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 |
|---|---|---|---|---|
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $2,921.16 | $4,426.00 | $75.00 – $1,910.93 | 11 |
| Opn impltj nea sacral nerve CPT 64581 | $1,471.80 | $2,230.00 | $40.00 – $1,176.29 | 12 |
| Opn tx complx malar fx CPT 21365 | $2,481.60 | $3,760.00 | $548.03 – $1,672.84 | 12 |
| Opn tx dprsd zygomatic arch CPT 21356 | $939.18 | $1,423.00 | $276.25 – $724.43 | 12 |
| Opn tx orbit fx combined CPT 21387 | $1,761.54 | $2,669.00 | $505.96 – $1,206.30 | 12 |
| Opn tx orbit fx periorbital CPT 21386 | $1,593.90 | $2,415.00 | $45.00 – $1,050.69 | 12 |
| Opn tx orbit periorbtl implt CPT 21390 | $1,846.68 | $2,798.00 | $40.00 – $1,152.94 | 12 |
| Opscpy extnd on/mac draw CPT 92202 | $23.76 | $36.00 | $11.97 – $25.51 | 12 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $1,502.82 | $2,277.00 | $536.11 – $1,044.02 | 12 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $1,333.20 | $2,020.00 | $30.00 – $899.66 | 12 |
| Optx acute shoulder dislc CPT 23660 | $1,366.86 | $2,071.00 | $65.00 – $917.80 | 12 |
| Optx carpl scphd fx int fixj CPT 25628 | $1,680.36 | $2,546.00 | $110.95 – $1,070.45 | 12 |
| Optx clavicular fx w/int fix CPT 23515 | $1,672.44 | $2,534.00 | $60.00 – $995.15 | 12 |
| Optx complicated mndblr fx CPT 21470 | $2,678.28 | $4,058.00 | $950.00 – $1,784.06 | 12 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $1,337.16 | $2,026.00 | $550.84 – $915.41 | 10 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $1,811.70 | $2,745.00 | $65.00 – $1,075.21 | 12 |
| Optx lunate dislocation CPT 25695 | $1,476.42 | $2,237.00 | $349.96 – $1,016.95 | 12 |
| Optx medial ankle fx CPT 27766 | $1,413.72 | $2,142.00 | $70.00 – $1,029.18 | 12 |
| Optx mndblr cndylr fx CPT 21465 | $1,869.12 | $2,832.00 | $101.27 – $1,414.40 | 12 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $2,447.28 | $3,708.00 | $70.00 – $2,383.49 | 12 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $2,484.90 | $3,765.00 | $176.10 – $1,734.66 | 12 |
| Optx post ankle fx CPT 27769 | $1,677.72 | $2,542.00 | $35.00 – $987.29 | 12 |
| Optx prox humrl fx w/int fix CPT 23615 | $2,036.76 | $3,086.00 | $60.00 – $1,201.35 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $2,808.30 | $4,255.00 | $234.92 – $2,146.18 | 12 |
| Optx radial shaft fracture CPT 25515 | $1,567.50 | $2,375.00 | $70.00 – $1,101.96 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $1,475.76 | $2,236.00 | $337.30 – $1,012.36 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $1,415.70 | $2,145.00 | $65.00 – $982.27 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $1,838.10 | $2,785.00 | $45.00 – $1,338.26 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $2,208.36 | $3,346.00 | $75.00 – $1,652.05 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $2,095.50 | $3,175.00 | $65.00 – $1,318.16 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $1,581.36 | $2,396.00 | $480.64 – $942.85 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | $2,233.44 | $3,384.00 | $505.96 – $1,312.16 | 12 |
| Optx sho dislc fx CPT 23670 | $2,012.34 | $3,049.00 | $101.27 – $1,191.00 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | $2,139.72 | $3,242.00 | $118.02 – $1,257.74 | 12 |
| Optx thigh fx CPT 27269 | $2,808.30 | $4,255.00 | $897.62 – $1,669.31 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $1,702.80 | $2,580.00 | $101.27 – $1,160.63 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | $1,469.16 | $2,226.00 | $35.00 – $1,048.06 | 12 |
| Optx ulnar styloid fracture CPT 25652 | $1,465.86 | $2,221.00 | $65.00 – $960.67 | 12 |
| Orchiectomy partial CPT 54522 | $1,337.16 | $2,026.00 | $65.00 – $881.15 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | $1,620.30 | $2,455.00 | $104.24 – $1,036.71 | 12 |
| Orchiopexy ingun/scrot appr CPT 54640 | $981.42 | $1,487.00 | $60.00 – $651.17 | 12 |
| Organic acids total quant ea spec CPT 83918 | $64.81 | $98.20 | $23.18 – $144.93 | 5 |
| Oropharyngeal biopsy 42800 CPT 42800 | $370.92 | $562.00 | $66.27 – $227.92 | 12 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $17.16 | $26.00 | $6.39 – $37.70 | 5 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $510.18 | $773.00 | $20.67 – $459.26 | 11 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $883.08 | $1,338.00 | $20.67 – $795.38 | 11 |
| Orthovisc inj per dose HCPCS J7324 | $225.72 | $342.00 | $111.26 – $264.32 | 5 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $803.22 | $1,217.00 | $20.67 – $723.39 | 11 |
| Osmolality blood CPT 83930 | $3.88 | $5.88 | $0.39 – $81.90 | 5 |
| Osmolality urine CPT 83935 | $6.96 | $10.54 | $0.72 – $62.05 | 5 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $741.84 | $1,124.00 | $80.00 – $771.50 | 12 |
| Ostectomy scapula partial CPT 23190 | $1,344.42 | $2,037.00 | $59.20 – $884.78 | 12 |
| Osteochondral knee allograft CPT 27415 | $3,129.06 | $4,741.00 | $137.38 – $2,117.78 | 12 |
| Osteochondral knee autograft CPT 27416 | $2,244.66 | $3,401.00 | $75.00 – $1,314.02 | 12 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $97.68 | $148.00 | $40.33 – $163.85 | 12 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $118.80 | $180.00 | $50.49 – $207.35 | 12 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $139.26 | $211.00 | $60.10 – $246.50 | 12 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $3,643.86 | $5,521.00 | $70.00 – $2,390.47 | 12 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $778.80 | $1,180.00 | $301.90 – $619.04 | 12 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | $3,573.90 | $5,415.00 | $70.00 – $2,394.04 | 12 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $3,903.90 | $5,915.00 | $954.95 – $2,487.83 | 12 |
| Ot evaluation high complexity patient/family CPT 97167 | $453.42 | $687.00 | $180.36 – $541.08 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | $274.56 | $416.00 | $416.00 – $1,248.00 | 4 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $352.44 | $534.00 | $418.00 – $1,602.00 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $110.88 | $168.00 | $168.00 – $504.00 | 4 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $47.52 | $72.00 | $72.00 – $470.00 | 4 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $80.52 | $122.00 | $36.24 – $418.00 | 13 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $127.38 | $193.00 | $22.21 – $308.00 | 13 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $48.84 | $74.00 | $7.76 – $43.12 | 12 |
| Otoplasty 69300 CPT 69300 | $1,091.64 | $1,654.00 | $60.00 – $802.30 | 12 |
| Ot re-evaluation patient/family CPT 97168 | $119.46 | $181.00 | $125.25 – $470.00 | 4 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $124.08 | $188.00 | $15.98 – $347.00 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $82.50 | $125.00 | $28.46 – $470.00 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $95.04 | $144.00 | $29.81 – $470.00 | 4 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $132.00 | $200.00 | $6.37 – $308.00 | 13 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $133.98 | $203.00 | $12.22 – $308.00 | 13 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $161.70 | $245.00 | $5.31 – $308.00 | 13 |
| Ovarian cystectomy 58925 CPT 58925 | $1,730.52 | $2,622.00 | $121.61 – $1,114.81 | 12 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $233.64 | $354.00 | $0.13 – $531.00 | 6 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $2.85 | $4.32 | $0.28 – $12.95 | 6 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $2,440.24 | $3,697.34 | $9.77 – $76.98 | 6 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $2,104.08 | $3,188.00 | $702.57 – $2,548.11 | 5 |
| Palonosetron hcl HCPCS J2469 | $98.54 | $149.30 | $0.96 – $447.90 | 6 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $3,443.22 | $5,217.00 | $50.00 – $2,135.62 | 12 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $18.56 | $28.12 | $4.96 – $84.36 | 5 |
| Papaverin hcl injection HCPCS J2440 | $57.42 | $87.00 | $1.65 – $126.15 | 5 |
| Parathormone (pth) intact CPT 83970 | $255.42 | $387.00 | $14.38 – $375.55 | 5 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $3,164.04 | $4,794.00 | $40.00 – $2,120.04 | 12 |
| Parathyroid planar imaging CPT 78070 | $1,541.10 | $2,335.00 | $37.10 – $424.22 | 13 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,420.32 | $2,152.00 | $55.09 – $2,185.60 | 13 |
| Parial mast w/lymph removal 19302 CPT 19302 | $2,022.90 | $3,065.00 | $490.00 – $1,237.07 | 12 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $168.30 | $255.00 | $2.00 – $58.65 | 12 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $2,022.24 | $3,064.00 | $65.00 – $1,250.70 | 12 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $465.30 | $705.00 | $60.00 – $283.29 | 12 |
| Partial complicated cystectomy 51555 CPT 51555 | $2,826.12 | $4,282.00 | $151.90 – $1,920.35 | 12 |
| Partial exc bone humerus CPT 24140 | $1,632.18 | $2,473.00 | $30.00 – $1,203.60 | 12 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $1,026.96 | $1,556.00 | $212.00 – $990.90 | 12 |
| Partial excision of lip CPT 40500 | $869.88 | $1,318.00 | $50.00 – $714.69 | 12 |
| Partial hip replacement CPT 27125 | $2,577.30 | $3,905.00 | $95.00 – $1,680.60 | 12 |
| Partial hysterectomy CPT 58180 | $2,156.88 | $3,268.00 | $65.00 – $1,478.28 | 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.