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 |
|---|---|---|---|---|
| Cryocautery of cervix 57511 CPT 57511 | $273.60 | $760.00 | $71.95 – $1,254.00 | 3 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $3.36 | $9.34 | $1.32 – $100.26 | 7 |
| Cryoprecipitate each unit HCPCS P9012 | $136.08 | $378.00 | $59.15 – $59.15 | 3 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $80.28 | $223.00 | $69.62 – $367.95 | 3 |
| Crystal identification light microscopy CPT 89060 | $103.32 | $287.00 | $3.23 – $83.50 | 7 |
| CT 3d report other modality w/workstation CPT 76377 | $577.80 | $1,605.00 | $891.71 – $2,648.25 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,604.88 | $4,458.00 | $440.60 – $7,355.70 | 8 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,224.80 | $6,180.00 | $491.34 – $9,238.35 | 8 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $4,236.84 | $11,769.00 | $456.21 – $11,363.55 | 8 |
| Cta neck without &/or w/contrast CPT 70498 | $2,966.04 | $8,239.00 | $522.23 – $11,000.55 | 8 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,260.00 | $3,500.00 | $506.87 – $4,987.47 | 8 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,824.56 | $7,846.00 | $388.59 – $11,086.35 | 8 |
| CT Angiogram of the Head CPT 70496 | $2,966.04 | $8,239.00 | $508.52 – $11,302.50 | 8 |
| CT angio pelvis CPT 72191 | $1,321.56 | $3,671.00 | $414.36 – $6,057.15 | 8 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $331.20 | $920.00 | $423.72 – $4,195.84 | 8 |
| CT cerebral perf w cont & prcssng CPT 70473 | $213.12 | $592.00 | $976.80 – $976.80 | 1 |
| CT guidance for needle placement CPT 77012 | $1,418.76 | $3,941.00 | $159.29 – $6,502.65 | 8 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,885.04 | $8,014.00 | $293.26 – $6,296.40 | 8 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,924.56 | $5,346.00 | $232.06 – $4,410.45 | 8 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,030.04 | $5,639.00 | $356.22 – $6,646.20 | 8 |
| CT neck soft tissue w/contrast CPT 70491 | $1,621.80 | $4,505.00 | $305.43 – $6,543.90 | 8 |
| CT neck soft tissue without contrast CPT 70490 | $1,582.92 | $4,397.00 | $249.10 – $5,529.15 | 8 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,599.84 | $4,444.00 | $330.14 – $7,332.60 | 8 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,551.60 | $4,310.00 | $330.14 – $7,111.50 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,573.56 | $4,371.00 | $330.14 – $6,717.15 | 8 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,284.48 | $3,568.00 | $302.69 – $5,459.85 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,006.80 | $11,130.00 | $457.92 – $13,777.50 | 8 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,807.96 | $7,799.88 | $404.21 – $12,799.05 | 8 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,376.00 | $6,600.00 | $256.82 – $10,754.70 | 8 |
| CT thoracic spine w/contrast CPT 72129 | $2,516.40 | $6,990.00 | $297.75 – $8,238.45 | 8 |
| CT thoracic spine without contrast CPT 72128 | $2,179.80 | $6,055.00 | $233.48 – $7,660.95 | 8 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $298.80 | $830.00 | $193.59 – $1,369.50 | 8 |
| CT t-spine w /wo contrast CPT 72130 | $1,831.68 | $5,088.00 | $352.55 – $8,395.20 | 8 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $2,151.00 | $5,975.00 | $289.05 – $6,571.95 | 8 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,856.16 | $5,156.00 | $232.06 – $5,671.05 | 8 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,530.00 | $4,250.00 | $362.24 – $7,012.50 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $93.66 | $260.17 | $0.57 – $94.36 | 7 |
| Culture afb any source CPT 87116 | $23.40 | $65.00 | $0.99 – $126.08 | 7 |
| Culture anaerobic additional method definitive id each CPT 87076 | $108.72 | $302.00 | $1.66 – $147.25 | 7 |
| Culture anaerobic except blood CPT 87075 | $119.16 | $331.00 | $0.80 – $110.57 | 7 |
| Culture bact stool aero addl path ea CPT 87046 | $115.56 | $321.00 | $0.89 – $27.55 | 7 |
| Culture body fluid CPT 87070 | $142.20 | $395.00 | $0.65 – $100.58 | 7 |
| Culture fungi definitive id mold CPT 87107 | $64.80 | $180.00 | $3.69 – $120.65 | 7 |
| Culture fungi definitive id yeast CPT 87106 | $105.12 | $292.00 | $0.84 – $120.65 | 7 |
| Culture fungi other (except blood) CPT 87102 | $117.00 | $325.00 | $2.19 – $98.22 | 7 |
| Culture fungi skin/hair/nail CPT 87101 | $88.56 | $246.00 | $8.84 – $90.11 | 7 |
| Culture mycoplasma any source CPT 87109 | $27.72 | $77.00 | $4.62 – $179.83 | 7 |
| Culture screening strep group a CPT 87081 | $70.92 | $197.00 | $0.38 – $76.89 | 7 |
| Culture typing added method CPT 87158 | $14.65 | $40.70 | $0.44 – $61.15 | 7 |
| Culture typing immunologic CPT 87147 | $47.52 | $132.00 | $0.20 – $54.70 | 7 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $392.40 | $1,090.00 | $218.06 – $2,376.85 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $100.44 | $279.00 | $8.09 – $803.68 | 7 |
| Culture urine each isolate CPT 87088 | $52.56 | $146.00 | $8.72 – $84.13 | 7 |
| Cv stress test i&r only 93018 CPT 93018 | $12.24 | $34.00 | $14.06 – $35.17 | 21 |
| Cv stress test/supervision only 93016 CPT 93016 | $18.36 | $51.00 | $21.35 – $54.03 | 21 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $4.58 | $12.73 | $1.82 – $167.47 | 7 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $12.60 | $35.00 | $1.75 – $13.00 | 8 |
| Cyclic citrullinated peptide antibody CPT 86200 | $7.20 | $20.00 | $0.78 – $148.03 | 7 |
| Cyclosporine 2 hour CPT 80158 | $5.77 | $16.04 | $2.90 – $211.07 | 7 |
| Cyp2c19 gene com variants CPT 81225 | $46.80 | $130.00 | $90.00 – $2,018.18 | 7 |
| Cyp2c9 gene com variants CPT 81227 | $36.00 | $100.00 | $70.00 – $1,014.21 | 7 |
| Cyp2d6 gene com variants CPT 81226 | $64.80 | $180.00 | $150.00 – $2,800.30 | 7 |
| Cyp3a4 gene common variants CPT 81230 | $25.20 | $70.00 | $70.00 – $2,437.42 | 7 |
| Cyp3a5 gene common variants CPT 81231 | $25.20 | $70.00 | $70.00 – $2,437.42 | 7 |
| Cystatin c CPT 82610 | $5.33 | $14.80 | $1.94 – $158.97 | 7 |
| Cystic fibrosis cftr CPT 81223 | $447.69 | $1,243.57 | $525.00 – $14,306.95 | 7 |
| Cystine urine quantitative CPT 82131 | $6.61 | $18.36 | $4.22 – $196.12 | 7 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $518.76 | $1,441.00 | $47.56 – $2,377.65 | 8 |
| Cytogenomic neo microra alys CPT 81277 | $552.60 | $1,535.00 | $1,331.12 – $17,806.00 | 7 |
| Cytogenom microarray copy nmbr var CPT 81228 | $367.20 | $1,020.00 | $516.91 – $5,065.53 | 7 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $4.46 | $12.38 | $1.78 – $167.71 | 7 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $5.17 | $14.36 | $2.42 – $188.57 | 7 |
| Cyto/molecular report CPT 88291 | $11.52 | $32.00 | $13.62 – $51.06 | 21 |
| Cytopath fl nongyn filter CPT 88106 | $119.16 | $331.00 | $37.04 – $331.00 | 7 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $224.64 | $624.00 | $40.19 – $516.82 | 7 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $55.44 | $154.00 | $4.21 – $165.27 | 7 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $83.16 | $231.00 | $37.04 – $231.00 | 7 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $195.12 | $542.00 | $40.58 – $542.00 | 7 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $101.16 | $281.00 | $74.56 – $281.00 | 7 |
| Cytopath smear oth prep screen & interp CPT 88161 | $31.32 | $87.00 | $29.63 – $87.00 | 7 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $160.92 | $447.00 | $440.56 – $2,734.67 | 7 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $2,113.58 | $5,871.04 | $28.47 – $42.44 | 8 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $100.76 | $279.90 | $0.08 – $279.90 | 8 |
| Dark field exam without collj CPT 87166 | $3.75 | $10.42 | $1.18 – $131.98 | 7 |
| Dch glucoscan CPT 82948 | $27.00 | $75.00 | $3.78 – $36.91 | 7 |
| Dch pulmonary stress test CPT 94621 | $342.36 | $951.00 | $142.88 – $1,569.15 | 6 |
| Dch validity tests CPT 81002 | $15.84 | $44.00 | $0.07 – $27.78 | 7 |
| Deamidated gliadin antibody iga CPT 86258 | $23.40 | $65.00 | $1.33 – $45.33 | 5 |
| Debridement (>20 cm) charge pt CPT 97598 | $217.08 | $603.00 | $76.70 – $994.95 | 8 |
| Debride nail1-5 11720 CPT 11720 | $53.64 | $149.00 | $28.30 – $245.85 | 3 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $178.92 | $497.00 | $42.07 – $445.50 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $455.40 | $1,265.00 | $323.08 – $2,087.25 | 3 |
| Decalcification CPT 88311 | $27.72 | $77.00 | $9.01 – $29.36 | 7 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $462.60 | $1,285.00 | $33.51 – $2,120.25 | 3 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,234.41 | $3,428.92 | $0.83 – $12.11 | 8 |
| Delivery of placenta 59414 CPT 59414 | $1,800.00 | $5,000.00 | $88.91 – $8,250.00 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $237.96 | $661.00 | $12.34 – $1,090.65 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $4,751.73 | $13,199.24 | $22.00 – $80.21 | 8 |
| Depo-estradiol cypionate inj HCPCS J1000 | $10.08 | $28.00 | $9.13 – $141.08 | 8 |
| Desoxycorticosterone CPT 82633 | $11.43 | $31.75 | $9.84 – $350.37 | 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.