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 |
|---|---|---|---|---|
| Blood Clotting (PTT) Test CPT 85730 | $60.12 | $167.00 | $0.32 – $70.20 | 7 |
| Blood Count (CBC) Test CPT 85025 | $61.20 | $170.00 | $0.52 – $90.90 | 7 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $56.52 | $157.00 | $0.37 – $75.63 | 7 |
| Blood Culture Test CPT 87040 | $189.00 | $525.00 | $0.93 – $120.65 | 7 |
| Blood draw capillary 36416 CPT 36416 | $27.36 | $76.00 | $76.00 – $125.40 | 4 |
| Blood gases o2 saturation direct measurement CPT 82805 | $361.80 | $1,005.00 | $34.86 – $791.64 | 7 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $72.72 | $202.00 | $2.25 – $29.36 | 7 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $34.92 | $97.00 | $3.67 – $37.15 | 7 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $35.28 | $98.00 | $2.06 – $29.36 | 7 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $33.12 | $92.00 | $0.19 – $37.15 | 7 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $44.28 | $123.00 | $3.89 – $40.22 | 7 |
| Blood typing abo CPT 86900 | $78.12 | $217.00 | $0.07 – $34.86 | 7 |
| Blood typing ag donor ea ag CPT 86902 | $14.04 | $39.00 | $2.48 – $56.59 | 7 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $56.16 | $156.00 | $0.13 – $44.70 | 7 |
| Blood typing rh (d) CPT 86901 | $70.20 | $195.00 | $0.07 – $73.66 | 7 |
| Blood typing rh phenotype complete reference CPT 86906 | $9.73 | $27.03 | $2.09 – $90.58 | 7 |
| Bone Density Scan (DEXA) CPT 77080 | $354.96 | $986.00 | $53.59 – $1,626.90 | 8 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,864.44 | $5,179.00 | $183.54 – $8,545.35 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,864.44 | $5,179.00 | $195.83 – $8,545.35 | 3 |
| Bone survey-lead poisoning CPT 77074 | $257.76 | $716.00 | $80.93 – $1,181.40 | 8 |
| Boot cast sandal rocker med HCPCS L3265 | $14.04 | $39.00 | $39.00 – $39.00 | 3 |
| Boot j walker l HCPCS L4386 | $310.68 | $863.00 | $142.95 – $142.95 | 3 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $131.76 | $366.00 | $240.98 – $240.98 | 3 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $44.64 | $124.00 | $1.76 – $188.33 | 7 |
| Bowel imaging CPT 78290 | $1,034.28 | $2,873.00 | $155.12 – $4,740.45 | 6 |
| Brace ank air stirrup univ HCPCS L4350 | $64.44 | $179.00 | $102.96 – $102.96 | 3 |
| Brace ankle stablizing lg HCPCS L1902 | $37.44 | $104.00 | $104.00 – $104.00 | 3 |
| Brace wrist classic lft sm HCPCS L3908 | $78.12 | $217.00 | $67.53 – $67.53 | 3 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $121.68 | $338.00 | $501.60 – $501.60 | 1 |
| Braf gene CPT 81210 | $63.14 | $175.40 | $80.00 – $905.60 | 7 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,980.00 | $5,500.00 | $787.44 – $9,075.00 | 8 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,608.84 | $4,469.00 | $514.85 – $7,083.45 | 8 |
| Brain MRI (with and without contrast) CPT 70553 | $3,575.16 | $9,931.00 | $594.39 – $13,002.00 | 8 |
| Brain MRI (with contrast) CPT 70552 | $1,636.20 | $4,545.00 | $489.84 – $6,699.00 | 8 |
| Brain MRI (without contrast) CPT 70551 | $1,584.00 | $4,400.00 | $439.07 – $7,260.00 | 8 |
| Brca1 dna gene analy known fam var CPT 81215 | $135.09 | $375.25 | $106.73 – $5,918.95 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | $135.09 | $375.25 | $106.73 – $5,918.95 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | $583.96 | $1,622.11 | $1,622.11 – $47,116.04 | 7 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $4,151.16 | $11,531.00 | $613.92 – $6,684.15 | 3 |
| Breast punct aspir cyst, bil CPT 19000 | $1,243.08 | $3,453.00 | $35.00 – $2,902.35 | 3 |
| Br punct aspir ea add, l CPT 19001 | $533.52 | $1,482.00 | $29.91 – $1,630.20 | 3 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $10.09 | $28.04 | $0.97 – $28.04 | 6 |
| Bundled special stain group 1 microorganisms CPT 88312 | $100.08 | $278.00 | $26.09 – $43.38 | 7 |
| Bundled special stain group 2 CPT 88313 | $75.24 | $209.00 | $25.50 – $43.38 | 7 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $25.88 | $71.88 | $0.03 – $35.00 | 6 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $17.42 | $48.40 | $15.08 – $48.40 | 8 |
| Buprenorphine and metabolite - sendout CPT 80348 | $9.53 | $26.48 | $4.00 – $350.77 | 7 |
| Buprenorphine oral 1mg HCPCS J0571 | $8.56 | $23.78 | $3.43 – $13.94 | 8 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,113.84 | $3,094.00 | $506.70 – $5,105.10 | 3 |
| Bx breast perq without image 19100 CPT 19100 | $3,691.44 | $10,254.00 | $75.95 – $11,279.40 | 3 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $273.60 | $760.00 | $86.14 – $1,254.00 | 3 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $783.72 | $2,177.00 | $41.04 – $3,592.05 | 3 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $783.72 | $2,177.00 | $58.78 – $3,592.05 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $3.84 | $10.67 | $1.28 – $140.32 | 7 |
| Cacna1a gene full gene seq CPT 81185 | $570.60 | $1,585.00 | $971.10 – $13,413.38 | 7 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,422.00 | $3,950.00 | $92.14 – $3,950.00 | 8 |
| Calcium 24 hour urine CPT 82340 | $43.20 | $120.00 | $0.32 – $70.52 | 7 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $27.72 | $77.00 | $0.08 – $77.00 | 5 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $27.72 | $77.00 | $0.08 – $77.00 | 6 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $47.24 | $131.23 | $0.25 – $131.23 | 6 |
| Calcium ionized CPT 82330 | $4.38 | $12.16 | $1.66 – $159.76 | 7 |
| Calcium total CPT 82310 | $43.92 | $122.00 | $0.21 – $60.13 | 7 |
| Calprotectin fecal CPT 83993 | $10.08 | $28.00 | $3.59 – $229.41 | 7 |
| Campylobacter antibody CPT 86625 | $4.20 | $11.66 | $1.53 – $153.70 | 7 |
| Candida dna CPT 87480 | $91.80 | $255.00 | $3.57 – $226.81 | 7 |
| Cannabinoid synthetic 7/more CPT 80352 | $20.52 | $57.00 | $57.00 – $629.60 | 7 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $8,447.40 | $23,465.00 | $805.00 – $1,328.25 | 3 |
| Cap trach decann 15mm HCPCS C1750 | $767.52 | $2,132.00 | $2,100.00 – $3,465.00 | 3 |
| Carbamazepine free CPT 80157 | $3.96 | $10.99 | $1.46 – $116.16 | 7 |
| Carbamazepine free -sendout CPT 80161 | $6.71 | $18.64 | $3.47 – $123.17 | 7 |
| Carbamazepine total therapeutic drug level CPT 80156 | $93.60 | $260.00 | $1.84 – $170.23 | 7 |
| Carbohydrate deficient transf - sendout CPT 82373 | $87.78 | $243.84 | $3.26 – $84.13 | 7 |
| Carbon dioxide CPT 82374 | $59.40 | $165.00 | $0.24 – $55.48 | 7 |
| Carboxyhemoglobin quantitative CPT 82375 | $126.00 | $350.00 | $1.35 – $144.10 | 7 |
| Carcinoembryonic ag (cea) CPT 82378 | $86.76 | $241.00 | $2.13 – $221.38 | 7 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $1,991.16 | $5,531.00 | $241.42 – $9,126.15 | 6 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $1,659.24 | $4,609.00 | $253.32 – $7,604.85 | 6 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,308.68 | $6,413.00 | $289.65 – $10,581.45 | 6 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $187.92 | $522.00 | $31.92 – $861.30 | 6 |
| Cardiolipin antibody iga CPT 86147 | $4.16 | $11.55 | $2.94 – $168.81 | 7 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,561.32 | $4,337.00 | $175.66 – $7,156.05 | 3 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $72.00 | $200.00 | $200.00 – $543.00 | 8 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $21.60 | $60.00 | $60.00 – $543.00 | 8 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $261.00 | $725.00 | $671.18 – $9,134.71 | 7 |
| Carotene CPT 82380 | $2.95 | $8.20 | $0.76 – $107.90 | 7 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $731.16 | $2,031.00 | $224.68 – $1,588.95 | 6 |
| Car seat/bed test 60 minutes CPT 94780 | $44.28 | $123.00 | $123.00 – $391.14 | 6 |
| Car seat/bed test additional 30 minutes CPT 94781 | $12.60 | $35.00 | $35.00 – $153.15 | 6 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $186.48 | $518.00 | $518.00 – $854.70 | 3 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $972.72 | $2,702.00 | $2,702.00 – $4,458.30 | 3 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $43.20 | $120.00 | $11.21 – $120.00 | 4 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $62.64 | $174.00 | $174.00 – $287.10 | 3 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $56.16 | $156.00 | $156.00 – $257.40 | 3 |
| #cbg+cort-cbg CPT 84449 | $37.80 | $105.00 | $18.90 – $181.56 | 7 |
| Cciiv4 vacc abx free im CPT 90756 | $14.76 | $41.00 | $41.00 – $67.65 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $81.36 | $226.00 | $42.89 – $372.90 | 7 |
| Cdna analysis for variants CPT 81403 | $106.20 | $295.00 | $176.00 – $2,791.65 | 7 |
| Cebpa gene full sequence CPT 81218 | $106.20 | $295.00 | $277.59 – $4,793.22 | 7 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $35.70 | $99.18 | $2.26 – $20.93 | 8 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $81.37 | $226.02 | $2.38 – $110.48 | 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.