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 |
|---|---|---|---|---|
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $351.78 | $533.00 | $43.93 – $172.80 | 12 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $421.08 | $638.00 | $55.00 – $210.12 | 12 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $455.40 | $690.00 | $25.00 – $231.71 | 12 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $439.56 | $666.00 | $20.67 – $719.29 | 12 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $150.48 | $228.00 | $20.67 – $332.12 | 12 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $363.00 | $550.00 | $20.00 – $294.57 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $161.70 | $245.00 | $3.00 – $97.09 | 12 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $639.54 | $969.00 | $24.32 – $343.81 | 12 |
| Destroy vulva lesion simple 56501 CPT 56501 | $448.80 | $680.00 | $10.00 – $213.82 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $316.14 | $479.00 | $8.00 – $158.40 | 12 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $1,058.64 | $1,604.00 | $3.00 – $749.80 | 12 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $813.12 | $1,232.00 | $3.00 – $537.99 | 12 |
| Destruction 2-14 lesions 17003 CPT 17003 | $15.84 | $24.00 | $1.72 – $10.13 | 12 |
| Destruction anal lesion(s) CPT 46910 | $311.52 | $472.00 | $10.00 – $305.36 | 12 |
| Destruction anal lesion(s) CPT 46924 | $1,319.34 | $1,999.00 | $15.00 – $729.94 | 12 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $574.20 | $870.00 | $30.00 – $287.71 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | $271.26 | $411.00 | $3.00 – $133.27 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $595.32 | $902.00 | $98.29 – $294.87 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $132.00 | $200.00 | $20.67 – $299.72 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $660.00 | $1,000.00 | $15.00 – $708.21 | 12 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $613.14 | $929.00 | $35.00 – $318.07 | 12 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $493.02 | $747.00 | $55.00 – $252.46 | 12 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | $574.86 | $871.00 | $100.52 – $298.81 | 12 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $488.40 | $740.00 | $75.20 – $278.92 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $554.40 | $840.00 | $90.47 – $278.92 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $344.52 | $522.00 | $10.00 – $175.27 | 12 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $528.66 | $801.00 | $40.00 – $304.68 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $394.02 | $597.00 | $84.82 – $243.14 | 12 |
| Destruction rectal tumor 45190 CPT 45190 | $1,599.18 | $2,423.00 | $441.18 – $995.10 | 12 |
| Destruction vag lesions complex 57065 CPT 57065 | $568.92 | $862.00 | $10.00 – $318.37 | 12 |
| Destruction vag lesions simple 57061 CPT 57061 | $391.38 | $593.00 | $35.00 – $187.58 | 12 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $227.70 | $345.00 | $10.00 – $168.69 | 12 |
| Determine refractive state CPT 92015 | $43.56 | $66.00 | $20.67 – $278.92 | 8 |
| Developmental screen/score/document 96110 CPT 96110 | $176.88 | $268.00 | $8.61 – $53.65 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | $196.02 | $297.00 | $20.67 – $212.61 | 12 |
| Device ablt adv novasure HCPCS C1886 | $6,296.40 | $9,540.00 | $9,540.00 – $28,620.00 | 2 |
| Device intraute mirena HCPCS J7298 | $2,143.02 | $3,247.00 | $885.33 – $4,708.15 | 6 |
| Dev interrog remote 1/2/mlt CPT 93295 | $99.00 | $150.00 | $36.70 – $86.49 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $310.86 | $471.00 | $9.54 – $355.47 | 13 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $11.22 | $17.00 | $0.01 – $5.80 | 6 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $18.54 | $28.09 | $0.11 – $24.65 | 6 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $49.14 | $74.45 | $3.56 – $223.35 | 6 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $49.55 | $75.08 | $1.06 – $225.24 | 6 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $37.18 | $56.33 | $4.77 – $168.99 | 6 |
| Dextrose 5 % IV bolus HCPCS J7070 | $46.02 | $69.72 | $8.00 – $209.16 | 6 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $12.95 | $19.62 | $4.36 – $202.26 | 5 |
| Diabetes (HbA1c) Test CPT 83036 | $109.56 | $166.00 | $0.83 – $88.33 | 12 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $32.34 | $49.00 | $49.00 – $278.92 | 3 |
| Diab manage trn ind/group HCPCS G0109 | $26.40 | $40.00 | $17.59 – $278.92 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | $739.86 | $1,121.00 | $152.00 – $505.76 | 12 |
| Diagnostic anoscopy CPT 46601 | $211.86 | $321.00 | $20.67 – $217.57 | 12 |
| Diagnostic anoscopy & biopsy CPT 46607 | $278.52 | $422.00 | $20.67 – $307.31 | 10 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $273.90 | $415.00 | $15.00 – $144.21 | 12 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $178.86 | $271.00 | $51.96 – $548.28 | 8 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $178.86 | $271.00 | $53.80 – $415.98 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $209.22 | $317.00 | $5.00 – $134.66 | 12 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $300.96 | $456.00 | $60.00 – $184.36 | 12 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $578.16 | $876.00 | $47.18 – $850.08 | 13 |
| Diagnostic Mammogram (one breast) CPT 77065 | $451.44 | $684.00 | $38.35 – $664.05 | 13 |
| Diagnostic radio unlisted proc CPT 76499 | $33.00 | $50.00 | $20.67 – $20.67 | 1 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $427.68 | $648.00 | $20.00 – $3,212.39 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $68.98 | $104.51 | $3.61 – $30.45 | 6 |
| Diffusing capacity CPT 94729 | $313.50 | $475.00 | $9.56 – $59.30 | 13 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.80 | $30.00 | $1.91 – $90.00 | 6 |
| Digoxin total therapeutic drug level CPT 80162 | $136.62 | $207.00 | $15.23 – $120.79 | 5 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $79.86 | $121.00 | $33.67 – $175.45 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $295.02 | $447.00 | $20.67 – $837.93 | 12 |
| Dilate esophagus CPT 43453 | $196.02 | $297.00 | $10.00 – $480.94 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | $443.52 | $672.00 | $30.00 – $255.80 | 12 |
| Dilate tear duct opening CPT 68801 | $225.72 | $342.00 | $75.66 – $198.11 | 12 |
| Dilate urethra stricture CPT 53600 | $204.60 | $310.00 | $15.00 – $148.94 | 12 |
| Dilate urethra stricture CPT 53601 | $200.64 | $304.00 | $15.00 – $143.45 | 12 |
| Dilate urethra stricture CPT 53605 | $141.24 | $214.00 | $45.00 – $108.22 | 12 |
| Dilate urethra stricture CPT 53621 | $377.52 | $572.00 | $15.00 – $201.12 | 12 |
| Dilation/female urethra/initial 53660 CPT 53660 | $178.20 | $270.00 | $15.00 – $128.58 | 12 |
| Dilation of anal sphincter CPT 45905 | $392.04 | $594.00 | $50.00 – $249.63 | 12 |
| Dilation of cervical canal 57800 CPT 57800 | $179.52 | $272.00 | $15.00 – $99.20 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | $442.86 | $671.00 | $20.00 – $289.20 | 12 |
| Dilation of urethra CPT 53661 | $175.56 | $266.00 | $10.00 – $127.51 | 12 |
| Dilation of vagina CPT 57400 | $291.06 | $441.00 | $47.00 – $220.20 | 12 |
| Dilation salivary duct 42650 CPT 42650 | $174.24 | $264.00 | $30.16 – $119.85 | 12 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $391.38 | $593.00 | $76.65 – $211.76 | 12 |
| Dilator fascial 10fx20cm HCPCS C2627 | $2,097.48 | $3,178.00 | $206.00 – $618.00 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | $338.58 | $513.00 | $20.67 – $239.92 | 12 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $19.80 | $30.00 | $0.08 – $90.00 | 4 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $927.96 | $1,406.00 | $67.50 – $2,038.70 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $19.51 | $29.57 | $0.75 – $18.85 | 6 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $73.92 | $112.00 | $15.34 – $162.40 | 5 |
| Disability dlco CPT 94727 | $392.70 | $595.00 | $12.33 – $39.18 | 13 |
| Disaccharidases CPT 82657 | $11.71 | $17.74 | $3.93 – $163.61 | 5 |
| Discography cerv/thor spine CPT 72285 | $145.20 | $220.00 | $58.87 – $145.68 | 12 |
| Dise eval slp do brth flx dx CPT 42975 | $220.44 | $334.00 | $60.00 – $175.02 | 11 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $1,792.56 | $2,716.00 | $30.00 – $1,248.35 | 12 |
| Division of fallopian tube 58605 CPT 58605 | $764.28 | $1,158.00 | $66.00 – $528.26 | 12 |
| Dna antibody native/double stranded CPT 86225 | $20.46 | $31.00 | $1.10 – $125.02 | 5 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $104.16 | $157.82 | $12.18 – $473.46 | 6 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $22.44 | $34.00 | $0.69 – $23.52 | 6 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $50.62 | $76.70 | $0.35 – $230.10 | 6 |
| Doppler echo complete CPT 93320 | $605.22 | $917.00 | $17.87 – $101.02 | 13 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $110.22 | $167.00 | $90.39 – $242.15 | 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.