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 |
|---|---|---|---|---|
| Haptoglobin quantitative CPT 83010 | $17.33 | $48.13 | $1.35 – $147.01 | 7 |
| Hba1/hba2 full gene sequence CPT 81259 | $168.30 | $467.50 | $467.50 – $8,365.89 | 7 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $58.29 | $161.92 | $161.92 – $2,822.10 | 7 |
| Hbb gene dup/del variants CPT 81363 | $58.29 | $161.92 | $161.92 – $2,822.10 | 7 |
| Hcg free betachain test CPT 84704 | $4.82 | $13.38 | $2.05 – $175.89 | 7 |
| Hcg qualitative CPT 84703 | $79.56 | $221.00 | $0.49 – $87.83 | 7 |
| Hcg quantitative CPT 84702 | $140.76 | $391.00 | $1.99 – $168.42 | 7 |
| Head CT scan (with and without contrast) CPT 70470 | $1,946.16 | $5,406.00 | $247.72 – $7,763.25 | 8 |
| Head CT scan (with contrast) CPT 70460 | $1,548.00 | $4,300.00 | $216.71 – $7,095.00 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,843.20 | $5,120.00 | $165.86 – $6,469.65 | 8 |
| Heart infarct image CPT 78466 | $871.20 | $2,420.00 | $125.54 – $3,993.00 | 6 |
| Heinz bodies direct CPT 85441 | $20.43 | $56.75 | $2.38 – $49.03 | 7 |
| Heinz bodies induced CPT 85445 | $20.43 | $56.75 | $3.87 – $79.72 | 7 |
| Helicobacter pylori antibody igm CPT 86677 | $103.68 | $288.00 | $17.82 – $174.08 | 7 |
| Hematocrit CPT 85014 | $30.60 | $85.00 | $0.05 – $27.62 | 7 |
| Hemodialysis one evaluation CPT 90935 | $1,148.40 | $3,190.00 | $81.19 – $5,263.50 | 3 |
| Hemoglobin CPT 85018 | $29.16 | $81.00 | $0.05 – $27.62 | 7 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $70.92 | $197.00 | $8.85 – $85.63 | 7 |
| Hemoglobin plasma CPT 83051 | $2.34 | $6.50 | $0.48 – $85.39 | 7 |
| Hemoglobin urine CPT 83069 | $1.26 | $3.51 | $0.14 – $46.12 | 7 |
| Hemolysins/agglutinins auto CPT 86940 | $2.79 | $7.75 | $0.68 – $95.70 | 7 |
| Hemolysins and agglutinins incubated CPT 86941 | $3.64 | $10.12 | $1.23 – $141.58 | 7 |
| Heparin assay CPT 85520 | $16.20 | $45.00 | $1.50 – $130.01 | 7 |
| Heparin bolus from bag HCPCS J1644 | $23.75 | $65.96 | $0.50 – $37.68 | 8 |
| Heparin neutralization CPT 85525 | $12.60 | $35.00 | $1.20 – $100.42 | 7 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $6.88 | $19.11 | $0.05 – $19.11 | 8 |
| Hepatitis a antibody igm CPT 86709 | $58.32 | $162.00 | $1.12 – $127.26 | 7 |
| Hepatitis b core antibody igm CPT 86705 | $61.20 | $170.00 | $1.22 – $133.16 | 7 |
| Hepatitis b core antibody total CPT 86704 | $67.68 | $188.00 | $1.08 – $136.39 | 7 |
| Hepatitis b surface antibody CPT 86706 | $57.60 | $160.00 | $0.90 – $121.43 | 7 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $48.60 | $135.00 | $135.00 – $545.63 | 9 |
| Hepatitis c antibody CPT 86803 | $75.60 | $210.00 | $1.79 – $161.49 | 7 |
| Hepatitis d quantification CPT 87523 | $81.00 | $225.00 | $42.84 – $168.58 | 5 |
| Hepatobiliary system imaging CPT 78226 | $1,593.00 | $4,425.00 | $427.47 – $7,301.25 | 6 |
| Hereditary colon ca dsordrs CPT 81435 | $842.40 | $2,340.00 | $584.90 – $40,166.43 | 7 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $540.00 | $1,500.00 | $626.00 – $8,162.73 | 7 |
| Herpes simplex 1 ag if CPT 87274 | $3.64 | $10.10 | $1.21 – $105.06 | 7 |
| Herpes simplex 2 ag if CPT 87273 | $3.64 | $10.10 | $1.21 – $108.53 | 7 |
| Herpes simplex type 1 antibody igg CPT 86695 | $26.64 | $74.00 | $1.55 – $154.17 | 7 |
| Herpes simplex type 2 antibody igg CPT 86696 | $72.04 | $200.10 | $3.33 – $226.11 | 7 |
| Herpes simplex virus isolation CPT 87255 | $9.75 | $27.08 | $9.17 – $395.78 | 7 |
| Heterophile antibodies screening CPT 86308 | $43.20 | $120.00 | $0.23 – $60.44 | 7 |
| Heterophile antibodies titer CPT 86309 | $2.07 | $5.75 | $0.37 – $75.63 | 7 |
| Hexa gene CPT 81255 | $18.52 | $51.45 | $26.47 – $2,754.58 | 7 |
| Hhv-6 dna quant CPT 87533 | $13.36 | $37.12 | $15.50 – $302.44 | 7 |
| Hib-hepb vaccine im CPT 90748 | $3.68 | $10.22 | $10.22 – $130.75 | 6 |
| Hip X-ray CPT 73502 | $308.88 | $858.00 | $53.47 – $1,399.20 | 8 |
| Histamine CPT 83088 | $9.45 | $26.25 | $7.75 – $345.18 | 7 |
| Hla class i&ii antibody qual CPT 86828 | $95.40 | $265.00 | $61.81 – $584.35 | 7 |
| Hla ii typing 1 loc hr CPT 81382 | $93.60 | $260.00 | $125.00 – $1,571.01 | 7 |
| Hla i low res one antigen equiv ea CPT 81374 | $23.28 | $64.66 | $48.06 – $2,253.73 | 7 |
| Hla i typing 1 locus hr CPT 81380 | $88.20 | $245.00 | $203.40 – $2,001.10 | 7 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $88.20 | $245.00 | $36.26 – $2,253.73 | 7 |
| Hla i typing low res one locus ea CPT 81373 | $79.20 | $220.00 | $146.22 – $2,253.73 | 7 |
| Homocysteine CPT 83090 | $102.60 | $285.00 | $2.69 – $197.06 | 7 |
| Homogenization tissue CPT 87176 | $1.88 | $5.23 | $0.31 – $68.78 | 7 |
| Homovanillic acid (hva) CPT 83150 | $8.07 | $22.41 | $5.02 – $191.95 | 7 |
| Hpa-1 genotyping CPT 81105 | $39.11 | $108.64 | $108.64 – $2,285.92 | 7 |
| Hpv types 16 & 18 only CPT 87625 | $16.20 | $45.00 | $18.25 – $491.09 | 7 |
| H pylori (c-13) breath CPT 83013 | $21.56 | $59.88 | $40.34 – $747.81 | 7 |
| H pylori drug admin CPT 83014 | $21.86 | $60.71 | $4.17 – $91.45 | 7 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $918.00 | $2,550.00 | $779.22 – $12,635.28 | 7 |
| Hrdtry cardmypy gene panel CPT 81439 | $637.20 | $1,770.00 | $671.18 – $10,352.73 | 7 |
| Hrdtry perph neurphy panel CPT 81448 | $540.00 | $1,500.00 | $671.18 – $10,068.25 | 7 |
| Htt gene detc abnor alleles CPT 81271 | $39.46 | $109.60 | $109.60 – $1,588.64 | 7 |
| Human epididymis protein 4 (he4) CPT 86305 | $52.10 | $144.72 | $3.85 – $495.50 | 7 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $3.74 | $10.40 | $4.65 – $7.61 | 6 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $40.58 | $112.71 | $11.95 – $112.71 | 8 |
| Hydration IV infusion each additional hour CPT 96361 | $311.04 | $864.00 | $20.94 – $1,425.60 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $458.28 | $1,273.00 | $73.58 – $2,100.45 | 3 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $58.02 | $161.16 | $6.50 – $60.06 | 8 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $18.00 | $50.00 | $0.38 – $49.43 | 6 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $202.88 | $563.56 | $54.31 – $54.31 | 3 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $73.95 | $205.43 | $5.46 – $35.39 | 8 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $29.57 | $82.13 | $2.79 – $198.17 | 7 |
| Hysterosalpingography s&i CPT 74740 | $316.80 | $880.00 | $67.02 – $1,452.00 | 8 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $156.24 | $434.00 | $298.85 – $674.85 | 6 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $193.68 | $538.00 | $121.77 – $887.70 | 8 |
| Iaadi respiratory synctial virus CPT 87280 | $51.12 | $142.00 | $1.19 – $105.06 | 7 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $67.32 | $187.00 | $11.51 – $396.96 | 7 |
| Idh1 common variants CPT 81120 | $55.66 | $154.60 | $150.00 – $2,927.64 | 7 |
| Idh2 common variants CPT 81121 | $85.19 | $236.63 | $150.00 – $4,481.18 | 7 |
| Igh gene rearrange amp meth CPT 81261 | $75.60 | $210.00 | $210.00 – $1,571.01 | 7 |
| Igh@ var region somatic mutation analy CPT 81263 | $147.60 | $410.00 | $294.52 – $2,234.61 | 7 |
| Igk rearrangeabn clonal pop CPT 81264 | $68.40 | $190.00 | $190.00 – $4,728.30 | 7 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $84.60 | $235.00 | $46.75 – $499.27 | 7 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $45.00 | $125.00 | $125.00 – $839.97 | 7 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $234.00 | $650.00 | $46.75 – $111.44 | 7 |
| Ikbkap gene CPT 81260 | $11.32 | $31.44 | $12.36 – $1,117.62 | 7 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $87.84 | $244.00 | $100.75 – $100.75 | 3 |
| Immune complex assay CPT 86332 | $7.80 | $21.66 | $5.28 – $284.89 | 7 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $95.40 | $265.00 | $3.85 – $243.10 | 7 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $95.40 | $265.00 | $3.85 – $243.10 | 7 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $4.31 | $11.98 | $0.71 – $140.09 | 7 |
| Immunodiffusion nes CPT 86329 | $4.50 | $12.49 | $1.75 – $149.92 | 7 |
| Immunofixation electrophoresis serum CPT 86334 | $7.15 | $19.86 | $3.35 – $261.13 | 7 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $43.20 | $120.00 | $48.35 – $623.78 | 7 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $194.40 | $540.00 | $66.17 – $105.00 | 7 |
| Immunoglobulin assay CPT 86023 | $32.00 | $88.90 | $1.38 – $125.53 | 7 |
| Immunology procedure CPT 86849 | $24.03 | $66.75 | $66.75 – $66.75 | 4 |
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.