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 |
|---|---|---|---|---|
| Ins pm gen w/exist mlt leads CPT 33221 | $781.44 | $1,184.00 | $20.67 – $533.26 | 12 |
| Ins pq tunnld ip cath w/img CPT 49418 | $7,407.18 | $11,223.00 | $85.00 – $2,661.93 | 12 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $766.92 | $1,162.00 | $75.58 – $656.33 | 12 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $1,036.86 | $1,571.00 | $20.67 – $757.81 | 12 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $739.20 | $1,120.00 | $85.00 – $665.12 | 12 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $710.16 | $1,076.00 | $285.74 – $587.20 | 12 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $993.96 | $1,506.00 | $125.00 – $734.10 | 12 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $665.94 | $1,009.00 | $70.00 – $495.39 | 12 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $484.44 | $734.00 | $37.43 – $220.09 | 12 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $783.42 | $1,187.00 | $65.00 – $5,169.98 | 12 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $711.48 | $1,078.00 | $100.00 – $1,517.57 | 12 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $7,815.06 | $11,841.00 | $65.00 – $1,419.72 | 12 |
| Ins tun intraperit dia cath CPT 49421 | $487.74 | $739.00 | $50.00 – $443.17 | 12 |
| Inst via cath agent pleurds CPT 32560 | $165.00 | $250.00 | $40.00 – $453.51 | 12 |
| Insulin total CPT 83525 | $6.71 | $10.16 | $1.06 – $104.01 | 5 |
| Ins vag brachytx device CPT 57156 | $350.46 | $531.00 | $6.00 – $233.78 | 12 |
| Intens behave ther cardio dx HCPCS G0446 | $53.46 | $81.00 | $20.67 – $39.07 | 11 |
| Interdiscal perq aspir dx CPT 62267 | $344.52 | $522.00 | $8.00 – $366.48 | 12 |
| Intermediate visual field xm CPT 92082 | $79.20 | $120.00 | $21.11 – $49.40 | 12 |
| Internal nerve revision 64727 CPT 64727 | $405.24 | $614.00 | $65.00 – $304.18 | 12 |
| Interrogate subq defib CPT 93261 | $57.42 | $87.00 | $36.34 – $78.49 | 12 |
| Interrogation vad in person CPT 93750 | $63.36 | $96.00 | $34.05 – $79.68 | 12 |
| Interrog dev eval icpms ip CPT 93290 | $88.44 | $134.00 | $21.04 – $39.73 | 12 |
| Interrog dev eval scrms ip CPT 93291 | $81.84 | $124.00 | $17.90 – $43.00 | 12 |
| Interrog device eval heart CPT 93289 | $119.46 | $181.00 | $36.32 – $84.39 | 12 |
| Interrog evl pm/ldls pm ip CPT 93288 | $124.08 | $188.00 | $20.67 – $50.00 | 13 |
| Intestinal stricturoplasty CPT 44615 | $2,359.50 | $3,575.00 | $60.00 – $1,484.47 | 12 |
| Int hrhc lig 1 hroid without img CPT 46945 | $802.56 | $1,216.00 | $45.00 – $528.77 | 12 |
| Int hrhc lig 2+hroid without img CPT 46946 | $890.34 | $1,349.00 | $55.00 – $577.70 | 12 |
| Intra-atrial pacing CPT 93610 | $245.52 | $372.00 | $105.88 – $269.21 | 12 |
| Intranasal biopsy 30100 CPT 30100 | $329.34 | $499.00 | $17.00 – $185.33 | 12 |
| Intraop colon lavage add-on CPT 44701 | $363.66 | $551.00 | $24.57 – $269.78 | 12 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $250.80 | $380.00 | $40.00 – $231.09 | 12 |
| Intraoral periapical first HCPCS D0220 | $36.30 | $55.00 | $55.00 – $278.92 | 3 |
| Intrm oph exam est patient CPT 92012 | $149.16 | $226.00 | $37.15 – $93.25 | 12 |
| Intro cath dialysis circuit CPT 36901 | $363.00 | $550.00 | $20.00 – $926.55 | 12 |
| Intro cath dialysis circuit w/pta CPT 36902 | $515.46 | $781.00 | $20.67 – $1,983.34 | 12 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $674.52 | $1,022.00 | $20.00 – $9,193.13 | 12 |
| Intro catheter aorta CPT 36200 | $293.70 | $445.00 | $15.00 – $936.33 | 12 |
| Intro cath svc/ivc CPT 36010 | $456.72 | $692.00 | $10.00 – $822.87 | 12 |
| Intro long gi tube CPT 44500 | $42.90 | $65.00 | $16.19 – $41.42 | 12 |
| Intro long gi tube w/mult fluo CPT 74340 | $66.00 | $100.00 | $25.50 – $145.00 | 12 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $188.10 | $285.00 | $20.67 – $2,313.38 | 12 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $150.48 | $228.00 | $20.67 – $349.85 | 12 |
| Intubation endotracheal emergency procedure CPT 31500 | $683.76 | $1,036.00 | $25.00 – $192.02 | 12 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $6.30 | $9.54 | $0.42 – $28.62 | 6 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $11.22 | $17.00 | $0.41 – $51.00 | 6 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $193.38 | $293.00 | $20.67 – $301.60 | 8 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $288.42 | $437.00 | $20.67 – $491.55 | 8 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $379.50 | $575.00 | $20.67 – $667.00 | 8 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $125.40 | $190.00 | $20.67 – $278.92 | 8 |
| Ipratropium bromide non-comp HCPCS J7644 | $3.96 | $6.00 | $0.40 – $8.70 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $70.23 | $106.41 | $4.87 – $162.96 | 6 |
| Iron CPT 83540 | $50.82 | $77.00 | $4.98 – $58.93 | 5 |
| Iron binding capacity CPT 83550 | $61.38 | $93.00 | $7.25 – $62.23 | 5 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $29.70 | $45.00 | $18.08 – $32.68 | 5 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $136.32 | $206.54 | $0.64 – $619.62 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $45.54 | $69.00 | $36.09 – $163.73 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $41.58 | $63.00 | $27.20 – $52.79 | 10 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $56.10 | $85.00 | $6.00 – $81.52 | 12 |
| Island pedicle flap graft CPT 15740 | $1,940.40 | $2,940.00 | $101.27 – $1,237.59 | 12 |
| Ivc venogram s&i CPT 75825 | $2,284.92 | $3,462.00 | $51.75 – $2,935.89 | 13 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $159.72 | $242.00 | $31.05 – $58.11 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $82.50 | $125.00 | $17.96 – $33.81 | 12 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $279.84 | $424.00 | $19.27 – $38.04 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $715.44 | $1,084.00 | $62.60 – $125.62 | 12 |
| Ivp w/nephrotomography CPT 74415 | $611.16 | $926.00 | $23.07 – $493.68 | 13 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $536.58 | $813.00 | $23.07 – $394.12 | 13 |
| Jak2 targeted sequence analysis CPT 81279 | $194.70 | $295.00 | $65.08 – $952.93 | 5 |
| Jejunstmy tube plcmt CPT 44372 | $531.30 | $805.00 | $30.00 – $400.25 | 12 |
| John cunningham antibody CPT 86711 | $19.80 | $30.00 | $5.07 – $165.51 | 5 |
| J-tube placement CPT 44015 | $302.28 | $458.00 | $120.42 – $230.35 | 10 |
| Ketamine and metabolite screen - quest CPT 80357 | $5.28 | $8.00 | $8.00 – $193.87 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $74.58 | $113.00 | $9.23 – $73.93 | 5 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $19.91 | $30.16 | $0.33 – $10.23 | 6 |
| Kidney endoscopy & treatment CPT 50561 | $873.18 | $1,323.00 | $55.00 – $751.90 | 12 |
| Kidney imaging morphology CPT 78700 | $54.12 | $82.00 | $20.43 – $82.00 | 12 |
| Kidney imag w/bld flow multi CPT 78709 | $838.86 | $1,271.00 | $64.26 – $1,047.73 | 13 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,211.10 | $1,835.00 | $44.17 – $1,039.51 | 13 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $792.66 | $1,201.00 | $34.69 – $462.97 | 13 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $85.14 | $129.00 | $20.67 – $187.05 | 11 |
| Kit gene analys d816 variant CPT 81273 | $184.80 | $280.00 | $143.28 – $1,413.80 | 5 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $5,895.78 | $8,933.00 | $20.67 – $12,952.85 | 3 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $1,442.10 | $2,185.00 | $65.00 – $986.05 | 12 |
| Knee arthroscopy/drainage CPT 29871 | $1,202.52 | $1,822.00 | $95.00 – $815.35 | 12 |
| Knee arthroscopy dx CPT 29870 | $971.52 | $1,472.00 | $60.00 – $941.71 | 12 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $1,261.92 | $1,912.00 | $260.00 – $859.39 | 12 |
| Knee arthroscopy/surgery CPT 29850 | $1,453.32 | $2,202.00 | $85.00 – $989.21 | 12 |
| Knee arthroscopy/surgery CPT 29851 | $2,133.12 | $3,232.00 | $638.12 – $1,472.94 | 12 |
| Knee arthroscopy/surgery CPT 29873 | $1,266.54 | $1,919.00 | $197.32 – $828.06 | 12 |
| Knee arthroscopy/surgery CPT 29874 | $1,245.42 | $1,887.00 | $60.00 – $851.66 | 12 |
| Knee arthroscopy/surgery CPT 29875 | $1,158.30 | $1,755.00 | $65.00 – $785.72 | 12 |
| Knee arthroscopy/surgery CPT 29876 | $1,512.72 | $2,292.00 | $65.00 – $1,042.00 | 12 |
| Knee arthroscopy/surgery CPT 29879 | $1,533.18 | $2,323.00 | $90.00 – $1,050.02 | 12 |
| Knee arthroscopy/surgery CPT 29880 | $1,307.46 | $1,981.00 | $269.00 – $892.50 | 12 |
| Knee arthroscopy/surgery CPT 29882 | $1,590.60 | $2,410.00 | $90.00 – $1,107.96 | 12 |
| Knee arthroscopy/surgery CPT 29883 | $1,931.16 | $2,926.00 | $95.00 – $1,333.44 | 12 |
| Knee arthroscopy/surgery CPT 29884 | $1,439.46 | $2,181.00 | $60.00 – $975.71 | 12 |
| Knee arthroscopy/surgery CPT 29886 | $1,481.04 | $2,244.00 | $95.00 – $1,009.64 | 12 |
| Knee arthroscopy/surgery CPT 29887 | $1,745.70 | $2,645.00 | $618.02 – $1,182.47 | 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.