Visits & medical services prices at Providence Mission Hospital

Mission Viejo, CA · every code in this section with a posted price and a Medicare benchmark.

252 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Ablate Heart Dysrhythm Focus (93650)
unusually low: confirm this is the full procedure
$4,455.84 $9,283 0.4×
Admn Sarscov2 Vacc 1 Dose (90480) $35.04 $73 0.7×
Aep threshold estimation mlt frequencies i&r (92652) $251.04 $523 0.9×
Airway Inhalation Treatment (94640) $431.52 $899 1.5×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $403.68 $841 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $78.24 $163 5.4×
Arrhythmia Induction (93618) $1,758.24 $3,663 1.1×
Behavral qualit analys voice (92524)
range across 2 matching MRF lines
$301.44–$342.72 $628–$714 varies
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $149.28 $311 1.8×
Bis Xtracell Fluid Analysis (93702) $231.36 $482 1.4×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $323.52 $674 0.7×
Bundle of his recording (93600)
likely a partial charge, not the full procedure
$2,497.92 $5,204 0.2×
Canalith repositioning proc (95992) $80.16 $167 2.0×
Car seat/bed test 60 min (94780) $87.84 $183 1.8×
Cardiac Stress Tst,Tracing Only (93017) $949.92 $1,979 3.4×
Cardiopulmonary resuscitation (92950) $339.36 $707 1.2×
Cardioversion (92960) $2,503.68 $5,216 2.9×
Cardioversion elective internal (92961) $1,044.96 $2,177 1.2×
Care mgmt services behavioral hlth cond 20 mins (99484) $50.40 $105 1.0×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $7,512.48 $15,651 1.8×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,164 $14,925 1.7×
Chemo Anti-Neopl Sq/Im (96401) $144.48 $301 1.6×
Chemo Hormon Antineopl Sq/Im (96402) $89.76 $187 1.0×
Chemo Ia Push (96420) $187.68 $391 0.4×
Chemo Intralesional Over 7 (96406) $113.76 $237 0.4×
Chemo intralesional up to 7 (96405) $36.48 $76 0.4×
Chemo IV infusion addl hr (96415) $163.20 $340 1.8×
Chemo IV push addl drug (96411) $162.72 $339 1.8×
Chemother Prolong Infuse W/Pump (96416) $502.08 $1,046 1.2×
Chemotherapy Into Cns (96450) $428.16 $892 1.0×
Chemotherapy Unspecified (96549) $106.56 $222 1.8×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $502.08 $1,046 1.2×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $149.76 $312 1.6×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $521.28 $1,086 1.2×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $299.04 $623 0.7×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $299.04 $623 0.7×
Chest Wall Manipulation (94668) $232.32 $484 1.4×
Color/duplex Doppler, complete (93975) $1,622.40 $3,380 5.3×
Color/duplex Doppler, limited (93976) $653.76 $1,362 4.9×
Community/Work Reintegration Trainj Ea 15 Min (97537) $70.56 $147 2.2×
Comprehensive Hearing Test (92557) $154.08 $321 0.9×
Continuous Pulse Ox (94762) $195.36 $407 1.2×
Coronary Art/Grft Angio S&I (93455) $5,317.92 $11,079 1.3×
Coronary Artery Angio S&I (93454) $5,493.60 $11,445 1.3×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $2,375.04 $4,948 8.4×
Cpt initial (94667) $379.20 $790 2.2×
Critical care first hour (99291) $4,854.72 $10,114 4.6×
Debridement Open Wound 20 Sq Cm< (97597) $365.28 $761 1.4×
Dialysis One Evaluation (90945) $1,081.92 $2,254 2.0×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $461.28 $961 1.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $218.40 $455 1.6×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $225.60 $470 1.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $937.92 $1,954 3.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $645.12 $1,344 4.8×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,020.48 $2,126 3.3×
Dup-scan xtr veins unilateral/limited study (93971) $1,020.48 $2,126 7.6×
Duplex Scan Hemodialysis Access (93990) $623.04 $1,298 4.6×
Duplex up extrem art bilat (93930) $1,157.28 $2,411 3.8×
Duplex up extrem art unilat/ltd (93931) $1,142.40 $2,380 8.5×
Echo Congenital Complete (93303) $1,294.56 $2,697 1.8×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$507.84–$584.16 $1,058–$1,217 varies
Echo transesophag montr cardiac pump functj (93318) $1,828.32 $3,809 2.6×
Echo transesophageal (93312) $2,986.56 $6,222 4.2×
Echo Transesophageal - Congenital Tee Complete (93315) $1,600.32 $3,334 2.3×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $1,220.64 $2,543 1.7×
Eeg 41-60 Minutes (95812) $732 $1,525 2.6×
EEG awake and asleep (95819) $367.20 $765 1.3×
EEG awake drowsy (95816) $393.12 $819 1.4×
EEG cerebral death evaluation (95824) $408.48 $851 0.9×
EEG extended monitoring 61-119 minutes (95813) $1,165.44 $2,428 4.2×
Eeg Sleep Only (95822) $885.60 $1,845 3.2×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $568.32 $1,184 2.0×
EEG w/o vid 2-12hr cont mntr (95707) $1,254.72 $2,614 4.5×
Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) $971.04 $2,023 2.0×
EEG w/o video by tech 2-12 hr intermittent mntr (95706) $573.12 $1,194 2.1×
EEG wo vid ea 12-26hr unmntr (95708) $813.60 $1,695 1.7×
EKG signal averaged (93278) $515.52 $1,074 6.8×
Electrical Stimulation Ea 15 Min (97032) $81.12 $169 5.5×
Electrocardiogram Tracing (93005) $288.48 $601 3.8×
Electroconvulsive Therapy (90870) $1,666.08 $3,471 1.5×
Electrophysiology Evaluation (93642) $1,556.16 $3,242 1.0×
Emergency Dept Visit Level 2 (99282) $708.96 $1,477 3.6×
Emergency Dept Visit Level 3 (99283) $1,666.56 $3,472 4.7×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$331.68–$2,459.04 $691–$5,123 varies
Endomyocardial Biopsy (93505) $2,006.88 $4,181 0.5×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$13,690.08 $28,521 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$13,690.08 $28,521 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620) $7,883.04 $16,423 0.8×
Er level 1 (99281) $390.24 $813 3.6×
Er level v (99285) $3,332.64 $6,943 4.4×
Esophgl funcj g-esop rflx impd eltrd prolng (91038) $933.60 $1,945 1.9×
Evaluate pt use of inhaler (94664) $470.88 $981 1.7×
Evaluate Speech Production (92522)
range across 3 matching MRF lines
$277.44–$315.36 $578–$657 varies
Evaluate Swallowing Function (92610) $263.04 $548 3.1×
Evaluation of speech fluency (92521) $362.40 $755 2.7×
Exhaled Air Analysis O2 (94680) $782.88 $1,631 4.7×
External Ecg Scanning Analysis Report (93226) $1,118.88 $2,331 14.7×
Extracranial Bilat Study (93880) $1,378.56 $2,872 4.5×
Extracranial Uni/Ltd Study (93882) $764.64 $1,593 5.7×
F-up/limited tthrc echo congenital car anomaly (93304) $816 $1,700 1.2×
Flexible endoscopic eval swallow c/v rec (92612) $364.32 $759 1.8×
Gi tract capsule endoscopy (91110) $815.52 $1,699 0.7×
Group Therapeutic Procedures (97150) $91.68 $191 5.1×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $9,761.76 $20,337 2.3×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,092.48 $2,276 1.2×
Holter monitor recording (93225) $322.56 $672 1.9×
Icd Device Interrogate (93289) $99.36 $207 2.1×
Icd device progr eval dual (93283) $157.92 $329 3.3×
Immunization administration (90471) $60.48 $126 0.7×
Insert/Place Heart Catheter (93503) $901.92 $1,879 0.4×
Interrogate Subq Defib (93261) $116.16 $242 2.4×
Interrogation vad in person (93750) $272.16 $567 2.2×
Intracranial Complete Study (93886) $1,113.60 $2,320 3.6×
Intraventricular pacing (93612) $10,991.52 $22,899 1.1×
Iontophoresis 15 min (97033) $84.96 $177 4.5×
Irrig Drug Delivery Device (96523) $142.56 $297 1.9×
IV infusion hydration each additional hour (96361) $95.52 $199 1.6×
IV infusion hydration initial 31 min-1 hour (96360) $287.52 $599 1.1×
IV infusion ther proph addl sequential to 1 hr (96367) $117.12 $244 1.3×
IV infusion therapy prophylaxis/dx ea hour (96366) $120.96 $252 2.0×
IV push initial (96374) $176.64 $368 0.6×
L Hrt Art/Grft Angio (93459) $9,619.20 $20,040 2.3×
Lung Function Test (Mbc/Mvv) (94200) $98.88 $206 1.3×
Lwr Xtr Vasc Stdy Bilat (93924) $447.36 $932 1.6×
Mechanical chest wall oscillation per session (94669) $504.96 $1,052 1.8×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $80.64 $168 2.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $80.64 $168 2.2×
Motion Fluoroscopy/Swallow (92611) $378.72 $789 4.1×
Multiple Family Group Psychotherapy (90849) $164.16 $342 0.7×
Muscle Test 2 Limbs (95861) $1,122.72 $2,339 6.6×
Nasopharyngoscopy (92511) $425.28 $886 1.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $717.60 $1,495 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $731.04 $1,523 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $367.20 $765 1.4×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $754.56 $1,572 1.4×
Neurobehavioral Status Exam (96116) $159.84 $333 0.6×
Neuromuscular Reeducation (97112)
range across 2 matching MRF lines
$100.80–$105.12 $210–$219 varies
Newborn resuscitation (99465) $390.24 $813 0.5×
Nrpsyc tst eval phys/qhp 1st (96132) $179.52 $374 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $397.44 $828 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $67.68 $141 0.4×
Oral Function Therapy (92526) $272.16 $567 3.2×
Oral Speech Device Eval (92597) $305.76 $637 4.3×
Orthc/Prostc Mgmt Sbsq Enc (97763) $77.76 $162 1.6×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $84.96 $177 1.8×
Ot eval high complexity (97167)
range across 3 matching MRF lines
$302.40–$315.36 $630–$657 varies
Ot Eval Low Complex (97165)
range across 3 matching MRF lines
$188.16–$196.32 $392–$409 varies
Ot Eval Moderate Complexity (97166)
range across 3 matching MRF lines
$282.24–$294.72 $588–$614 varies
Ot manual therapy 15 min (97140) $97.44 $203 3.5×
Ot paraffin bath (97018) $53.76 $112 8.9×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines
$183.36–$191.52 $382–$399 varies
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $138.72 $289 0.8×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $138.72 $289 0.8×
Penile Vascular Study,Ltd or F/U (93981) $229.92 $479 1.7×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $369.60 $770 1.3×
Peripheral arterial disease rehab per session (93668) $76.32 $159 1.0×
Perq Tcat Plmt Ntrac St 2+Les 2+St 2+C Segments (92930)
unusually low: confirm this is the full procedure
$7,896.96 $16,452 0.3×
Perq Transcath Cls Aortic (93591) $21,953.76 $45,737 0.9×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $4,722.24 $9,838 0.6×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $8,595.84 $17,908 0.6×
Phlebotomy therapeutic (99195) $158.88 $331 0.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $105.60 $220 1.4×
Physical Performance Test (97750) $91.68 $191 2.7×
Plethysmography (94726) $262.56 $547 0.5×
Pm device eval in person (93288) $56.64 $118 1.2×
Pm device progr eval dual (93280) $89.28 $186 1.9×
Polysom <6 yrs 4/> paramtrs (95782) $1,382.88 $2,881 1.3×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $116.16 $242 2.4×
Prq Card Angio/Athrect 1 Art (92924) $9,003.84 $18,758 0.6×
Prq Card Stent W/Angio 1 Vsl (92928) $7,896.96 $16,452 0.5×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$8,595.84 $17,908 0.4×
Prq Revasc Byp Graft 1 Vsl (92937) $8,595.84 $17,908 0.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
likely a partial charge, not the full procedure
$6,242.88 $13,006 0.3×
Prq trl rvs ch occ ant&rtrgr (92945) $8,904.48 $18,551 0.6×
Psych diag eval w/med srvcs (90792) $159.36 $332 0.7×
Psychiatric diagnostic evaluation (90791) $159.36 $332 0.7×
Psychological tst eval svc phys/qhp first hour (96130) $205.44 $428 0.7×
Psytx Crisis Initial 60 Min (90839) $212.64 $443 0.9×
Pt Eval High Complex (97163)
range across 3 matching MRF lines
$261.60–$273.12 $545–$569 varies
Pt eval low complex 20 min (97161)
range across 3 matching MRF lines
$120.48–$125.76 $251–$262 varies
Pt Eval Mod Complex (97162)
range across 3 matching MRF lines
$180–$187.68 $375–$391 varies
Pt gait training 15 min (97116)
range across 2 matching MRF lines
$99.84–$104.16 $208–$217 varies
Pt mechanical traction (97012) $78.24 $163 5.4×
Pt Re-Eval Est Plan Care (97164)
range across 2 matching MRF lines
$116.64–$121.92 $243–$254 varies
Pulm function test by gas (94727) $220.80 $460 0.8×
Pulmonary service/procedure (94799) $267.36 $557 1.6×
Pulmonary Stress Testing (94618) $266.40 $555 1.6×
R Hrt Art/Grft Angio (93457) $8,948.16 $18,642 2.1×
R hrt coronary artery angio (93456) $7,512.48 $15,651 1.8×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,325.44 $13,178 1.5×
Refill/Maint Portable Pump (96521) $298.56 $622 1.1×
Refill/Maint Pump/Resvr Syst (96522) $304.32 $634 1.1×
Remote 30 Day Ecg Rev/Report (93270) $89.28 $186 1.9×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $60.96 $127 0.4×
Respiratory flow volume loop (94375) $198.24 $413 0.7×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $487.20 $1,015 6.4×
Right Heart Cath (93451) $4,052.64 $8,443 1.0×
Right ventricular recording (93603) $1,758.72 $3,664 1.1×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $266.40 $555 1.0×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $314.40 $655 2.6×
Self Care Mngment Training (97535)
range across 4 matching MRF lines
$84.96–$88.80 $177–$185 varies
Sensory Integration Ea 15 Min (97533) $72.96 $152 1.2×
Short-latency somatosens ep std upr limbs (95925) $530.40 $1,105 1.9×
Sleep study unattended (95806) $691.20 $1,440 2.5×
Slp caregiver training 1st 30 min (97550) $58.08 $121 1.1×
Speech sound lang comprehen (92523)
range across 3 matching MRF lines
$277.44–$315.36 $578–$657 varies
Spin/Brain Pump Refil & Main (95991) $462.72 $964 1.2×
Spirometry (94010) $125.28 $261 0.5×
Ssep lower limbs (95926) $530.40 $1,105 1.9×
Standardized Cognitive Performance Testing (96125)
range across 2 matching MRF lines
$225.60–$256.32 $470–$534 varies
Stress Tte Only (93350) $1,152 $2,400 1.6×
Subcutaneous Infusion Each Additional Hour (96370) $114.24 $238 1.9×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $252.96 $527 0.9×
Subq Infusion Additional Pump Infusion Site (96371) $121.92 $254 1.3×
Surfactant Admin Thru Tube (94610) $116.64 $243 0.4×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,245.12 $2,594 9.3×
Temp transcutaneous pacing (92953) $1,712.16 $3,567 2.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$76.32–$79.68 $159–$166 varies
Ther Ivntj Ea Addl 15 Min (97130)
range across 2 matching MRF lines
$76.32–$79.68 $159–$166 varies
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $121.92 $254 4.1×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $290.88 $606 2.8×
Ther/Prop/Diag Inj/Inf Proc (96379) $114.24 $238 1.9×
Ther/Proph/Diag Inj Ia (96373) $307.20 $640 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $95.52 $199 1.0×
Ther/Proph/Diag Iv Inf Init (96365) $389.76 $812 1.4×
Therapeutic Activities (97530)
range across 2 matching MRF lines
$86.88–$90.72 $181–$189 varies
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,345.92 $2,804 2.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $46.56 $97 1.0×
Transcath Closure of Asd (93580)
likely a partial charge, not the full procedure
$6,242.88 $13,006 0.3×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $780.48 $1,626 5.8×
Tte w/doppler, complete (93306) $1,971.84 $4,108 2.8×
Tte W/O Doppler Complete (93307) $1,184.16 $2,467 3.9×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$13,690.08 $28,521 0.4×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507)
range across 3 matching MRF lines
$227.52–$258.72 $474–$539 varies
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $92.16 $192 3.8×
Tx/Pro/Dx Inj New Drug Addon (96375) $130.08 $271 2.2×
Unlisted cardiovascular service/procedure (93799)
range across 4 matching MRF lines
$226.56–$1,324.80 $472–$2,760 varies
Upr/L Xtremity Art 2 Levels (93922) $473.76 $987 2.8×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $528 $1,100 1.9×
Valvuloplasty aortic valve (92986)
likely a partial charge, not the full procedure
$1,962.72 $4,089 0.3×
Vasopneumatic device (97016) $73.92 $154 6.1×
Veeg 2-12 Hr Cont Mntr (95713) $1,504.80 $3,135 3.1×
Veeg 2-12 hr unmonitored (95711) $1,241.28 $2,586 4.5×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $1,504.80 $3,135 3.1×
Veeg Ea 12-26 Hr Unmntr (95714) $1,504.80 $3,135 3.1×
Veeg ea 12-26hr cont mntr (95716) $2,063.52 $4,299 1.9×
Vent Mgmt Inpat Init Day (94002) $5,004 $10,425 6.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,346.08 $6,971 4.2×
Visual Evoked Potential Test (95930) $224.64 $468 0.8×
Vital capacity, total (94150) $95.52 $199 0.6×
Wheelchair Mgmt Ea 15 Min (97542) $79.68 $166 2.6×
Whirlpool Therapy (97022) $104.16 $217 6.6×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.