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 |
|---|---|---|---|---|
| Revision of radius CPT 25350 | $1,573.44 | $2,384.00 | $84.51 – $1,222.96 | 12 |
| Revision of sciatic nerve CPT 64712 | $1,368.84 | $2,074.00 | $443.78 – $831.32 | 12 |
| Revision of scrotum CPT 55175 | $842.16 | $1,276.00 | $52.12 – $500.71 | 12 |
| Revision of thigh muscles CPT 27430 | $1,715.34 | $2,599.00 | $90.00 – $1,171.02 | 12 |
| Revision of ulna CPT 25360 | $1,531.20 | $2,320.00 | $70.00 – $1,188.52 | 12 |
| Revision of unstable kneecap CPT 27420 | $1,727.88 | $2,618.00 | $55.00 – $1,188.21 | 12 |
| Revision of unstable kneecap CPT 27422 | $1,720.62 | $2,607.00 | $55.00 – $1,186.23 | 12 |
| Revision of urethra CPT 53460 | $1,047.42 | $1,587.00 | $48.00 – $691.48 | 12 |
| Revision open av fistula without thromb CPT 36832 | $1,606.44 | $2,434.00 | $389.00 – $1,019.03 | 12 |
| Revision/removal of kneecap CPT 27424 | $1,733.82 | $2,627.00 | $61.00 – $1,186.16 | 12 |
| Revis reconst shoulder joint CPT 23473 | $3,629.34 | $5,499.00 | $20.67 – $2,477.82 | 12 |
| Revis reconst shoulder joint CPT 23474 | $3,912.48 | $5,928.00 | $20.67 – $2,673.61 | 12 |
| Revj fem anast autog vn grf CPT 35884 | $2,582.58 | $3,913.00 | $70.00 – $1,981.10 | 12 |
| Revj fem anast nonautog grf CPT 35883 | $2,492.16 | $3,776.00 | $1,020.62 – $1,865.94 | 12 |
| Revj open gstr rstcv px CPT 43848 | $4,245.78 | $6,433.00 | $1,357.41 – $2,712.60 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $678.48 | $1,028.00 | $60.68 – $591.52 | 12 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $331.32 | $502.00 | $70.00 – $506.92 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | $522.72 | $792.00 | $45.00 – $495.59 | 12 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $448.80 | $680.00 | $20.67 – $816.51 | 12 |
| Rheumatoid factor qualitative CPT 86430 | $73.26 | $111.00 | $6.82 – $50.84 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $6.27 | $9.50 | $0.28 – $50.84 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $2,864.40 | $4,340.00 | $60.00 – $1,815.87 | 12 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $74.58 | $113.00 | $26.67 – $49.17 | 5 |
| Rho d immune globulin inj HCPCS J2790 | $226.38 | $343.00 | $80.53 – $333.50 | 6 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $510.18 | $773.00 | $773.00 – $2,319.00 | 2 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | $32.34 | $49.00 | $17.04 – $278.92 | 3 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $10,156.87 | $15,389.19 | $51.33 – $192.31 | 6 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $5,535.13 | $8,386.56 | $56.91 – $230.07 | 6 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $5,535.13 | $8,386.56 | $36.14 – $308.88 | 6 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | $2,469.72 | $3,742.00 | $25.00 – $1,686.75 | 12 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $331.32 | $502.00 | $42.00 – $208.17 | 12 |
| Rmvl esophgl sphnctr dev CPT 43285 | $1,494.24 | $2,264.00 | $20.67 – $1,018.21 | 12 |
| Rmvl ext fixj sys under anes CPT 20694 | $805.20 | $1,220.00 | $39.00 – $716.54 | 12 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $946.44 | $1,434.00 | $76.69 – $926.11 | 12 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $526.68 | $798.00 | $205.88 – $478.87 | 12 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $524.70 | $795.00 | $110.57 – $331.99 | 12 |
| Rmvl icd by tv extr CPT 33244 | $1,875.72 | $2,842.00 | $109.08 – $1,490.85 | 12 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $844.80 | $1,280.00 | $20.67 – $574.04 | 12 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $879.78 | $1,333.00 | $20.67 – $595.53 | 12 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $813.78 | $1,233.00 | $20.67 – $552.55 | 12 |
| Rmvl icd pulse gen only CPT 33241 | $477.18 | $723.00 | $50.00 – $406.71 | 12 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $352.44 | $534.00 | $37.00 – $270.24 | 12 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | $438.24 | $664.00 | $25.00 – $293.55 | 11 |
| Rmvl perm pm pulse gen CPT 33233 | $520.08 | $788.00 | $50.00 – $430.99 | 12 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $815.10 | $1,235.00 | $20.67 – $567.60 | 12 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $742.50 | $1,125.00 | $20.67 – $523.41 | 12 |
| Rmvl pq iabp CPT 33968 | $71.94 | $109.00 | $25.00 – $56.81 | 12 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $396.66 | $601.00 | $20.67 – $306.07 | 12 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | $2,857.80 | $4,330.00 | $278.48 – $1,685.55 | 12 |
| Rmvl subq card rhythm mntr CPT 33286 | $290.40 | $440.00 | $20.67 – $208.12 | 12 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | $4,511.76 | $6,836.00 | $30.00 – $2,786.89 | 12 |
| Rmvl tv pm lead dual CPT 33235 | $1,391.28 | $2,108.00 | $50.00 – $1,069.82 | 12 |
| Rmvl tv pm lead sgl CPT 33234 | $1,057.32 | $1,602.00 | $80.00 – $838.62 | 12 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | $584.10 | $885.00 | $25.00 – $422.38 | 12 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $2,238.26 | $3,391.31 | $10.05 – $57.92 | 6 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $23.86 | $36.15 | $0.05 – $47.85 | 6 |
| Routine footcare pt w lops HCPCS G0247 | $142.56 | $216.00 | $216.00 – $648.00 | 3 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $141.90 | $215.00 | $56.22 – $394.30 | 12 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,151.70 | $1,745.00 | $33.62 – $983.34 | 13 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $173.58 | $263.00 | $66.44 – $3,538.46 | 12 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $248.82 | $377.00 | $95.72 – $6,936.28 | 12 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,509.42 | $2,287.00 | $50.12 – $379.74 | 12 |
| Rpl tun-cvad w subq port CPT 36582 | $633.60 | $960.00 | $70.00 – $1,916.74 | 12 |
| Rpl tun cvc wo subq port CPT 36581 | $406.56 | $616.00 | $164.12 – $1,359.20 | 12 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | $2,228.16 | $3,376.00 | $165.30 – $1,517.03 | 11 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | $1,681.02 | $2,547.00 | $130.00 – $1,142.63 | 11 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | $1,619.64 | $2,454.00 | $155.00 – $1,105.30 | 11 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | $1,246.74 | $1,889.00 | $130.00 – $850.41 | 11 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | $748.44 | $1,134.00 | $155.00 – $508.81 | 11 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | $1,036.20 | $1,570.00 | $76.69 – $705.75 | 11 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | $2,699.40 | $4,090.00 | $155.00 – $1,837.03 | 11 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | $1,932.48 | $2,928.00 | $130.00 – $1,313.33 | 11 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | $1,863.18 | $2,823.00 | $693.22 – $1,272.21 | 11 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | $1,390.62 | $2,107.00 | $517.50 – $948.82 | 11 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | $1,243.44 | $1,884.00 | $125.00 – $848.23 | 11 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | $920.04 | $1,394.00 | $342.52 – $627.25 | 11 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | $2,168.76 | $3,286.00 | $40.00 – $1,649.98 | 12 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $1,956.24 | $2,964.00 | $208.49 – $1,598.82 | 12 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | $3,673.56 | $5,566.00 | $841.77 – $2,770.03 | 12 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | $2,492.82 | $3,777.00 | $40.00 – $1,603.23 | 12 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | $2,052.60 | $3,110.00 | $55.00 – $1,380.95 | 12 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | $1,879.02 | $2,847.00 | $25.00 – $1,290.57 | 12 |
| Rpr fem hernia init blocked CPT 49553 | $1,415.04 | $2,144.00 | $396.87 – $910.50 | 12 |
| Rpr ing hernia init blocked CPT 49501 | $1,359.60 | $2,060.00 | $35.00 – $856.29 | 12 |
| Rpr ing hernia init reduce CPT 49500 | $945.78 | $1,433.00 | $65.00 – $595.68 | 12 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $383.46 | $581.00 | $20.67 – $4,636.14 | 12 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $339.90 | $515.00 | $55.00 – $4,158.10 | 11 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $1,642.08 | $2,488.00 | $654.63 – $1,106.06 | 9 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $2,036.10 | $3,085.00 | $160.00 – $1,364.37 | 11 |
| Rpr rem hernia init reduce CPT 49550 | $1,296.24 | $1,964.00 | $40.00 – $838.17 | 12 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $838.86 | $1,271.00 | $30.00 – $601.50 | 12 |
| Rsv assay w/optic CPT 87807 | $34.32 | $52.00 | $5.96 – $82.82 | 11 |
| Rubella antibody igg CPT 86762 | $88.44 | $134.00 | $1.57 – $130.53 | 5 |
| Rubeola antibody igg CPT 86765 | $79.86 | $121.00 | $5.28 – $117.24 | 5 |
| Russell viper venom diluted CPT 85613 | $23.10 | $35.00 | $0.69 – $87.04 | 5 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $3,349.98 | $5,075.73 | $30.51 – $146.18 | 6 |
| Salivary gland imaging CPT 78230 | $54.78 | $83.00 | $21.34 – $83.00 | 12 |
| Same day nb discharge 99463 CPT 99463 | $173.58 | $263.00 | $80.73 – $144.71 | 12 |
| Sbrt management CPT 77435 | $1,694.22 | $2,567.00 | $536.14 – $979.37 | 12 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $211.86 | $321.00 | $116.59 – $208.51 | 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.