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 |
|---|---|---|---|---|
| Igk rearrangeabn clonal pop CPT 81264 | $125.40 | $190.00 | $190.00 – $3,680.14 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $153.12 | $232.00 | $50.00 – $388.60 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $99.00 | $150.00 | $26.00 – $653.76 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $585.42 | $887.00 | $23.89 – $78.06 | 12 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $17.18 | $26.03 | $16.06 – $37.70 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $2,299.44 | $3,484.00 | $35.00 – $1,484.29 | 12 |
| Iliac/fem angio cath insert HCPCS G0278 | $20.46 | $31.00 | $11.06 – $44.95 | 11 |
| Immob elbow child sm HCPCS L3762 | $190.08 | $288.00 | $20.67 – $171.02 | 11 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $274.56 | $416.00 | $20.67 – $247.02 | 11 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $101.64 | $154.00 | $20.67 – $121.48 | 11 |
| Immobilizer shldr sling med HCPCS L3660 | $221.10 | $335.00 | $20.67 – $199.29 | 11 |
| Immt breast prosthesis 19340 CPT 19340 | $1,742.40 | $2,640.00 | $521.22 – $1,325.62 | 12 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $118.80 | $180.00 | $23.87 – $189.21 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $9.62 | $14.58 | $3.03 – $189.21 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $7.91 | $11.98 | $0.97 – $109.03 | 5 |
| Immunofixation electrophoresis serum CPT 86334 | $39.60 | $60.00 | $3.35 – $203.24 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $65.89 | $99.84 | $48.35 – $485.50 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $356.40 | $540.00 | $61.80 – $210.20 | 4 |
| Immunoglobulin assay CPT 86023 | $7.31 | $11.07 | $1.38 – $97.70 | 5 |
| Impact tooth remov part bony HCPCS D7230 | $452.76 | $686.00 | $278.92 – $2,058.00 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $4,484.04 | $6,794.00 | $6,794.00 – $20,382.00 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | $122.10 | $185.00 | $19.00 – $150.95 | 12 |
| Implant neuroelectrodes CPT 63655 | $1,892.22 | $2,867.00 | $776.62 – $1,193.97 | 12 |
| Implant neuroelectrodes CPT 64561 | $681.78 | $1,033.00 | $40.00 – $1,700.26 | 12 |
| Implant spine infusion pump CPT 62362 | $873.84 | $1,324.00 | $180.00 – $670.82 | 12 |
| Implant ureth bulk agent HCPCS L8606 | $450.78 | $683.00 | $20.67 – $406.12 | 11 |
| Impl neurostim electr perc CPT 63650 | $944.46 | $1,431.00 | $70.00 – $636.21 | 12 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $475.20 | $720.00 | $20.67 – $318.31 | 12 |
| Implnt spinl canal catheter 62350 CPT 62350 | $906.84 | $1,374.00 | $12.00 – $645.66 | 12 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $1,378.08 | $2,088.00 | $72.60 – $1,363.28 | 12 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $1,207.80 | $1,830.00 | $30.00 – $791.33 | 12 |
| Incis 1 vertebral seg cerv CPT 22210 | $3,989.70 | $6,045.00 | $967.00 – $2,667.67 | 12 |
| Incis 1 vertebral seg lumbar CPT 22214 | $3,408.24 | $5,164.00 | $65.00 – $2,231.72 | 12 |
| Incis 1 vertebral seg thorac CPT 22212 | $3,411.54 | $5,169.00 | $40.00 – $2,191.69 | 12 |
| Incis addl spine segment CPT 22216 | $783.42 | $1,187.00 | $70.00 – $623.80 | 12 |
| Incise/drain eyelid lining CPT 68020 | $255.42 | $387.00 | $30.00 – $176.16 | 12 |
| Incise flexor carpi radialis CPT 25001 | $839.52 | $1,272.00 | $60.00 – $512.08 | 12 |
| Incise hand/finger tendon CPT 26460 | $1,074.48 | $1,628.00 | $60.00 – $685.18 | 12 |
| Incise inner ear CPT 69801 | $529.98 | $803.00 | $34.25 – $346.34 | 12 |
| Incise perq finger tendon 26060 CPT 26060 | $607.20 | $920.00 | $65.00 – $413.63 | 12 |
| Incise tear duct opening 68440 CPT 68440 | $260.04 | $394.00 | $35.00 – $166.76 | 12 |
| Incise thigh tendon & fascia CPT 27305 | $1,133.22 | $1,717.00 | $50.63 – $732.94 | 12 |
| Incise wrist/forearm tendon CPT 25290 | $1,034.22 | $1,567.00 | $70.00 – $858.28 | 12 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $397.98 | $603.00 | $40.00 – $196.26 | 12 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $2,203.74 | $3,339.00 | $65.00 – $1,361.97 | 12 |
| Incision/fixation of femur CPT 27165 | $3,111.24 | $4,714.00 | $35.00 – $2,047.21 | 12 |
| Incision of achilles tendon CPT 27605 | $426.36 | $646.00 | $15.00 – $604.70 | 12 |
| Incision of anal sphincter CPT 46080 | $357.06 | $541.00 | $50.00 – $315.02 | 12 |
| Incision of breast lesion CPT 19020 | $1,071.18 | $1,623.00 | $42.00 – $584.93 | 12 |
| Incision of burn scab initi CPT 16035 | $432.30 | $655.00 | $174.06 – $364.92 | 12 |
| Incision of eardrum CPT 69420 | $450.12 | $682.00 | $12.00 – $285.67 | 12 |
| Incision of eardrum CPT 69421 | $354.42 | $537.00 | $37.00 – $249.21 | 12 |
| Incision of facial nerve CPT 64742 | $1,154.34 | $1,749.00 | $379.75 – $709.75 | 12 |
| Incision of finger tendon CPT 26455 | $1,095.60 | $1,660.00 | $60.00 – $699.94 | 12 |
| Incision of foot fascia CPT 28008 | $691.02 | $1,047.00 | $20.00 – $651.72 | 12 |
| Incision of foot tendon 28234 CPT 28234 | $968.22 | $1,467.00 | $45.00 – $617.96 | 12 |
| Incision of gallbladder 47480 CPT 47480 | $1,967.46 | $2,981.00 | $60.00 – $1,201.35 | 12 |
| Incision of heel bone CPT 28300 | $1,504.14 | $2,279.00 | $400.59 – $1,095.86 | 12 |
| Incision of hip tendon CPT 27000 | $916.08 | $1,388.00 | $20.00 – $720.03 | 12 |
| Incision of hip tendon CPT 27001 | $1,252.68 | $1,898.00 | $249.81 – $863.59 | 12 |
| Incision of hip tendons CPT 27006 | $1,663.20 | $2,520.00 | $70.00 – $1,170.80 | 12 |
| Incision of knee joint CPT 27435 | $1,870.44 | $2,834.00 | $85.00 – $1,190.86 | 12 |
| Incision of metatarsal CPT 28306 | $947.76 | $1,436.00 | $295.23 – $922.48 | 12 |
| Incision of metatarsal CPT 28308 | $1,338.48 | $2,028.00 | $47.28 – $838.26 | 12 |
| Incision of midfoot bones CPT 28304 | $1,422.96 | $2,156.00 | $50.00 – $1,118.68 | 12 |
| Incision of neck of femur CPT 27161 | $2,777.94 | $4,209.00 | $572.00 – $1,913.65 | 12 |
| Incision of palm tendon CPT 26450 | $1,103.52 | $1,672.00 | $182.05 – $699.83 | 12 |
| Incision of prostate CPT 52450 | $1,091.64 | $1,654.00 | $66.27 – $722.89 | 12 |
| Incision of rectal abscess CPT 46060 | $1,131.24 | $1,714.00 | $63.00 – $728.54 | 12 |
| Incision of small bowel 44010 CPT 44010 | $1,898.82 | $2,877.00 | $70.00 – $1,179.87 | 12 |
| Incision of spinal nerve 64772 CPT 64772 | $1,285.02 | $1,947.00 | $81.16 – $809.12 | 12 |
| Incision of tendon & muscle CPT 23405 | $1,424.94 | $2,159.00 | $25.00 – $1,012.48 | 12 |
| Incision of tendon sheath CPT 25000 | $834.24 | $1,264.00 | $30.00 – $583.85 | 12 |
| Incision of thigh CPT 27448 | $1,906.74 | $2,889.00 | $85.00 – $1,304.06 | 12 |
| Incision of thigh CPT 27450 | $2,302.08 | $3,488.00 | $801.19 – $1,629.32 | 12 |
| Incision of thigh tendon CPT 27306 | $816.42 | $1,237.00 | $30.00 – $617.65 | 12 |
| Incision of thigh tendon CPT 27390 | $1,063.26 | $1,611.00 | $50.63 – $689.32 | 12 |
| Incision of thigh tendons CPT 27307 | $969.54 | $1,469.00 | $30.00 – $740.48 | 12 |
| Incision of tibia CPT 27705 | $1,712.70 | $2,595.00 | $35.00 – $1,228.14 | 12 |
| Incision of toe tendons 28011 CPT 28011 | $747.12 | $1,132.00 | $50.00 – $501.06 | 12 |
| Incision of tongue fold CPT 41010 | $506.22 | $767.00 | $106.54 – $284.93 | 12 |
| Incision of urethra CPT 53020 | $217.14 | $329.00 | $55.00 – $168.62 | 12 |
| Incision tendon sheath CPT 26055 | $1,395.90 | $2,115.00 | $42.07 – $943.17 | 12 |
| Incisn of toe tndn CPT 28010 | $555.72 | $842.00 | $147.80 – $354.60 | 12 |
| Incisn windpipe CPT 31600 | $667.26 | $1,011.00 | $35.00 – $659.49 | 12 |
| Induced ab 1+vag supp d&c CPT 59856 | $1,090.98 | $1,653.00 | $60.00 – $792.09 | 12 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $935.22 | $1,417.00 | $25.00 – $661.78 | 12 |
| Induced abortion d&c CPT 59840 | $493.68 | $748.00 | $40.00 – $349.85 | 12 |
| Induced abortion dilat&evac CPT 59841 | $821.04 | $1,244.00 | $45.00 – $595.47 | 12 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $36.30 | $55.00 | $38.61 – $154.80 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $159.65 | $241.89 | $149.58 – $1,160.09 | 5 |
| Infect ag eia influenza a or b ea CPT 87400 | $46.20 | $70.00 | $7.91 – $42.27 | 5 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $109.49 | $165.90 | $147.71 – $1,481.86 | 5 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $279.32 | $423.21 | $295.43 – $2,340.82 | 5 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $178.20 | $270.00 | $31.34 – $262.23 | 5 |
| Infect ag ia optc obs influenza CPT 87804 | $43.56 | $66.00 | $8.85 – $81.77 | 11 |
| Infect ag if pneumocystis carinii CPT 87281 | $9.24 | $14.00 | $1.68 – $84.47 | 5 |
| Infect ag na hpv high-risk types CPT 87624 | $270.60 | $410.00 | $10.88 – $382.23 | 5 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $590.04 | $894.00 | $43.59 – $979.64 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $56.10 | $85.00 | $35.09 – $85.00 | 3 |
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.