Providence Saint Joseph Health · Laguna Beach, CA
123
Beds
8
In-network payers
Mission Hospital Laguna Beach is a 123-bed hospital in Laguna Beach, CA, affiliated with Providence Saint Joseph Health. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers.
The 24 services Mission Hospital Laguna Beach most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
Childbirth · Inpatient
MS-DRG 807
$12,212 - $15,294
from 4 insurers · median $14,313
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$16,736 - $24,318
from 4 insurers · median $17,833
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 74177
$611 - $2,792
from 4 insurers · median $2,047
Typical for a hospital with this service line
CT imaging
CPT 70450
$210 - $2,120
from 3 insurers · median $1,225
Typical for a hospital with this service line
Childbirth · Inpatient
MS-DRG 807
$12,212 - $15,294
from 4 insurers · median $14,313
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
CT imaging
CPT 71275
$292 - $3,326
from 4 insurers · median $2,472
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,485 - $9,775
from 4 insurers · median $3,680
Typical for a hospital with this service line
Mammography
CPT 77067
$160 - $816
from 3 insurers · median $540
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $6,799
from 4 insurers · median $3,819
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$989 - $2,718
from 4 insurers · median $1,702
Typical for a hospital with this service line
CT imaging
CPT 71260
$468 - $2,740
from 4 insurers · median $2,262
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$1,524 - $19,271
from 3 insurers · median $12,262
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$2,438 - $9,165
from 4 insurers · median $3,522
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$2,438 - $8,866
from 4 insurers · median $3,490
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$10,791 - $21,111
from 4 insurers · median $15,415
Typical for a hospital with this service line
MRI imaging
CPT 70551
$400 - $3,736
from 4 insurers · median $3,110
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $4,183
from 4 insurers · median $3,008
Typical for a hospital with this service line
MRI imaging
CPT 73721
$400 - $3,894
from 4 insurers · median $3,656
Typical for a hospital with this service line
Gynecology
CPT 58571
$10,791 - $17,332
from 4 insurers · median $15,143
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$1,915 - $9,464
from 4 insurers · median $3,507
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$3,281 - $11,337
from 3 insurers · median $9,826
Typical for a hospital with this service line
Gynecology
CPT 58661
$10,791 - $18,043
from 4 insurers · median $13,756
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$2,036 - $19,573
from 4 insurers · median $2,388
Hospital reports nuclear medicine services to CMS
Medicine & Surgery · Inpatient
MS-DRG 743
$23,527 - $26,321
from 3 insurers · median $25,532
Hospital reports obstetrics / child birth services to CMS
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 850% | 20 | 0 |
| Insurer B* | 23 | 552% | 20 | 0 |
| Insurer C* | 20 | 547% | 9 | 0 |
| Insurer D* | 24 | 175% | 8 | 3 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mission Hospital Laguna Beach, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.
Doctors and services
20 services
See doctors and servicesThe employer identification numbers (EINs) health plans and networks list for Mission Hospital Laguna Beach in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 95-1643360Mission Hospital Regional Medical Center | 26Aspirus Health Plan, Asuris Northwest Health, BridgeSpan, Centene, Dean Health Plan and 21 more | 1992752315 Mission Hospital Regional Medical Center1093945412 Mission Hospital Regional Medical Center1003956913 Mission Hospital Regional Medical Centerand 3 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
31872 Coast Hwy, Laguna Beach, CA 92651
9494997193
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
The officers and board members on Mission Hospital Laguna Beach's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Mission Hospital Regional Medical Center files the Form 990 for the tax ID insurers list for Mission Hospital Laguna Beach, so these people may lead the wider organization rather than Mission Hospital Laguna Beach alone.
| Name | Title |
|---|---|
| Brian Lee Helleland | Chief Exec So Ca Oc/hd |
| Seth Teigen | Ceo/president |
| Jim Watson Esq | Secretary |
| Jim Martin | Assistant Treasurer |
| Eileen Haubl | SVP & Chief Financial Officer |
| Evelyn Schlosser | Exec Dir Acute Care Operations |
| Donald Anderson Jr | Assistant Secretary For Enrollment |
Board members: Stephen Tocci MD, Elizabeth Jensen, Ginny Ripslinger, Gloria Luna, Jaime Munoz, James Bastian, James R Quandt, Jeremy Laster, Josh Randall MD, Linda Sieglen MD, Michael Moodian, Raul Rudy Marquez MD, Reza Dehkordi MD, Serena Benson, Sr Herlinda Ramirez Machado, Steven Pal.
Source: IRS Form 990 Part VII filed by Mission Hospital Regional Medical Center (EIN 95-1643360), via the IRS e-file data. A health system's return can cover several hospitals.
About Mission Hospital Laguna Beach's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mission Hospital Laguna Beach range from $792 to $6,799 across 4 insurers. Cigna's rate is $3,894. The median at nearby comparable hospitals is $773. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mission Hospital Laguna Beach range from $611 to $2,792 across 4 insurers. Aetna's rate is $2,792. The median at nearby comparable hospitals is $796. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Mission Hospital Laguna Beach range from $2,438 to $9,165 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $9,165. The median at nearby comparable hospitals is $2,181. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mission Hospital Laguna Beach range from $12,212 to $15,294 across 4 insurers. UnitedHealthcare's rate is $14,628. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mission Hospital Laguna Beach range from $160 to $816 across 3 insurers. UnitedHealthcare's rate is $160. The median at nearby comparable hospitals is $171. What a patient pays depends on their plan's deductible, coinsurance and network status.
Insurers' price transparency files list Mission Hospital Laguna Beach under employer identification number 95-1643360 (Mission Hospital Regional Medical Center). 26 health plans and networks list 95-1643360 for it.
CMS lists 20 services at Mission Hospital Laguna Beach, including Acute Renal Dialysis, Adult Inpatient Psychiatric Care, Clinical Laboratory, Coronary Care Unit, Designated Trauma Center, Diagnostic Radiology.
Mission Hospital Laguna Beach has 123 beds. Facility type: Short Term Acute Care Hospital.
Mission Hospital Laguna Beach is located at 31872 Coast Hwy, Laguna Beach, CA 92651. Its main phone number is 9494997193.
Mission Hospital Laguna Beach's CMS Certification Number (CCN), also called its Medicare provider number, is 050193.
The National Provider Identifier (NPI) on file for Mission Hospital Laguna Beach is 1649253972.
Mission Hospital Laguna Beach is affiliated with Providence Saint Joseph Health.
Mission Hospital Laguna Beach lists 8 in-network payers, including Centene, Health Smart, Luminare Health, Mass General Brigham (formerly AllWays Health Partners), and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers