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Providence Mission Hospital - Mission Viejo prices. From its own published file.

Providence Mission Hospital - Mission Viejo in Mission Viejo, CA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

14,718prices published
Apr 2026file last updated
$1,778cash price for mri lower back without contrast (list $5,488)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$1,667$3,472$298–$650
Emergency visit, high (level 4)
99284
$332$2,907$456–$993
Emergency visit, highest (level 5)
99285
$3,333$6,943$651–$1,417
Comprehensive metabolic panel
80053
$11.04$30.00$8.98–$204
Basic metabolic panel
80048
$42.72$106$7.19–$798
Complete blood count (CBC)
85025
$1.81$83.00$6.60–$122
Blood draw (venipuncture)
36415
$18.24$39.00$6.00–$111
Urinalysis
81001
$90.24$188$2.69–$241
Troponin (heart test)
84484
$25.86$123$10.60–$300
EKG tracing
93005
$288$601$64.33–$799
Chest X-ray, 2 views
71046
$443$923$95.14–$372
CT head without contrast
70450
$1,018$2,714$114–$2,107
CT abdomen and pelvis with contrast
74177
$2,006$4,515$381–$3,199
MRI lower back without contrast
72148
$1,778$5,488$261–$5,519
Ultrasound, abdomen
76700
$838$1,899$114–$889
IV push, single drug
96374
$177$368$233–$799
IV fluids, first hour
96360
$288$599$233–$506
Ketorolac injection, 15 mg
J1885
$44.76$93.25$0.29–$14.84
Ondansetron injection
J2405
$44.76$93.25$0.12–$9.93
Colonoscopy, diagnostic
45378
$1,204$2,509$1,017–$9,559
Upper GI endoscopy with biopsy
43239
$1,352$2,817$992–$9,559
Knee arthroscopy
29881
——$3,577–$16,361
Vaginal delivery, routine care
59400
——$6,920–$16,361
Cesarean delivery, routine care
59510
——$7,908–$16,361

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Providence Mission Hospital - Mission Viejo price transparency page.

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