ADVENTIST HEALTH CLEARLAKE HOSPITAL
15630 18th Ave, Clearlake, CA · Adventisthealth · · NPI 1124018031
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $5,108.40 | $14,190.00 | $900.00 – $1,485.00 | 3 |
| Ph body fluid CPT 83986 | $30.96 | $86.00 | $0.11 – $41.79 | 7 |
| Phencyclidine (pcp) CPT 83992 | $5.70 | $15.84 | $8.00 – $150.87 | 7 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $46.86 | $130.17 | $6.64 – $130.17 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $80.28 | $223.00 | $2.34 – $133.63 | 7 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $13.21 | $36.69 | $0.03 – $36.69 | 6 |
| Phenytoin total therapeutic drug level CPT 80185 | $95.04 | $264.00 | $1.56 – $154.96 | 7 |
| Phlebotomy therapeutic CPT 99195 | $956.52 | $2,657.00 | $23.52 – $4,384.05 | 3 |
| Phosphorus CPT 84100 | $52.56 | $146.00 | $0.20 – $55.33 | 7 |
| Phosphorus 24 hour urine CPT 84105 | $34.56 | $96.00 | $0.27 – $60.44 | 7 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $69.97 | $194.36 | $7.66 – $12.34 | 8 |
| Pinworm exam CPT 87172 | $81.36 | $226.00 | $0.16 – $49.90 | 7 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $26.93 | $74.80 | $2.97 – $50.79 | 8 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,072.08 | $2,978.00 | $215.93 – $4,913.70 | 3 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,298.88 | $3,608.00 | $476.17 – $5,953.20 | 3 |
| Placental lactogen CPT 83632 | $52.56 | $146.00 | $23.19 – $236.26 | 7 |
| Platelet aggregation each agent teg CPT 85576 | $57.60 | $160.00 | $17.07 – $213.36 | 7 |
| Platelet automated CPT 85049 | $44.28 | $123.00 | $0.60 – $52.34 | 7 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $238.73 | $663.14 | $154.21 – $154.21 | 3 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $258.02 | $716.72 | $200.73 – $200.73 | 3 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $238.73 | $663.14 | $499.53 – $663.14 | 4 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $258.02 | $716.72 | $624.66 – $1,075.92 | 4 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,057.10 | $2,936.40 | $663.14 – $663.14 | 3 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $443.88 | $1,233.00 | $12.33 – $253.28 | 22 |
| Pm device progr eval dual CPT 93280 | $36.72 | $102.00 | $83.07 – $216.50 | 6 |
| Pm device progr eval multi CPT 93281 | $37.08 | $103.00 | $97.09 – $253.41 | 6 |
| Pmp22 gene dup/delet CPT 81324 | $187.20 | $520.00 | $520.00 – $8,932.53 | 7 |
| Pms2 known familial variants CPT 81318 | $119.16 | $331.00 | $107.80 – $1,095.61 | 7 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $361.80 | $1,005.00 | $17.00 – $226.18 | 7 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,138.84 | $8,719.00 | $1,448.49 – $14,386.35 | 6 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,605.40 | $10,015.00 | $513.11 – $16,524.75 | 6 |
| Potassium 24 hour urine CPT 84133 | $42.48 | $118.00 | $0.18 – $50.29 | 7 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $92.40 | $256.68 | $0.33 – $35.00 | 8 |
| Potassium serum/plasma/whole blood CPT 84132 | $53.64 | $149.00 | $0.16 – $54.22 | 7 |
| Pr application of long arm splint CPT 29105 | $398.88 | $1,108.00 | $66.27 – $650.10 | 3 |
| Pr application splint static short arm CPT 29125 | $286.56 | $796.00 | $52.87 – $531.30 | 3 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $43.92 | $122.00 | $14.93 – $201.30 | 3 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $370.80 | $1,030.00 | $60.40 – $820.05 | 8 |
| Prealbumin CPT 84134 | $92.88 | $258.00 | $1.82 – $171.02 | 7 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $2.97 | $8.26 | $0.97 – $8.26 | 8 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.56 | $1.55 | $0.03 – $1.05 | 8 |
| Pregabalin - sendout CPT 80366 | $24.75 | $68.75 | $4.00 – $4.00 | 4 |
| Pregnancy associated plasma protein-a CPT 84163 | $4.82 | $13.38 | $2.01 – $172.35 | 7 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $518.04 | $1,439.00 | $135.29 – $685.63 | 6 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $601.92 | $1,672.00 | $112.49 – $900.90 | 6 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $127.44 | $354.00 | $177.00 – $292.05 | 3 |
| Pressure max expiratory/inspiratory CPT 94799 | $307.08 | $853.00 | $780.45 – $780.45 | 1 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $162.00 | $450.00 | $23.88 – $450.00 | 7 |
| Pretreat rbc absorption reference CPT 86978 | $35.46 | $98.50 | $19.97 – $210.37 | 7 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $62.77 | $174.35 | $4.52 – $168.34 | 7 |
| Pretreat rbc w enzyme reference CPT 86971 | $27.45 | $76.25 | $24.79 – $168.34 | 7 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $359.64 | $999.00 | $120.69 – $1,648.35 | 3 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $43.92 | $122.00 | $69.98 – $216.50 | 6 |
| Prgrmg eval implantable dfb CPT 93282 | $53.28 | $148.00 | $89.43 – $244.20 | 6 |
| Prgrmg eval implantable dfb CPT 93283 | $66.96 | $186.00 | $108.87 – $306.90 | 6 |
| Prgrmg eval implantable dfb CPT 93284 | $72.36 | $201.00 | $127.56 – $331.65 | 6 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $542.88 | $1,508.00 | $75.76 – $2,488.20 | 3 |
| Pr incision & drainage abscess simple/single CPT 10060 | $86.40 | $240.00 | $60.88 – $396.00 | 3 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $359.64 | $999.00 | $74.23 – $1,648.35 | 3 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $287.28 | $798.00 | $66.91 – $1,316.70 | 3 |
| Procalcitonin CPT 84145 | $118.44 | $329.00 | $31.23 – $319.36 | 7 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $17.53 | $48.70 | $5.46 – $21.73 | 8 |
| Progesterone CPT 84144 | $173.52 | $482.00 | $3.82 – $243.89 | 7 |
| Prolactin CPT 84146 | $146.88 | $408.00 | $3.32 – $226.50 | 7 |
| Promethazine hcl injection HCPCS J2550 | $11.73 | $32.59 | $1.94 – $10.81 | 8 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $72.58 | $201.60 | $0.25 – $54.70 | 8 |
| _propoxygc/msur CPT 80367 | $66.96 | $186.00 | $151.00 – $348.17 | 7 |
| Protein c activity CPT 85303 | $4.43 | $12.30 | $1.70 – $161.81 | 7 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $2.52 | $7.00 | $0.75 – $125.68 | 7 |
| Protein s total CPT 85305 | $3.72 | $10.32 | $1.20 – $135.91 | 7 |
| Protein total 24 hour urine CPT 84156 | $43.92 | $122.00 | $0.12 – $42.97 | 7 |
| Protein total body fluid CPT 84157 | $61.20 | $170.00 | $0.12 – $42.97 | 7 |
| Protein total serum plasma whole blood CPT 84155 | $36.72 | $102.00 | $0.12 – $42.81 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $1.26 | $3.51 | $0.14 – $46.04 | 7 |
| Pr removal intrauterine device CPT 58301 | $136.08 | $378.00 | $19.00 – $224.90 | 21 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $81.00 | $225.00 | $72.97 – $371.25 | 3 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $81.00 | $225.00 | $100.39 – $371.25 | 3 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $81.00 | $225.00 | $106.81 – $371.25 | 3 |
| PSA (Prostate) Test CPT 84153 | $88.20 | $245.00 | $1.85 – $215.01 | 7 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $125.28 | $348.00 | $12.42 – $574.20 | 8 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $32.04 | $89.00 | $89.00 – $543.00 | 8 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $43.92 | $122.00 | $13.17 – $543.00 | 8 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $41.40 | $115.00 | $10.66 – $543.00 | 8 |
| Pt application of modality traction mechanical CPT 97012 | $49.68 | $138.00 | $15.98 – $543.00 | 8 |
| Pten gene full sequence CPT 81321 | $47.88 | $133.00 | $133.00 – $798.00 | 7 |
| Pten gene known fam variant CPT 81322 | $13.70 | $38.05 | $17.73 – $165.03 | 7 |
| Pt evaluation high complexity patient/family CPT 97163 | $178.92 | $497.00 | $194.45 – $820.05 | 8 |
| Pt evaluation low complexity patient/family CPT 97161 | $155.52 | $432.00 | $326.00 – $712.80 | 8 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $159.84 | $444.00 | $326.00 – $732.60 | 8 |
| Pt re-evaluation patient/family CPT 97164 | $96.48 | $268.00 | $135.03 – $543.00 | 8 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $79.20 | $220.00 | $16.18 – $543.00 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $69.12 | $192.00 | $14.76 – $543.00 | 8 |
| Pt wheelchair management each 15 minutes CPT 97542 | $49.32 | $137.00 | $137.00 – $543.00 | 8 |
| Pulse ox continuous overnight monitoring CPT 94762 | $379.08 | $1,053.00 | $304.52 – $1,737.45 | 4 |
| Pulse ox multiple CPT 94761 | $257.76 | $716.00 | $206.18 – $1,181.40 | 4 |
| Pulse ox single CPT 94760 | $153.72 | $427.00 | $8.02 – $704.55 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $167.76 | $466.00 | $12.66 – $768.90 | 6 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $523.08 | $1,453.00 | $67.29 – $2,397.45 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $849.24 | $2,359.00 | $81.91 – $3,892.35 | 3 |
| Pyruvate CPT 84210 | $4.17 | $11.58 | $1.68 – $126.94 | 7 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.