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 |
|---|---|---|---|---|
| Prep skin to 100cm2 trk/ext CPT 15002 | $491.70 | $745.00 | $194.43 – $433.08 | 12 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $97.02 | $147.00 | $11.91 – $96.06 | 12 |
| Pressure velocity wire add ves CPT 93572 | $79.86 | $121.00 | $70.97 – $175.45 | 12 |
| Pretreat rbc absorption reference CPT 86978 | $99.00 | $150.00 | $28.65 – $163.73 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | $224.40 | $340.00 | $23.88 – $163.73 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $115.07 | $174.35 | $24.79 – $131.02 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | $99.00 | $150.00 | $24.79 – $131.02 | 4 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $316.80 | $480.00 | $20.67 – $256.92 | 12 |
| Preventive counseling group CPT 99411 | $16.50 | $25.00 | $25.00 – $278.92 | 3 |
| Preventive counseling group CPT 99412 | $26.40 | $40.00 | $40.00 – $278.92 | 3 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $50.16 | $76.00 | $20.67 – $278.92 | 8 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $101.64 | $154.00 | $20.67 – $278.92 | 8 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $152.46 | $231.00 | $231.00 – $693.00 | 3 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $203.94 | $309.00 | $278.92 – $927.00 | 3 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $274.56 | $416.00 | $115.16 – $464.00 | 11 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $299.64 | $454.00 | $28.00 – $161.18 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $526.02 | $797.00 | $33.00 – $280.75 | 12 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $377.52 | $572.00 | $84.14 – $260.52 | 12 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,993.76 | $4,536.00 | $40.00 – $1,840.00 | 12 |
| Prgrmg dev eval impltbl sys CPT 93260 | $66.66 | $101.00 | $41.91 – $85.62 | 12 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $112.20 | $170.00 | $31.64 – $70.97 | 12 |
| Prgrmg dev eval scrms ip CPT 93285 | $99.66 | $151.00 | $25.74 – $61.00 | 12 |
| Prgrmg eval implantable dfb CPT 93282 | $132.66 | $201.00 | $41.54 – $92.16 | 12 |
| Prgrmg eval implantable dfb CPT 93283 | $162.36 | $246.00 | $55.97 – $110.06 | 12 |
| Prgrmg eval implantable dfb CPT 93284 | $175.56 | $266.00 | $60.83 – $128.95 | 12 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $279.18 | $423.00 | $80.10 – $277.99 | 12 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $209.22 | $317.00 | $73.20 – $193.69 | 12 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $132.00 | $200.00 | $34.30 – $134.35 | 12 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $190.08 | $288.00 | $45.80 – $156.54 | 12 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $127.38 | $193.00 | $37.80 – $103.16 | 12 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $78.54 | $119.00 | $27.50 – $64.38 | 12 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $920.70 | $1,395.00 | $362.68 – $4,257.79 | 12 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,070.52 | $1,622.00 | $65.00 – $1,401.08 | 12 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $499.62 | $757.00 | $75.76 – $258.63 | 12 |
| Pr incision & drainage abscess simple/single CPT 10060 | $300.96 | $456.00 | $35.00 – $152.43 | 12 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $337.92 | $512.00 | $33.00 – $179.81 | 12 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $358.38 | $543.00 | $25.00 – $199.25 | 12 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $469.26 | $711.00 | $20.67 – $672.80 | 12 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $346.50 | $525.00 | $20.67 – $495.90 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $425.70 | $645.00 | $10.86 – $83.61 | 12 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,418.34 | $2,149.00 | $89.35 – $852.27 | 12 |
| Probe nasolacrimal duct CPT 68810 | $376.20 | $570.00 | $10.00 – $352.81 | 12 |
| Probe nasolacrimal duct CPT 68811 | $314.16 | $476.00 | $22.34 – $302.50 | 12 |
| Procalcitonin CPT 84145 | $168.96 | $256.00 | $31.23 – $248.57 | 5 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $19.50 | $29.54 | $2.67 – $26.10 | 6 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $4,029.30 | $6,105.00 | $80.00 – $2,641.66 | 12 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $248.16 | $376.00 | $55.00 – $392.38 | 12 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $192.06 | $291.00 | $40.95 – $1,602.81 | 12 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $306.90 | $465.00 | $36.11 – $201.40 | 12 |
| Proctosigmoidoscopy volvul CPT 45321 | $229.68 | $348.00 | $50.00 – $168.54 | 12 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $165.00 | $250.00 | $25.00 – $317.71 | 12 |
| Progesterone CPT 84144 | $12.08 | $18.30 | $3.82 – $189.83 | 5 |
| Prolactin CPT 84146 | $11.29 | $17.11 | $3.28 – $176.29 | 5 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $92.40 | $140.00 | $53.80 – $163.85 | 6 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $77.22 | $117.00 | $20.67 – $278.92 | 8 |
| Prolong service without contact CPT 99358 | $152.46 | $231.00 | $20.67 – $334.95 | 8 |
| Prolong serv without contact add CPT 99359 | $103.62 | $157.00 | $20.67 – $278.92 | 8 |
| Promethazine hcl injection HCPCS J2550 | $12.54 | $19.00 | $1.10 – $27.55 | 5 |
| Proph rta dtchmnt pc CPT 67145 | $501.60 | $760.00 | $40.00 – $701.91 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $80.84 | $122.48 | $0.14 – $91.95 | 6 |
| Prostate ca screening; dre HCPCS G0102 | $32.34 | $49.00 | $7.76 – $71.05 | 11 |
| Prostatectomy (turp) CPT 52601 | $1,644.06 | $2,491.00 | $527.27 – $1,116.68 | 12 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $142.47 | $215.87 | $4.27 – $647.61 | 6 |
| Protein c activity CPT 85303 | $8.12 | $12.30 | $1.70 – $125.94 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $38.94 | $59.00 | $0.75 – $97.82 | 5 |
| Protein total 24 hour urine CPT 84156 | $61.38 | $93.00 | $0.12 – $33.44 | 5 |
| Protein total body fluid CPT 84157 | $85.80 | $130.00 | $4.29 – $33.44 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $38.94 | $59.00 | $0.12 – $33.32 | 5 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $10.56 | $16.00 | $1.79 – $35.83 | 11 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $978.12 | $1,482.00 | $20.67 – $685.50 | 12 |
| Prp i/hern init block >5 yr CPT 49507 | $1,318.02 | $1,997.00 | $319.00 – $921.86 | 12 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $193.38 | $293.00 | $20.67 – $133.80 | 12 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $52.14 | $79.00 | $20.67 – $110.20 | 11 |
| Prq card revasc mi 1 vsl CPT 92941 | $997.92 | $1,512.00 | $20.67 – $945.00 | 12 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $887.70 | $1,345.00 | $20.67 – $842.46 | 12 |
| Prq skel fix epcndylr hum fx CPT 24566 | $1,688.94 | $2,559.00 | $50.00 – $1,049.75 | 12 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $1,836.12 | $2,782.00 | $25.00 – $1,196.66 | 12 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $894.96 | $1,356.00 | $60.00 – $585.51 | 12 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $888.36 | $1,346.00 | $20.67 – $843.50 | 12 |
| Prq trlml c athrc st angiop1 CPT 92933 | $996.60 | $1,510.00 | $20.67 – $943.20 | 12 |
| Prq trluml c angiop 1art&/br CPT 92920 | $799.26 | $1,211.00 | $20.67 – $759.82 | 12 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $951.72 | $1,442.00 | $20.67 – $903.21 | 12 |
| Prq trluml revsc ch occ ant CPT 92943 | $997.26 | $1,511.00 | $20.67 – $945.00 | 12 |
| Pr removal drug delivery implant CPT 11982 | $253.44 | $384.00 | $22.34 – $219.30 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $282.48 | $428.00 | $3.00 – $200.44 | 12 |
| Pr removal intrauterine device CPT 58301 | $263.34 | $399.00 | $19.00 – $161.88 | 12 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $716.10 | $1,085.00 | $91.59 – $368.98 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $260.70 | $395.00 | $18.00 – $229.23 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $269.94 | $409.00 | $38.00 – $251.07 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $219.12 | $332.00 | $17.00 – $178.85 | 12 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $264.66 | $401.00 | $17.00 – $230.02 | 12 |
| Pr robotic surgical system HCPCS S2900 | $98.34 | $149.00 | $20.67 – $216.05 | 5 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $1,635.48 | $2,478.00 | $55.00 – $1,287.91 | 12 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $64.68 | $98.00 | $25.20 – $55.20 | 12 |
| Prtl exc bone olecrn process CPT 24147 | $1,476.42 | $2,237.00 | $25.00 – $1,055.33 | 12 |
| Prtl excision bone clavicle CPT 23180 | $1,607.76 | $2,436.00 | $77.81 – $1,150.07 | 12 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $337.26 | $511.00 | $131.42 – $254.61 | 12 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $25.74 | $39.00 | $14.50 – $56.55 | 11 |
| PSA (Prostate) Test CPT 84153 | $168.30 | $255.00 | $3.01 – $167.35 | 5 |
| Psychotherapy group therapy CPT 90853 | $47.52 | $72.00 | $3.47 – $67.71 | 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.