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 |
|---|---|---|---|---|
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $254.58 | $385.72 | $3.65 – $1,157.16 | 6 |
| Fracture assessment via dxa CPT 77086 | $117.48 | $178.00 | $8.15 – $334.08 | 13 |
| Fragmenting of kidney stone CPT 50590 | $1,304.82 | $1,977.00 | $55.00 – $1,368.59 | 12 |
| Freeing of bowel adhesion 44005 CPT 44005 | $2,401.08 | $3,638.00 | $122.11 – $1,508.46 | 12 |
| Free/remove chest lining 32320 CPT 32320 | $3,476.88 | $5,268.00 | $90.00 – $2,385.03 | 12 |
| Frenectomy 41115 CPT 41115 | $1,075.14 | $1,629.00 | $15.00 – $322.71 | 12 |
| Frenotomy 40806 CPT 40806 | $242.22 | $367.00 | $29.57 – $136.61 | 12 |
| Frenulotomy of penis CPT 54164 | $453.42 | $687.00 | $55.00 – $275.64 | 12 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $160.38 | $243.00 | $111.78 – $242.00 | 2 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $182.16 | $276.00 | $96.15 – $276.00 | 2 |
| Fructosamine glycated protein CPT 82985 | $41.91 | $63.50 | $10.64 – $137.15 | 5 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $302.94 | $459.00 | $60.00 – $289.70 | 12 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,344.98 | $3,553.00 | $65.00 – $1,212.46 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $1,413.06 | $2,141.00 | $294.86 – $1,007.28 | 12 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $153.12 | $232.00 | $56.53 – $207.89 | 12 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,174.70 | $3,295.00 | $67.39 – $1,136.56 | 12 |
| Fundus photography with i&r 92250 CPT 92250 | $67.32 | $102.00 | $21.11 – $51.00 | 12 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $18.62 | $28.21 | $0.02 – $20.30 | 4 |
| Fuse/graft added joint CPT 26863 | $502.92 | $762.00 | $25.32 – $396.35 | 12 |
| Fuse pancreas and bowel CPT 48548 | $3,659.04 | $5,544.00 | $75.00 – $2,252.81 | 12 |
| Fusion/graft of finger joint CPT 26862 | $1,799.16 | $2,726.00 | $61.00 – $1,217.75 | 12 |
| Fusion/graft of hand joint CPT 26844 | $2,005.08 | $3,038.00 | $84.51 – $1,437.82 | 12 |
| Fusion of ankle joint open CPT 27870 | $2,304.06 | $3,491.00 | $143.34 – $1,619.45 | 12 |
| Fusion of big toe joint CPT 28750 | $1,333.86 | $2,021.00 | $299.33 – $1,249.24 | 12 |
| Fusion of big toe joint CPT 28755 | $788.70 | $1,195.00 | $40.00 – $704.36 | 12 |
| Fusion of finger jnt add-on CPT 26861 | $225.72 | $342.00 | $18.62 – $176.84 | 12 |
| Fusion of finger joint CPT 26860 | $1,451.34 | $2,199.00 | $31.00 – $942.05 | 12 |
| Fusion of finger tendons CPT 26471 | $1,558.26 | $2,361.00 | $59.20 – $1,100.15 | 12 |
| Fusion of finger tendons CPT 26474 | $1,534.50 | $2,325.00 | $65.00 – $994.56 | 12 |
| Fusion of foot bones CPT 28730 | $1,677.06 | $2,541.00 | $40.00 – $1,268.33 | 12 |
| Fusion of foot bones CPT 28735 | $1,794.54 | $2,719.00 | $45.00 – $1,231.59 | 12 |
| Fusion of foot bones CPT 28740 | $1,425.60 | $2,160.00 | $75.95 – $1,231.66 | 12 |
| Fusion of knee CPT 27580 | $3,352.14 | $5,079.00 | $75.00 – $2,265.05 | 12 |
| Fusion of knuckle CPT 26850 | $1,724.58 | $2,613.00 | $61.00 – $1,165.06 | 12 |
| Fusion of knuckle joint CPT 26516 | $1,745.70 | $2,645.00 | $332.46 – $1,176.99 | 12 |
| Fusion of knuckle with graft CPT 26852 | $1,952.94 | $2,959.00 | $56.00 – $1,336.26 | 12 |
| Fusion of tendons at wrist CPT 25300 | $1,611.06 | $2,441.00 | $40.00 – $1,128.52 | 12 |
| Fusion of tendons at wrist CPT 25301 | $1,504.14 | $2,279.00 | $67.39 – $1,079.82 | 12 |
| Fusion of thumb CPT 26841 | $1,813.68 | $2,748.00 | $338.42 – $1,223.71 | 12 |
| Fusion of tibiofibular joint CPT 27871 | $1,591.92 | $2,412.00 | $45.00 – $1,109.40 | 12 |
| Fusion of toes CPT 28280 | $1,163.58 | $1,763.00 | $205.88 – $744.30 | 12 |
| Fusion of ureter & kidney CPT 50740 | $2,702.04 | $4,094.00 | $70.00 – $1,700.98 | 12 |
| G0180 home health certification HCPCS G0180 | $89.76 | $136.00 | $55.00 – $197.20 | 11 |
| G6pd full gene sequence CPT 81249 | $594.00 | $900.00 | $742.50 – $6,511.36 | 5 |
| G6pd gene alys cmn variant CPT 81247 | $115.37 | $174.81 | $174.81 – $1,897.10 | 5 |
| Gabapentin non-blood CPT 80355 | $10.56 | $16.00 | $10.23 – $184.13 | 4 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $6.30 | $9.54 | $3.91 – $28.62 | 6 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $3.50 | $5.30 | $0.28 – $15.90 | 6 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $28.38 | $43.00 | $14.20 – $129.00 | 6 |
| Galectin-3 CPT 82777 | $29.21 | $44.25 | $19.58 – $148.85 | 5 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $1,472.46 | $2,231.00 | $125.00 – $1,056.20 | 12 |
| Gammaglobulin iga CPT 82784 | $19.80 | $30.00 | $0.57 – $70.50 | 5 |
| Gammaglobulin ige CPT 82785 | $5.30 | $8.03 | $1.32 – $149.83 | 5 |
| Gamma glutamyltransferase CPT 82977 | $44.22 | $67.00 | $4.82 – $65.79 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | $6,579.45 | $9,968.86 | $49.20 – $207.11 | 6 |
| Gastric emptying imag study CPT 78265 | $1,268.52 | $1,922.00 | $45.59 – $2,936.46 | 13 |
| Gastric emptying imag study CPT 78266 | $1,585.32 | $2,402.00 | $645.31 – $3,515.31 | 4 |
| Gastroduodenostomy CPT 43810 | $2,240.04 | $3,394.00 | $550.63 – $1,377.57 | 12 |
| Gastroesophageal reflux study CPT 78262 | $83.82 | $127.00 | $31.92 – $127.00 | 12 |
| Gastroesophageal reflux test CPT 91034 | $79.20 | $120.00 | $51.65 – $112.53 | 12 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $2,962.74 | $4,489.00 | $578.18 – $1,817.27 | 12 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $2,886.18 | $4,373.00 | $40.00 – $1,792.55 | 12 |
| Gated heart multiple CPT 78473 | $370.92 | $562.00 | $69.42 – $1,881.22 | 13 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $5.28 | $8.00 | $1.44 – $20.67 | 11 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $4.62 | $7.00 | $1.27 – $20.67 | 11 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $8.58 | $13.00 | $2.14 – $20.67 | 11 |
| Gel-syn injection 0.1 mg HCPCS J7328 | $3.30 | $5.00 | $0.67 – $2.49 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $211.68 | $320.72 | $9.77 – $128.85 | 6 |
| General health panel CPT 80050 | $392.04 | $594.00 | $245.77 – $1,782.00 | 4 |
| Genetic tstg severe inh cond CPT 81443 | $1,123.65 | $1,702.50 | $1,702.50 – $41,686.73 | 5 |
| Genome sequence analysis CPT 81425 | $2,046.00 | $3,100.00 | $3,100.00 – $155,967.20 | 5 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $14.41 | $21.83 | $2.17 – $7.25 | 6 |
| Gentamicin peak therapeutic drug level CPT 80170 | $102.96 | $156.00 | $18.79 – $135.07 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | $129.36 | $196.00 | $86.83 – $148.52 | 12 |
| Ghs abscess perianal iandd CPT 46050 | $558.36 | $846.00 | $50.00 – $239.37 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $611.82 | $927.00 | $117.65 – $312.55 | 12 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $61.38 | $93.00 | $16.09 – $76.23 | 12 |
| Ghs antibodies (torch) igm CPT 86694 | $6.87 | $10.41 | $1.50 – $130.53 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | $346.50 | $525.00 | $35.00 – $240.90 | 12 |
| Ghs bleeding time (ivy) CPT 85002 | $106.26 | $161.00 | $5.52 – $41.04 | 5 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $258.06 | $391.00 | $7.00 – $192.45 | 12 |
| Ghs central line insert < age 5, failed CPT 36555 | $185.46 | $281.00 | $78.81 – $469.29 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $526.02 | $797.00 | $20.67 – $363.85 | 12 |
| Ghs chemo >8 hrs CPT 96416 | $456.72 | $692.00 | $46.19 – $748.00 | 13 |
| Ghs chemo infusion >8 hrs CPT 96425 | $326.04 | $494.00 | $153.04 – $748.00 | 13 |
| Ghs chemo IV push, ea addtl CPT 96411 | $196.02 | $297.00 | $17.96 – $748.00 | 13 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $209.88 | $318.00 | $40.26 – $308.97 | 5 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $706.86 | $1,071.00 | $124.72 – $460.63 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | $920.70 | $1,395.00 | $10.00 – $675.95 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,017.06 | $1,541.00 | $15.00 – $743.74 | 12 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $1,079.76 | $1,636.00 | $45.00 – $664.74 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,272.48 | $1,928.00 | $272.52 – $821.12 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,816.98 | $2,753.00 | $278.92 – $1,080.64 | 12 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $820.38 | $1,243.00 | $15.00 – $500.39 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $1,298.88 | $1,968.00 | $20.00 – $840.24 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $826.98 | $1,253.00 | $13.00 – $519.35 | 12 |
| Ghs community re-entry 15 minutes CPT 97537 | $246.18 | $373.00 | $373.00 – $1,119.00 | 4 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $88.44 | $134.00 | $30.83 – $125.00 | 12 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $66.00 | $100.00 | $6.74 – $85.71 | 12 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $140.58 | $213.00 | $13.48 – $86.16 | 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.