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 |
|---|---|---|---|---|
| Endoluminl ivus oct c 1st CPT 92978 | $231.00 | $350.00 | $90.39 – $507.50 | 12 |
| Endoluminl ivus oct c ea CPT 92979 | $116.82 | $177.00 | $71.79 – $256.65 | 12 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $2,112.00 | $3,200.00 | $25.00 – $1,693.79 | 12 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $782.76 | $1,186.00 | $60.00 – $2,857.34 | 12 |
| Endoscopic injection/implant CPT 51715 | $817.08 | $1,238.00 | $85.00 – $462.58 | 12 |
| Endoscopic pancreatoscopy CPT 43273 | $262.68 | $398.00 | $20.00 – $195.38 | 12 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $435.60 | $660.00 | $125.09 – $328.62 | 12 |
| Endoscopy bowel pouch/biop CPT 44386 | $200.64 | $304.00 | $81.74 – $577.53 | 12 |
| Endoscopy maxillary sinus CPT 31267 | $889.68 | $1,348.00 | $55.00 – $501.19 | 12 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $163.68 | $248.00 | $45.00 – $432.11 | 12 |
| Endoscopy swallow (fees) vid CPT 92612 | $108.90 | $165.00 | $55.10 – $280.13 | 12 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $599.28 | $908.00 | $60.00 – $413.23 | 12 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $3,188.46 | $4,831.00 | $20.67 – $2,331.27 | 12 |
| Endovenous laser vein addon 36479 CPT 36479 | $288.42 | $437.00 | $113.78 – $605.29 | 12 |
| Endovenous rf abl vein addl CPT 36476 | $282.48 | $428.00 | $15.00 – $599.44 | 12 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $382.14 | $579.00 | $10.00 – $3,479.66 | 12 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $32.31 | $48.96 | $0.53 – $17.46 | 6 |
| Enterectomy small intestine addl 44121 CPT 44121 | $518.10 | $785.00 | $70.00 – $389.11 | 12 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,682.90 | $4,065.00 | $139.61 – $1,652.61 | 12 |
| Enteroenterostomy fusion 44130 CPT 44130 | $2,902.02 | $4,397.00 | $45.00 – $1,775.53 | 12 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $3,064.38 | $4,643.00 | $65.00 – $1,905.86 | 12 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $3,537.60 | $5,360.00 | $70.00 – $2,186.94 | 12 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $1,861.20 | $2,820.00 | $71.85 – $1,155.56 | 12 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $95.70 | $145.00 | $20.67 – $210.25 | 7 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $1,593.24 | $2,414.00 | $50.00 – $1,069.52 | 12 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $258.72 | $392.00 | $12.00 – $205.46 | 12 |
| Epidural lysis on single day 62264 CPT 62264 | $555.72 | $842.00 | $18.00 – $705.99 | 12 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $13.86 | $21.00 | $21.00 – $30.45 | 2 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $39.27 | $59.51 | $3.02 – $178.52 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $319.44 | $484.00 | $48.00 – $310.10 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $7.06 | $10.70 | $1.40 – $120.00 | 5 |
| Epstein barr nuclear antigen antibody CPT 86664 | $7.06 | $10.70 | $1.64 – $141.25 | 5 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $10.44 | $15.82 | $1.94 – $146.70 | 5 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $3,303.54 | $5,005.37 | $16.33 – $86.32 | 6 |
| Ercp biliary & pancreas CPT 74330 | $69.96 | $106.00 | $28.37 – $153.70 | 12 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $1,022.34 | $1,549.00 | $20.67 – $765.31 | 12 |
| Ercp ea duct/ampulla dilate CPT 43277 | $837.54 | $1,269.00 | $20.67 – $627.90 | 12 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $957.00 | $1,450.00 | $20.67 – $716.76 | 12 |
| Ercp lithotripsy calculi CPT 43265 | $956.34 | $1,449.00 | $20.00 – $717.32 | 12 |
| Ercp remove duct calculi 43264 CPT 43264 | $806.52 | $1,222.00 | $25.00 – $604.84 | 12 |
| Ercp remove forgn body duct 43275 CPT 43275 | $832.92 | $1,262.00 | $20.67 – $624.51 | 12 |
| Ercp sphincter pressure meas CPT 43263 | $792.00 | $1,200.00 | $20.00 – $594.70 | 12 |
| Ercp stent exchange w/dilate CPT 43276 | $1,063.92 | $1,612.00 | $20.67 – $796.44 | 12 |
| Ercp w/specimen collection CPT 43260 | $2,762.10 | $4,185.00 | $281.23 – $1,329.73 | 12 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $80.15 | $121.43 | $9.16 – $126.15 | 6 |
| ER Visit (level 1, minor) CPT 99281 | $240.90 | $365.00 | $10.86 – $32.10 | 12 |
| ER Visit (level 2) CPT 99282 | $696.96 | $1,056.00 | $24.38 – $60.03 | 12 |
| ER Visit (level 3) CPT 99283 | $1,105.50 | $1,675.00 | $44.60 – $103.74 | 12 |
| ER Visit (level 4) CPT 99284 | $1,995.18 | $3,023.00 | $68.35 – $178.09 | 12 |
| ER Visit (level 5, high severity) CPT 99285 | $2,937.00 | $4,450.00 | $108.08 – $260.97 | 12 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $19.80 | $30.00 | $3.54 – $90.00 | 6 |
| Escharotomy ea addl incision CPT 16036 | $179.52 | $272.00 | $40.00 – $127.07 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $24.97 | $37.84 | $0.58 – $113.52 | 5 |
| Esophageal dilat s&i CPT 74360 | $69.30 | $105.00 | $29.51 – $152.25 | 12 |
| Esophageal motility CPT 78258 | $85.80 | $130.00 | $34.33 – $130.00 | 12 |
| Esophagosc dilate balloon 30 CPT 43214 | $433.62 | $657.00 | $20.00 – $320.86 | 12 |
| Esophagoscop stent placement CPT 43212 | $416.46 | $631.00 | $20.67 – $313.78 | 12 |
| Esophagoscop ultrasound exam CPT 43231 | $348.48 | $528.00 | $15.00 – $659.49 | 12 |
| Esophagoscopy balloon <30mm CPT 43220 | $265.32 | $402.00 | $35.00 – $1,887.64 | 12 |
| Esophagoscopy control bleed CPT 43227 | $368.28 | $558.00 | $146.90 – $643.44 | 12 |
| Esophagoscopy flex biopsy CPT 43202 | $231.00 | $350.00 | $15.00 – $596.45 | 12 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $197.34 | $299.00 | $40.00 – $443.43 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | $182.16 | $276.00 | $20.67 – $305.78 | 12 |
| Esophagoscopy flex remove fb CPT 43215 | $314.82 | $477.00 | $126.83 – $668.89 | 12 |
| Esophagoscopy lesion ablate CPT 43229 | $436.92 | $662.00 | $20.67 – $1,198.66 | 12 |
| Esophagoscopy retro balloon CPT 43213 | $573.54 | $869.00 | $20.67 – $2,037.75 | 12 |
| Esophagoscopy rigid balloon CPT 43195 | $419.76 | $636.00 | $20.00 – $296.03 | 12 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $353.76 | $536.00 | $20.67 – $244.85 | 12 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $1,244.76 | $1,886.00 | $20.67 – $883.72 | 12 |
| Esophagoscopy snare les remv CPT 43217 | $357.72 | $542.00 | $15.00 – $731.03 | 12 |
| Esophagoscopy w/us needle bx CPT 43232 | $441.54 | $669.00 | $177.86 – $783.07 | 12 |
| Esophagoscp rig trnso biopsy CPT 43193 | $384.78 | $583.00 | $20.67 – $270.89 | 12 |
| Esophagoscp rig trnso rem fb CPT 43194 | $430.98 | $653.00 | $20.67 – $303.27 | 12 |
| Esophagus motility study CPT 91010 | $103.62 | $157.00 | $69.11 – $117.16 | 12 |
| Esoph egd dilation <30 mm CPT 43249 | $342.54 | $519.00 | $35.00 – $1,798.11 | 12 |
| Esoph endoscopy dilation CPT 43226 | $291.06 | $441.00 | $116.01 – $622.88 | 12 |
| Esoph scope w/submucous inj CPT 43201 | $232.98 | $353.00 | $92.49 – $451.55 | 12 |
| Essure 58565 CPT 58565 | $5,649.60 | $8,560.00 | $245.00 – $3,388.98 | 12 |
| Established Patient Office Visit (level 1) CPT 99211 | $76.56 | $116.00 | $7.76 – $38.52 | 11 |
| Established Patient Office Visit (level 2) CPT 99212 | $84.48 | $128.00 | $18.10 – $68.34 | 11 |
| Established Patient Office Visit (level 3) CPT 99213 | $121.44 | $184.00 | $24.00 – $114.28 | 11 |
| Established Patient Office Visit (level 4) CPT 99214 | $170.94 | $259.00 | $37.50 – $156.86 | 11 |
| Established Patient Office Visit (level 5) CPT 99215 | $238.92 | $362.00 | $57.20 – $187.48 | 11 |
| Estradiol total CPT 82670 | $16.31 | $24.71 | $4.40 – $254.27 | 5 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $18.48 | $28.00 | $7.45 – $40.60 | 5 |
| Etonogestrel implant system HCPCS J7307 | $1,543.08 | $2,338.00 | $661.19 – $3,390.10 | 5 |
| Euflexxa inj per dose HCPCS J7323 | $248.16 | $376.00 | $105.46 – $154.81 | 5 |
| Evacuate mole of uterus CPT 59870 | $1,204.50 | $1,825.00 | $70.00 – $713.68 | 12 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $361.02 | $547.00 | $137.66 – $687.00 | 4 |
| Evaluation heart device CPT 93640 | $397.32 | $602.00 | $168.91 – $872.90 | 12 |
| Evaluation of speech fluency 92521 CPT 92521 | $322.08 | $488.00 | $107.55 – $687.00 | 4 |
| Evaluation psychiatric diagnostic CPT 90791 | $281.82 | $427.00 | $20.67 – $256.92 | 12 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,867.70 | $4,345.00 | $20.67 – $2,108.25 | 12 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $2,438.04 | $3,694.00 | $20.67 – $1,752.50 | 12 |
| Event monitor CPT 93270 | $92.40 | $140.00 | $8.96 – $71.48 | 13 |
| Evoked auditory tst complete CPT 92588 | $64.02 | $97.00 | $19.21 – $74.33 | 12 |
| Evoked oa emissions ltd CPT 92587 | $51.48 | $78.00 | $7.24 – $45.00 | 12 |
| Exam of vagina w/scope 57420 CPT 57420 | $307.56 | $466.00 | $79.23 – $197.64 | 12 |
| Exam pelvic add-on CPT 99459 | $37.62 | $57.00 | $19.04 – $82.65 | 11 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $238.92 | $362.00 | $30.00 – $178.77 | 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.