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 |
|---|---|---|---|---|
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $479.88 | $1,333.00 | $803.64 – $803.64 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $81.05 | $225.15 | $3.65 – $225.15 | 8 |
| Fracture assessment via dxa CPT 77086 | $111.24 | $309.00 | $46.09 – $509.85 | 8 |
| Fragmenting of kidney stone CPT 50590 | $17,659.44 | $49,054.00 | $670.14 – $80,939.10 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $26.93 | $74.81 | $74.81 – $74.81 | 3 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $31.32 | $87.00 | $87.00 – $87.00 | 3 |
| Fresh frozen plasma thawing ea un CPT 86927 | $273.96 | $761.00 | $78.92 – $195.00 | 4 |
| Fructosamine glycated protein CPT 82985 | $4.83 | $13.41 | $2.25 – $176.21 | 7 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $13.23 | $36.75 | $0.05 – $25.67 | 5 |
| G0180 home health certification HCPCS G0180 | $49.68 | $138.00 | $17.57 – $255.30 | 20 |
| G6pd full gene sequence CPT 81249 | $324.00 | $900.00 | $742.50 – $8,365.89 | 7 |
| G6pd gene alys cmn variant CPT 81247 | $62.93 | $174.81 | $174.81 – $2,437.42 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $309.96 | $861.00 | $48.03 – $1,420.65 | 8 |
| Gabapentin non-blood CPT 80355 | $5.76 | $16.00 | $4.23 – $236.57 | 7 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $6.48 | $18.00 | $0.76 – $29.70 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $12.60 | $35.00 | $3.98 – $54.45 | 8 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1.44 | $4.00 | $0.28 – $6.60 | 8 |
| Galactose transferase test CPT 82776 | $7.34 | $20.40 | $2.40 – $97.98 | 7 |
| Gammaglobulin iga CPT 82784 | $44.73 | $124.26 | $0.57 – $90.58 | 7 |
| Gammaglobulin ige CPT 82785 | $10.44 | $29.00 | $1.32 – $192.50 | 7 |
| Gamma glutamyltransferase CPT 82977 | $49.32 | $137.00 | $0.46 – $84.52 | 7 |
| Gba gene CPT 81251 | $17.01 | $47.25 | $22.33 – $2,099.09 | 7 |
| General health panel CPT 80050 | $213.84 | $594.00 | $263.14 – $594.00 | 7 |
| Generator barostim neo2 2014 HCPCS C1767 | $29,340.00 | $81,500.00 | $7,463.00 – $7,463.00 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $612.90 | $1,702.50 | $1,702.50 – $41,686.73 | 7 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $36,000.00 | $100,000.00 | $100,000.00 – $100,000.00 | 2 |
| Genome sequence analysis CPT 81425 | $1,116.00 | $3,100.00 | $3,100.00 – $155,967.20 | 7 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $20.39 | $56.64 | $5.91 – $56.64 | 8 |
| Gentamicin peak therapeutic drug level CPT 80170 | $116.28 | $323.00 | $2.38 – $173.53 | 7 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $2.82 | $7.84 | $0.77 – $89.80 | 7 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $47.52 | $132.00 | $11.12 – $187.86 | 7 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $280.80 | $780.00 | $102.26 – $1,837.57 | 7 |
| Ghs antibodies (torch) igm CPT 86694 | $3.75 | $10.41 | $1.50 – $167.71 | 7 |
| Ghs bladder cath - complex-foley CPT 51703 | $364.32 | $1,012.00 | $108.11 – $645.15 | 3 |
| Ghs bleeding time (ivy) CPT 85002 | $50.04 | $139.00 | $5.52 – $52.73 | 7 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $128.88 | $358.00 | $10.94 – $396.96 | 7 |
| Ghs community re-entry 15 minutes CPT 97537 | $128.88 | $358.00 | $326.00 – $590.70 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,067.76 | $2,966.00 | $81.53 – $4,893.90 | 3 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $194.04 | $539.00 | $349.31 – $2,974.86 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $1.92 | $5.32 | $0.37 – $73.66 | 7 |
| Ghs fish cytogen CPT 88271 | $38.43 | $106.75 | $5.48 – $1,983.24 | 7 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $62.68 | $174.10 | $24.57 – $3,059.86 | 7 |
| Ghs flow volume loop CPT 94375 | $343.80 | $955.00 | $14.76 – $148.75 | 22 |
| Ghs gastric intub aspiration lavage CPT 43753 | $489.60 | $1,360.00 | $24.80 – $2,244.00 | 3 |
| Ghs histoplasma antigen CPT 87385 | $3.64 | $10.10 | $1.34 – $105.06 | 7 |
| Ghs HIV antibody CPT 86703 | $70.92 | $197.00 | $15.72 – $165.19 | 7 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,061.28 | $2,948.00 | $178.70 – $4,864.20 | 3 |
| Ghs inhibitor screen CPT 85335 | $4.12 | $11.44 | $1.47 – $150.47 | 7 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $504.36 | $1,401.00 | $248.32 – $2,311.65 | 3 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $3.42 | $9.50 | $0.82 – $100.50 | 7 |
| Ghs low level laser therapy CPT 97039 | $186.84 | $519.00 | $326.00 – $856.35 | 8 |
| Ghs mbp CPT 83873 | $5.50 | $15.29 | $2.63 – $194.63 | 7 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $342.72 | $952.00 | $99.88 – $1,570.80 | 3 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $287.28 | $798.00 | $91.24 – $1,242.45 | 3 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $273.60 | $760.00 | $14.47 – $1,254.00 | 3 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $273.60 | $760.00 | $69.12 – $1,183.05 | 3 |
| Ghs myocardial strain img spckl track CPT 93356 | $442.80 | $1,230.00 | $52.63 – $2,029.50 | 6 |
| Ghs o2 saturation CPT 82810 | $52.56 | $146.00 | $11.22 – $102.00 | 7 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,379.88 | $3,833.00 | $45.79 – $6,324.45 | 3 |
| Ghs ot group caregiver training CPT 97552 | $34.92 | $97.00 | $97.00 – $543.00 | 8 |
| Ghs ot prosthetic training/15 min CPT 97761 | $81.72 | $227.00 | $227.00 – $543.00 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $49.32 | $137.00 | $34.67 – $543.00 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $714.60 | $1,985.00 | $29.26 – $3,275.25 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $8.53 | $23.70 | $15.10 – $216.50 | 7 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,003.48 | $8,343.00 | $1,357.69 – $13,765.95 | 6 |
| Ghs ppd (tb intradermal) CPT 86580 | $53.64 | $149.00 | $4.82 – $83.19 | 7 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $3.09 | $8.59 | $0.83 – $113.09 | 7 |
| Ghs protoporphyrins fract CPT 84202 | $4.59 | $12.75 | $1.83 – $167.79 | 7 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $3.92 | $10.89 | $1.33 – $143.16 | 7 |
| Ghs reticulocyte count CPT 85044 | $133.56 | $371.00 | $3.79 – $50.29 | 7 |
| Ghs sedimentation rate CPT 85651 | $69.12 | $192.00 | $0.18 – $41.47 | 7 |
| Ghs semen analysis fert CPT 89320 | $297.72 | $827.00 | $101.80 – $827.00 | 7 |
| Ghs sensitivity (per antimicro) CPT 87184 | $59.04 | $164.00 | $0.56 – $80.51 | 7 |
| Ghs sleep study unattended CPT 95800 | $867.24 | $2,409.00 | $137.76 – $3,895.65 | 6 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $51.84 | $144.00 | $19.41 – $237.60 | 3 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $235.44 | $654.00 | $198.54 – $1,079.10 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $4.71 | $13.08 | $1.92 – $171.96 | 7 |
| Giardia lamblia antibody CPT 86674 | $22.68 | $63.00 | $6.33 – $169.99 | 7 |
| Gi inhouse confirmation CPT 87045 | $114.84 | $319.00 | $0.89 – $110.26 | 7 |
| Gjb6 gene com variants CPT 81254 | $12.60 | $35.00 | $12.25 – $84.68 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $431.17 | $1,197.70 | $193.42 – $389.99 | 6 |
| Glucagon plasma - sendout CPT 82943 | $4.57 | $12.70 | $1.81 – $141.82 | 7 |
| Glucose 1 hr post dose CPT 82950 | $33.12 | $92.00 | $0.20 – $55.48 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $39.60 | $110.00 | $0.59 – $2.25 | 4 |
| Glucose blood quantitative CPT 82947 | $33.12 | $92.00 | $0.13 – $45.96 | 7 |
| Glucose body fluid CPT 82945 | $57.96 | $161.00 | $0.13 – $45.80 | 7 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $72.36 | $201.00 | $1.45 – $150.47 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $18.72 | $52.00 | $0.14 – $45.88 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $18.90 | $52.51 | $1.04 – $52.51 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $84.96 | $236.00 | $3.05 – $217.21 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $198.00 | $550.00 | $3.03 – $216.50 | 7 |
| Graft axiofill 1000mg HCPCS J3590 | $84.67 | $235.20 | $235.20 – $235.20 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $7,560.00 | $21,000.00 | $4,275.00 – $7,053.75 | 3 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $5,275.08 | $14,653.00 | $437.00 – $721.05 | 3 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,093.68 | $3,038.00 | $191.18 – $5,012.70 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $352.08 | $978.00 | $173.00 – $285.45 | 3 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $172.44 | $479.00 | $479.00 – $790.35 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | $241.20 | $670.00 | $3.00 – $110.99 | 9 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $18.55 | $51.52 | $1.98 – $51.52 | 8 |
| Hand X-ray CPT 73130 | $507.24 | $1,409.00 | $36.06 – $1,353.00 | 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.