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 |
|---|---|---|---|---|
| Ghs removal pharyngeal foreign body CPT 42809 | $480.48 | $728.00 | $118.11 – $265.31 | 12 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $1,420.32 | $2,152.00 | $298.58 – $951.45 | 12 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $1,168.86 | $1,771.00 | $65.15 – $903.76 | 12 |
| Ghs reticulocyte count CPT 85044 | $61.38 | $93.00 | $3.79 – $39.14 | 5 |
| Ghs semen analysis fert CPT 89320 | $106.26 | $161.00 | $19.82 – $483.00 | 5 |
| Ghs semen analysis, post-vas CPT 89300 | $25.74 | $39.00 | $6.39 – $78.28 | 11 |
| Ghs sensitivity (per antimicro) CPT 87184 | $26.22 | $39.73 | $2.44 – $62.66 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $406.56 | $616.00 | $40.00 – $335.42 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $503.58 | $763.00 | $46.00 – $441.27 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $469.92 | $712.00 | $35.00 – $350.74 | 12 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $330.00 | $500.00 | $41.00 – $281.34 | 12 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $326.70 | $495.00 | $23.00 – $296.46 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $306.24 | $464.00 | $37.00 – $269.21 | 12 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $396.00 | $600.00 | $18.00 – $372.72 | 12 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $521.40 | $790.00 | $40.00 – $407.75 | 12 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $373.56 | $566.00 | $164.98 – $551.17 | 12 |
| Ghs sleep study unattended CPT 95800 | $62.70 | $95.00 | $39.53 – $95.00 | 12 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $263.34 | $399.00 | $26.97 – $687.00 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $502.26 | $761.00 | $60.68 – $148.02 | 12 |
| Ghs spont nystagmus CPT 92541 | $51.48 | $78.00 | $14.57 – $35.56 | 12 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $295.02 | $447.00 | $74.52 – $687.00 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $51.48 | $78.00 | $8.80 – $39.15 | 12 |
| Ghs strapping shoulder - 29240 CPT 29240 | $69.30 | $105.00 | $15.65 – $98.08 | 12 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $158.40 | $240.00 | $19.41 – $58.22 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $405.24 | $614.00 | $198.54 – $595.61 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $700.26 | $1,061.00 | $20.00 – $380.83 | 12 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $409.86 | $621.00 | $50.00 – $218.16 | 12 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $699.60 | $1,060.00 | $60.00 – $431.36 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $788.70 | $1,195.00 | $17.00 – $487.20 | 12 |
| Ghs vaginal delivery only CPT 59409 | $1,720.62 | $2,607.00 | $35.00 – $1,867.56 | 12 |
| Ghs windowing of cast CPT 29730 | $151.80 | $230.00 | $28.29 – $102.48 | 12 |
| Giardia lamblia antibody CPT 86674 | $27.06 | $41.00 | $6.04 – $132.31 | 5 |
| Gi inhouse confirmation CPT 87045 | $91.74 | $139.00 | $10.83 – $85.82 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,207.14 | $1,829.00 | $121.98 – $283.47 | 12 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $297.66 | $451.00 | $48.77 – $245.51 | 5 |
| Glucose 1 hr post dose CPT 82950 | $29.70 | $45.00 | $2.14 – $43.18 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $11.22 | $17.00 | $0.56 – $4.78 | 10 |
| Glucose blood quantitative CPT 82947 | $25.08 | $38.00 | $1.49 – $35.77 | 12 |
| Glucose body fluid CPT 82945 | $80.52 | $122.00 | $0.29 – $35.65 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $114.18 | $173.00 | $74.74 – $519.00 | 5 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $79.20 | $120.00 | $14.76 – $117.12 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $24.42 | $37.00 | $0.90 – $35.71 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $24.24 | $36.73 | $1.04 – $110.18 | 5 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,087.55 | $4,678.10 | $25.13 – $97.17 | 6 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $114.84 | $174.00 | $2.99 – $169.06 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $113.52 | $172.00 | $3.03 – $168.51 | 5 |
| Gonioscopy CPT 92020 | $45.54 | $69.00 | $16.80 – $35.62 | 12 |
| Goniotomy CPT 65820 | $1,904.76 | $2,886.00 | $45.00 – $1,103.34 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,123.32 | $1,702.00 | $528.24 – $2,467.90 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $50.16 | $76.00 | $30.36 – $203.21 | 11 |
| Graft axiofill 1000mg HCPCS J3590 | $85.51 | $129.56 | $129.56 – $388.68 | 2 |
| Graft hand or finger tendon CPT 26416 | $2,139.72 | $3,242.00 | $22.00 – $1,531.25 | 12 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $14,652.00 | $22,200.00 | $4,365.00 – $13,095.00 | 2 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $390.72 | $592.00 | $20.67 – $203.21 | 9 |
| Graft repair of spine defect 63710 CPT 63710 | $2,438.04 | $3,694.00 | $168.28 – $1,579.38 | 12 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $229.02 | $347.00 | $127.26 – $203.21 | 9 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $225.72 | $342.00 | $127.26 – $203.21 | 9 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $4,301.88 | $6,518.00 | $73.00 – $219.00 | 2 |
| Great toe with reduction 28495 CPT 28495 | $443.52 | $672.00 | $35.00 – $242.90 | 12 |
| Grfg autol soft tiss dir exc CPT 15769 | $1,102.86 | $1,671.00 | $20.67 – $766.79 | 12 |
| Ground mileage HCPCS A0425 | $29.04 | $44.00 | $44.00 – $132.00 | 2 |
| Group health education CPT 99078 | $13.86 | $21.00 | $20.67 – $75.57 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $4,209.48 | $6,378.00 | $867.00 – $2,603.46 | 12 |
| Gstrst open wo constj tube CPT 43830 | $1,569.48 | $2,378.00 | $40.00 – $965.83 | 12 |
| G-tube reposition CPT 43761 | $226.38 | $343.00 | $40.00 – $201.91 | 12 |
| Gu dilat ureter/urethra s&i CPT 74485 | $100.98 | $153.00 | $27.62 – $120.36 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,576.08 | $2,388.00 | $20.67 – $1,214.51 | 12 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $2,509.98 | $3,803.00 | $1,725.00 – $5,175.00 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $885.06 | $1,341.00 | $173.00 – $519.00 | 2 |
| Guid loc target vol rad tx CPT 77387 | $46.86 | $71.00 | $37.55 – $412.67 | 10 |
| Gw stiffened micro access kit HCPCS C1894 | $93.72 | $142.00 | $142.00 – $426.00 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | $999.24 | $1,514.00 | $45.00 – $700.50 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $18.33 | $27.77 | $1.98 – $83.31 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $13.20 | $20.00 | $2.63 – $29.00 | 7 |
| Hand tendon reconstruction CPT 26500 | $1,616.34 | $2,449.00 | $31.00 – $1,050.31 | 12 |
| Hand tendon reconstruction CPT 26502 | $1,766.82 | $2,677.00 | $67.39 – $1,183.74 | 12 |
| Hand X-ray CPT 73130 | $718.08 | $1,088.00 | $8.62 – $124.26 | 13 |
| Haptoglobin quantitative CPT 83010 | $7.06 | $10.70 | $1.35 – $114.42 | 5 |
| Harness chest/shlder saddle HCPCS L6672 | $445.50 | $675.00 | $20.67 – $401.01 | 11 |
| Harvest cultured skin graft 15040 CPT 15040 | $283.14 | $429.00 | $65.00 – $365.25 | 12 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $713.46 | $1,081.00 | $70.00 – $594.50 | 12 |
| Harvest vein for bypass 35500 CPT 35500 | $658.02 | $997.00 | $35.00 – $550.40 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | $308.55 | $467.50 | $467.50 – $6,511.36 | 5 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $106.87 | $161.92 | $161.92 – $2,196.51 | 5 |
| Hbb full gene sequence CPT 81364 | $594.00 | $900.00 | $372.46 – $3,522.47 | 5 |
| Hb glycosylated a1c home dev CPT 83037 | $25.74 | $39.00 | $6.30 – $88.33 | 11 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $143.22 | $217.00 | $35.18 – $217.00 | 12 |
| Hcg qualitative CPT 84703 | $162.36 | $246.00 | $3.42 – $68.36 | 12 |
| Hcg quantitative CPT 84702 | $182.16 | $276.00 | $2.00 – $131.08 | 5 |
| Hc metata joint dislocation anes CPT 28635 | $306.90 | $465.00 | $17.00 – $268.39 | 12 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $116.82 | $177.00 | $45.78 – $177.00 | 12 |
| Hc nm kidney imaging with flow CPT 78701 | $60.06 | $91.00 | $23.43 – $91.00 | 12 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $111.54 | $169.00 | $43.37 – $245.05 | 12 |
| Head CT scan (with and without contrast) CPT 70470 | $2,475.00 | $3,750.00 | $59.48 – $1,642.73 | 13 |
| Head CT scan (with contrast) CPT 70460 | $2,131.80 | $3,230.00 | $52.90 – $1,316.76 | 13 |
| Head CT scan (without contrast) CPT 70450 | $1,696.20 | $2,570.00 | $40.07 – $1,097.62 | 13 |
| Heart infarct image CPT 78466 | $630.96 | $956.00 | $32.08 – $614.58 | 13 |
| Helicobacter pylori antibody igm CPT 86677 | $65.34 | $99.00 | $14.83 – $135.49 | 5 |
| Hematocrit CPT 85014 | $14.52 | $22.00 | $0.21 – $21.50 | 12 |
| Hemodialysis one evaluation CPT 90935 | $114.18 | $173.00 | $56.60 – $118.79 | 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.