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 |
|---|---|---|---|---|
| Partial proctectomy; perineal 45123 CPT 45123 | $2,488.20 | $3,770.00 | $90.00 – $1,534.94 | 12 |
| Partial removal finger bone CPT 26235 | $1,161.60 | $1,760.00 | $56.96 – $787.55 | 12 |
| Partial removal finger bone CPT 26236 | $1,046.76 | $1,586.00 | $265.82 – $696.66 | 12 |
| Partial removal foot fascia CPT 28060 | $842.16 | $1,276.00 | $253.16 – $696.65 | 12 |
| Partial removal leg bone(s) CPT 27360 | $2,082.96 | $3,156.00 | $63.00 – $1,323.31 | 12 |
| Partial removal of bladder CPT 51550 | $2,163.48 | $3,278.00 | $70.00 – $1,441.31 | 12 |
| Partial removal of eye fluid CPT 67005 | $1,108.14 | $1,679.00 | $77.00 – $668.07 | 12 |
| Partial removal of eye fluid CPT 67010 | $1,261.92 | $1,912.00 | $484.98 – $1,619.51 | 12 |
| Partial removal of fibula CPT 27641 | $1,516.68 | $2,298.00 | $40.00 – $1,156.92 | 12 |
| Partial removal of foot bone CPT 28288 | $1,412.40 | $2,140.00 | $201.04 – $700.52 | 12 |
| Partial removal of hand bone CPT 26230 | $1,176.78 | $1,783.00 | $297.84 – $804.66 | 12 |
| Partial removal of lip CPT 40530 | $939.84 | $1,424.00 | $253.16 – $848.53 | 12 |
| Partial removal of lung 32480 CPT 32480 | $3,186.48 | $4,828.00 | $70.00 – $2,363.60 | 12 |
| Partial removal of nose CPT 30150 | $1,839.42 | $2,787.00 | $40.00 – $1,295.40 | 12 |
| Partial removal of penis CPT 54120 | $1,440.12 | $2,182.00 | $25.00 – $888.15 | 12 |
| Partial removal of radius CPT 25151 | $1,370.82 | $2,077.00 | $60.00 – $1,063.83 | 12 |
| Partial removal of radius CPT 25230 | $1,027.62 | $1,557.00 | $30.00 – $733.43 | 12 |
| Partial removal of rectum CPT 45111 | $2,414.94 | $3,659.00 | $165.30 – $1,550.46 | 12 |
| Partial removal of rib CPT 21600 | $1,318.02 | $1,997.00 | $20.00 – $833.72 | 12 |
| Partial removal of sternum CPT 21620 | $1,133.88 | $1,718.00 | $497.47 – $835.25 | 12 |
| Partial removal of thyroid CPT 60220 | $1,596.54 | $2,419.00 | $65.00 – $1,174.28 | 12 |
| Partial removal of thyroid CPT 60225 | $2,116.62 | $3,207.00 | $590.47 – $1,407.41 | 12 |
| Partial removal of tibia CPT 27640 | $1,901.46 | $2,881.00 | $65.00 – $1,428.62 | 12 |
| Partial removal of tongue CPT 41120 | $2,456.52 | $3,722.00 | $60.00 – $1,603.08 | 12 |
| Partial removal of ulna CPT 25119 | $1,183.38 | $1,793.00 | $421.82 – $851.41 | 12 |
| Partial removal of ulna CPT 25240 | $1,021.02 | $1,547.00 | $35.00 – $740.23 | 12 |
| Partial removal of vaginal wall 57106 CPT 57106 | $1,232.22 | $1,867.00 | $59.28 – $721.29 | 12 |
| Partial thyroid excision CPT 60210 | $1,596.54 | $2,419.00 | $329.00 – $1,075.17 | 12 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $2,271.06 | $3,441.00 | $30.00 – $1,549.90 | 12 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4.62 | $7.00 | $3.20 – $10.15 | 7 |
| Part removal hip bone deep CPT 27071 | $2,229.48 | $3,378.00 | $40.00 – $1,424.31 | 12 |
| Part removal of metatarsal CPT 28110 | $694.98 | $1,053.00 | $187.64 – $691.65 | 12 |
| Part removal of metatarsal CPT 28113 | $1,009.14 | $1,529.00 | $50.00 – $894.39 | 12 |
| Part removal of metatarsal 28112 CPT 28112 | $735.90 | $1,115.00 | $50.00 – $741.58 | 12 |
| Patient recorded spirometry CPT 94014 | $95.04 | $144.00 | $30.55 – $92.69 | 12 |
| Patient recorded spirometry CPT 94015 | $55.44 | $84.00 | $14.43 – $55.73 | 12 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $1,660.56 | $2,516.00 | $60.00 – $1,221.30 | 12 |
| Ped crit care transport CPT 99466 | $369.60 | $560.00 | $193.96 – $361.35 | 12 |
| Ped crit care transport addl CPT 99467 | $185.46 | $281.00 | $96.79 – $180.37 | 12 |
| Ped critical care initial CPT 99471 | $1,232.88 | $1,868.00 | $278.92 – $1,203.46 | 12 |
| Ped critical care subsq CPT 99472 | $635.58 | $963.00 | $143.52 – $596.86 | 12 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,502.16 | $2,276.00 | $35.00 – $1,087.97 | 12 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $7,109.19 | $10,771.50 | $380.04 – $1,171.55 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,291.52 | $3,472.00 | $57.05 – $1,964.08 | 13 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,997.82 | $3,027.00 | $54.28 – $1,586.67 | 13 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,798.50 | $2,725.00 | $50.63 – $1,372.82 | 13 |
| Pelvic MRI (with and without contrast) CPT 72197 | $4,427.94 | $6,709.00 | $103.18 – $5,862.64 | 13 |
| Pelvic MRI (with contrast) CPT 72196 | $211.20 | $320.00 | $80.98 – $320.00 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $1,817.64 | $2,754.00 | $68.16 – $2,645.64 | 13 |
| Pelvic Ultrasound (complete) CPT 76856 | $930.60 | $1,410.00 | $32.99 – $359.39 | 13 |
| Pelvic Ultrasound (limited) CPT 76857 | $291.06 | $441.00 | $19.90 – $247.14 | 13 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,425.47 | $9,735.56 | $47.15 – $237.15 | 6 |
| Peng benzathine/procaine inj HCPCS J0558 | $33.66 | $51.00 | $3.85 – $34.77 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $774.53 | $1,173.53 | $4.39 – $47.00 | 6 |
| Penicillin g procaine inj HCPCS J2510 | $1,246.74 | $1,889.00 | $9.68 – $2,739.05 | 5 |
| Penile injection CPT 54235 | $212.52 | $322.00 | $45.00 – $130.67 | 12 |
| Penile vascular study CPT 93980 | $153.78 | $233.00 | $61.37 – $233.00 | 12 |
| Penile vascular study CPT 93981 | $54.78 | $83.00 | $21.37 – $83.00 | 12 |
| Penis plastic surgery CPT 54360 | $1,634.82 | $2,477.00 | $278.92 – $1,089.80 | 12 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $963.60 | $1,460.00 | $20.67 – $2,117.00 | 3 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $495.00 | $750.00 | $20.67 – $1,087.50 | 3 |
| Perc d-e cor stent ather s HCPCS C9602 | $784.74 | $1,189.00 | $20.67 – $1,724.05 | 3 |
| Perc drug-el cor stent bran HCPCS C9601 | $416.46 | $631.00 | $20.67 – $914.95 | 3 |
| Perc drug-el cor stent sing HCPCS C9600 | $818.40 | $1,240.00 | $20.67 – $1,798.00 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $778.13 | $1,178.99 | $62.66 – $3,536.97 | 4 |
| Pericardiocentesis wwo imaging CPT 33016 | $498.30 | $755.00 | $20.67 – $365.58 | 12 |
| Peri-implt capslc brst compl CPT 19371 | $1,637.46 | $2,481.00 | $70.00 – $1,055.67 | 12 |
| Perineoplasty rpr per nonob CPT 56810 | $615.78 | $933.00 | $25.00 – $418.25 | 12 |
| Peri-proc device eval icd CPT 93287 | $34.98 | $53.00 | $22.26 – $45.23 | 12 |
| Peri-proc device eval pm CPT 93286 | $23.76 | $36.00 | $14.79 – $34.57 | 12 |
| Peritoneogram rs&i CPT 74190 | $56.10 | $85.00 | $21.99 – $50.07 | 12 |
| Perq dev breast 1st mr guide CPT 19287 | $278.52 | $422.00 | $20.00 – $1,339.92 | 12 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $2,522.52 | $3,822.00 | $60.00 – $1,953.52 | 12 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $772.86 | $1,171.00 | $20.67 – $538.39 | 12 |
| Perq skel fix rad/uln dislc CPT 25671 | $1,267.20 | $1,920.00 | $17.00 – $799.24 | 12 |
| Perq skel fix ulnar styld fx CPT 25651 | $1,164.24 | $1,764.00 | $37.00 – $710.57 | 12 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $1,205.82 | $1,827.00 | $30.00 – $680.87 | 12 |
| Perq tx malar fracture CPT 21355 | $764.28 | $1,158.00 | $40.00 – $639.49 | 12 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $8,552.89 | $12,958.93 | $10.62 – $75.09 | 6 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $114.84 | $174.00 | $20.67 – $103.17 | 9 |
| Pessary reusable rub anytype HCPCS A4561 | $46.20 | $70.00 | $12.74 – $41.42 | 9 |
| Pet CT skull-mid thgh initial CPT 78815 | $292.38 | $443.00 | $111.55 – $443.00 | 12 |
| Pet CT whole body initial CPT 78816 | $295.02 | $447.00 | $113.22 – $447.00 | 12 |
| Pet fdg brain metoblic eval sb CPT 78608 | $178.20 | $270.00 | $68.05 – $109.86 | 10 |
| Pet image full body CPT 78813 | $234.96 | $356.00 | $90.18 – $356.00 | 12 |
| Pet image skull-thigh CPT 78812 | $231.00 | $350.00 | $88.17 – $350.00 | 12 |
| Pet image w/ct lmtd CPT 78814 | $261.36 | $396.00 | $100.26 – $396.00 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $11,868.78 | $17,983.00 | $863.00 – $2,589.00 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $40.26 | $61.00 | $20.27 – $81.20 | 12 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $56.10 | $85.00 | $20.67 – $113.10 | 12 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $21.78 | $33.00 | $10.50 – $42.05 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | $656.04 | $994.00 | $37.60 – $578.86 | 12 |
| Pharmacologic management w/psytx CPT 90863 | $75.24 | $114.00 | $20.67 – $156.60 | 7 |
| Ph body fluid CPT 83986 | $68.64 | $104.00 | $0.11 – $32.53 | 5 |
| Phencyclidine (pcp) CPT 83992 | $24.42 | $37.00 | $37.00 – $117.42 | 4 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $145.68 | $220.73 | $3.40 – $662.20 | 6 |
| Phenobarbital therapeutic drug level CPT 80184 | $145.20 | $220.00 | $12.05 – $104.01 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $102.30 | $155.00 | $15.20 – $120.61 | 5 |
| Phlebotomy therapeutic CPT 99195 | $351.78 | $533.00 | $16.40 – $155.45 | 12 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $932.58 | $1,413.00 | $70.00 – $762.65 | 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.