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 |
|---|---|---|---|---|
| Elec analys infus pump w/reprog 62368 CPT 62368 | $367.92 | $1,022.00 | $34.25 – $1,686.30 | 3 |
| Electrical stimulation/unattended 97014 CPT 97014 | $30.96 | $86.00 | $86.00 – $543.00 | 8 |
| Electrolyte panel CPT 80051 | $54.72 | $152.00 | $0.44 – $82.01 | 7 |
| Electron microscopy diagnostic CPT 88348 | $252.23 | $700.63 | $291.35 – $700.63 | 7 |
| Emb without cervical dilation 58100 CPT 58100 | $181.08 | $503.00 | $41.04 – $829.95 | 3 |
| Encephalitis, california igg/igm CPT 86651 | $4.22 | $11.72 | $1.55 – $154.17 | 7 |
| Encephalitis, st louis igg/igm CPT 86653 | $4.22 | $11.72 | $1.55 – $154.17 | 7 |
| Encephalitis, western equine igg/igm CPT 86654 | $4.22 | $11.72 | $1.55 – $154.17 | 7 |
| Endocervical curettage 57505 CPT 57505 | $783.72 | $2,177.00 | $50.67 – $3,592.05 | 3 |
| Endoscopy swallow (fees) vid CPT 92612 | $237.24 | $659.00 | $164.84 – $1,087.35 | 8 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $33.96 | $94.33 | $1.44 – $41.26 | 8 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $3.64 | $10.10 | $1.21 – $108.53 | 7 |
| Enzyme cell activity ra CPT 82658 | $168.45 | $467.92 | $28.20 – $210.21 | 7 |
| Enzyme histochemistry CPT 88319 | $29.43 | $81.75 | $62.86 – $83.82 | 7 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $33.24 | $92.33 | $8.17 – $92.33 | 5 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | $36.19 | $100.53 | $3.76 – $100.53 | 5 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $2.02 | $5.61 | $1.17 – $4.37 | 5 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $35.28 | $98.00 | $3.02 – $98.00 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,236.76 | $8,991.00 | $22.71 – $14,835.15 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $3.85 | $10.70 | $1.40 – $154.17 | 7 |
| Epstein barr nuclear antigen antibody CPT 86664 | $3.85 | $10.70 | $1.64 – $181.48 | 7 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $3.85 | $10.70 | $1.94 – $188.49 | 7 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $195.96 | $544.32 | $24.93 – $544.32 | 8 |
| ER Visit (level 1, minor) CPT 99281 | $153.00 | $425.00 | $21.77 – $701.25 | 3 |
| ER Visit (level 2) CPT 99282 | $438.48 | $1,218.00 | $34.97 – $2,009.70 | 3 |
| ER Visit (level 3) CPT 99283 | $6,228.00 | $17,300.00 | $63.97 – $3,798.30 | 3 |
| ER Visit (level 4) CPT 99284 | $6,872.76 | $19,091.00 | $98.04 – $6,753.45 | 3 |
| ER Visit (level 5, high severity) CPT 99285 | $7,646.76 | $21,241.00 | $155.03 – $10,300.95 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $12.60 | $35.00 | $6.92 – $54.88 | 8 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $222.96 | $619.33 | $0.58 – $619.33 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $36.00 | $100.00 | $17.21 – $138.60 | 3 |
| Estradiol total CPT 82670 | $152.64 | $424.00 | $4.40 – $326.68 | 7 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $13.68 | $38.00 | $20.28 – $38.00 | 8 |
| Ethylene glycol -sendout CPT 82693 | $4.77 | $13.25 | $1.97 – $171.96 | 7 |
| Etonogestrel implant system HCPCS J7307 | $1,442.98 | $4,008.28 | $1,162.87 – $4,166.60 | 8 |
| Euflexxa inj per dose HCPCS J7323 | $143.64 | $399.00 | $272.28 – $362.41 | 8 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $353.16 | $981.00 | $714.51 – $981.00 | 7 |
| Evaluation of speech fluency 92521 CPT 92521 | $143.64 | $399.00 | $107.55 – $658.35 | 8 |
| Event monitor CPT 93270 | $266.40 | $740.00 | $42.77 – $1,221.00 | 6 |
| Evoked oa emissions ltd CPT 92587 | $258.12 | $717.00 | $58.81 – $1,183.05 | 3 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $41.76 | $116.00 | $116.00 – $191.40 | 3 |
| Evok oa screening qual CPT 92558 | $97.20 | $270.00 | $270.00 – $445.50 | 3 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $306.00 | $850.00 | $58.08 – $1,402.50 | 3 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $540.00 | $1,500.00 | $80.04 – $2,475.00 | 3 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $180.00 | $500.00 | $65.52 – $825.00 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $399.60 | $1,110.00 | $71.85 – $1,831.50 | 3 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,061.28 | $2,948.00 | $92.70 – $4,864.20 | 3 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $858.60 | $2,385.00 | $2,385.00 – $2,385.00 | 3 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | $30.24 | $84.00 | $21.06 – $254.52 | 21 |
| External chromosome analysis 20-25 cells CPT 88264 | $66.83 | $185.65 | $165.93 – $1,450.52 | 7 |
| External newborn metabolic screening panel HCPCS S3620 | $81.00 | $225.00 | $60.00 – $99.00 | 4 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $67.72 | $188.10 | $90.00 – $1,253.45 | 7 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $42.84 | $119.00 | $0.90 – $178.02 | 7 |
| F-18 fdg pet diag HCPCS A9552 | $954.36 | $2,651.00 | $889.43 – $4,374.15 | 8 |
| Facial bones <3 CPT 70140 | $347.40 | $965.00 | $37.27 – $1,592.25 | 8 |
| Factor ix CPT 85250 | $6.09 | $16.93 | $3.22 – $222.56 | 7 |
| Factor viii CPT 85240 | $64.80 | $180.00 | $3.27 – $209.34 | 7 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | $12.17 | $33.79 | $0.03 – $33.79 | 5 |
| Fancc gene CPT 81242 | $13.18 | $36.62 | $13.41 – $902.14 | 7 |
| Fat/lipids feces qualitative CPT 82705 | $1.63 | $4.53 | $0.23 – $59.58 | 7 |
| Fatty acids nonesterified CPT 82725 | $5.22 | $14.50 | $2.72 – $155.67 | 7 |
| #fecal-sodium CPT 84302 | $23.04 | $64.00 | $0.21 – $56.59 | 7 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $5.45 | $15.14 | $2.82 – $123.17 | 7 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $16.71 | $46.41 | $2.08 – $46.41 | 8 |
| Ferritin CPT 82728 | $96.12 | $267.00 | $1.37 – $159.29 | 7 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $265.32 | $737.00 | $313.00 – $516.45 | 6 |
| Fetal chrmoml microdeltj CPT 81422 | $99.00 | $275.00 | $45.00 – $9,134.71 | 7 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $162.00 | $450.00 | $275.00 – $5,829.55 | 7 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $484.20 | $1,345.00 | $50.67 – $2,219.25 | 3 |
| Fetal fibronectin CPT 82731 | $224.28 | $623.00 | $36.19 – $1,574.00 | 7 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $2.26 | $6.28 | $0.49 – $90.43 | 7 |
| Fetal non stress test CPT 59025 | $383.40 | $1,065.00 | $22.80 – $1,757.25 | 3 |
| #_fet/norfentcnfrmur CPT 80354 | $205.92 | $572.00 | $6.00 – $348.17 | 7 |
| Fibrin degradation d dimer quantitative CPT 85379 | $83.52 | $232.00 | $0.92 – $118.92 | 7 |
| Fibrin degradation products CPT 85362 | $113.76 | $316.00 | $0.41 – $80.43 | 7 |
| Fibrin degrade semiquant CPT 85378 | $113.76 | $316.00 | $9.32 – $87.04 | 7 |
| Fibrinogen activity CPT 85384 | $132.84 | $369.00 | $0.74 – $98.69 | 7 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $14.40 | $40.00 | $5.63 – $35.21 | 21 |
| Fibrinolytic antiplasmin CPT 85410 | $2.47 | $6.85 | $0.53 – $87.28 | 7 |
| Fibrinolytic plasminogen CPT 85415 | $5.50 | $15.28 | $2.63 – $201.08 | 7 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $2.09 | $5.81 | $0.38 – $76.50 | 7 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $503.23 | $1,397.86 | $2.08 – $7.75 | 8 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $749.08 | $2,080.78 | $0.96 – $6.99 | 8 |
| Flecainide (tambocor)-sendout CPT 80181 | $6.71 | $18.64 | $3.47 – $123.17 | 7 |
| Fl exam g/colon tube w contrast CPT 49465 | $499.68 | $1,388.00 | $141.10 – $2,290.20 | 3 |
| Flow cytometry marker each additional CPT 88185 | $7.44 | $20.68 | $8.67 – $224.06 | 7 |
| Flow cytometry one marker technical component CPT 88184 | $108.00 | $300.00 | $42.18 – $455.99 | 7 |
| Flt3 gene CPT 81245 | $54.00 | $150.00 | $132.40 – $1,168.85 | 7 |
| Flt3 gene analysis CPT 81246 | $54.00 | $150.00 | $55.11 – $2,170.94 | 7 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $21.13 | $58.69 | $12.19 – $231.11 | 8 |
| Fluidotherapy charges pt CPT 97022 | $32.40 | $90.00 | $15.98 – $543.00 | 8 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | $46.80 | $130.00 | $13.97 – $143.00 | 7 |
| Fluorescent antibody titer dna CPT 86256 | $221.40 | $615.00 | $1.25 – $140.95 | 7 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $307.08 | $853.00 | $81.59 – $1,407.45 | 8 |
| Fluoroguide needle placement CPT 77002 | $324.72 | $902.00 | $95.40 – $1,488.30 | 8 |
| Fluoroscopy up to 1 hour CPT 76000 | $575.28 | $1,598.00 | $40.11 – $2,338.05 | 8 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $10.44 | $29.00 | $24.77 – $33.64 | 9 |
| Folic acid CPT 82746 | $111.96 | $311.00 | $1.92 – $171.88 | 7 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $1.12 | $3.11 | $0.13 – $3.11 | 5 |
| Foot X-ray CPT 73630 | $479.52 | $1,332.00 | $34.74 – $1,349.70 | 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.