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 |
|---|---|---|---|---|
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $178.92 | $497.00 | $100.12 – $820.05 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $1,646.28 | $4,573.00 | $175.89 – $7,545.45 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | $1,646.28 | $4,573.00 | $80.06 – $7,545.45 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $75.24 | $209.00 | $169.29 – $344.85 | 3 |
| Destruction 2-14 lesions 17003 CPT 17003 | $3.60 | $10.00 | $8.51 – $16.50 | 3 |
| Destruction anal lesion(s) CPT 46924 | $2,468.16 | $6,856.00 | $236.04 – $11,312.40 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | $178.92 | $497.00 | $143.12 – $820.05 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $359.64 | $999.00 | $60.68 – $1,648.35 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $359.64 | $999.00 | $207.20 – $1,648.35 | 3 |
| Destruction vag lesions complex 57065 CPT 57065 | $2,861.64 | $7,949.00 | $93.23 – $13,115.85 | 3 |
| Destruction vag lesions simple 57061 CPT 57061 | $2,861.64 | $7,949.00 | $58.78 – $13,115.85 | 3 |
| Device intraute mirena HCPCS J7298 | $1,168.92 | $3,247.00 | $1,730.13 – $4,157.06 | 8 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $154.44 | $429.00 | $36.00 – $707.85 | 8 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $5.04 | $14.00 | $0.03 – $1.67 | 8 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $24.22 | $67.29 | $0.30 – $9.30 | 8 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $45.56 | $126.56 | $3.56 – $101.21 | 8 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $45.95 | $127.63 | $2.08 – $127.63 | 8 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $34.48 | $95.77 | $4.77 – $95.77 | 8 |
| Dextrose 5 % IV bolus HCPCS J7070 | $42.67 | $118.52 | $8.00 – $118.52 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $101.88 | $283.00 | $4.36 – $259.87 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | $73.44 | $204.00 | $0.83 – $113.49 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $67.68 | $188.00 | $21.97 – $310.20 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $125.28 | $348.00 | $348.00 – $704.44 | 6 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $125.28 | $348.00 | $348.00 – $574.20 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $174.60 | $485.00 | $77.07 – $800.25 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $405.00 | $1,125.00 | $221.97 – $1,856.25 | 6 |
| Diagnostic Mammogram (one breast) CPT 77065 | $316.44 | $879.00 | $175.07 – $1,450.35 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $84.25 | $234.03 | $7.06 – $234.03 | 8 |
| Dicyclomine injection HCPCS J0500 | $59.51 | $165.31 | $29.88 – $165.31 | 8 |
| Diffusing capacity CPT 94729 | $312.48 | $868.00 | $9.56 – $277.66 | 22 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $18.18 | $50.49 | $3.74 – $50.49 | 8 |
| Digoxin total therapeutic drug level CPT 80162 | $93.60 | $260.00 | $1.57 – $155.20 | 7 |
| Dilate urethra stricture CPT 53600 | $218.88 | $608.00 | $87.12 – $1,003.20 | 3 |
| Dilator fascial 10fx20cm HCPCS C2627 | $129.60 | $360.00 | $360.00 – $594.00 | 3 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $27.72 | $77.00 | $0.08 – $35.00 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $12.40 | $34.45 | $1.93 – $4.59 | 8 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $29.52 | $82.00 | $10.22 – $50.01 | 8 |
| Disability dlco CPT 94727 | $347.76 | $966.00 | $53.96 – $1,593.90 | 6 |
| Disaccharidases CPT 82657 | $121.25 | $336.80 | $3.93 – $210.21 | 7 |
| Dmd dup/delet analysis CPT 81161 | $100.44 | $279.00 | $161.94 – $3,286.28 | 7 |
| Dmpk gene detc abnor allele CPT 81234 | $39.46 | $109.60 | $109.60 – $1,588.64 | 7 |
| Dna antibody native/double stranded CPT 86225 | $2.88 | $8.00 | $1.10 – $160.63 | 7 |
| Dna gardnerella CPT 87510 | $91.80 | $255.00 | $3.57 – $226.81 | 7 |
| Dna trichomonas CPT 87660 | $91.80 | $255.00 | $3.57 – $235.23 | 7 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $65.02 | $180.61 | $21.83 – $180.61 | 8 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $11.88 | $33.00 | $1.77 – $55.06 | 8 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $31.60 | $87.78 | $0.69 – $87.78 | 8 |
| Doppler echo complete CPT 93320 | $525.24 | $1,459.00 | $109.83 – $2,407.35 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $445.32 | $1,237.00 | $139.65 – $2,041.05 | 6 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $397.44 | $1,104.00 | $74.73 – $1,366.20 | 6 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $54.57 | $151.60 | $0.28 – $151.60 | 5 |
| Dpyd gene common variants CPT 81232 | $62.93 | $174.81 | $139.85 – $2,437.42 | 7 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $916.92 | $2,547.00 | $82.28 – $4,202.55 | 3 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $178.92 | $497.00 | $45.40 – $820.05 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $27.32 | $75.88 | $10.52 – $75.88 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,153.80 | $3,205.00 | $889.00 – $1,466.85 | 3 |
| Drug assay posaconazole CPT 80187 | $7.81 | $21.69 | $5.88 – $179.20 | 7 |
| Drug assay rufinamide CPT 80210 | $5.45 | $15.14 | $4.10 – $179.20 | 7 |
| Drug assay vedolizumab CPT 80280 | $504.00 | $1,400.00 | $44.25 – $254.99 | 7 |
| Drug assay voriconazole CPT 80285 | $7.81 | $21.69 | $5.88 – $179.20 | 7 |
| Drug of abuse screen urine CPT 80305 | $42.84 | $119.00 | $11.09 – $215.56 | 7 |
| Drug screening tapentadol CPT 80372 | $7.74 | $21.51 | $6.00 – $362.18 | 7 |
| Drug screen quant tiagabine CPT 80199 | $24.84 | $69.00 | $18.71 – $202.57 | 7 |
| Drug test prsmv instrmnt CPT 80306 | $47.88 | $133.00 | $17.65 – $287.33 | 7 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $173.52 | $482.00 | $9.46 – $1,149.49 | 7 |
| Drvvt confirm - quest CPT 85597 | $5.75 | $15.98 | $2.87 – $178.49 | 7 |
| Dry needling (97799) CPT 97799 | $84.24 | $234.00 | $69.00 – $543.00 | 8 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $180.72 | $502.00 | $102.92 – $1,200.41 | 6 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $164.52 | $457.00 | $152.65 – $1,012.55 | 6 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $932.40 | $2,590.00 | $133.41 – $4,273.50 | 6 |
| Ear irrigation 69209 CPT 69209 | $68.40 | $190.00 | $11.54 – $160.05 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $201.60 | $560.00 | $23.52 – $924.00 | 6 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $101.52 | $282.00 | $23.05 – $465.30 | 6 |
| Ecg < 30 days transmission & analysis CPT 93271 | $246.96 | $686.00 | $114.47 – $2,094.52 | 6 |
| Ecg external < 48 hours recording CPT 93225 | $368.64 | $1,024.00 | $42.77 – $1,689.60 | 6 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $921.60 | $2,560.00 | $80.24 – $4,224.00 | 6 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $46.08 | $128.00 | $20.12 – $169.68 | 6 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $63.00 | $175.00 | $20.12 – $288.75 | 6 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,475.64 | $4,099.00 | $343.91 – $6,763.35 | 6 |
| Echocardiography doppler color flow mapping CPT 93325 | $399.96 | $1,111.00 | $111.71 – $1,796.85 | 6 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $813.60 | $2,260.00 | $107.65 – $996.60 | 6 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $352.80 | $980.00 | $55.86 – $1,617.00 | 6 |
| Echo exam of eye CPT 76519 | $55.80 | $155.00 | $78.63 – $419.63 | 6 |
| Echo exam of eye thickness CPT 76514 | $10.44 | $29.00 | $14.52 – $47.85 | 6 |
| Echo guide for amniocentesis CPT 76946 | $799.92 | $2,222.00 | $41.48 – $3,666.30 | 6 |
| Echo guide for artery repair CPT 76936 | $481.32 | $1,337.00 | $344.00 – $1,201.59 | 6 |
| Echo stress CPT 93350 | $424.44 | $1,179.00 | $137.87 – $1,945.35 | 6 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,825.28 | $7,848.00 | $223.39 – $12,949.20 | 6 |
| Echo transthoracic CPT 93304 | $282.96 | $786.00 | $119.74 – $1,296.90 | 6 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $785.88 | $2,183.00 | $215.30 – $3,601.95 | 6 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $386.28 | $1,073.00 | $117.36 – $1,770.45 | 6 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $386.28 | $1,073.00 | $58.16 – $525.57 | 22 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $386.28 | $1,073.00 | $159.71 – $1,770.45 | 6 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $386.28 | $1,073.00 | $58.53 – $1,184.18 | 22 |
| Eeg recording awake and asleep CPT 95819 | $386.28 | $1,073.00 | $93.25 – $1,770.45 | 6 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $386.28 | $1,073.00 | $318.25 – $5,055.61 | 6 |
| E equine encephalitis igg CPT 86652 | $4.22 | $11.72 | $1.55 – $154.17 | 7 |
| Egfr gene com variants CPT 81235 | $113.40 | $315.00 | $121.42 – $584.24 | 7 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $10.85 | $30.15 | $10.58 – $310.00 | 5 |
| EKG (Electrocardiogram) CPT 93000 | $42.12 | $117.00 | $41.17 – $312.91 | 6 |
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.