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▸ Hospital · CA · CCN 050567

Providence Mission Hospital

Mission Viejo, CA, 92691

311 bedsAcute Care Hospitals2
Compliance grade
C
77/100
Rates published
1,495
last crawl 2026-05-22
Procedures tracked
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Payers
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▸ Compare with other hospitalsAll CA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://pricetransparency.providence.org/socal/live/951643360_providence-mission-hospital_standardcharges.json · JSON

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Procedures tracked
47
of 209 target codes
Payers
20
with negotiated rates

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

ProcedureTypeCodePayersGrossCashNeg minNeg medianvs nat'lNeg max
behavioral
PsychosesMS-DRG88520——$13,856$13,8561.1×$33,783
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06420——$19,705$19,7050.98×$47,675
Intracranial hemorrhage/CVA w CCMS-DRG06520——$10,176$10,1760.95×$24,375
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06620——$7,072.52$7,072.520.93×$16,497
Respiratory infections & inflammations w MCCMS-DRG17720——$15,436$15,4361.0×$38,744
COPD w MCCMS-DRG19020——$11,103$11,1030.99×$26,923
COPD w CCMS-DRG19120——$8,582.74$8,582.740.97×$20,591
COPD w/o CC/MCCMS-DRG19220——$6,668.78$6,668.780.95×$15,512
Simple pneumonia & pleurisy w CCMS-DRG19420——$8,229.47$8,229.470.97×$19,654
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19520——$6,540.23$6,540.230.98×$14,927
AMI discharged alive w MCCMS-DRG28020——$15,830$15,8301.0×$39,343
AMI discharged alive w CCMS-DRG28120——$9,307.38$9,307.380.96×$22,094
AMI discharged alive w/o CC/MCCMS-DRG28220——$7,441.03$7,441.030.95×$17,379
Heart failure & shock w MCCMS-DRG29120——$12,780$12,7801.00×$31,276
Heart failure & shock w CCMS-DRG29220——$8,639.88$8,639.880.97×$20,644
Heart failure & shock w/o CC/MCCMS-DRG29320——$5,945.09$5,945.090.96×$13,158
Cardiac arrhythmia w MCCMS-DRG30820——$12,020$12,0200.99×$28,905
Cardiac arrhythmia w CCMS-DRG30920——$7,561.01$7,561.010.97×$17,720
Cardiac arrhythmia w/o CC/MCCMS-DRG31020——$5,946.05$5,946.050.96×$13,410
GI hemorrhage w CCMS-DRG37820——$9,893.95$9,893.950.99×$23,630
GI hemorrhage w/o CC/MCCMS-DRG37920——$6,558.32$6,558.320.96×$15,258
Esophagitis/gastroenteritis w/o MCCMS-DRG39220——$7,979.03$7,979.030.99×$18,702
Fractures of femur w/o MCCMS-DRG53320——$15,483$15,4831.0×$36,546
Kidney/UTI w MCCMS-DRG68920——$11,604$11,6041.00×$28,052
Kidney/UTI w/o MCCMS-DRG69020——$8,263.75$8,263.750.99×$19,237
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87120——$19,052$19,0521.0×$47,032
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87220——$10,300$10,3000.99×$24,711
surgery
PCI w drug-eluting stent w MCCMS-DRG2464——$16,552$42,2161.5×$71,794
PCI w drug-eluting stent w/o MCCMS-DRG2474——$16,552$26,8531.5×$45,767
Major small/large bowel procedures w MCCMS-DRG32920——$44,324$44,3241.0×$110,054
Major small/large bowel procedures w CCMS-DRG33020——$23,382$23,3821.0×$56,653
Major small/large bowel procedures w/o CC/MCCMS-DRG33120——$16,580$16,5801.0×$39,571
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41820——$16,663$16,6631.0×$39,751
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41920——$13,561$13,5611.0×$31,580
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42020——$32,999$32,9991.0×$84,588
Spinal fusion (non-cervical) w MCCMS-DRG4594——$10,137$90,9201.8×$158,963
Spinal fusion (non-cervical) w/o MCCMS-DRG4604——$10,137$53,1151.6×$87,673
Major joint replacement w MCCMS-DRG46920——$28,839$29,4381.00×$78,339
Major joint replacement w/o MCCMS-DRG47020——$18,923$18,9231.0×$45,192
Hip & femur procedures except major joint w MCCMS-DRG48020——$10,137$28,2871.0×$70,490
Hip & femur procedures except major joint w CCMS-DRG48120——$10,137$20,5001.0×$49,731
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48220——$10,137$16,0861.0×$38,023
OR procedure for obesity w MCCMS-DRG61920——$28,050$28,0501.0×$65,346
OR procedure for obesity w CCMS-DRG62020——$15,794$15,7940.97×$38,275
OR procedure for obesity w/o CC/MCCMS-DRG62120——$14,919$14,9190.98×$35,034
Uterine & adnexa procedures w CC/MCCMS-DRG74320——$9,565$12,3701.0×$28,728
Uterine & adnexa procedures w/o CC/MCCMS-DRG74420——$20,067$20,0671.0×$46,831
Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 20)

PayerCodes coveredMedian rate
Health Net47$21,468
Blue Cross Blue Shield47$17,896
UnitedHealthcare47$23,382
providence47$15,484
Cigna43$16,086
Empire BCBS43$12,780
healthcare partners43$12,780
heritage provider network43$12,780
Humana43$12,780
Kaiser Permanente43$12,780
Molina43$12,780
monarch health plan43$12,780
one care43$12,780
providence health plan43$12,780
scan43$12,780
Aetna43$12,780
WellCare43$12,780
brand new day43$12,780
caremore43$12,780
central health plan43$12,780