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 |
|---|---|---|---|---|
| Neurovascular pedicle flap CPT 15750 | $2,129.82 | $3,227.00 | $421.82 – $1,226.90 | 12 |
| New Patient Office Visit (level 2) CPT 99202 | $96.36 | $146.00 | $34.30 – $109.49 | 12 |
| New Patient Office Visit (level 3) CPT 99203 | $148.50 | $225.00 | $57.20 – $162.56 | 11 |
| New Patient Office Visit (level 4) CPT 99204 | $221.76 | $336.00 | $68.90 – $236.47 | 11 |
| New Patient Office Visit (level 5) CPT 99205 | $291.72 | $442.00 | $82.70 – $278.31 | 11 |
| Nfros nfrot w/drg CPT 50040 | $2,089.56 | $3,166.00 | $50.00 – $1,390.35 | 12 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $178.20 | $270.00 | $0.14 – $810.00 | 5 |
| Nipple exploration CPT 19110 | $810.48 | $1,228.00 | $357.31 – $599.40 | 12 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $87.56 | $132.66 | $1.70 – $397.98 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $9,865.73 | $14,948.08 | $26.62 – $142.01 | 6 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | $145.20 | $220.00 | $91.62 – $278.92 | 3 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $533.94 | $809.00 | $20.67 – $345.23 | 12 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | $166.98 | $253.00 | $99.40 – $278.92 | 3 |
| Njx aa&/strd vagus nrv CPT 64408 | $189.42 | $287.00 | $38.48 – $190.70 | 12 |
| Njx interlaminar lmbr/sac CPT 62326 | $191.40 | $290.00 | $20.67 – $244.51 | 12 |
| Njx interlaminar lmbr/sac CPT 62327 | $241.56 | $366.00 | $20.67 – $361.87 | 12 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $1,303.50 | $1,975.00 | $20.00 – $850.71 | 12 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $1,366.86 | $2,071.00 | $46.97 – $1,032.79 | 13 |
| Nm imaging bone/joint whole body CPT 78306 | $2,044.68 | $3,098.00 | $39.50 – $976.78 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $910.80 | $1,380.00 | $45.77 – $1,126.34 | 13 |
| Nm imaging gastric emptying study CPT 78264 | $1,597.20 | $2,420.00 | $36.39 – $842.43 | 13 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,445.40 | $2,190.00 | $45.93 – $1,142.11 | 13 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $1,463.88 | $2,218.00 | $41.77 – $2,100.40 | 13 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $516.78 | $783.00 | $55.07 – $1,047.73 | 13 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $1,192.62 | $1,807.00 | $49.21 – $1,946.59 | 13 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $897.60 | $1,360.00 | $23.04 – $1,565.41 | 13 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $217.14 | $329.00 | $83.37 – $172.71 | 12 |
| Non-card vasc flow imaging CPT 78445 | $60.72 | $92.00 | $23.07 – $92.00 | 12 |
| Nps surg dilat eust tube bi CPT 69706 | $545.16 | $826.00 | $20.67 – $5,090.81 | 12 |
| Nps surg dilat eust tube uni CPT 69705 | $391.38 | $593.00 | $20.67 – $4,950.67 | 12 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $211.86 | $321.00 | $20.67 – $206.99 | 12 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $159.06 | $241.00 | $20.67 – $157.83 | 12 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $35.64 | $54.00 | $54.00 – $278.92 | 3 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $54.78 | $83.00 | $83.00 – $278.92 | 3 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $19.14 | $29.00 | $29.00 – $278.92 | 3 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $2,535.06 | $3,841.00 | $30.00 – $1,692.55 | 12 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $2,379.30 | $3,605.00 | $25.00 – $1,564.48 | 12 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $2,443.98 | $3,703.00 | $647.80 – $1,659.03 | 12 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $2,856.48 | $4,328.00 | $55.00 – $1,902.33 | 12 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $3,093.42 | $4,687.00 | $158.23 – $2,058.81 | 12 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $2,050.62 | $3,107.00 | $20.67 – $1,224.02 | 12 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $378.84 | $574.00 | $20.67 – $243.65 | 12 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $2,240.04 | $3,394.00 | $65.00 – $1,577.57 | 12 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $1,051.38 | $1,593.00 | $20.67 – $734.02 | 12 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $3,870.24 | $5,864.00 | $150.92 – $4,088.38 | 12 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $572.22 | $867.00 | $20.67 – $6,387.15 | 12 |
| Nsl/sins ndsc surg max sins CPT 31295 | $3,810.84 | $5,774.00 | $70.00 – $3,398.52 | 12 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $3,778.50 | $5,725.00 | $40.00 – $4,052.74 | 12 |
| Nsl/sins ndsc total CPT 31253 | $1,670.46 | $2,531.00 | $20.67 – $777.61 | 12 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $993.96 | $1,506.00 | $20.67 – $692.67 | 12 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $1,399.86 | $2,121.00 | $65.00 – $977.77 | 12 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $5,799.42 | $8,787.00 | $133.66 – $4,039.86 | 11 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $989.34 | $1,499.00 | $20.67 – $692.19 | 12 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $58.08 | $88.00 | $20.67 – $127.60 | 12 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $85.80 | $130.00 | $20.67 – $188.50 | 12 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $116.16 | $176.00 | $20.67 – $255.20 | 12 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $55.44 | $84.00 | $20.67 – $57.38 | 12 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $101.64 | $154.00 | $15.90 – $223.30 | 12 |
| Nuclear rx intra-arterial CPT 79445 | $280.50 | $425.00 | $107.24 – $290.74 | 12 |
| Nuclear rx intracav admin CPT 79200 | $203.94 | $309.00 | $79.25 – $169.36 | 12 |
| Nuclear rx IV admin CPT 79101 | $240.90 | $365.00 | $92.12 – $182.90 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,711.18 | $5,623.00 | $76.34 – $2,690.46 | 13 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $211.86 | $321.00 | $46.60 – $173.50 | 12 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $132.66 | $201.00 | $38.40 – $108.59 | 12 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $12,870.00 | $19,500.00 | $56.36 – $292.62 | 6 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $332.64 | $504.00 | $124.60 – $364.68 | 12 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $156.42 | $237.00 | $74.70 – $221.44 | 12 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $254.76 | $386.00 | $103.50 – $292.09 | 12 |
| Observation per hour HCPCS G0378 | $97.68 | $148.00 | $148.00 – $444.00 | 2 |
| Obstetrical care 59410 CPT 59410 | $2,339.04 | $3,544.00 | $65.00 – $2,080.05 | 12 |
| Obtaining screen pap smear HCPCS Q0091 | $75.90 | $115.00 | $15.69 – $65.94 | 12 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $307.56 | $466.00 | $57.71 – $157.47 | 12 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $572.88 | $868.00 | $55.00 – $411.78 | 12 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $26,973.61 | $40,869.10 | $59.19 – $265.89 | 6 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $133.81 | $202.74 | $0.70 – $18.85 | 6 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $306.90 | $465.00 | $98.73 – $295.26 | 5 |
| Ocular instrumnt screen bil CPT 99174 | $37.62 | $57.00 | $7.42 – $132.37 | 7 |
| Ocular instrumnt screen bil CPT 99177 | $12.54 | $19.00 | $19.00 – $278.92 | 3 |
| Office emergency care CPT 99058 | $46.86 | $71.00 | $71.00 – $278.92 | 3 |
| Off/op cnsltj new/est low 30 CPT 99243 | $185.46 | $281.00 | $20.67 – $278.40 | 7 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $265.98 | $403.00 | $20.67 – $363.00 | 7 |
| Off/op consltj new/est hi 55 CPT 99245 | $349.80 | $530.00 | $20.67 – $363.00 | 7 |
| Off/op consltj new/est sf 20 CPT 99242 | $120.78 | $183.00 | $20.67 – $159.50 | 7 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $95.44 | $144.60 | $1.77 – $433.80 | 5 |
| Ol dig e/m svc 11-20 min CPT 99422 | $48.18 | $73.00 | $20.67 – $89.90 | 12 |
| Ol dig e/m svc 21+ min CPT 99423 | $76.56 | $116.00 | $20.67 – $140.65 | 12 |
| Ol dig e/m svc 5-10 min CPT 99421 | $24.42 | $37.00 | $11.05 – $44.95 | 12 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $2,411.37 | $3,653.59 | $17.27 – $180.22 | 6 |
| Omental flap intra-abdom 49905 CPT 49905 | $759.66 | $1,151.00 | $184.00 – $571.26 | 12 |
| Oncoprotein dcp CPT 83951 | $37.79 | $57.26 | $36.88 – $931.98 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $18.06 | $27.37 | $0.10 – $39.15 | 6 |
| Open aortofemor prosth repr CPT 34832 | $3,942.84 | $5,974.00 | $40.00 – $3,291.96 | 12 |
| Open bx/exc inguinofem nodes CPT 38531 | $1,006.50 | $1,525.00 | $20.67 – $682.10 | 12 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $1,013.76 | $1,536.00 | $40.00 – $650.22 | 12 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $1,313.40 | $1,990.00 | $70.74 – $830.25 | 12 |
| Open tx nose fx w/skele fixj CPT 21330 | $1,250.04 | $1,894.00 | $70.74 – $968.34 | 12 |
| Open tx nose & septal fx CPT 21335 | $1,657.26 | $2,511.00 | $35.00 – $1,167.86 | 12 |
| Open wedge bx lung nodule 32097 CPT 32097 | $1,742.40 | $2,640.00 | $20.67 – $1,219.01 | 12 |
| Ophthalmic biometry CPT 92136 | $79.20 | $120.00 | $30.55 – $75.00 | 12 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $3,703.26 | $5,611.00 | $1,501.14 – $2,422.95 | 9 |
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.