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 |
|---|---|---|---|---|
| Pyruvate kinase CPT 84220 | $3.02 | $8.39 | $0.79 – $110.26 | 7 |
| Quest t3 uptake CPT 84479 | $48.60 | $135.00 | $0.48 – $75.63 | 7 |
| Rabies ig ht&sol human im/sc CPT 90377 | $738.17 | $2,050.46 | $517.86 – $3,383.26 | 8 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $945.44 | $2,626.22 | $153.30 – $4,333.26 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,659.24 | $4,609.00 | $222.19 – $7,604.85 | 6 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,991.16 | $5,531.00 | $272.11 – $9,126.15 | 6 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,659.24 | $4,609.00 | $1,489.93 – $7,604.85 | 6 |
| Rapid Strep Test CPT 87880 | $84.60 | $235.00 | $10.03 – $105.06 | 7 |
| Rbc count only automated CPT 85041 | $0.96 | $2.67 | $0.08 – $35.18 | 7 |
| Rbc osmotic fragility CPT 85555 | $26.18 | $72.73 | $5.24 – $78.15 | 7 |
| Red blood cells each unit HCPCS P9021 | $104.81 | $291.14 | $185.98 – $185.98 | 3 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $97.53 | $270.92 | $265.58 – $265.58 | 3 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $116.45 | $323.48 | $323.48 – $323.48 | 3 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $202.68 | $563.00 | $7.29 – $201.60 | 8 |
| Rem/biv cast full arm/leg CPT 29705 | $312.12 | $867.00 | $41.66 – $1,095.60 | 3 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $997.94 | $2,772.06 | $10.52 – $18.79 | 6 |
| Removal cerclage without anes CPT 59899 | $230.40 | $640.00 | $1,056.00 – $1,056.00 | 1 |
| Removal cerumen impacted (both sides) CPT 69210 | $96.12 | $267.00 | $30.53 – $293.70 | 3 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $284.76 | $791.00 | $326.00 – $820.05 | 8 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $81.00 | $225.00 | $45.40 – $371.25 | 3 |
| Renal function panel CPT 80069 | $97.56 | $271.00 | $1.39 – $101.44 | 7 |
| Reptilase test CPT 85635 | $3.15 | $8.75 | $0.86 – $115.14 | 7 |
| #resp virpnl dfa-adenovirus CPT 87260 | $3.64 | $10.10 | $1.46 – $105.06 | 7 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $3.64 | $10.10 | $1.66 – $108.53 | 7 |
| Resp virus 6-11 targets CPT 87632 | $415.80 | $1,155.00 | $154.59 – $3,151.62 | 7 |
| Resuscitation cardiopulmonary CPT 92950 | $532.44 | $1,479.00 | $164.96 – $2,440.35 | 3 |
| Resuscitation delivery/birthing room CPT 99465 | $1,034.64 | $2,874.00 | $175.00 – $4,742.10 | 3 |
| Reticulated platelet assay CPT 85055 | $10.29 | $28.59 | $10.22 – $314.17 | 7 |
| Reticulocyte automated CPT 85045 | $43.92 | $122.00 | $0.14 – $46.75 | 7 |
| Reticulocyte direct measurement automated CPT 85046 | $1.66 | $4.61 | $0.26 – $65.01 | 7 |
| Revision of iris CPT 66761 | $493.92 | $1,372.00 | $210.72 – $2,263.80 | 3 |
| Rheumatoid factor qualitative CPT 86430 | $38.88 | $108.00 | $6.63 – $65.32 | 7 |
| Rheumatoid factor quantitative CPT 86431 | $25.92 | $72.00 | $0.28 – $65.32 | 7 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $24.48 | $68.00 | $46.90 – $92.32 | 8 |
| Rho d immune globulin inj HCPCS J2790 | $201.60 | $560.00 | $213.48 – $340.00 | 8 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $644.76 | $1,791.00 | $1,791.00 – $1,791.00 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,130.20 | $8,695.00 | $115.76 – $14,346.75 | 3 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $26.46 | $73.49 | $0.13 – $73.49 | 8 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $515.52 | $1,432.00 | $189.91 – $2,362.80 | 6 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $356.40 | $990.00 | $76.69 – $705.75 | 19 |
| Rsv assay w/optic CPT 87807 | $75.96 | $211.00 | $12.29 – $106.40 | 7 |
| Rubella antibody igg CPT 86762 | $66.96 | $186.00 | $1.57 – $167.71 | 7 |
| Rubeola antibody igg CPT 86765 | $59.04 | $164.00 | $1.47 – $150.63 | 7 |
| Russell viper venom diluted CPT 85613 | $12.60 | $35.00 | $0.81 – $111.83 | 7 |
| Salivary gland imaging CPT 78230 | $1,007.28 | $2,798.00 | $86.91 – $4,616.70 | 6 |
| Salmonella antibody CPT 86768 | $4.22 | $11.72 | $1.55 – $154.17 | 7 |
| Sars-cov-2 antb quantitative CPT 86413 | $97.92 | $272.00 | $73.77 – $261.13 | 7 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $936.36 | $2,601.00 | $53.54 – $1,256.49 | 22 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $591.12 | $1,642.00 | $221.93 – $2,709.30 | 6 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $719.28 | $1,998.00 | $235.46 – $1,623.50 | 6 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $511.20 | $1,420.00 | $113.79 – $1,079.76 | 6 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $491.76 | $1,366.00 | $109.36 – $1,040.10 | 6 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $430.92 | $1,197.00 | $121.29 – $1,162.40 | 6 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $963.00 | $2,675.00 | $138.95 – $1,574.47 | 6 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $502.92 | $1,397.00 | $121.77 – $1,051.12 | 6 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $682.56 | $1,896.00 | $118.85 – $3,128.40 | 6 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $72.72 | $202.00 | $24.79 – $333.30 | 5 |
| Screening Mammogram CPT 77067 | $422.28 | $1,173.00 | $179.73 – $1,452.00 | 6 |
| Screening prostate cancer PSA HCPCS G0103 | $181.44 | $504.00 | $2.45 – $215.01 | 7 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $79.20 | $220.00 | $28.00 – $46.20 | 3 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $13,386.60 | $37,185.00 | $122.00 – $201.30 | 3 |
| Sc ther infusion reset pump CPT 96371 | $82.08 | $228.00 | $97.15 – $376.20 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $14.40 | $40.00 | $1.08 – $30.54 | 7 |
| Semen analysis presence/motility CPT 89321 | $58.68 | $163.00 | $1.45 – $140.79 | 7 |
| Serial casting application 97139app CPT 97139 | $99.00 | $275.00 | $275.00 – $543.00 | 8 |
| Serpina1 gene CPT 81332 | $15.71 | $43.65 | $19.05 – $1,029.08 | 7 |
| Sertraline (zoloft) - sendout CPT 80332 | $72.00 | $200.00 | $15.14 – $320.31 | 7 |
| Shoe post-op mens m HCPCS L3260 | $219.60 | $610.00 | $39.00 – $39.00 | 3 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,871.28 | $5,198.00 | $611.50 – $9,516.21 | 8 |
| Shoulder MRI (with contrast) CPT 73222 | $1,692.00 | $4,700.00 | $494.14 – $7,755.00 | 8 |
| Shoulder MRI (without contrast) CPT 73221 | $2,383.56 | $6,621.00 | $390.48 – $6,439.95 | 8 |
| Shoulder X-ray CPT 73030 | $484.92 | $1,347.00 | $37.09 – $1,311.75 | 8 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,348.00 | $9,300.00 | $9,300.00 – $9,300.00 | 2 |
| Sickling rbc CPT 85660 | $19.80 | $55.00 | $0.25 – $64.69 | 7 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $222.62 | $618.40 | $114.83 – $618.40 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,944.00 | $5,400.00 | $265.31 – $8,910.00 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $2,013.12 | $5,592.00 | $230.16 – $8,551.95 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $1,763.28 | $4,898.00 | $208.72 – $6,380.55 | 8 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $64.08 | $178.00 | $42.62 – $315.35 | 7 |
| Skel musc relaxant 3 or more CPT 80370 | $2.16 | $6.00 | $6.00 – $346.83 | 7 |
| Skin Biopsy CPT 11102 | $115.56 | $321.00 | $128.16 – $529.65 | 3 |
| Skyla, 13.5 mg HCPCS J7301 | $335.52 | $932.00 | $932.00 – $3,461.44 | 8 |
| Slco1b1 gene com variants CPT 81328 | $58.95 | $163.75 | $163.75 – $2,437.42 | 7 |
| Sleep Study (Polysomnography) CPT 95810 | $3,317.04 | $9,214.00 | $499.27 – $15,203.10 | 6 |
| Sleep study unattended CPT 95806 | $540.00 | $1,500.00 | $82.72 – $2,475.00 | 6 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $4.32 | $12.00 | $12.00 – $19.80 | 3 |
| Sling suprapubic suburetheral HCPCS C1771 | $4,363.92 | $12,122.00 | $6,069.00 – $6,069.00 | 2 |
| Slp pure tone screening CPT 92551 | $5.40 | $15.00 | $14.00 – $23.10 | 3 |
| Slp stdy unatnd w/anal CPT 95801 | $666.00 | $1,850.00 | $84.02 – $3,052.50 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $3.62 | $10.05 | $0.26 – $62.80 | 7 |
| Smear gram stain CPT 87205 | $87.48 | $243.00 | $0.15 – $49.90 | 7 |
| Smear nasal eosinophil CPT 89190 | $27.36 | $76.00 | $0.27 – $55.48 | 7 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $17.64 | $49.00 | $0.32 – $70.04 | 7 |
| Smear wet mount CPT 87210 | $73.80 | $205.00 | $1.34 – $49.90 | 7 |
| Smpd1 gene common variants CPT 81330 | $16.92 | $47.00 | $22.09 – $1,443.75 | 7 |
| Snrpn/ube3a gene CPT 81331 | $120.60 | $335.00 | $58.60 – $751.66 | 7 |
| Sodium 24 hour urine CPT 84300 | $54.72 | $152.00 | $0.22 – $56.82 | 7 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $37.63 | $104.52 | $5.41 – $104.52 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $15.07 | $41.87 | $3.51 – $30.20 | 8 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $16.07 | $44.65 | $1.80 – $44.65 | 8 |
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.