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 |
|---|---|---|---|---|
| Air conduction bilat CPT 92552 | $69.96 | $106.00 | $15.30 – $64.27 | 12 |
| Air injection into abdomen 49400 CPT 49400 | $198.66 | $301.00 | $60.00 – $268.74 | 12 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $19.80 | $30.00 | $12.70 – $39.18 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $61.38 | $93.00 | $4.06 – $47.04 | 5 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $377.78 | $572.40 | $75.23 – $225.70 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $35.64 | $54.00 | $3.12 – $52.68 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $58.74 | $89.00 | $4.41 – $45.08 | 5 |
| Albuterol ipratrop non-comp HCPCS J7620 | $10.56 | $16.00 | $0.20 – $7.25 | 5 |
| Albuterol non-comp con HCPCS J7611 | $17.82 | $27.00 | $0.16 – $39.15 | 5 |
| Albuterol non-comp unit HCPCS J7613 | $17.82 | $27.00 | $0.07 – $15.95 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | $17.16 | $26.00 | $4.36 – $37.70 | 11 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $37.62 | $57.00 | $9.74 – $82.65 | 11 |
| Alginate drsg wound filler HCPCS A6199 | $11.88 | $18.00 | $3.13 – $26.10 | 11 |
| Alkaline phosphatase CPT 84075 | $62.04 | $94.00 | $0.21 – $47.04 | 5 |
| Allergen alpha lactalbumin ige CPT 86008 | $26.57 | $40.25 | $0.90 – $240.18 | 5 |
| Allergen egg white ige CPT 86003 | $17.51 | $26.53 | $0.26 – $143.82 | 5 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $5.26 | $7.97 | $0.64 – $147.38 | 5 |
| Allergy injections; 2 or more 95117 CPT 95117 | $21.12 | $32.00 | $9.45 – $22.10 | 12 |
| Allergy injection; single 95115 CPT 95115 | $18.48 | $28.00 | $4.90 – $18.20 | 12 |
| Allergy Skin Testing CPT 95004 | $7.92 | $12.00 | $1.90 – $7.66 | 13 |
| Allg patch or app # of tests 95044 CPT 95044 | $9.90 | $15.00 | $3.70 – $10.29 | 12 |
| Allgrft implnt knee w/scope CPT 29867 | $2,922.48 | $4,428.00 | $600.52 – $1,999.24 | 12 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $261.36 | $396.00 | $20.67 – $241.60 | 11 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $400.62 | $607.00 | $20.67 – $324.41 | 9 |
| All tstg perq&iq drugs/biol CPT 95018 | $35.64 | $54.00 | $6.03 – $47.29 | 12 |
| All tstg perq&iq w/venoms CPT 95017 | $14.52 | $22.00 | $2.92 – $140.16 | 12 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $37.79 | $57.26 | $36.88 – $573.28 | 5 |
| Alpha-fetoprotein tumor marker CPT 82105 | $103.62 | $157.00 | $2.02 – $152.65 | 5 |
| Als 1 HCPCS A0426 | $985.18 | $1,492.70 | $1,492.70 – $4,478.10 | 2 |
| Als1-emergency HCPCS A0427 | $1,174.17 | $1,779.05 | $1,779.05 – $5,337.15 | 2 |
| Als 2 HCPCS A0433 | $1,543.05 | $2,337.95 | $2,337.95 – $7,013.85 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $388.63 | $588.84 | $34.20 – $395.42 | 6 |
| Alt/sgpt CPT 84460 | $80.52 | $122.00 | $6.08 – $47.59 | 5 |
| Alveoloplasty each quadrant CPT 41874 | $585.42 | $887.00 | $55.00 – $514.96 | 12 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $130.02 | $197.00 | $35.02 – $156.69 | 12 |
| Amantadine (symmetrel)-sendout CPT 80375 | $168.96 | $256.00 | $73.00 – $250.96 | 4 |
| Ambl bp mntr w/software CPT 93784 | $95.04 | $144.00 | $48.40 – $116.60 | 12 |
| Aminolevulinic acid delta CPT 82135 | $9.66 | $14.63 | $2.41 – $149.77 | 5 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $53.84 | $81.58 | $2.19 – $244.74 | 6 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $164.45 | $249.16 | $4.18 – $424.62 | 5 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $4,290.00 | $6,500.00 | $18.62 – $73.35 | 5 |
| Ammonia CPT 82140 | $159.72 | $242.00 | $8.00 – $132.61 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $174.24 | $264.00 | $57.26 – $223.40 | 12 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,609.74 | $2,439.00 | $61.00 – $1,086.25 | 12 |
| Amphetamine confirm urine -sendout CPT 80324 | $5.67 | $8.59 | $8.59 – $216.47 | 4 |
| Amphetamines 5 or more CPT 80326 | $240.90 | $365.00 | $6.57 – $259.78 | 4 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $36.11 | $54.71 | $1.60 – $164.14 | 6 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $28.54 | $43.24 | $3.61 – $94.20 | 6 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $966.90 | $1,465.00 | $70.00 – $700.37 | 12 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $1,577.40 | $2,390.00 | $141.47 – $1,147.02 | 12 |
| Amputate leg at thigh CPT 27592 | $1,490.94 | $2,259.00 | $95.00 – $1,066.13 | 12 |
| Amputate lower leg at knee CPT 27598 | $1,543.08 | $2,338.00 | $118.02 – $1,158.70 | 12 |
| Amputate metacarpal bone 26910 CPT 26910 | $1,784.64 | $2,704.00 | $68.13 – $1,199.14 | 12 |
| Amputate thigh through femur 27590 CPT 27590 | $1,706.10 | $2,585.00 | $90.00 – $1,233.15 | 12 |
| Amputation follow-up surgery CPT 25931 | $1,859.88 | $2,818.00 | $20.00 – $1,253.70 | 12 |
| Amputation follow-up surgery CPT 27594 | $1,143.12 | $1,732.00 | $263.96 – $794.76 | 12 |
| Amputation follow-up surgery CPT 27884 | $1,296.24 | $1,964.00 | $50.00 – $918.81 | 12 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $1,962.18 | $2,973.00 | $125.00 – $1,251.70 | 12 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $1,445.40 | $2,190.00 | $589.74 – $1,042.81 | 12 |
| Amputation of foot at ankle CPT 27889 | $1,417.02 | $2,147.00 | $101.27 – $1,083.30 | 12 |
| Amputation of foot at ankle CPT 27888 | $1,240.80 | $1,880.00 | $101.27 – $1,132.24 | 12 |
| Amputation of hand CPT 25927 | $2,006.40 | $3,040.00 | $80.00 – $1,333.06 | 12 |
| Amputation of lower leg CPT 27882 | $1,298.88 | $1,968.00 | $120.00 – $1,013.24 | 12 |
| Amputation of lower leg CPT 27881 | $1,832.82 | $2,777.00 | $35.00 – $1,399.74 | 12 |
| Amputation of midtarsal 28800 CPT 28800 | $1,215.06 | $1,841.00 | $84.51 – $919.13 | 12 |
| Amputation of upper arm CPT 24900 | $1,770.78 | $2,683.00 | $120.00 – $1,099.65 | 12 |
| Amputation thru metatarsal CPT 28805 | $1,601.82 | $2,427.00 | $45.00 – $967.54 | 12 |
| Amputation toe interphalangeal joint CPT 28825 | $670.56 | $1,016.00 | $155.27 – $871.53 | 12 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $683.76 | $1,036.00 | $75.00 – $774.22 | 12 |
| Amylase CPT 82150 | $121.44 | $184.00 | $7.43 – $59.05 | 5 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $3.96 | $6.00 | $6.00 – $281.89 | 4 |
| Anal/urinary muscle study CPT 51784 | $177.54 | $269.00 | $30.00 – $130.55 | 12 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $93.72 | $142.00 | $42.49 – $84.72 | 12 |
| Analysis gene f2 20210g>a variant CPT 81240 | $25.01 | $37.90 | $24.90 – $459.41 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $25.07 | $37.99 | $27.87 – $585.04 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $70.62 | $107.00 | $50.23 – $278.92 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $78.54 | $119.00 | $33.72 – $83.11 | 12 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $19.90 | $30.15 | $10.58 – $289.54 | 4 |
| Anca screen with reflex to titer -quest CPT 86021 | $8.83 | $13.38 | $2.01 – $136.96 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $2,562.12 | $3,882.00 | $13.00 – $609.89 | 12 |
| Androstanediol CPT 82154 | $189.92 | $287.75 | $33.08 – $261.98 | 5 |
| An fluoro guide for cvp CPT 77001 | $136.62 | $207.00 | $17.68 – $311.04 | 13 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $314.16 | $476.00 | $20.67 – $1,187.17 | 12 |
| Angiotensin ii CPT 82163 | $78.54 | $119.00 | $23.54 – $180.70 | 5 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $5,643.69 | $8,551.05 | $3.00 – $4.35 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $370.26 | $561.00 | $20.67 – $1,409.29 | 12 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $738.54 | $1,119.00 | $20.67 – $3,495.11 | 12 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $637.56 | $966.00 | $20.67 – $2,412.71 | 12 |
| Ankle arthroscopy/surgery CPT 29891 | $1,564.86 | $2,371.00 | $70.00 – $1,080.43 | 12 |
| Ankle arthroscopy/surgery CPT 29894 | $1,172.16 | $1,776.00 | $85.00 – $796.74 | 12 |
| Ankle arthroscopy/surgery CPT 29895 | $1,066.56 | $1,616.00 | $55.00 – $769.06 | 12 |
| Ankle arthroscopy/surgery CPT 29897 | $1,141.14 | $1,729.00 | $61.00 – $805.64 | 12 |
| Ankle arthroscopy/surgery CPT 29898 | $1,296.24 | $1,964.00 | $415.86 – $899.98 | 12 |
| Ankle X-ray CPT 73610 | $415.80 | $630.00 | $8.52 – $124.26 | 13 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $215.16 | $326.00 | $20.67 – $208.91 | 12 |
| Annual alcohol screen 15 min HCPCS G0442 | $29.70 | $45.00 | $8.12 – $27.63 | 11 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $151.14 | $229.00 | $20.67 – $303.05 | 8 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $171.60 | $260.00 | $20.67 – $377.00 | 8 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $169.62 | $257.00 | $20.67 – $346.55 | 8 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $208.56 | $316.00 | $20.67 – $452.40 | 8 |
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.