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 |
|---|---|---|---|---|
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $675.18 | $1,023.00 | $30.00 – $457.39 | 12 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $1,080.42 | $1,637.00 | $30.00 – $675.20 | 12 |
| Cystouretero & or pyeloscope CPT 52351 | $671.88 | $1,018.00 | $35.00 – $478.21 | 12 |
| Cysto/uretero stricture tx CPT 52344 | $819.06 | $1,241.00 | $60.00 – $583.54 | 12 |
| Cystouretero w/biopsy CPT 52354 | $924.00 | $1,400.00 | $326.88 – $657.84 | 12 |
| Cystouretero w/excise tumor CPT 52355 | $1,034.88 | $1,568.00 | $65.00 – $736.32 | 12 |
| Cysto/uretero w/lithotripsy CPT 52356 | $920.04 | $1,394.00 | $20.67 – $617.21 | 12 |
| Cystouretero w/lithotripsy CPT 52353 | $867.90 | $1,315.00 | $35.00 – $618.95 | 12 |
| Cystouretero w/stone remove CPT 52352 | $786.06 | $1,191.00 | $60.00 – $560.21 | 12 |
| Cysto/uretero w/up stricture CPT 52345 | $873.18 | $1,323.00 | $342.43 – $622.66 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $720.06 | $1,091.00 | $60.00 – $435.18 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $316.80 | $480.00 | $60.00 – $595.65 | 12 |
| Cystourethro w/addl implant 52442 CPT 52442 | $112.20 | $170.00 | $20.67 – $1,555.08 | 12 |
| Cystourethro w/implant CPT 52441 | $465.96 | $706.00 | $20.67 – $2,016.83 | 12 |
| Cysto w/up stricture tx CPT 52342 | $686.40 | $1,040.00 | $35.00 – $488.56 | 12 |
| Cysto w/ureter stricture tx CPT 52341 | $630.30 | $955.00 | $60.00 – $448.37 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $38.94 | $59.00 | $5.76 – $130.53 | 5 |
| Cyto/molecular report CPT 88291 | $91.08 | $138.00 | $13.62 – $50.30 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $349.14 | $529.00 | $18.74 – $362.03 | 12 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $23.35 | $35.38 | $4.21 – $128.63 | 5 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $124.74 | $189.00 | $31.66 – $94.97 | 4 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $359.70 | $545.00 | $40.58 – $121.74 | 4 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $125.40 | $190.00 | $74.56 – $190.00 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $295.02 | $447.00 | $440.56 – $2,128.45 | 4 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $3,029.51 | $4,590.16 | $16.28 – $85.42 | 6 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $80.78 | $122.40 | $0.08 – $367.20 | 6 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $6.60 | $10.00 | $3.20 – $35.40 | 5 |
| D&c after delivery 59160 CPT 59160 | $613.14 | $929.00 | $30.00 – $364.72 | 12 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $685.08 | $1,038.00 | $25.00 – $362.91 | 12 |
| Dch glucoscan CPT 82948 | $13.20 | $20.00 | $2.71 – $28.73 | 11 |
| Dch pulmonary stress test CPT 94621 | $653.40 | $990.00 | $69.55 – $144.43 | 13 |
| Dch validity tests CPT 81002 | $9.24 | $14.00 | $2.15 – $21.62 | 11 |
| Dcmprn plantar digital nerve CPT 64726 | $632.94 | $959.00 | $202.53 – $456.08 | 12 |
| D&c of cervical stump CPT 57558 | $295.02 | $447.00 | $35.00 – $182.08 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $7.28 | $11.03 | $1.33 – $42.34 | 4 |
| Debr g/per/abd wall 11006 CPT 11006 | $1,518.00 | $2,300.00 | $426.28 – $1,040.50 | 12 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $138.60 | $210.00 | $11.00 – $70.15 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $281.16 | $426.00 | $21.38 – $308.00 | 13 |
| Debridement bone <= 20 sq cm CPT 11044 | $710.82 | $1,077.00 | $11.00 – $460.25 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $165.00 | $250.00 | $25.00 – $89.54 | 12 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $349.80 | $530.00 | $6.00 – $146.13 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $892.98 | $1,353.00 | $6.00 – $123.11 | 12 |
| Debride nail1-5 11720 CPT 11720 | $77.88 | $118.00 | $12.53 – $39.31 | 12 |
| Debride nail6 or more 11721 CPT 11721 | $105.60 | $160.00 | $21.10 – $58.67 | 12 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $664.62 | $1,007.00 | $259.81 – $779.12 | 12 |
| Debride skin bone at fx site CPT 11012 | $925.98 | $1,403.00 | $354.82 – $1,133.13 | 12 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $1,235.52 | $1,872.00 | $20.00 – $831.56 | 12 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,661.22 | $2,517.00 | $403.00 – $1,132.57 | 12 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $91.74 | $139.00 | $14.52 – $51.44 | 12 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $276.54 | $419.00 | $35.00 – $203.30 | 12 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $626.34 | $949.00 | $225.24 – $658.11 | 12 |
| Debr inf skin add-on 11001 CPT 11001 | $63.36 | $96.00 | $10.42 – $31.40 | 12 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,406.46 | $2,131.00 | $20.00 – $324.67 | 12 |
| Decalcification CPT 88311 | $220.44 | $334.00 | $11.33 – $34.00 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $400.62 | $607.00 | $30.95 – $60.26 | 12 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $1,049.40 | $1,590.00 | $25.00 – $821.63 | 12 |
| Decomp forearm 1 space 25020 CPT 25020 | $1,733.16 | $2,626.00 | $65.00 – $1,098.83 | 12 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $2,797.74 | $4,239.00 | $931.87 – $1,717.82 | 12 |
| Decompress fasciotomyhand 26037 CPT 26037 | $1,313.40 | $1,990.00 | $62.17 – $892.66 | 12 |
| Decompress fingers/hand CPT 26035 | $1,999.14 | $3,029.00 | $163.81 – $1,195.00 | 12 |
| Decompress forearm 1 space CPT 25023 | $3,035.34 | $4,599.00 | $97.17 – $1,891.77 | 12 |
| Decompress forearm 2 spaces CPT 25024 | $1,794.54 | $2,719.00 | $30.00 – $1,111.49 | 12 |
| Decompression fasct forearm CPT 24495 | $2,144.34 | $3,249.00 | $580.42 – $1,368.62 | 12 |
| Decompression of leg CPT 27892 | $1,238.16 | $1,876.00 | $259.12 – $853.20 | 12 |
| Decompression of leg CPT 27893 | $1,434.18 | $2,173.00 | $70.00 – $863.90 | 12 |
| Decompression of leg CPT 27894 | $1,848.66 | $2,801.00 | $67.39 – $1,203.75 | 12 |
| Decompression of lower leg CPT 27600 | $910.80 | $1,380.00 | $20.00 – $669.04 | 12 |
| Decompression of lower leg CPT 27601 | $1,011.12 | $1,532.00 | $25.00 – $686.90 | 12 |
| Decompression of thigh/knee CPT 27498 | $1,532.52 | $2,322.00 | $80.00 – $919.81 | 12 |
| Decompression of tibia nerve CPT 28035 | $847.44 | $1,284.00 | $350.89 – $787.04 | 12 |
| Decompression unspecified nerve 64722 CPT 64722 | $859.98 | $1,303.00 | $27.00 – $547.45 | 12 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $3,570.60 | $5,410.00 | $40.00 – $2,402.24 | 12 |
| Decompress small bowel CPT 44021 | $2,146.98 | $3,253.00 | $40.00 – $1,316.63 | 12 |
| Decompress spinal cord lmbr CPT 63056 | $3,290.10 | $4,985.00 | $70.00 – $2,241.58 | 12 |
| Decompress spinal cord thrc CPT 63064 | $3,881.46 | $5,881.00 | $70.00 – $2,657.74 | 12 |
| Decompress spine cord add-on CPT 63066 | $433.62 | $657.00 | $39.09 – $334.24 | 12 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $688.38 | $1,043.00 | $40.00 – $540.02 | 12 |
| Deep muscle biopsy 20205 CPT 20205 | $698.94 | $1,059.00 | $41.00 – $404.23 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,780.55 | $2,697.80 | $0.42 – $9.00 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | $808.50 | $1,225.00 | $60.00 – $605.41 | 12 |
| Delay flap fccnaxghf 15620 CPT 15620 | $768.24 | $1,164.00 | $60.00 – $630.70 | 12 |
| Delivery of placenta 59414 CPT 59414 | $193.38 | $293.00 | $65.00 – $154.98 | 12 |
| Delivery only failed vbac 59620 CPT 59620 | $1,999.14 | $3,029.00 | $485.00 – $2,107.21 | 12 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $2,986.50 | $4,525.00 | $1,139.18 – $6,561.25 | 12 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $218.46 | $331.00 | $8.60 – $308.00 | 13 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,874.22 | $8,900.33 | $20.32 – $44.00 | 6 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $376.86 | $571.00 | $49.89 – $290.03 | 12 |
| Depo-estradiol cypionate inj HCPCS J1000 | $40.92 | $62.00 | $5.19 – $89.90 | 5 |
| Dermabrasion segmental face 15781 CPT 15781 | $982.08 | $1,488.00 | $168.65 – $686.25 | 12 |
| Derm autograft face/nck/hf/g CPT 15135 | $1,742.40 | $2,640.00 | $50.00 – $1,144.69 | 12 |
| Design mlc device for imrt CPT 77338 | $598.62 | $907.00 | $221.58 – $600.53 | 12 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $20.72 | $31.40 | $9.29 – $94.20 | 6 |
| Desoxycorticosterone CPT 82633 | $20.96 | $31.75 | $9.84 – $272.70 | 5 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $333.96 | $506.00 | $43.93 – $168.87 | 12 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $424.38 | $643.00 | $55.00 – $214.71 | 12 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $483.78 | $733.00 | $55.00 – $248.56 | 12 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $354.42 | $537.00 | $47.65 – $180.31 | 12 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $394.02 | $597.00 | $30.00 – $197.81 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $444.18 | $673.00 | $68.13 – $226.36 | 12 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $235.62 | $357.00 | $37.60 – $126.93 | 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.