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 |
|---|---|---|---|---|
| Surg dx exam anorectal CPT 45990 | $237.60 | $360.00 | $42.00 – $158.14 | 12 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $1,787.94 | $2,709.00 | $141.88 – $1,214.72 | 12 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $1,787.28 | $2,708.00 | $35.00 – $1,234.81 | 12 |
| Surgical opening of stomach 43500 CPT 43500 | $1,747.68 | $2,648.00 | $70.00 – $1,064.11 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $39.60 | $60.00 | $12.01 – $36.02 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $193.38 | $293.00 | $30.04 – $90.11 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $248.82 | $377.00 | $43.72 – $131.16 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $403.92 | $612.00 | $58.80 – $176.39 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $666.60 | $1,010.00 | $125.71 – $377.13 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,630.20 | $2,470.00 | $224.04 – $798.11 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,961.42 | $4,487.00 | $50.00 – $1,865.49 | 12 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $3,344.88 | $5,068.00 | $856.66 – $2,146.80 | 12 |
| Surgical revision intestine CPT 44680 | $2,366.76 | $3,586.00 | $744.60 – $1,432.17 | 12 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $989.34 | $1,499.00 | $30.00 – $634.36 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $25.08 | $38.00 | $1.28 – $20.52 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $25.08 | $38.00 | $0.57 – $26.22 | 5 |
| Susceptibility mic per plate CPT 87186 | $110.88 | $168.00 | $0.60 – $78.65 | 5 |
| Suspension of testis CPT 54620 | $678.48 | $1,028.00 | $30.00 – $445.82 | 12 |
| Suspension of uterus 58400 CPT 58400 | $143.22 | $217.00 | $217.00 – $670.00 | 12 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $2,313.30 | $3,505.00 | $50.00 – $1,477.99 | 12 |
| Suture bile duct injury 47900 CPT 47900 | $3,036.66 | $4,601.00 | $176.47 – $1,892.21 | 12 |
| Svc venogram s&i CPT 75827 | $1,037.52 | $1,572.00 | $52.29 – $2,935.89 | 13 |
| Sympathectomy digital artery CPT 64820 | $1,768.14 | $2,679.00 | $40.00 – $1,149.46 | 12 |
| Sympathectomy supfc palmar CPT 64823 | $1,825.56 | $2,766.00 | $40.00 – $1,216.54 | 12 |
| Synvisc or synvisc-one HCPCS J7325 | $727.98 | $1,103.00 | $7.56 – $17.78 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $6.47 | $9.80 | $0.43 – $40.06 | 5 |
| System pacing micra av HCPCS C1786 | $8,624.88 | $13,068.00 | $13,068.00 – $39,204.00 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $10,530.30 | $15,955.00 | $15,955.00 – $47,865.00 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $9.88 | $14.97 | $2.54 – $154.18 | 5 |
| T3 (triiodothyronine) total CPT 84480 | $87.78 | $133.00 | $1.79 – $128.94 | 5 |
| T4 (thyroxine) free CPT 84439 | $88.44 | $134.00 | $0.71 – $82.02 | 5 |
| T4 (thyroxine) total CPT 84436 | $5.30 | $8.03 | $0.55 – $62.54 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $8.06 | $12.21 | $1.68 – $135.00 | 5 |
| Tah w/mmk 58152 CPT 58152 | $2,762.76 | $4,186.00 | $70.00 – $1,988.54 | 12 |
| Tap block uni by cont infusion 64487 CPT 64487 | $132.00 | $200.00 | $20.67 – $243.11 | 10 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,617.00 | $2,450.00 | $1,680.00 – $31,262.45 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,626.90 | $2,465.00 | $1,964.13 – $57,344.74 | 5 |
| Target gsa panel organ neop CPT 81445 | $2,046.00 | $3,100.00 | $597.91 – $31,262.45 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $109.56 | $166.00 | $37.36 – $65.71 | 11 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $485.10 | $735.00 | $100.09 – $735.00 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $35.81 | $54.25 | $24.79 – $551.59 | 5 |
| Tc-99m labeled rbc HCPCS A9560 | $291.72 | $442.00 | $115.30 – $1,326.00 | 6 |
| Tc-99m maa HCPCS A9540 | $147.84 | $224.00 | $21.78 – $672.00 | 6 |
| Tc-99m mebrofenin HCPCS A9537 | $388.08 | $588.00 | $60.22 – $1,764.00 | 6 |
| Tc-99m medronate HCPCS A9503 | $493.68 | $748.00 | $147.80 – $2,244.00 | 6 |
| Tc-99m mertiatide HCPCS A9562 | $722.70 | $1,095.00 | $450.59 – $3,285.00 | 6 |
| Tc-99m oxidronate HCPCS A9561 | $250.14 | $379.00 | $33.20 – $1,137.00 | 6 |
| Tc-99m pentetate dtpa HCPCS A9539 | $230.34 | $349.00 | $16.44 – $1,047.00 | 6 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $265.32 | $402.00 | $57.29 – $1,206.00 | 4 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $234.30 | $355.00 | $1.75 – $1,065.00 | 6 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $897.60 | $1,360.00 | $116.60 – $4,080.00 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $315.48 | $478.00 | $53.81 – $2,045.69 | 6 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $95.70 | $145.00 | $114.69 – $435.00 | 6 |
| Tc-99m tilmanocept diag HCPCS A9520 | $201.30 | $305.00 | $247.32 – $915.00 | 4 |
| Tca peel dermal 15789 CPT 15789 | $1,262.58 | $1,913.00 | $182.80 – $548.40 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $27.42 | $41.55 | $9.40 – $359.01 | 5 |
| T cells absolute cd 4 count CPT 86361 | $15.71 | $23.80 | $6.37 – $245.02 | 5 |
| T cells total count CPT 86359 | $22.28 | $33.75 | $6.04 – $343.82 | 5 |
| Tcranial magn stim tx deli CPT 90868 | $380.16 | $576.00 | $177.87 – $1,881.65 | 5 |
| Tcranial magn stim tx plan CPT 90867 | $535.92 | $812.00 | $283.22 – $3,897.52 | 5 |
| Tcran magn stim redetemine CPT 90869 | $437.58 | $663.00 | $20.67 – $678.97 | 5 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $2,150.28 | $3,258.00 | $50.00 – $1,757.85 | 12 |
| Telehealth original site facility fee HCPCS Q3014 | $44.22 | $67.00 | $20.67 – $97.15 | 7 |
| Telethx isodose plan cplx CPT 77307 | $843.48 | $1,278.00 | $156.85 – $1,152.74 | 13 |
| Telethx isodose plan simple CPT 77306 | $195.36 | $296.00 | $76.17 – $629.32 | 12 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $1,360.26 | $2,061.00 | $30.00 – $930.02 | 12 |
| Tendon transfer with graft CPT 26492 | $2,158.86 | $3,271.00 | $26.00 – $1,473.82 | 12 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $14,128.57 | $21,406.93 | $54.73 – $64,220.79 | 6 |
| Tenodesis biceps tdn at elbw CPT 24340 | $1,414.38 | $2,143.00 | $521.22 – $982.92 | 12 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,432.20 | $2,170.00 | $52.00 – $975.97 | 12 |
| Tenosynovectomy radic 26145 CPT 26145 | $1,219.68 | $1,848.00 | $421.82 – $811.58 | 12 |
| Tenotomy hip flexor open CPT 27005 | $1,669.14 | $2,529.00 | $70.00 – $1,159.00 | 12 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $883.74 | $1,339.00 | $45.00 – $588.42 | 12 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.80 | $30.00 | $5.38 – $90.00 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $587.40 | $890.00 | $33.31 – $744.19 | 13 |
| Test stress cardiovascular tracing only CPT 93017 | $794.64 | $1,204.00 | $75.31 – $225.92 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $85.14 | $129.00 | $2.97 – $128.76 | 5 |
| Therapeutic pulpotomy HCPCS D3220 | $184.14 | $279.00 | $278.92 – $837.00 | 3 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $61.38 | $93.00 | $27.33 – $46.79 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $54.12 | $82.00 | $22.79 – $42.15 | 12 |
| Ther fx nasal inf turbinate CPT 30930 | $278.52 | $422.00 | $40.00 – $184.95 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $262.02 | $397.00 | $101.42 – $153.44 | 10 |
| Ther/proph/diag inj ia CPT 96373 | $32.34 | $49.00 | $15.90 – $33.20 | 12 |
| Ther radiology tx plng cplx CPT 77263 | $444.18 | $673.00 | $144.24 – $269.37 | 12 |
| Ther radiology tx plng intrm CPT 77262 | $286.44 | $434.00 | $92.79 – $181.39 | 12 |
| Ther radiology tx plng smpl CPT 77261 | $186.12 | $282.00 | $61.12 – $120.39 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $27.16 | $41.15 | $0.92 – $21.75 | 6 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $878.46 | $1,331.00 | $12.00 – $930.31 | 12 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $450.12 | $682.00 | $70.00 – $428.45 | 12 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $661.32 | $1,002.00 | $184.66 – $479.91 | 12 |
| Thoracoscopy lymph node exc CPT 32674 | $450.78 | $683.00 | $20.67 – $321.05 | 12 |
| Thoracoscopy remove cortex CPT 32651 | $2,370.06 | $3,591.00 | $103.13 – $1,707.75 | 12 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | $2,302.08 | $3,488.00 | $20.00 – $1,649.24 | 12 |
| Thoracoscopy surgical 32650 CPT 32650 | $1,467.18 | $2,223.00 | $35.00 – $1,040.42 | 12 |
| Thoracoscopy w/bx med space CPT 32606 | $985.38 | $1,493.00 | $15.00 – $716.79 | 12 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $280.50 | $425.00 | $425.00 – $1,253.03 | 12 |
| Thoracoscopy w/wedge resect CPT 32666 | $1,892.88 | $2,868.00 | $20.67 – $1,318.94 | 12 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | $328.68 | $498.00 | $20.00 – $235.07 | 12 |
| Thorax spine fusion CPT 22610 | $2,882.22 | $4,367.00 | $188.76 – $1,853.31 | 12 |
| Thorax stereo rad targetw/tx CPT 32701 | $447.48 | $678.00 | $20.67 – $323.40 | 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.