Visits & medical services prices at Providence St. Joseph Hospital

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

256 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
$3,718.08 $7,746 0.4×
Admn Sarscov2 Vacc 1 Dose (90480) $41.76 $87 0.8×
Airway Inhalation Treatment (94640) $277.44 $578 1.0×
Analyze neurostim complex (95972) $277.44 $578 2.3×
Analyze Neurostim Simple (95971) $277.44 $578 2.3×
Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) $405.12 $844 1.6×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $60 $125 4.2×
Arrhythmia Induction (93618) $2,096.64 $4,368 1.3×
Behavral qualit analys voice (92524) $297.60 $620 2.7×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $183.36 $382 2.2×
Biofeedback training any modality (90901) $129.12 $269 3.1×
Bis Xtracell Fluid Analysis (93702) $195.36 $407 1.2×
Brief Emotional/Behav Assmt (96127) $60 $125 1.2×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $960 $2,000 2.0×
Bundle of his recording (93600)
unusually low: confirm this is the full procedure
$3,729.12 $7,769 0.4×
Canalith repositioning proc (95992) $101.28 $211 2.5×
Car seat/bed test 60 min (94780) $55.20 $115 1.1×
Cardiac Stress Tst,Tracing Only (93017) $626.88 $1,306 2.3×
Cardiopulmonary resuscitation (92950) $303.36 $632 1.1×
Cardioversion (92960) $1,768.32 $3,684 2.1×
Cath Place/Coron Angio, Img Super/Interp,R&L Hrt Cath, L Hrt Ventric (93460) $6,948 $14,475 1.7×
Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) $7,299.84 $15,208 1.8×
Chemo Anti-Neopl Sq/Im (96401) $349.92 $729 3.8×
Chemo Hormon Antineopl Sq/Im (96402) $159.84 $333 1.7×
Chemo Ia Push (96420) $332.16 $692 0.8×
Chemo Intralesional Over 7 (96406) $200.16 $417 0.7×
Chemo intralesional up to 7 (96405) $64.80 $135 0.7×
Chemo IV infusion addl hr (96415) $176.64 $368 1.9×
Chemo IV push addl drug (96411) $281.28 $586 3.0×
Chemother Prolong Infuse W/Pump (96416) $985.44 $2,053 2.3×
Chemotherapy Into Cns (96450) $1,156.32 $2,409 2.7×
Chemotherapy Unspecified (96549) $381.12 $794 6.3×
Chemotx Admn Ia Nfs >8 Hr Prtble Impltbl Pmp (96425) $1,100.64 $2,293 2.6×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $396.96 $827 4.3×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $566.40 $1,180 1.3×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $392.64 $818 0.9×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $392.64 $818 0.9×
Chest Wall Manipulation (94668) $258.72 $539 1.5×
Color/duplex Doppler, complete (93975) $1,271.04 $2,648 4.1×
Color/duplex Doppler, limited (93976) $604.80 $1,260 4.5×
Community/Work Reintegration Trainj Ea 15 Min (97537) $73.44 $153 2.3×
Comprehensive Hearing Test (92557) $245.28 $511 1.5×
Computerized dynamic posturography (92548) $186.24 $388 1.1×
Continuous Pulse Ox (94762) $298.08 $621 1.8×
Coronary Art/Grft Angio S&I (93455) $5,598.24 $11,663 1.3×
Coronary Artery Angio S&I (93454) $4,945.44 $10,303 1.2×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $1,505.28 $3,136 5.3×
Cpt initial (94667) $476.16 $992 2.8×
Critical care first hour (99291) $3,766.08 $7,846 3.5×
Debridement Open Wound 20 Sq Cm< (97597) $426.24 $888 1.7×
Dialysis One Evaluation (90945) $648.96 $1,352 1.2×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,008 $2,100 3.3×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $387.36 $807 2.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,013.28 $2,111 3.3×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $717.60 $1,495 5.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $994.08 $2,071 3.2×
Dup-scan xtr veins unilateral/limited study (93971) $824.64 $1,718 6.1×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $746.40 $1,555 2.4×
Duplex Scan Hemodialysis Access (93990) $458.88 $956 3.4×
Duplex up extrem art bilat (93930) $1,013.28 $2,111 3.3×
Duplex up extrem art unilat/ltd (93931) $666.72 $1,389 5.0×
Echo Congenital Complete (93303) $1,091.52 $2,274 1.6×
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines
$401.28–$461.28 $836–$961 varies
Echo transesophag montr cardiac pump functj (93318) $1,347.36 $2,807 1.9×
Echo transesophageal (93312) $1,957.92 $4,079 2.8×
Echo Transesophageal - Congenital Tee Complete (93315) $1,957.92 $4,079 2.8×
Eeg 41-60 Minutes (95812) $1,329.60 $2,770 4.8×
EEG awake and asleep (95819) $1,533.12 $3,194 5.5×
EEG awake drowsy (95816) $1,534.08 $3,196 5.5×
EEG cerebral death evaluation (95824) $690.24 $1,438 1.4×
EEG cont rec w/video by tech min 8 channels (95700) $339.84 $708 1.2×
EEG extended monitoring 61-119 minutes (95813) $1,564.32 $3,259 5.6×
Eeg Sleep Only (95822) $959.04 $1,998 3.5×
Eeg W/O Vid 2-12 Hr Unmntr (95705) $396.48 $826 1.4×
Electrical Stimulation Ea 15 Min (97032) $131.52 $274 8.9×
Electrocardiogram Tracing (93005) $291.36 $607 3.8×
Electroconvulsive Therapy (90870) $1,726.08 $3,596 1.6×
Electrophysiology Evaluation (93642) $2,749.44 $5,728 1.8×
Emergency Dept Visit Level 2 (99282) $657.60 $1,370 3.3×
Emergency Dept Visit Level 3 (99283) $1,071.36 $2,232 3.1×
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$257.76–$1,784.16 $537–$3,717 varies
Endomyocardial Biopsy (93505) $2,976.96 $6,202 0.7×
Ep & ablate supravent arrhyt (93653)
unusually low: confirm this is the full procedure
$12,674.88 $26,406 0.4×
Ep & ablate ventric tachy (93654)
unusually low: confirm this is the full procedure
$12,674.88 $26,406 0.4×
Ep Compre Electrophysiologic Arrhythmia Induction (93620)
unusually low: confirm this is the full procedure
$4,128.48 $8,601 0.4×
Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) $5,843.52 $12,174 0.6×
Er level 1 (99281) $434.88 $906 4.0×
Er level v (99285) $2,842.08 $5,921 3.7×
Evaluate pt use of inhaler (94664) $408 $850 1.4×
Evaluate Speech Production (92522) $297.60 $620 2.7×
Evaluate Swallowing Function (92610) $183.36 $382 2.2×
Evaluation of speech fluency (92521) $297.60 $620 2.2×
Exhaled Air Analysis O2 (94680) $202.56 $422 1.2×
External Ecg Scanning Analysis Report (93226) $577.92 $1,204 7.6×
Extracranial Bilat Study (93880) $1,140.96 $2,377 3.7×
Extracranial Uni/Ltd Study (93882) $481.44 $1,003 3.6×
F-up/limited tthrc echo congenital car anomaly (93304) $461.28 $961 0.7×
Flexible endoscopic eval swallow c/v rec (92612) $326.40 $680 1.6×
Gastroesophag Reflx Test W/Intrluml Imped Eltrd (91037) $425.28 $886 1.5×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $563.04 $1,173 0.5×
Gi tract capsule endoscopy (91110) $1,608.96 $3,352 1.4×
Group Therapeutic Procedures (97150) $140.16 $292 7.8×
Heart catheterization, both sides, with coronary and bypass graft angiography (93461) $6,854.40 $14,280 1.6×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,305.12 $2,719 1.5×
Holter monitor recording (93225) $309.12 $644 1.8×
Icd Device Interrogate (93289) $280.80 $585 5.9×
Icd device progr eval dual (93283) $313.44 $653 6.5×
Immunization administration (90471)
range across 3 matching MRF lines
$35.52–$53.02 $74–$110.45 varies
Insert/Place Heart Catheter (93503) $2,368.80 $4,935 1.2×
Interrogate Subq Defib (93261) $39.36 $82 0.8×
Interrogation vad in person (93750) $191.52 $399 1.6×
Intracranial Complete Study (93886) $929.76 $1,937 3.0×
Intraventricular pacing (93612)
unusually low: confirm this is the full procedure
$4,603.68 $9,591 0.5×
Iontophoresis 15 min (97033) $172.80 $360 9.1×
Irrig Drug Delivery Device (96523) $165.12 $344 2.2×
IV infusion hydration each additional hour (96361) $108.96 $227 1.8×
IV infusion hydration initial 31 min-1 hour (96360) $217.44 $453 0.8×
IV infusion ther proph addl sequential to 1 hr (96367) $190.56 $397 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $108.96 $227 1.8×
IV push initial (96374) $208.32 $434 0.8×
L Hrt Art/Grft Angio (93459) $7,669.92 $15,979 1.8×
Liver Elastography W/O Imag W/I&R (91200) $232.32 $484 1.4×
Lwr Xtr Vasc Stdy Bilat (93924) $959.52 $1,999 3.5×
Mechanical chest wall oscillation per session (94669) $378.72 $789 1.3×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $101.76 $212 3.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $107.52 $224 2.9×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $16.80 $35 1.0×
Motion Fluoroscopy/Swallow (92611) $389.28 $811 4.3×
Multiple Family Group Psychotherapy (90849) $124.32 $259 0.5×
Multiple Sleep Latency Test (95805) $2,484.96 $5,177 2.2×
Nasopharyngoscopy (92511) $392.16 $817 1.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $598.08 $1,246 1.1×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $492.48 $1,026 0.9×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $489.60 $1,020 1.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $628.80 $1,310 1.2×
Neurobehavioral Status Exam (96116) $191.04 $398 0.7×
Neuromuscular Reeducation (97112) $88.32 $184 2.7×
Newborn resuscitation (99465) $1,042.08 $2,171 1.2×
Nrpsyc tst eval phys/qhp 1st (96132) $191.04 $398 0.4×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $369.60 $770 0.8×
Ophth Medical Xm&Eval Intermediate New Pt (92002) $67.68 $141 0.4×
Oral Function Therapy (92526) $98.40 $205 1.2×
Oral Speech Device Eval (92597) $203.04 $423 2.9×
Orthc/Prostc Mgmt Sbsq Enc (97763) $125.28 $261 2.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $125.28 $261 2.7×
Ot eval high complexity (97167) $280.32 $584 2.8×
Ot Eval Low Complex (97165) $140.16 $292 1.4×
Ot Eval Moderate Complexity (97166) $210.24 $438 2.1×
Ot manual therapy 15 min (97140) $88.32 $184 3.2×
Ot paraffin bath (97018) $49.92 $104 8.3×
Ot Re-Eval Est Plan Care (97168) $88.80 $185 1.3×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $315.84 $658 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $473.28 $986 2.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $319.68 $666 1.1×
Perq transcath closure pda (93582) $15,582.72 $32,464 0.7×
Perq Transcath Cls Aortic (93591) $27,316.32 $56,909 1.2×
Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) $3,992.64 $8,318 0.5×
Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) $9,000 $18,750 0.6×
Phlebotomy therapeutic (99195) $417.60 $870 2.4×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $72.48 $151 1.0×
Physical Performance Test (97750) $65.28 $136 1.9×
Plethysmography (94726) $369.60 $770 0.8×
Pm device eval in person (93288) $254.40 $530 5.3×
Pm device progr eval dual (93280) $177.60 $370 3.7×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811)
range across 2 matching MRF lines
$1,959.36–$3,453.12 $4,082–$7,194 varies
Polysom <6 yrs 4/> paramtrs (95782) $2,008.80 $4,185 1.8×
Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) $2,008.80 $4,185 1.8×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $25.92 $54 0.5×
Prq Card Angio/Athrect 1 Art (92924) $7,613.76 $15,862 0.5×
Prq Card Stent W/Angio 1 Vsl (92928) $8,428.32 $17,559 0.6×
Prq Card Stent/Ath/Angio (92933)
unusually low: confirm this is the full procedure
$9,089.28 $18,936 0.4×
Prq Revasc Byp Graft 1 Vsl (92937) $8,428.32 $17,559 0.6×
Prq Tcat Clsr Cgen Ventr Septal Dfct W/Implt (93581)
unusually low: confirm this is the full procedure
$9,089.28 $18,936 0.4×
Psych diag eval w/med srvcs (90792) $253.44 $528 1.1×
Psychiatric diagnostic evaluation (90791) $226.08 $471 1.0×
Psychological tst eval svc phys/qhp first hour (96130) $212.16 $442 0.8×
Psytx Crisis Initial 60 Min (90839) $214.08 $446 0.9×
Pt Eval High Complex (97163) $188.16 $392 1.9×
Pt eval low complex 20 min (97161) $84 $175 0.9×
Pt Eval Mod Complex (97162) $125.28 $261 1.3×
Pt gait training 15 min (97116) $84.48 $176 2.9×
Pt mechanical traction (97012) $78.72 $164 5.5×
Pt Re-Eval Est Plan Care (97164) $59.04 $123 0.9×
Pulmonary service/procedure (94799) $319.20 $665 1.9×
Pulmonary Stress Testing (94618) $775.68 $1,616 4.5×
Pure Tone Audiometry Air (92552) $196.32 $409 1.1×
R Hrt Art/Grft Angio (93457) $8,435.04 $17,573 2.0×
R Hrt Cath Chd W/Img Cath Trgt Zon Abnl Nt Connj (93594) $4,138.56 $8,622 1.0×
R Hrt Cath Chd W/Img Cath Trgt Zone Nml Nt Connj (93593) $4,138.56 $8,622 1.0×
R hrt coronary artery angio (93456) $7,956.48 $16,576 1.9×
R&L Hrt Cath Chd Img Cath Trgt Zon Abnl Nt Connj (93597) $4,138.56 $8,622 1.0×
R&L Hrt Cath Chd Img Cath Trgt Zone Nml Nt Connj (93596) $4,138.56 $8,622 1.0×
R&L Hrt Cath W/Ventriclgrphy (93453) $6,948 $14,475 1.7×
Refill/Maint Portable Pump (96521) $576.96 $1,202 2.1×
Refill/Maint Pump/Resvr Syst (96522) $576.96 $1,202 2.1×
Remote 30 Day Ecg Rev/Report (93270) $58.56 $122 1.2×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $67.68 $141 0.4×
Repet tms tx initial w/map/motr threshld/del&m (90867) $456 $950 1.6×
Repet Tms Tx Subseq Motr Threshld W/Deliv & Mngt (90869) $456 $950 1.6×
Respiratory flow volume loop (94375) $341.28 $711 1.2×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $58.08 $121 0.8×
Right Heart Cath (93451) $2,593.92 $5,404 0.6×
Right ventricular recording (93603) $2,096.64 $4,368 1.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $489.60 $1,020 1.9×
Self Care Mngment Training (97535) $78.24 $163 2.4×
Short-latency somatosens ep std upr limbs (95925) $1,142.40 $2,380 4.1×
Sleep study unattended (95806) $643.20 $1,340 2.3×
Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) $643.20 $1,340 2.3×
Speech sound lang comprehen (92523) $297.60 $620 1.3×
Spin/Brain Pump Refil & Main (95991) $352.80 $735 0.9×
Spirometry (94010) $467.04 $973 1.7×
Ssep lower limbs (95926) $1,142.40 $2,380 4.1×
Standardized Cognitive Performance Testing (96125) $287.52 $599 2.8×
Stress Tte Only (93350) $1,519.68 $3,166 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $94.56 $197 1.6×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $294.72 $614 1.1×
Subq Infusion Additional Pump Infusion Site (96371) $117.60 $245 1.3×
Surfactant Admin Thru Tube (94610) $319.20 $665 1.1×
Tcd std icr art ven-artl shnt detcj IV mbubb njx (93893) $1,110.72 $2,314 8.3×
Temp transcutaneous pacing (92953) $741.12 $1,544 0.9×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $82.08 $171 3.7×
Ther Ivntj Ea Addl 15 Min (97130) $82.08 $171 3.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $88.32 $184 3.0×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $262.56 $547 2.6×
Ther/Prop/Diag Inj/Inf Proc (96379) $94.56 $197 1.6×
Ther/Proph/Diag Inj Ia (96373) $305.28 $636 1.1×
Ther/Proph/Diag Inj Sc/Im (96372) $73.44 $153 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $272.64 $568 1.0×
Therap repetitive tms tx subseq delivery & mng (90868) $456 $950 1.6×
Therapeutic Activities (97530) $72.48 $151 2.1×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $2,099.04 $4,373 4.4×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $88.32 $184 1.8×
Transcath Closure of Asd (93580)
unusually low: confirm this is the full procedure
$9,089.28 $18,936 0.4×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $648.48 $1,351 4.8×
Tte w/doppler, complete (93306) $2,132.16 $4,442 3.0×
Tte W/O Doppler Complete (93307) $1,011.36 $2,107 3.3×
Tx atrial fib pulm vein isol (93656)
unusually low: confirm this is the full procedure
$11,652.48 $24,276 0.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $178.08 $371 2.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $73.92 $154 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $108.96 $227 1.8×
Unlisted cardiovascular service/procedure (93799)
range across 3 matching MRF lines
$399.36–$11,380.32 $832–$23,709 varies
Upr/L Xtremity Art 2 Levels (93922) $1,153.92 $2,404 6.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,498.08 $3,121 5.4×
Valvuloplasty aortic valve (92986)
unusually low: confirm this is the full procedure
$3,609.60 $7,520 0.5×
Valvuloplasty mitral valve (92987)
unusually low: confirm this is the full procedure
$5,650.08 $11,771 0.4×
Valvuloplasty pulmonary valve (92990) $10,446.24 $21,763 0.7×
Veeg 2-12 Hr Cont Mntr (95713) $864 $1,800 1.8×
Veeg 2-12 hr unmonitored (95711) $339.84 $708 1.2×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,752.32 $5,734 5.7×
Veeg Ea 12-26 Hr Unmntr (95714) $690.24 $1,438 1.4×
Veeg ea 12-26hr cont mntr (95716) $1,685.76 $3,512 1.5×
Vent Mgmt Inpat Init Day (94002) $3,420 $7,125 4.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $3,110.88 $6,481 3.9×
Visual Evoked Potential Test (95930) $1,015.68 $2,116 3.7×
Vital capacity, total (94150) $132 $275 0.8×
Wheelchair Mgmt Ea 15 Min (97542) $72.48 $151 2.3×

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.