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 |
|---|---|---|---|---|
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $250.14 | $379.00 | $52.00 – $207.52 | 12 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $121.44 | $184.00 | $27.50 – $101.10 | 12 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $176.22 | $267.00 | $40.00 – $146.15 | 12 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $65.34 | $99.00 | $13.70 – $57.51 | 12 |
| Sbsq psyc collab care mgmt CPT 99493 | $227.70 | $345.00 | $20.67 – $201.91 | 12 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $709.50 | $1,075.00 | $53.54 – $241.52 | 13 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $521.40 | $790.00 | $37.64 – $192.76 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,046.76 | $1,586.00 | $33.26 – $234.06 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $319.44 | $484.00 | $22.16 – $89.00 | 12 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $616.44 | $934.00 | $20.23 – $149.95 | 13 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $811.80 | $1,230.00 | $20.61 – $167.58 | 13 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,032.90 | $1,565.00 | $29.19 – $226.99 | 13 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $871.20 | $1,320.00 | $19.88 – $151.54 | 13 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $811.80 | $1,230.00 | $15.65 – $159.72 | 13 |
| Scan proc cranial extra CPT 61782 | $384.12 | $582.00 | $141.36 – $315.24 | 12 |
| Scan proc cranial intra 61781 CPT 61781 | $497.64 | $754.00 | $60.00 – $378.90 | 12 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,911.26 | $4,411.00 | $278.92 – $2,762.10 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $293.70 | $445.00 | $164.59 – $645.25 | 11 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $293.70 | $445.00 | $164.41 – $645.25 | 11 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $58.08 | $88.00 | $4.77 – $5.29 | 2 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $76.56 | $116.00 | $18.08 – $67.53 | 11 |
| Screening Mammogram CPT 77067 | $477.18 | $723.00 | $35.74 – $702.09 | 13 |
| Screening prostate cancer PSA HCPCS G0103 | $150.48 | $228.00 | $8.79 – $107.30 | 12 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $94.38 | $143.00 | $3.71 – $94.25 | 7 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $14,351.04 | $21,744.00 | $165.00 – $495.00 | 2 |
| Sc ther infusion reset pump CPT 96371 | $90.42 | $137.00 | $97.15 – $137.00 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $1,857.24 | $2,814.00 | $35.00 – $1,212.36 | 12 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $514.80 | $780.00 | $35.00 – $2,773.99 | 12 |
| Sedimentation rate erythrocyte automated CPT 85652 | $56.76 | $86.00 | $2.32 – $23.77 | 5 |
| Segmentectomy 32484 CPT 32484 | $3,080.88 | $4,668.00 | $784.06 – $2,114.51 | 12 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $1.98 | $3.00 | $0.46 – $20.67 | 11 |
| Self-meas bp 2 readg bid 30d CPT 99474 | $29.04 | $44.00 | $44.00 – $278.92 | 3 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $33.66 | $51.00 | $16.23 – $73.95 | 7 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $25.08 | $38.00 | $11.70 – $55.10 | 7 |
| Semen analysis presence/motility CPT 89321 | $75.24 | $114.00 | $13.74 – $342.00 | 5 |
| Semen analysis w/count CPT 89310 | $44.22 | $67.00 | $5.77 – $201.00 | 5 |
| Separate eyelid adhesions CPT 68340 | $916.08 | $1,388.00 | $70.00 – $825.34 | 12 |
| Serial tonometry CPT 92100 | $145.20 | $220.00 | $26.62 – $118.52 | 12 |
| Serpina1 gene CPT 81332 | $28.81 | $43.65 | $19.05 – $800.96 | 5 |
| Sertraline (zoloft) - sendout CPT 80332 | $59.40 | $90.00 | $15.14 – $249.30 | 4 |
| Set radiation therapy field CPT 77280 | $99.66 | $151.00 | $35.71 – $116.20 | 12 |
| Set radiation therapy field CPT 77285 | $149.82 | $227.00 | $53.66 – $184.18 | 12 |
| Set radiation therapy field CPT 77290 | $218.46 | $331.00 | $79.69 – $226.04 | 12 |
| Sgmdsc w/band ligation CPT 45350 | $226.38 | $343.00 | $20.00 – $868.36 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $270.60 | $410.00 | $32.02 – $107.39 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $320.76 | $486.00 | $8.00 – $132.71 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $364.32 | $552.00 | $13.00 – $152.14 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $423.06 | $641.00 | $54.73 – $199.37 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $246.18 | $373.00 | $25.69 – $89.74 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $299.64 | $454.00 | $8.00 – $122.60 | 12 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $321.42 | $487.00 | $8.00 – $142.03 | 12 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $337.26 | $511.00 | $13.00 – $168.49 | 12 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $234.96 | $356.00 | $26.43 – $87.28 | 12 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $283.80 | $430.00 | $8.00 – $114.12 | 12 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $321.42 | $487.00 | $13.00 – $136.36 | 12 |
| Sho arthrs dx +- synovial bx CPT 29805 | $1,100.88 | $1,668.00 | $301.19 – $763.01 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $2,098.80 | $3,180.00 | $65.00 – $1,240.14 | 12 |
| Sho arthrs srg capsulorraphy CPT 29806 | $2,422.86 | $3,671.00 | $31.00 – $1,693.00 | 12 |
| Sho arthrs srg compl synvct CPT 29821 | $1,380.72 | $2,092.00 | $285.00 – $926.85 | 12 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $1,263.90 | $1,915.00 | $55.00 – $900.80 | 12 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $1,364.22 | $2,067.00 | $281.00 – $918.25 | 12 |
| Sho arthrs srg prtl synvct CPT 29820 | $1,244.10 | $1,885.00 | $55.00 – $848.72 | 12 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $1,362.90 | $2,065.00 | $80.00 – $929.04 | 12 |
| Sho arthrs srg rpr slap les CPT 29807 | $2,368.74 | $3,589.00 | $6.00 – $1,649.49 | 12 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $1,374.78 | $2,083.00 | $283.00 – $981.86 | 12 |
| Shoe post-op mens m HCPCS L3260 | $71.94 | $109.00 | $8.01 – $59.45 | 7 |
| Shortening of hand tendon CPT 26479 | $1,588.62 | $2,407.00 | $55.00 – $1,122.81 | 12 |
| Shorten radius or ulna CPT 25390 | $1,783.98 | $2,703.00 | $70.00 – $1,387.48 | 12 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $2,439.36 | $3,696.00 | $95.00 – $1,670.35 | 12 |
| Shoulder MRI (with and without contrast) CPT 73223 | $6,630.36 | $10,046.00 | $101.30 – $5,851.94 | 13 |
| Shoulder MRI (with contrast) CPT 73222 | $2,997.72 | $4,542.00 | $76.70 – $3,161.32 | 13 |
| Shoulder MRI (without contrast) CPT 73221 | $3,537.60 | $5,360.00 | $64.40 – $2,583.95 | 13 |
| Shoulder prosthesis removal CPT 23334 | $2,430.78 | $3,683.00 | $20.67 – $1,593.77 | 12 |
| Shoulder prosthesis removal CPT 23335 | $2,877.60 | $4,360.00 | $20.67 – $1,896.67 | 12 |
| Shoulder X-ray CPT 73030 | $749.76 | $1,136.00 | $9.22 – $133.63 | 13 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $58.74 | $89.00 | $23.66 – $36.00 | 12 |
| Sialography s&i CPT 70390 | $415.14 | $629.00 | $17.69 – $416.39 | 13 |
| Sialolithotomy 42330 CPT 42330 | $549.12 | $832.00 | $20.00 – $342.40 | 12 |
| Sickling rbc CPT 85660 | $2.98 | $4.52 | $0.25 – $50.35 | 5 |
| Sigmoidoscopy and biopsy CPT 45331 | $673.86 | $1,021.00 | $25.00 – $264.16 | 12 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $253.44 | $384.00 | $99.56 – $223.72 | 12 |
| Sigmoidoscopy for bleeding CPT 45334 | $263.34 | $399.00 | $50.00 – $256.44 | 12 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $685.74 | $1,039.00 | $55.00 – $448.52 | 12 |
| Sigmoidoscopy w/ablation CPT 45346 | $357.72 | $542.00 | $20.67 – $539.87 | 12 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $236.28 | $358.00 | $25.00 – $474.82 | 12 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $343.20 | $520.00 | $20.00 – $263.96 | 12 |
| Sigmoidoscopy w/resection CPT 45349 | $489.72 | $742.00 | $20.00 – $318.40 | 12 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $269.28 | $408.00 | $50.00 – $516.26 | 12 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $277.86 | $421.00 | $50.00 – $244.63 | 12 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $378.18 | $573.00 | $25.00 – $371.30 | 12 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $211.20 | $320.00 | $86.71 – $483.01 | 12 |
| Sig w/tndsc balloon dilation CPT 45340 | $175.56 | $266.00 | $25.00 – $798.50 | 12 |
| Simple cystometrogram 51725 CPT 51725 | $491.04 | $744.00 | $35.00 – $130.53 | 12 |
| Sinus CT scan (with and without contrast) CPT 70488 | $155.10 | $235.00 | $59.48 – $235.00 | 12 |
| Sinus CT scan (with contrast) CPT 70487 | $1,518.00 | $2,300.00 | $52.90 – $1,319.40 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $1,286.34 | $1,949.00 | $40.44 – $1,100.93 | 13 |
| Sinus/juglr venogram s&i CPT 75860 | $137.28 | $208.00 | $53.59 – $85.84 | 10 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $1,224.30 | $1,855.00 | $31.00 – $732.78 | 12 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $1,391.28 | $2,108.00 | $89.35 – $885.56 | 12 |
| Skel musc relaxant 3 or more CPT 80370 | $3.96 | $6.00 | $6.00 – $269.95 | 4 |
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.