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 |
|---|---|---|---|---|
| Phleb veins 1 extrm >20 stab CPT 37766 | $712.14 | $1,079.00 | $70.00 – $926.19 | 12 |
| Phosphorus CPT 84100 | $66.00 | $100.00 | $0.20 – $43.06 | 5 |
| Phosphorus 24 hour urine CPT 84105 | $40.92 | $62.00 | $0.27 – $47.04 | 5 |
| Photo patch test CPT 95052 | $11.22 | $17.00 | $6.60 – $278.92 | 5 |
| Physician standby services CPT 99360 | $146.52 | $222.00 | $20.67 – $321.90 | 7 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $115.17 | $174.50 | $2.81 – $15.95 | 6 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,370.16 | $2,076.00 | $20.00 – $664.41 | 12 |
| Pin finger dislocation CPT 26776 | $1,075.80 | $1,630.00 | $50.00 – $706.59 | 12 |
| Pin finger fracture each CPT 26756 | $1,015.74 | $1,539.00 | $45.00 – $661.12 | 12 |
| Pin hand dislocation CPT 26676 | $1,217.70 | $1,845.00 | $231.20 – $799.64 | 12 |
| Pinworm exam CPT 87172 | $31.68 | $48.00 | $1.92 – $38.84 | 12 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $30.91 | $46.83 | $2.97 – $109.35 | 6 |
| Place cath xtrnl carotid CPT 36227 | $257.40 | $390.00 | $20.67 – $398.44 | 12 |
| Place device/marker, non pro HCPCS C9728 | $2,464.44 | $3,734.00 | $20.67 – $184.60 | 3 |
| Place duod/jej tube perc CPT 49441 | $1,558.92 | $2,362.00 | $70.00 – $2,054.30 | 12 |
| Place gastrostomy tube open 43832 CPT 43832 | $2,311.32 | $3,502.00 | $119.51 – $1,471.51 | 12 |
| Place gastrostomy tube perc CPT 49440 | $1,282.38 | $1,943.00 | $75.00 – $1,729.83 | 12 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,176.12 | $1,782.00 | $20.67 – $371.70 | 12 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $163.68 | $248.00 | $20.67 – $261.59 | 12 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $531.96 | $806.00 | $20.67 – $725.61 | 12 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,486.98 | $2,253.00 | $20.67 – $1,383.05 | 12 |
| Placement of drain pancreas CPT 48001 | $5,017.98 | $7,603.00 | $35.00 – $3,246.56 | 12 |
| Placement of seton CPT 46020 | $263.34 | $399.00 | $47.00 – $338.62 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $924.00 | $1,400.00 | $20.67 – $4,387.12 | 12 |
| Place needles h&n for right CPT 41019 | $1,129.92 | $1,712.00 | $65.00 – $669.42 | 12 |
| Place non-slctv cath thoracic arta CPT 36221 | $421.74 | $639.00 | $20.67 – $1,862.72 | 12 |
| Place right device/marker pros CPT 55876 | $347.82 | $527.00 | $65.00 – $212.41 | 12 |
| Place slctv cath carotd art uni CPT 36224 | $1,182.06 | $1,791.00 | $15.00 – $2,764.39 | 12 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $910.80 | $1,380.00 | $20.00 – $2,332.62 | 12 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $1,054.68 | $1,598.00 | $20.67 – $2,542.70 | 12 |
| Place slctv cath subclavian art CPT 36225 | $697.62 | $1,057.00 | $20.67 – $2,522.33 | 12 |
| Place slctv cath vertebral art uni CPT 36226 | $782.76 | $1,186.00 | $20.67 – $2,820.77 | 12 |
| Platelet aggregation each agent teg CPT 85576 | $59.40 | $90.00 | $17.07 – $166.06 | 5 |
| Platelet automated CPT 85049 | $62.04 | $94.00 | $0.60 – $40.73 | 5 |
| Platelets each unit HCPCS P9019 | $43.26 | $65.55 | $65.55 – $65.55 | 2 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $533.58 | $808.45 | $20.67 – $724.32 | 3 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $580.64 | $879.75 | $20.67 – $879.75 | 3 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,213.08 | $1,838.00 | $808.45 – $808.45 | 2 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $576.18 | $873.00 | $20.67 – $2,188.91 | 12 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $673.86 | $1,021.00 | $20.67 – $1,738.54 | 12 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $750.42 | $1,137.00 | $20.67 – $2,327.58 | 12 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,477.08 | $2,238.00 | $20.67 – $881.10 | 12 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $93.72 | $142.00 | $20.67 – $768.83 | 12 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $140.58 | $213.00 | $20.67 – $1,078.74 | 12 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $93.06 | $141.00 | $20.67 – $612.64 | 12 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $778.80 | $1,180.00 | $12.33 – $54.10 | 13 |
| Plmt biliary drainage cath CPT 47534 | $805.86 | $1,221.00 | $20.67 – $2,693.85 | 12 |
| Plmt nephroureteral catheter CPT 50433 | $2,504.04 | $3,794.00 | $20.67 – $1,863.69 | 12 |
| Plmt ureteral stent prq CPT 50694 | $586.08 | $888.00 | $20.67 – $1,910.13 | 12 |
| Pm device progr eval dual CPT 93280 | $131.34 | $199.00 | $37.73 – $84.89 | 12 |
| Pm device progr eval multi CPT 93281 | $139.26 | $211.00 | $41.91 – $99.19 | 12 |
| Pmp22 gene dup/delet CPT 81324 | $343.20 | $520.00 | $520.00 – $6,952.39 | 5 |
| Pm phone r-strip device eval CPT 93293 | $22.44 | $34.00 | $13.66 – $34.00 | 12 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $277.20 | $420.00 | $17.00 – $176.04 | 5 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $215.16 | $326.00 | $135.27 – $1,546.92 | 12 |
| Polysom any age 1-3> param CPT 95808 | $131.34 | $199.00 | $83.53 – $199.00 | 12 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $1,130.58 | $1,713.00 | $127.05 – $299.00 | 12 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $247.50 | $375.00 | $278.92 – $1,125.00 | 3 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $227.04 | $344.00 | $278.92 – $1,032.00 | 3 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $280.50 | $425.00 | $278.92 – $1,275.00 | 3 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $1,625.58 | $2,463.00 | $73.72 – $1,296.98 | 12 |
| Postpartum Care Only CPT 59430 | $592.02 | $897.00 | $151.48 – $845.35 | 12 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $1,639.44 | $2,484.00 | $338.00 – $1,297.39 | 12 |
| Potassium 24 hour urine CPT 84133 | $56.10 | $85.00 | $0.18 – $39.14 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $88.43 | $133.98 | $0.33 – $45.00 | 6 |
| Potassium serum/plasma/whole blood CPT 84132 | $56.10 | $85.00 | $4.05 – $42.20 | 5 |
| Pq dr cath chg w cont s&i CPT 75984 | $793.32 | $1,202.00 | $36.58 – $457.79 | 13 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $1,057.98 | $1,603.00 | $20.67 – $12,027.30 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $451.44 | $684.00 | $20.67 – $1,570.72 | 12 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $963.60 | $1,460.00 | $20.67 – $2,831.90 | 12 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $909.48 | $1,378.00 | $20.67 – $2,807.59 | 12 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,665.18 | $2,523.00 | $22.00 – $1,062.34 | 12 |
| Pr application of long arm splint CPT 29105 | $198.66 | $301.00 | $6.00 – $136.41 | 12 |
| Pr application splint static short arm CPT 29125 | $163.68 | $248.00 | $10.00 – $103.77 | 12 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $13.20 | $20.00 | $4.81 – $10.41 | 12 |
| Pr biopsy skin punch single lesion CPT 11104 | $292.38 | $443.00 | $20.67 – $200.40 | 12 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $1,391.28 | $2,108.00 | $75.00 – $1,238.56 | 12 |
| Pr correction hammertoe CPT 28285 | $1,269.18 | $1,923.00 | $75.00 – $708.21 | 12 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $69.96 | $106.00 | $10.41 – $17.35 | 12 |
| Prcrd drg 6+yr without anomly CPT 33017 | $524.04 | $794.00 | $15.00 – $380.23 | 12 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $522.72 | $792.00 | $60.00 – $791.12 | 12 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $430.32 | $652.00 | $31.13 – $308.00 | 13 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $131.34 | $199.00 | $37.60 – $116.14 | 12 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $186.12 | $282.00 | $53.40 – $158.32 | 12 |
| Prealbumin CPT 84134 | $90.42 | $137.00 | $16.74 – $133.10 | 5 |
| Pr ecg 12 lead report only CPT 93010 | $37.62 | $57.00 | $8.52 – $19.06 | 13 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $43.56 | $66.00 | $18.21 – $71.32 | 13 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $17.44 | $26.42 | $0.50 – $79.27 | 6 |
| Prednisone 1 mg tablet HCPCS J7512 | $3.30 | $5.00 | $0.01 – $5.26 | 6 |
| Prefab stnlss steel crown pe HCPCS D2931 | $397.32 | $602.00 | $278.92 – $1,806.00 | 3 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $279.18 | $423.00 | $278.92 – $1,269.00 | 3 |
| Pregabalin - sendout CPT 80366 | $45.38 | $68.75 | $4.00 – $12.00 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $442.20 | $670.00 | $35.00 – $386.26 | 12 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $953.04 | $1,444.00 | $48.12 – $480.28 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $775.50 | $1,175.00 | $47.39 – $257.07 | 13 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $169.62 | $257.00 | $20.67 – $321.90 | 8 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $1,254.66 | $1,901.00 | $278.92 – $2,048.85 | 12 |
| Prenatal Care Only (7+ visits) CPT 59426 | $2,293.50 | $3,475.00 | $278.92 – $3,756.95 | 12 |
| Prepare fecal microbiota CPT 44705 | $275.88 | $418.00 | $20.67 – $606.10 | 7 |
| Prep skin to 100cm2 other CPT 15004 | $907.50 | $1,375.00 | $20.00 – $521.17 | 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.