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 |
|---|---|---|---|---|
| Skin Biopsy CPT 11102 | $235.62 | $357.00 | $20.67 – $159.34 | 12 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $1,547.70 | $2,345.00 | $30.00 – $1,034.74 | 12 |
| Skin full graft add-on 15241 CPT 15241 | $238.26 | $361.00 | $87.91 – $254.85 | 12 |
| Skin pedicle flap trunk CPT 15570 | $1,661.88 | $2,518.00 | $35.00 – $1,223.40 | 12 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $244.86 | $371.00 | $98.65 – $313.59 | 10 |
| Skyla, 13.5 mg HCPCS J7301 | $1,205.82 | $1,827.00 | $789.26 – $2,649.15 | 5 |
| Slco1b1 gene com variants CPT 81328 | $108.08 | $163.75 | $163.75 – $1,897.10 | 5 |
| Sleep study attended CPT 95807 | $94.38 | $143.00 | $60.74 – $143.00 | 12 |
| Sleep Study (Polysomnography) CPT 95810 | $1,079.76 | $1,636.00 | $122.56 – $287.00 | 12 |
| Sleep study unattended CPT 95806 | $70.62 | $107.00 | $45.90 – $78.48 | 12 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $34.98 | $53.00 | $4.56 – $39.15 | 11 |
| Slitting of prepuce CPT 54001 | $324.06 | $491.00 | $131.23 – $325.25 | 12 |
| Slp eval non-spch gen comm dev CPT 92605 | $337.92 | $512.00 | $512.00 – $1,536.00 | 2 |
| Slp pure tone screening CPT 92551 | $51.48 | $78.00 | $15.31 – $113.10 | 7 |
| Slp stdy unatnd w/anal CPT 95801 | $165.66 | $251.00 | $42.09 – $99.00 | 12 |
| Small bowel endoscopy CPT 44360 | $320.76 | $486.00 | $128.57 – $244.32 | 12 |
| Small bowel endoscopy CPT 44364 | $454.74 | $689.00 | $30.00 – $343.70 | 12 |
| Small bowel endoscopy CPT 44366 | $532.62 | $807.00 | $211.15 – $402.93 | 12 |
| Small bowel endoscopy CPT 44369 | $545.82 | $827.00 | $15.00 – $412.31 | 12 |
| Small bowel endoscopy CPT 44376 | $630.96 | $956.00 | $30.00 – $471.57 | 12 |
| Small bowel endoscopy CPT 44378 | $851.40 | $1,290.00 | $40.00 – $638.55 | 12 |
| Small bowel endoscopy CPT 44382 | $167.64 | $254.00 | $45.00 – $128.37 | 12 |
| Small bowel endoscopy CPT 44384 | $339.90 | $515.00 | $20.00 – $253.96 | 12 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $426.36 | $646.00 | $15.00 – $321.83 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | $354.42 | $537.00 | $15.00 – $269.24 | 12 |
| Small bowel endoscopy/biopsy CPT 44377 | $661.32 | $1,002.00 | $15.00 – $498.99 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | $131.34 | $199.00 | $54.28 – $122.00 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | $190.08 | $288.00 | $20.00 – $128.37 | 12 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $6.63 | $10.05 | $0.54 – $48.88 | 5 |
| Smear gram stain CPT 87205 | $44.22 | $67.00 | $2.56 – $38.84 | 5 |
| Smear nasal eosinophil CPT 89190 | $25.08 | $38.00 | $2.20 – $43.18 | 5 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $50.16 | $76.00 | $0.32 – $54.52 | 5 |
| Smear wet mount CPT 87210 | $25.74 | $39.00 | $1.34 – $38.84 | 12 |
| Snrpn/ube3a gene CPT 81331 | $23.10 | $35.00 | $17.87 – $585.04 | 5 |
| Sodium 24 hour urine CPT 84300 | $56.10 | $85.00 | $0.22 – $44.23 | 5 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $44.88 | $68.00 | $1.99 – $98.60 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $33.04 | $50.05 | $1.29 – $26.10 | 6 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $32.81 | $49.72 | $1.80 – $149.16 | 6 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $33.00 | $50.00 | $0.07 – $150.00 | 6 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $144.54 | $219.00 | $72.97 – $317.55 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $56.10 | $85.00 | $4.09 – $43.61 | 5 |
| Sp bone agrft morsel add-on CPT 20937 | $361.68 | $548.00 | $60.00 – $286.42 | 12 |
| Sp bone agrft struct add-on CPT 20938 | $393.36 | $596.00 | $139.61 – $311.00 | 12 |
| Sp bone algrft morsel add-on CPT 20930 | $485.10 | $735.00 | $20.67 – $1,065.75 | 7 |
| Special radiation dosimetry CPT 77331 | $122.10 | $185.00 | $44.69 – $77.43 | 12 |
| Special radiation treatment CPT 77470 | $284.46 | $431.00 | $106.97 – $185.84 | 12 |
| Special supplies phys/qhp CPT 99070 | $793.98 | $1,203.00 | $1.83 – $20.67 | 5 |
| Special teletx port plan CPT 77321 | $132.66 | $201.00 | $48.19 – $118.48 | 12 |
| Speech recep thresh CPT 92555 | $52.80 | $80.00 | $11.20 – $47.19 | 12 |
| Sphenoid sinus surgery CPT 31051 | $2,419.56 | $3,666.00 | $65.00 – $984.31 | 12 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $1,690.92 | $2,562.00 | $25.00 – $1,008.83 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | $237.60 | $360.00 | $30.00 – $188.23 | 12 |
| Spinal bone autograftlocal 20936 CPT 20936 | $532.62 | $807.00 | $20.67 – $1,170.15 | 7 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,801.80 | $2,730.00 | $18.00 – $425.42 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $382.14 | $579.00 | $10.61 – $54.80 | 13 |
| Splenectomy total open 38100 CPT 38100 | $2,527.80 | $3,830.00 | $90.00 – $1,558.00 | 12 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $958.32 | $1,452.00 | $20.67 – $863.16 | 11 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $116.16 | $176.00 | $20.67 – $104.51 | 11 |
| Splint finger 4 prong foam sm HCPCS A4570 | $133.32 | $202.00 | $7.58 – $39.00 | 7 |
| Splint finger frog med HCPCS L3927 | $62.04 | $94.00 | $17.09 – $55.61 | 11 |
| Splint func pos polyflex ii med HCPCS L3999 | $27.72 | $42.00 | $20.67 – $60.90 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $158.40 | $240.00 | $20.67 – $142.51 | 11 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,580.04 | $2,394.00 | $463.89 – $1,219.59 | 12 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $292.38 | $443.00 | $117.69 – $425.14 | 10 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $425.70 | $645.00 | $89.05 – $687.00 | 4 |
| Staph a dna amp probe CPT 87640 | $73.92 | $112.00 | $39.30 – $312.40 | 5 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $239.58 | $363.00 | $91.47 – $687.00 | 4 |
| Stenger test speech CPT 92577 | $51.48 | $78.00 | $13.61 – $36.00 | 12 |
| Stereotactic radiation trmt CPT 77432 | $1,120.02 | $1,697.00 | $284.32 – $686.07 | 12 |
| Sterile water/saline, 10 ml HCPCS A4216 | $13.93 | $21.10 | $5.98 – $17.95 | 2 |
| Sternal debridement CPT 21627 | $1,251.36 | $1,896.00 | $146.31 – $858.71 | 12 |
| St evaluate speech sound production CPT 92522 | $405.90 | $615.00 | $91.96 – $687.00 | 4 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $506.88 | $768.00 | $187.30 – $687.00 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $702.24 | $1,064.00 | $57.30 – $687.00 | 4 |
| St evaluation swallow function CPT 92610 | $460.02 | $697.00 | $69.97 – $687.00 | 4 |
| Stimulants synthetic CPT 80371 | $4.62 | $7.00 | $7.00 – $216.47 | 4 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $1,023.66 | $1,551.00 | $65.00 – $816.34 | 12 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $66.00 | $100.00 | $15.28 – $60.44 | 12 |
| Strapping of chest CPT 29200 | $73.92 | $112.00 | $10.00 – $87.11 | 12 |
| Strapping of elbow or wrist 29260 CPT 29260 | $67.32 | $102.00 | $15.00 – $82.71 | 12 |
| Strapping of hand or finger CPT 29280 | $68.64 | $104.00 | $16.92 – $83.17 | 12 |
| Strapping of hip CPT 29520 | $81.18 | $123.00 | $11.00 – $83.76 | 12 |
| Strapping of knee CPT 29530 | $68.64 | $104.00 | $6.00 – $86.66 | 12 |
| Strapping of toes 29550 CPT 29550 | $46.20 | $70.00 | $6.00 – $58.00 | 12 |
| Stress test pulmonary CPT 94618 | $353.10 | $535.00 | $15.25 – $43.67 | 13 |
| Stress tte complete CPT 93351 | $211.86 | $321.00 | $83.32 – $321.00 | 12 |
| St treatment speech individual CPT 92507 | $361.02 | $547.00 | $80.91 – $687.00 | 4 |
| St treatment swallow dysfunction/oral CPT 92526 | $119.46 | $181.00 | $48.51 – $687.00 | 4 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $616.44 | $934.00 | $143.52 – $592.87 | 12 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $192.72 | $292.00 | $104.41 – $182.96 | 12 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $185.46 | $281.00 | $98.63 – $181.30 | 12 |
| Subtalar arthro w/fb rmvl CPT 29904 | $1,486.98 | $2,253.00 | $450.11 – $880.74 | 12 |
| Subtalar arthro w/fusion CPT 29907 | $2,020.92 | $3,062.00 | $65.00 – $1,194.80 | 12 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $3.54 | $5.37 | $3.33 – $16.11 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | $84.48 | $128.00 | $4.00 – $301.19 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $141.90 | $215.00 | $25.00 – $140.76 | 6 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $28.38 | $43.00 | $13.20 – $278.92 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $143.88 | $218.00 | $20.67 – $129.56 | 11 |
| Suprv interfacilty transport CPT 99485 | $94.38 | $143.00 | $20.67 – $207.35 | 7 |
| Suprv interfac trnsport addl CPT 99486 | $82.50 | $125.00 | $20.67 – $181.25 | 7 |
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.