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Providence Mission Hospital

27700 Medical Center Rd, Mission Viejo, CA 92691 · (949) 364-1400

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 5/5Los Angeles, CA metroWebsite ↗

Price file

Prices published

File dated 2026-04-01

1,277 price rows for 63 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $48

$43
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,703

$2,006
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,428

$1,018
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,774

$1,356
cash
—
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 11 lines · metro median $35

$6
cash
Colonoscopy (diagnostic)

CPT 45378 · metro median $1,190

$1,204
cash
—
cash
—
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 11 lines · metro median $32

$2
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $58

$11
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $422

$703
cash
—
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 6 lines · metro median $227

$213
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 3 lines · metro median $342

$178
cash
—
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 8 lines · metro median $35

$6
cash
Group psychotherapy

CPT 90853 · lowest of 10 lines · metro median $197

$197
cash
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cash
—
cash
—
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,582

$2,280
cash
—
cash
—
cash
Left heart catheterization

CPT 93452 · metro median $5,658

$6,183
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 24 lines · metro median $18

$6
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $45

$41
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,967

$3,137
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 4 lines · metro median $1,790

$1,790
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $2,214

$1,778
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $2,093

$1,594
cash
—
cash
$1,315
cash
PSA test (prostate)

CPT 84153 · lowest of 9 lines · metro median $18

$3
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 17 lines · metro median $15

$6
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 3 lines · metro median $90

$90
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $706

$540
cash
Prostate biopsy

CPT 55700 · metro median $3,636

$3,636
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 10 lines · metro median $9

$6
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 7 lines · metro median $227

$144
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 7 lines · metro median $318

$213
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 6 lines · metro median $342

$281
cash
—
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $281

$580
cash
—
cash
Sleep study (overnight, attended)

CPT 95810 · metro median $1,099

$1,383
cash
—
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 2 lines · metro median $1,473

$1,473
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,829

$2,510
cash
TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $18

$4
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $515

$642
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $1,147

$838
cash
Upper endoscopy (EGD)

CPT 43235 · metro median $1,160

$1,352
cash
Upper endoscopy with biopsy

CPT 43239 · metro median $1,160

$1,352
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $35

$90
cash
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cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $652

$435
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.