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 |
|---|---|---|---|---|
| Laryngoscopy w/exc of tumor CPT 31540 | $541.20 | $820.00 | $20.00 – $384.70 | 12 |
| Laryngoscopy w/fb & op scope CPT 31531 | $473.22 | $717.00 | $50.00 – $338.30 | 12 |
| Laryngoscopy w/fb removal CPT 31530 | $446.16 | $676.00 | $20.00 – $312.33 | 12 |
| Laryngoscopy with biopsy CPT 31576 | $272.58 | $413.00 | $35.00 – $361.56 | 12 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $252.12 | $382.00 | $10.00 – $335.03 | 12 |
| Larynscop w/tumr exc + scope CPT 31541 | $589.38 | $893.00 | $25.00 – $420.38 | 12 |
| Laser surgery of prostate CPT 52648 | $1,573.44 | $2,384.00 | $65.00 – $2,863.63 | 12 |
| Lat retinacular release open CPT 27425 | $1,075.14 | $1,629.00 | $85.00 – $708.10 | 12 |
| Lavage cannulation maxillary sinus CPT 31000 | $439.56 | $666.00 | $55.10 – $254.14 | 12 |
| Lavh >250 gms 58553 CPT 58553 | $2,496.12 | $3,782.00 | $160.00 – $1,825.85 | 12 |
| Lb with mastopexy 15839 CPT 15839 | $1,694.88 | $2,568.00 | $35.00 – $1,085.28 | 12 |
| Lead capillary CPT 83655 | $31.68 | $48.00 | $5.51 – $110.13 | 11 |
| Lefort i-1 piece without graft CPT 21141 | $3,076.92 | $4,662.00 | $40.00 – $2,072.75 | 12 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $3.96 | $6.00 | $1.04 – $20.67 | 11 |
| Left compres band <3"/yd HCPCS A6448 | $2.64 | $4.00 | $0.68 – $20.67 | 11 |
| Left compres band >=5"/yd HCPCS A6450 | $5.28 | $8.00 | $1.04 – $20.67 | 11 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $861.30 | $1,305.00 | $32.23 – $214.68 | 13 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $2,447.94 | $3,709.00 | $901.34 – $1,963.19 | 12 |
| Lengthen metacarpal/finger CPT 26568 | $2,163.48 | $3,278.00 | $40.00 – $1,504.35 | 12 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,940.30 | $4,455.00 | $7.15 – $1,087.50 | 5 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $146.92 | $222.60 | $10.46 – $667.80 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $3,314.76 | $5,022.37 | $175.24 – $651.12 | 6 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $8,344.97 | $12,643.89 | $490.70 – $2,564.08 | 6 |
| Levalbuterol non-comp unit HCPCS J7614 | $2.64 | $4.00 | $0.08 – $5.80 | 5 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $80.78 | $122.40 | $0.12 – $90.00 | 6 |
| Levetiracetam therapeutic drug level CPT 80177 | $78.54 | $119.00 | $1.56 – $115.77 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $21.42 | $32.46 | $5.87 – $90.30 | 6 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $252.61 | $382.74 | $11.54 – $1,148.22 | 5 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $19.81 | $30.02 | $0.01 – $5.80 | 5 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $8.58 | $13.00 | $0.01 – $18.85 | 4 |
| Lidocaine therapeutic drug level CPT 80176 | $65.34 | $99.00 | $14.54 – $133.60 | 5 |
| Ligate leg veins radical 37760 CPT 37760 | $1,222.98 | $1,853.00 | $45.00 – $1,038.87 | 12 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $165.66 | $251.00 | $10.03 – $128.35 | 12 |
| Ligate/strip long leg vein CPT 37722 | $981.42 | $1,487.00 | $40.00 – $749.44 | 12 |
| Ligate/strip short leg vein CPT 37718 | $841.50 | $1,275.00 | $75.00 – $638.89 | 12 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $840.18 | $1,273.00 | $36.00 – $581.53 | 12 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $705.54 | $1,069.00 | $21.00 – $484.83 | 12 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $535.92 | $812.00 | $70.00 – $427.23 | 12 |
| Ligation external carotid artery 37600 CPT 37600 | $1,684.32 | $2,552.00 | $74.46 – $1,169.13 | 12 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $1,552.98 | $2,353.00 | $70.00 – $1,323.52 | 12 |
| Ligation/major artery/extremity 37618 CPT 37618 | $865.26 | $1,311.00 | $362.80 – $553.24 | 10 |
| Ligation major artery neck CPT 37615 | $1,163.58 | $1,763.00 | $25.00 – $710.58 | 12 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,858.46 | $4,331.00 | $154.50 – $2,057.88 | 12 |
| Ligation of femoral vein CPT 37650 | $978.78 | $1,483.00 | $104.24 – $816.21 | 12 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $770.88 | $1,168.00 | $75.00 – $585.48 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | $811.14 | $1,229.00 | $272.52 – $638.34 | 12 |
| Lig&div&compl strpg saph vn CPT 37735 | $1,234.86 | $1,871.00 | $45.00 – $1,056.67 | 12 |
| Liletta, 52 mg HCPCS J7297 | $1,195.26 | $1,811.00 | $758.58 – $2,625.95 | 5 |
| Limb exercise test CPT 95875 | $203.94 | $309.00 | $51.18 – $90.28 | 12 |
| Limited visual field xm CPT 92081 | $56.76 | $86.00 | $16.25 – $25.10 | 12 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $66.24 | $100.37 | $7.46 – $301.10 | 6 |
| Lipase CPT 83690 | $42.24 | $64.00 | $4.41 – $62.60 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $813.12 | $1,232.00 | $78.18 – $726.65 | 12 |
| Lipoprotein blood quant CPT 83704 | $35.28 | $53.45 | $9.59 – $280.79 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $114.18 | $173.00 | $3.08 – $74.42 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $57.42 | $87.00 | $0.86 – $85.82 | 5 |
| Lithium therapeutic drug level CPT 80178 | $40.92 | $62.00 | $4.10 – $60.09 | 5 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $231.00 | $350.00 | $97.92 – $213.29 | 11 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $2,686.20 | $4,070.00 | $25.00 – $1,634.53 | 12 |
| Liver Function Test CPT 80076 | $99.00 | $150.00 | $1.04 – $74.36 | 5 |
| Liver imaging CPT 78201 | $52.14 | $79.00 | $20.09 – $79.00 | 12 |
| Liver imag w/vasclr flow CPT 78202 | $61.38 | $93.00 | $23.38 – $93.00 | 12 |
| Liver/spleen imag static only CPT 78215 | $677.16 | $1,026.00 | $23.07 – $680.13 | 13 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,092.30 | $1,655.00 | $26.88 – $808.36 | 13 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $1,089.66 | $1,651.00 | $55.00 – $901.55 | 12 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $2.80 | $4.24 | $0.35 – $12.72 | 6 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $25.90 | $39.24 | $1.49 – $13.53 | 6 |
| Low back disk surgery CPT 63030 | $2,067.78 | $3,133.00 | $178.70 – $1,395.08 | 12 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,808.96 | $4,256.00 | $59.48 – $2,046.22 | 13 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,298.78 | $3,483.00 | $57.05 – $1,642.13 | 13 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,917.30 | $2,905.00 | $47.18 – $1,373.54 | 13 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,312.44 | $6,534.00 | $107.36 – $5,107.26 | 13 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,917.20 | $4,420.00 | $83.78 – $3,111.81 | 13 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,731.08 | $4,138.00 | $69.75 – $2,875.25 | 13 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $505.56 | $766.00 | $10.97 – $157.01 | 13 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $1,865.16 | $2,826.00 | $190.01 – $1,321.24 | 12 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $2,031.48 | $3,078.00 | $492.00 – $1,453.52 | 12 |
| Lumbar diskogram s&i CPT 72295 | $102.96 | $156.00 | $41.41 – $126.85 | 12 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $3,519.12 | $5,332.00 | $75.00 – $2,375.20 | 12 |
| Lung function test (mbc/mvv) CPT 94200 | $122.10 | $185.00 | $2.61 – $15.01 | 13 |
| Lung Function Test (Spirometry) CPT 94010 | $234.96 | $356.00 | $8.52 – $24.78 | 13 |
| Lung perfusion imaging CPT 78580 | $989.34 | $1,499.00 | $34.33 – $719.49 | 13 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $9,147.60 | $13,860.00 | $181.10 – $732.79 | 6 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $1,607.10 | $2,435.00 | $40.00 – $1,059.30 | 12 |
| Lymphatics/lymph node imaging CPT 78195 | $1,211.10 | $1,835.00 | $54.36 – $954.94 | 13 |
| Lymph vessel x-ray trunk CPT 75807 | $133.32 | $202.00 | $51.50 – $200.80 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | $355.08 | $538.00 | $25.00 – $383.52 | 12 |
| Lysis of labial adhesions CPT 56441 | $423.06 | $641.00 | $53.00 – $243.95 | 12 |
| Lysis penil circumic lesion CPT 54162 | $459.36 | $696.00 | $25.00 – $469.83 | 12 |
| Macroscopic exam parasite CPT 87169 | $13.23 | $20.05 | $0.86 – $38.84 | 5 |
| Magnesium CPT 83735 | $120.78 | $183.00 | $0.40 – $60.58 | 5 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $34.32 | $52.00 | $0.41 – $2.90 | 6 |
| Magnetic image bone marrow CPT 77084 | $1,583.34 | $2,399.00 | $2,399.00 – $7,197.00 | 4 |
| Makena, 10 mg HCPCS J1726 | $171.60 | $260.00 | $19.65 – $377.00 | 5 |
| Male sling procedure CPT 53440 | $1,706.10 | $2,585.00 | $681.17 – $1,252.64 | 12 |
| Manipulate finger w/anesth CPT 26340 | $879.78 | $1,333.00 | $60.00 – $559.39 | 12 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $165.66 | $251.00 | $16.78 – $347.00 | 4 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $96.36 | $146.00 | $28.54 – $347.00 | 4 |
| Manipulation of hip joint CPT 27275 | $431.64 | $654.00 | $10.00 – $288.66 | 12 |
| Manipulat palm cord post inj CPT 26341 | $279.18 | $423.00 | $20.67 – $154.85 | 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.