Providence Mission Hospital - Mission Viejo — Infusion prices
← Hospital overviewVerified from Providence Mission Hospital - Mission Viejo’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
3 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC IV HYDRATION INITIAL HR CDM Inpatient & outpatient | 96360 HCPCS | $599 | $288 | — | — | |
| HC IV INFUSION EA ADDL HR CDM Inpatient & outpatient | 96366 HCPCS | $252 | $121 | — | — | |
| HC IV INFUSION INITIAL HR CDM Inpatient & outpatient | 96365 HCPCS | $812 | $390 | — | — |