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 |
|---|---|---|---|---|
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $81.14 | $225.39 | $12.90 – $126.74 | 8 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $439.33 | $1,220.36 | $1.80 – $11.55 | 8 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $63.46 | $176.29 | $1.25 – $39.04 | 8 |
| #celiac hla-dq8 CPT 81383 | $34.92 | $97.01 | $97.01 – $977.38 | 7 |
| Cell count body fluid CPT 89050 | $10.80 | $30.00 | $1.42 – $55.33 | 7 |
| Cell count w differential body fluid CPT 89051 | $96.84 | $269.00 | $0.27 – $64.46 | 7 |
| Cell enumeration & id CPT 86152 | $102.74 | $285.39 | $285.39 – $1,591.24 | 7 |
| Cell function assay w/stim CPT 86352 | $48.91 | $135.86 | $135.86 – $1,321.45 | 7 |
| Cell marker study CPT 88182 | $31.67 | $87.98 | $87.98 – $139.69 | 7 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $36.00 | $100.00 | $100.00 – $165.00 | 3 |
| #cf-97variants CPT 81220 | $200.38 | $556.60 | $165.00 – $7,907.85 | 7 |
| Cftr gene dup/delet variants CPT 81222 | $156.63 | $435.07 | $435.07 – $1,892.86 | 7 |
| Change cystostomy tube; complex 51710 CPT 51710 | $907.20 | $2,520.00 | $104.99 – $4,158.00 | 3 |
| Change cystostomy tube simple CPT 51705 | $552.24 | $1,534.00 | $84.37 – $2,531.10 | 3 |
| Chest 2 vws w oblique CPT 71048 | $274.32 | $762.00 | $54.32 – $1,257.30 | 8 |
| Chest apical lordotic proj CPT 71047 | $261.72 | $727.00 | $50.59 – $1,199.55 | 8 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,654.92 | $4,597.00 | $357.58 – $7,585.05 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,856.52 | $5,157.00 | $297.64 – $7,198.95 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,637.28 | $4,548.00 | $233.36 – $5,814.60 | 8 |
| Chest X-ray CPT 71046 | $293.13 | $814.24 | $39.42 – $590.70 | 8 |
| Chest X-ray (single view) CPT 71045 | $290.52 | $807.00 | $25.35 – $1,186.35 | 8 |
| Chg pr pul rehab for copd patients CPT 94626 | $66.96 | $186.00 | $67.14 – $306.90 | 3 |
| Chimerism anal no cell selec CPT 81267 | $74.69 | $207.46 | $171.81 – $10,221.87 | 7 |
| Chimerism anal w/cell select CPT 81268 | $93.88 | $260.79 | $171.81 – $4,802.67 | 7 |
| Chlamydia culture CPT 87110 | $28.73 | $79.80 | $3.31 – $229.10 | 7 |
| Chlamydia type CPT 87140 | $1.93 | $5.37 | $0.28 – $65.24 | 7 |
| Chlnggrphy intraop addl s&i CPT 74301 | $138.60 | $385.00 | $171.65 – $635.25 | 8 |
| Chloride CPT 82435 | $43.92 | $122.00 | $0.14 – $54.22 | 7 |
| Chloride 24 hour urine CPT 82436 | $47.16 | $131.00 | $0.25 – $58.71 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $508.00 | $1,411.10 | $19.65 – $1,411.10 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $261.00 | $725.00 | $325.26 – $1,196.25 | 5 |
| Cholesterol CPT 82465 | $44.28 | $123.00 | $0.41 – $50.84 | 7 |
| Cholesterol body fluid CPT 84999 | $720.00 | $2,000.00 | $10.03 – $10.03 | 4 |
| Cholesterol (Lipid) Test CPT 80061 | $106.56 | $296.00 | $1.55 – $156.53 | 7 |
| Cholinesterase CPT 82480 | $2.52 | $7.00 | $0.55 – $92.08 | 7 |
| Chrom analysis CPT 88273 | $57.65 | $160.13 | $39.93 – $2,221.23 | 7 |
| Chromatography CPT 83021 | $107.64 | $299.00 | $2.78 – $210.21 | 7 |
| Chromogenic substrate assay CPT 85130 | $50.76 | $141.00 | $13.64 – $137.96 | 7 |
| Chromo high res and frag x - sendout CPT 81243 | $20.53 | $57.04 | $26.03 – $912.92 | 7 |
| Chromosome analys amniotic CPT 88269 | $71.37 | $198.25 | $198.25 – $1,944.13 | 7 |
| Chromosome analysis 100 CPT 88249 | $158.76 | $441.00 | $198.71 – $2,015.27 | 7 |
| Chromosome analysis 15-20 cell count CPT 88262 | $76.09 | $211.35 | $144.00 – $1,456.97 | 7 |
| Chromosome analysis 45 CPT 88263 | $94.81 | $263.36 | $172.46 – $1,699.76 | 7 |
| Chromosome analysis 5 CPT 88261 | $39.65 | $110.13 | $110.13 – $1,753.83 | 7 |
| Chromosome karyotype study CPT 88280 | $16.20 | $45.00 | $15.06 – $293.39 | 7 |
| Chylomicron screen, bf - sendout CPT 82664 | $27.00 | $75.00 | $21.00 – $340.93 | 7 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $23.04 | $63.99 | $5.45 – $63.99 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $90.00 | $250.00 | $250.00 – $4,793.22 | 7 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $33.58 | $93.26 | $2.49 – $51.16 | 6 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $898.92 | $2,497.00 | $189.00 – $189.00 | 3 |
| Clot factor fletcher fact CPT 85292 | $41.45 | $115.13 | $21.72 – $214.22 | 7 |
| Clot factor wght kininogen CPT 85293 | $64.26 | $178.50 | $21.72 – $214.22 | 7 |
| Clot factor xii hageman CPT 85280 | $6.19 | $17.20 | $3.33 – $226.18 | 7 |
| Clot factor xiii fibrin scrn CPT 85291 | $2.85 | $7.91 | $0.72 – $103.88 | 7 |
| Clot factor xiii fibrin stab CPT 85290 | $5.23 | $14.52 | $2.37 – $191.00 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $8.76 | $24.34 | $3.83 – $57.14 | 7 |
| Cmv pcr-sendout CPT 87496 | $23.58 | $65.51 | $10.94 – $396.96 | 7 |
| Co2 monitor per day CPT 94681 | $307.08 | $853.00 | $117.62 – $1,407.45 | 6 |
| Cold agglutinin titer CPT 86157 | $2.58 | $7.17 | $0.58 – $94.28 | 7 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $56.88 | $158.00 | $30.55 – $30.55 | 3 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $87.84 | $244.00 | $55.30 – $55.30 | 3 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $170.64 | $474.00 | $179.44 – $782.10 | 7 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $166.32 | $462.00 | $462.00 – $762.30 | 3 |
| Collection of venous blood by venipuncture CPT 36415 | $14.04 | $39.00 | $3.64 – $64.35 | 7 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $783.72 | $2,177.00 | $136.30 – $3,592.05 | 3 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $181.08 | $503.00 | $51.68 – $829.95 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $258.48 | $718.00 | $315.55 – $420.73 | 4 |
| Compatibility test each unit immediate spin technique CPT 86920 | $643.07 | $1,786.31 | $315.55 – $718.00 | 4 |
| Complement antigen each component c3 CPT 86160 | $45.72 | $127.00 | $1.26 – $140.32 | 7 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $191.88 | $533.00 | $185.31 – $879.45 | 3 |
| Comprehensive hearing test CPT 92557 | $140.76 | $391.00 | $260.33 – $645.15 | 3 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $2,966.04 | $8,239.00 | $11,302.50 – $11,302.50 | 1 |
| Concentration infection agents any type CPT 87015 | $93.60 | $260.00 | $0.53 – $78.07 | 7 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $126.00 | $350.00 | $27.81 – $350.00 | 7 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $207.72 | $577.00 | $63.86 – $577.00 | 7 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $43.20 | $120.00 | $50.00 – $100.89 | 7 |
| Contrast baths charges CPT 97034 | $30.24 | $84.00 | $11.23 – $543.00 | 8 |
| Contrast x-ray of hip CPT 73525 | $752.76 | $2,091.00 | $108.00 – $3,450.15 | 8 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $69.84 | $194.00 | $54.73 – $320.10 | 3 |
| Coombs direct CPT 86880 | $106.92 | $297.00 | $1.78 – $62.80 | 7 |
| Coombs indirect titer reference CPT 86886 | $1.52 | $4.22 | $0.22 – $60.44 | 7 |
| Copper intrauterine device HCPCS J7300 | $526.32 | $1,462.00 | $642.38 – $3,876.84 | 8 |
| Core ndl bx lng/med perq CPT 32408 | $2,028.96 | $5,636.00 | $878.63 – $9,299.40 | 3 |
| Cortisol total am CPT 82533 | $86.04 | $239.00 | $2.36 – $190.77 | 7 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $4,417.20 | $12,270.00 | $2,504.00 – $4,131.60 | 3 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $62.64 | $174.00 | $40.00 – $79.00 | 10 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $4.66 | $12.95 | $1.51 – $154.17 | 7 |
| C-peptide CPT 84681 | $16.83 | $46.75 | $2.47 – $198.25 | 7 |
| C-reactive protein CPT 86140 | $62.28 | $173.00 | $0.24 – $60.44 | 7 |
| C-reactive protein high sensitivity CPT 86141 | $75.96 | $211.00 | $1.45 – $151.26 | 7 |
| Creatine kinase CPT 82550 | $77.40 | $215.00 | $0.38 – $76.65 | 7 |
| Creatine kinase isoenzymes CPT 82552 | $4.28 | $11.90 | $1.59 – $156.53 | 7 |
| Creatine kinase mb CPT 82553 | $113.04 | $314.00 | $1.17 – $134.97 | 7 |
| Creatine - sendout CPT 82540 | $15.08 | $41.88 | $1.94 – $53.67 | 7 |
| Creatinine CPT 82565 | $44.64 | $124.00 | $0.22 – $59.81 | 7 |
| Creatinine 24 hour urine CPT 82570 | $52.12 | $144.77 | $0.24 – $60.44 | 7 |
| Creatinine clearance urine CPT 82575 | $73.44 | $204.00 | $0.79 – $110.26 | 7 |
| #creutz-prot.,western blot CPT 84182 | $57.60 | $160.00 | $5.72 – $210.37 | 7 |
| Critical care 30-74 minutes CPT 99291 | $9,020.88 | $25,058.00 | $174.42 – $16,599.00 | 3 |
| Critical care each additional 30 minutes CPT 99292 | $6,653.52 | $18,482.00 | $84.49 – $5,748.60 | 3 |
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.