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 |
|---|---|---|---|---|
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $4,268.22 | $6,467.00 | $88.05 – $1,765.23 | 13 |
| Cta neck without &/or w/contrast CPT 70498 | $2,845.92 | $4,312.00 | $81.66 – $1,710.43 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,587.00 | $6,950.00 | $102.45 – $3,274.64 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,420.88 | $3,668.00 | $84.79 – $2,092.04 | 13 |
| CT Angiogram of the Head CPT 70496 | $2,845.92 | $4,312.00 | $81.66 – $1,710.43 | 13 |
| CT angio hrt w/3d image CPT 75574 | $293.04 | $444.00 | $112.75 – $444.00 | 12 |
| CT angio pelvis CPT 72191 | $1,974.72 | $2,992.00 | $83.72 – $2,010.94 | 13 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $3,116.52 | $4,722.00 | $83.72 – $1,765.23 | 13 |
| CT bone density axial CPT 77078 | $30.36 | $46.00 | $11.63 – $66.70 | 12 |
| CT cerebral perf w cont & prcssng CPT 70473 | $450.78 | $683.00 | $48.22 – $70.26 | 5 |
| CT colonography screening CPT 74263 | $295.68 | $448.00 | $124.43 – $3,931.22 | 10 |
| CT guidance for needle placement CPT 77012 | $1,991.22 | $3,017.00 | $58.37 – $1,923.51 | 13 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $141.90 | $215.00 | $55.11 – $151.55 | 12 |
| CT guid cryo ablat intramuscular CPT 20999 | $970.86 | $1,471.00 | $20.67 – $278.92 | 2 |
| CT guid parench tis ablat CPT 77013 | $467.28 | $708.00 | $178.70 – $1,026.60 | 12 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $71.28 | $108.00 | $27.22 – $108.00 | 12 |
| CT hrt w/3d image CPT 75572 | $212.52 | $322.00 | $82.04 – $316.33 | 12 |
| CT limited or localized follow-up study CPT 76380 | $116.16 | $176.00 | $45.21 – $176.00 | 12 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $2,271.06 | $3,441.00 | $54.28 – $1,373.54 | 13 |
| CT lower extremity without contrast (both sides) CPT 73700 | $2,079.00 | $3,150.00 | $47.18 – $1,155.06 | 13 |
| CT lwr extremity w/o&w/dye CPT 73702 | $2,661.12 | $4,032.00 | $56.69 – $1,723.61 | 13 |
| CT neck soft tissue w/contrast CPT 70491 | $1,155.00 | $1,750.00 | $64.68 – $1,320.01 | 13 |
| CT neck soft tissue without contrast CPT 70490 | $958.32 | $1,452.00 | $60.19 – $1,102.97 | 13 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,452.00 | $2,200.00 | $73.15 – $1,645.44 | 13 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,254.00 | $1,900.00 | $59.12 – $1,645.44 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,057.98 | $1,603.00 | $52.90 – $1,320.01 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $912.12 | $1,382.00 | $60.19 – $1,102.97 | 13 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $889.68 | $1,348.00 | $8.00 – $405.00 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $4,645.08 | $7,038.00 | $94.35 – $2,065.30 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,960.00 | $6,000.00 | $85.16 – $1,562.19 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,687.42 | $5,587.00 | $81.32 – $818.67 | 13 |
| CT thoracic spine w/contrast CPT 72129 | $1,504.14 | $2,279.00 | $57.05 – $1,642.13 | 13 |
| CT thoracic spine without contrast CPT 72128 | $1,279.08 | $1,938.00 | $47.18 – $1,373.54 | 13 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $439.56 | $666.00 | $50.29 – $635.94 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $2,209.68 | $3,348.00 | $59.48 – $2,046.22 | 13 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,421.64 | $2,154.00 | $54.28 – $1,373.54 | 13 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,918.62 | $2,907.00 | $47.18 – $1,155.06 | 13 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,848.00 | $2,800.00 | $56.69 – $1,723.61 | 13 |
| Culture aerobic additional method definitive id each CPT 87077 | $73.92 | $112.00 | $3.78 – $73.44 | 5 |
| Culture afb any source CPT 87116 | $18.92 | $28.66 | $1.30 – $98.13 | 5 |
| Culture anaerobic additional method definitive id each CPT 87076 | $123.42 | $187.00 | $1.66 – $114.61 | 5 |
| Culture anaerobic except blood CPT 87075 | $58.08 | $88.00 | $8.33 – $86.06 | 5 |
| Culture bact stool aero addl path ea CPT 87046 | $42.90 | $65.00 | $3.74 – $21.44 | 5 |
| Culture body fluid CPT 87070 | $196.02 | $297.00 | $9.88 – $78.28 | 5 |
| Culture fungi definitive id mold CPT 87107 | $65.63 | $99.44 | $3.69 – $93.90 | 5 |
| Culture fungi definitive id yeast CPT 87106 | $63.36 | $96.00 | $9.91 – $93.90 | 5 |
| Culture fungi other (except blood) CPT 87102 | $51.48 | $78.00 | $2.19 – $76.45 | 5 |
| Culture fungi skin/hair/nail CPT 87101 | $47.52 | $72.00 | $5.55 – $70.14 | 5 |
| Culture mycoplasma any source CPT 87109 | $28.96 | $43.88 | $4.62 – $139.97 | 5 |
| Culture screening strep group a CPT 87081 | $65.34 | $99.00 | $2.66 – $59.85 | 5 |
| Culture typing added method CPT 87158 | $13.57 | $20.56 | $0.44 – $47.59 | 5 |
| Culture typing immunologic CPT 87147 | $68.64 | $104.00 | $2.28 – $42.57 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $458.04 | $694.00 | $218.06 – $1,513.34 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $128.04 | $194.00 | $33.06 – $625.53 | 5 |
| Culture urine each isolate CPT 87088 | $73.92 | $112.00 | $8.09 – $65.48 | 5 |
| Curette/treat cornea CPT 65435 | $161.04 | $244.00 | $45.00 – $121.80 | 12 |
| Curette/treat cornea CPT 65436 | $902.88 | $1,368.00 | $163.44 – $523.88 | 12 |
| Cv line/pic reposition CPT 36597 | $132.00 | $200.00 | $44.68 – $219.58 | 12 |
| Cv stress test i&r only 93018 CPT 93018 | $36.96 | $56.00 | $14.06 – $27.32 | 12 |
| Cv stress test/supervision only 93016 CPT 93016 | $54.12 | $82.00 | $21.35 – $39.17 | 12 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $20.09 | $30.45 | $0.64 – $17.40 | 6 |
| Cyclic citrullinated peptide antibody CPT 86200 | $13.20 | $20.00 | $0.78 – $115.22 | 5 |
| Cyclosporine 2 hour CPT 80158 | $10.59 | $16.04 | $2.90 – $164.28 | 5 |
| Cyp2c19 gene com variants CPT 81225 | $85.80 | $130.00 | $90.00 – $1,570.80 | 5 |
| Cyp2c9 gene com variants CPT 81227 | $66.00 | $100.00 | $70.00 – $789.38 | 5 |
| Cyp2d6 gene com variants CPT 81226 | $99.00 | $150.00 | $150.00 – $2,179.54 | 5 |
| Cyp3a5 gene common variants CPT 81231 | $46.20 | $70.00 | $70.00 – $1,897.10 | 5 |
| Cystatin c CPT 82610 | $6.92 | $10.49 | $1.94 – $123.73 | 5 |
| Cystic fibrosis cftr CPT 81223 | $462.00 | $700.00 | $700.00 – $11,135.43 | 5 |
| Cysto cgen post urtl valves CPT 52400 | $1,075.14 | $1,629.00 | $100.89 – $835.73 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $260.04 | $394.00 | $15.28 – $245.93 | 13 |
| Cystometrogram w/up 51727 CPT 51727 | $811.80 | $1,230.00 | $262.10 – $786.30 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $2,014.98 | $3,053.00 | $35.00 – $1,396.68 | 12 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $1,678.38 | $2,543.00 | $611.32 – $1,149.36 | 12 |
| Cysto rx balo cath urtl strx CPT 52284 | $366.96 | $556.00 | $60.00 – $4,320.08 | 11 |
| Cystoscopy and biopsy CPT 52007 | $371.58 | $563.00 | $146.93 – $716.33 | 12 |
| Cystoscopy and treatment CPT 52214 | $386.76 | $586.00 | $60.00 – $1,069.17 | 12 |
| Cystoscopy and treatment CPT 52224 | $446.82 | $677.00 | $60.00 – $1,117.76 | 12 |
| Cystoscopy and treatment CPT 52234 | $546.48 | $828.00 | $50.63 – $388.63 | 12 |
| Cystoscopy and treatment CPT 52235 | $640.20 | $970.00 | $252.24 – $455.84 | 10 |
| Cystoscopy and treatment CPT 52240 | $867.90 | $1,315.00 | $340.36 – $618.95 | 10 |
| Cystoscopy and treatment CPT 52260 | $467.94 | $709.00 | $126.58 – $333.06 | 12 |
| Cystoscopy and treatment CPT 52265 | $361.68 | $548.00 | $30.00 – $588.98 | 12 |
| Cystoscopy and treatment CPT 52276 | $588.06 | $891.00 | $65.00 – $418.21 | 12 |
| Cystoscopy and treatment CPT 52277 | $716.76 | $1,086.00 | $60.00 – $510.93 | 12 |
| Cystoscopy and treatment CPT 52283 | $450.78 | $683.00 | $35.00 – $438.10 | 12 |
| Cystoscopy and treatment CPT 52285 | $772.20 | $1,170.00 | $60.00 – $443.17 | 12 |
| Cystoscopy and treatment CPT 52290 | $542.52 | $822.00 | $35.00 – $385.83 | 12 |
| Cystoscopy and treatment CPT 52300 | $621.72 | $942.00 | $30.00 – $443.26 | 12 |
| Cystoscopy and treatment CPT 52310 | $707.52 | $1,072.00 | $65.00 – $387.36 | 12 |
| Cystoscopy and treatment CPT 52315 | $609.18 | $923.00 | $35.00 – $657.40 | 12 |
| Cystoscopy and treatment CPT 52320 | $547.14 | $829.00 | $65.00 – $389.37 | 12 |
| Cystoscopy and treatment CPT 52330 | $584.10 | $885.00 | $65.00 – $789.10 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | $522.06 | $791.00 | $43.00 – $326.70 | 12 |
| Cystoscopy chemodenervation CPT 52287 | $859.98 | $1,303.00 | $20.67 – $497.63 | 12 |
| Cystoscopy inject material CPT 52327 | $570.90 | $865.00 | $65.00 – $454.55 | 12 |
| Cystoscopy removal of clots CPT 52001 | $970.20 | $1,470.00 | $30.00 – $588.09 | 12 |
| Cystoscopy & revise urethra CPT 52275 | $553.08 | $838.00 | $60.00 – $768.00 | 12 |
| Cystoscopy stone removal CPT 52325 | $708.18 | $1,073.00 | $278.18 – $755.77 | 12 |
| Cystoscopy & ureter catheter CPT 52005 | $299.64 | $454.00 | $60.00 – $426.13 | 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.