ADVENTIST HEALTH MENDOCINO COAST
700 River Dr, Fort Bragg, CA · Adventisthealth · · NPI 1538113725
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $17.17 | $26.02 | $7.62 – $266.27 | 5 |
| 17-hydroxypregnenolone CPT 84143 | $13.38 | $20.28 | $4.63 – $207.65 | 5 |
| 17-ketosteroids CPT 83586 | $19.62 | $29.73 | $3.81 – $116.51 | 5 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $147.84 | $224.00 | $47.20 – $125.23 | 12 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $1,424.94 | $2,159.00 | $278.92 – $1,347.88 | 12 |
| 1st/sbsq psyc collab care CPT 99494 | $96.36 | $146.00 | $57.88 – $278.92 | 3 |
| 2nd order venous cath CPT 36012 | $374.88 | $568.00 | $70.00 – $1,425.22 | 12 |
| 2vhpv vaccine 3 dose im CPT 90650 | $378.84 | $574.00 | $38.00 – $190.75 | 5 |
| 3-d radiotherapy plan CPT 77295 | $598.62 | $907.00 | $231.97 – $623.14 | 12 |
| 3d recon without postprocess indpndt CPT 76376 | $861.30 | $1,305.00 | $7.52 – $789.89 | 13 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $51.70 | $78.33 | $1.71 – $234.99 | 4 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $132.00 | $200.00 | $20.67 – $278.92 | 8 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $151.14 | $229.00 | $20.67 – $285.65 | 8 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $151.14 | $229.00 | $20.67 – $317.55 | 8 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $113.52 | $172.00 | $20.67 – $278.92 | 8 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $132.00 | $200.00 | $20.67 – $278.92 | 8 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $132.00 | $200.00 | $20.67 – $278.92 | 8 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $151.14 | $229.00 | $20.67 – $284.20 | 8 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $190.08 | $288.00 | $20.67 – $342.20 | 8 |
| Abd aorta w/runoff s&i CPT 75630 | $235.62 | $357.00 | $49.00 – $133.48 | 12 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,659.14 | $4,029.00 | $40.00 – $1,616.90 | 12 |
| Abd/low ext cath 1st CPT 36245 | $505.56 | $766.00 | $95.00 – $1,787.84 | 12 |
| Abd/low ext cath 2nd CPT 36246 | $532.62 | $807.00 | $75.00 – $2,236.65 | 12 |
| Abd/low ext cath 3rd CPT 36247 | $636.24 | $964.00 | $45.00 – $3,538.56 | 12 |
| Abd/low ext cath addl CPT 36248 | $104.94 | $159.00 | $40.56 – $296.59 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,508.00 | $3,800.00 | $65.36 – $1,966.73 | 13 |
| Abdominal CT scan (with contrast) CPT 74160 | $2,143.68 | $3,248.00 | $59.48 – $1,588.65 | 13 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,848.00 | $2,800.00 | $55.67 – $1,317.36 | 13 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,427.94 | $6,709.00 | $103.18 – $5,862.64 | 13 |
| Abdominal MRI (with contrast) CPT 74182 | $2,640.00 | $4,000.00 | $80.62 – $3,168.54 | 13 |
| Abdominal MRI (without contrast) CPT 74181 | $1,959.54 | $2,969.00 | $67.79 – $2,594.70 | 13 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,944.36 | $2,946.00 | $20.67 – $495.19 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $986.70 | $1,495.00 | $38.17 – $462.97 | 13 |
| Abdominal Ultrasound (limited) CPT 76705 | $568.92 | $862.00 | $27.93 – $333.37 | 13 |
| Abdominoplasty 15830 CPT 15830 | $2,672.34 | $4,049.00 | $648.00 – $1,576.08 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,518.00 | $2,300.00 | $20.67 – $261.06 | 12 |
| Abl1 gene CPT 81170 | $489.15 | $741.13 | $344.26 – $4,860.87 | 5 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $469.26 | $711.00 | $37.00 – $423.59 | 12 |
| Ablate inf turbinate superf 30801 CPT 30801 | $520.08 | $788.00 | $37.00 – $332.17 | 12 |
| Ablation cryo abd perit om CPT 49999 | $1,677.06 | $2,541.00 | $20.67 – $94.25 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $648.78 | $983.00 | $20.67 – $108.75 | 3 |
| Ablation cryo thigh/knee CPT 27599 | $501.60 | $760.00 | $20.67 – $43.50 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $780.12 | $1,182.00 | $20.67 – $278.92 | 2 |
| Abrasion lesions add-on CPT 15787 | $38.28 | $58.00 | $10.42 – $81.31 | 12 |
| Abrasion lesion single CPT 15786 | $312.84 | $474.00 | $17.00 – $313.55 | 12 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,041.38 | $3,093.00 | $20.67 – $1,356.57 | 12 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $7.26 | $11.00 | $1.93 – $20.67 | 11 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $14.52 | $22.00 | $3.76 – $31.90 | 11 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $61.38 | $93.00 | $20.67 – $196.98 | 12 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $38.89 | $58.92 | $0.14 – $176.77 | 6 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $35.64 | $54.00 | $20.67 – $78.30 | 3 |
| Acetaminophen level CPT 80143 | $118.80 | $180.00 | $13.61 – $95.86 | 5 |
| Acetylcholine receptor modulating antibody CPT 86043 | $5.68 | $8.60 | $1.04 – $44.32 | 4 |
| Acne surgery 10040 CPT 10040 | $274.56 | $416.00 | $22.00 – $127.22 | 12 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $273.90 | $415.00 | $166.32 – $601.75 | 11 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $216.48 | $328.00 | $112.04 – $475.60 | 11 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $102.96 | $156.00 | $64.71 – $278.92 | 3 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $121.44 | $184.00 | $20.67 – $174.00 | 12 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $226.38 | $343.00 | $20.67 – $320.45 | 12 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $29.70 | $45.00 | $8.12 – $27.63 | 11 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $33.66 | $51.00 | $19.95 – $278.92 | 3 |
| Acoustic refl threshold tst CPT 92568 | $51.48 | $78.00 | $9.28 – $25.84 | 12 |
| Acromp/acromionectomy prtl CPT 23130 | $1,448.04 | $2,194.00 | $358.52 – $969.85 | 12 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $88.44 | $134.00 | $20.00 – $278.92 | 3 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $48.84 | $74.00 | $20.00 – $278.92 | 3 |
| Acup 1/> without estim ea add 15 CPT 97811 | $43.56 | $66.00 | $20.00 – $278.92 | 3 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $76.56 | $116.00 | $20.00 – $45.34 | 12 |
| Acute hepatitis panel CPT 80074 | $27.58 | $41.79 | $19.90 – $367.95 | 5 |
| Acute venous thrombus image CPT 78456 | $920.04 | $1,394.00 | $213.21 – $1,033.17 | 4 |
| Acyclovir 400 mg tablet HCPCS J8499 | $124.08 | $188.00 | $3.00 – $4.35 | 2 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $41.34 | $62.63 | $0.14 – $187.89 | 6 |
| #acylcarnitineprfl CPT 82017 | $33.12 | $50.18 | $8.47 – $152.77 | 5 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $19.06 | $28.88 | $1.44 – $86.63 | 6 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $2,030.82 | $3,077.00 | $141.88 – $1,380.48 | 12 |
| Adh-sendout CPT 84588 | $29.70 | $45.00 | $15.27 – $310.01 | 5 |
| Adj gastric band via subq port CPT 43999 | $1,122.00 | $1,700.00 | $20.67 – $20.67 | 1 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $1,051.38 | $1,593.00 | $60.00 – $745.72 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,765.50 | $2,675.00 | $84.51 – $1,288.61 | 12 |
| Adjustment gastric band HCPCS S2083 | $97.02 | $147.00 | $20.67 – $213.15 | 5 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $15.82 | $23.96 | $0.14 – $16.94 | 6 |
| Admin ecg contrast agent CPT 93352 | $95.70 | $145.00 | $34.77 – $61.27 | 12 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $272.58 | $413.00 | $21.49 – $748.00 | 13 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $232.98 | $353.00 | $28.59 – $748.00 | 13 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $636.90 | $965.00 | $28.59 – $748.00 | 13 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $316.80 | $480.00 | $17.96 – $748.00 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $100.32 | $152.00 | $10.66 – $748.00 | 13 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $185.46 | $281.00 | $10.66 – $748.00 | 13 |
| Administration immunization 1 vaccine CPT 90471 | $129.36 | $196.00 | $4.46 – $34.28 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $79.86 | $121.00 | $11.96 – $24.75 | 12 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $28.38 | $43.00 | $17.18 – $62.35 | 12 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $19.80 | $30.00 | $11.96 – $43.50 | 12 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $38.94 | $59.00 | $29.19 – $85.55 | 11 |
| Administration vaccine hepatitis b HCPCS G0010 | $40.92 | $62.00 | $14.97 – $89.90 | 7 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $33.66 | $51.00 | $25.32 – $73.95 | 11 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $6,161.58 | $9,335.73 | $30.30 – $160.55 | 6 |
| Adrenal cortex & medulla img CPT 78075 | $91.08 | $138.00 | $34.69 – $138.00 | 12 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $115.50 | $175.00 | $20.67 – $115.93 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $67.68 | $102.54 | $102.54 – $1,479.28 | 5 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $1,438.80 | $2,180.00 | $20.67 – $1,295.74 | 11 |
| After cataract laser surgery CPT 66821 | $724.68 | $1,098.00 | $35.00 – $419.88 | 12 |
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.