – $9,230.00 | 6 |
| Revision of urethra CPT 53460 | not published | not published | $3,363.00 – $5,995.00 | 6 |
| Revision of urethra CPT 57220 | not published | not published | $5,468.89 – $11,902.87 | 6 |
| Revision of urinary tract CPT 51820 | not published | not published | $4,971.00 – $17,143.00 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $6,083.33 – $13,240.19 | 6 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $7,602.00 – $17,265.50 | 6 |
| Revision tips CPT 37183 | $11,429.76 | $23,812.00 | $4,971.00 – $16,608.00 | 6 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $9,230.00 – $30,548.47 | 6 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $12,633.00 – $30,548.47 | 6 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $136.05 – $436.24 | 5 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $136.05 – $2,214.80 | 6 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $6,083.33 – $13,240.19 | 5 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $6,083.33 – $13,240.19 | 5 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $5,463.00 – $14,032.00 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,861.74 – $12,757.91 | 6 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $1,535.00 – $9,230.00 | 6 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,363.00 – $9,230.00 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $5,463.00 – $14,032.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,363.00 – $9,230.00 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,363.00 – $9,230.00 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $14,032.00 – $41,720.12 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $14,032.00 – $41,720.12 | 5 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $1,535.00 – $73,423.09 | 6 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,535.00 – $41,720.12 | 6 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,035.00 – $26,513.03 | 6 |
| Revsc opn/prq tib/pero stent CPT 37234 | $5,441.28 | $11,336.00 | $3,363.00 – $12,633.00 | 4 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $9.17 – $22.40 | 6 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $2,134.80 – $7,602.00 | 6 |
| Rheumatoid factor qualitative CPT 86430 | $13.42 | $27.96 | $5.22 – $12.28 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $111.36 | $232.00 | $4.82 – $11.34 | 5 |
| Rh ig IV CPT 90386 | not published | not published | $239.90 – $1,424.87 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $66.20 – $148.00 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $5,463.00 – $14,085.70 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $212.18 | $442.05 | $6.96 – $17.59 | 4 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $33.64 – $63.14 | 4 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $29.12 – $69.90 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $270.93 | $564.43 | $109.91 – $173.98 | 4 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $187.51 – $280.64 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,138.56 | $8,622.00 | $3,544.22 – $9,230.00 | 5 |
| R hrt cath chd nml nt cnj CPT 93593 | $4,138.56 | $8,622.00 | $3,544.22 – $9,230.00 | 5 |
| Rhythm ecg with report CPT 93040 | not published | not published | $70.78 – $186.59 | 2 |
| Rib cartilage graft CPT 21230 | not published | not published | $6,471.81 – $14,839.00 | 6 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $112.35 – $244.53 | 3 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,479.05 – $5,882.40 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $471.17 | $981.61 | $0.20 – $0.32 | 3 |
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.