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 |
|---|---|---|---|---|
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $16.30 | $24.70 | $9.51 – $272.46 | 5 |
| Wbc automated CPT 85048 | $36.96 | $56.00 | $1.42 – $23.28 | 5 |
| Wcd device interrogate CPT 93292 | $33.00 | $50.00 | $21.04 – $50.00 | 12 |
| Wedge biopsy of liver 47100 CPT 47100 | $1,896.18 | $2,873.00 | $60.00 – $1,165.82 | 12 |
| Wet mounts/ w preparations HCPCS Q0111 | $29.70 | $45.00 | $4.72 – $27.01 | 11 |
| Whole mitochondrial genome CPT 81460 | $120.12 | $182.00 | $182.00 – $31,262.45 | 5 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $196.02 | $297.00 | $75.19 – $160.32 | 12 |
| Wound closure by adhesive HCPCS G0168 | $22.44 | $34.00 | $13.27 – $149.14 | 11 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $33.66 | $51.00 | $18.32 – $73.95 | 12 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $38.28 | $58.00 | $20.67 – $84.10 | 12 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $392.04 | $594.00 | $21.45 – $88.45 | 12 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $87.78 | $133.00 | $23.52 – $95.70 | 12 |
| Wrist arthroscopy CPT 29840 | $1,069.86 | $1,621.00 | $85.00 – $718.02 | 12 |
| Wrist arthroscopy/surgery CPT 29844 | $1,174.14 | $1,779.00 | $85.00 – $785.20 | 12 |
| Wrist arthroscopy/surgery CPT 29846 | $1,223.64 | $1,854.00 | $85.00 – $824.14 | 12 |
| Wrist endoscopy/surgery CPT 29848 | $1,813.02 | $2,747.00 | $85.00 – $810.21 | 12 |
| Wrist X-ray CPT 73110 | $718.08 | $1,088.00 | $8.88 – $124.26 | 13 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | $1,712.04 | $2,594.00 | $201.04 – $1,475.60 | 12 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | $1,575.42 | $2,387.00 | $120.00 – $1,065.09 | 11 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,785.30 | $2,705.00 | $278.92 – $977.89 | 12 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $1,655.94 | $2,509.00 | $253.16 – $894.70 | 12 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $425.70 | $645.00 | $35.00 – $604.44 | 12 |
| X-ray abdomen 1 view CPT 74018 | $312.18 | $473.00 | $8.86 – $170.35 | 13 |
| X-ray abdomen 2 views CPT 74019 | $447.48 | $678.00 | $10.95 – $204.28 | 13 |
| X-ray abdomen >=3 views CPT 74021 | $271.26 | $411.00 | $12.67 – $238.16 | 13 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $447.48 | $678.00 | $15.28 – $173.71 | 13 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $285.78 | $433.00 | $9.59 – $157.01 | 13 |
| X-ray ankle 2 views (both sides) CPT 73600 | $353.76 | $536.00 | $8.18 – $115.55 | 13 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $718.74 | $1,089.00 | $27.33 – $489.93 | 13 |
| X-ray bone age studies CPT 77072 | $116.82 | $177.00 | $9.20 – $122.28 | 13 |
| X-ray bone length studies CPT 77073 | $395.34 | $599.00 | $13.24 – $185.07 | 13 |
| X-ray bone survey complete CPT 77075 | $829.62 | $1,257.00 | $26.20 – $338.05 | 13 |
| X-ray bone survey infant CPT 77076 | $242.88 | $368.00 | $32.97 – $173.71 | 13 |
| X-ray cervical spine 2-3 views CPT 72040 | $525.36 | $796.00 | $10.61 – $141.02 | 13 |
| X-ray cervical spine 4-5 views CPT 72050 | $591.36 | $896.00 | $13.22 – $210.43 | 13 |
| X-ray cervical spine >= 6 views CPT 72052 | $755.70 | $1,145.00 | $14.60 – $265.23 | 13 |
| X-ray clavicle complete (both sides) CPT 73000 | $443.52 | $672.00 | $8.18 – $122.28 | 13 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $578.82 | $877.00 | $35.18 – $388.16 | 13 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $758.34 | $1,149.00 | $50.12 – $452.94 | 13 |
| X-ray elbow 2 views (both sides) CPT 73070 | $397.98 | $603.00 | $7.93 – $122.28 | 13 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $506.22 | $767.00 | $8.52 – $133.63 | 13 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $396.00 | $600.00 | $23.39 – $260.54 | 13 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $480.48 | $728.00 | $8.88 – $503.63 | 13 |
| X-ray exam entire spi 6/> vw CPT 72084 | $601.26 | $911.00 | $10.13 – $604.52 | 13 |
| X-ray exam of arm infant CPT 73092 | $132.66 | $201.00 | $7.81 – $115.55 | 13 |
| X-ray exam of eye sockets CPT 70200 | $605.22 | $917.00 | $13.38 – $185.07 | 13 |
| X-ray exam of femur 1 CPT 73551 | $252.12 | $382.00 | $4.95 – $192.71 | 13 |
| X-ray exam of jaw joint CPT 70328 | $100.98 | $153.00 | $8.86 – $115.55 | 13 |
| X-ray exam of mastoids CPT 70120 | $22.44 | $34.00 | $8.86 – $34.00 | 12 |
| X-ray exam of middle ear CPT 70134 | $397.98 | $603.00 | $65.75 – $197.26 | 4 |
| X-ray exam of salivary gland CPT 70380 | $149.16 | $226.00 | $8.15 – $156.29 | 13 |
| X-ray exam of sinuses CPT 70210 | $258.06 | $391.00 | $8.52 – $144.99 | 13 |
| X-ray exam si joints CPT 72200 | $227.04 | $344.00 | $8.52 – $122.28 | 13 |
| X-ray exam thorac spine4/>vw CPT 72074 | $576.84 | $874.00 | $11.08 – $213.79 | 13 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $446.16 | $676.00 | $8.62 – $99.56 | 13 |
| X-ray facial bones complete > 3 views CPT 70150 | $469.92 | $712.00 | $12.70 – $184.41 | 13 |
| X-ray femur >=2 views (both sides) CPT 73552 | $477.18 | $723.00 | $5.58 – $229.09 | 13 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $520.74 | $789.00 | $6.79 – $98.85 | 13 |
| X-ray foot 2 views (both sides) CPT 73620 | $347.82 | $527.00 | $7.81 – $115.55 | 13 |
| X-ray forearm 2 views (both sides) CPT 73090 | $397.98 | $603.00 | $7.81 – $122.28 | 13 |
| X-ray hand 2 views (both sides) CPT 73120 | $569.58 | $863.00 | $8.18 – $115.55 | 13 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $516.12 | $782.00 | $7.81 – $110.92 | 13 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $417.78 | $633.00 | $8.25 – $372.98 | 13 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $679.14 | $1,029.00 | $7.02 – $282.81 | 13 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $982.08 | $1,488.00 | $8.52 – $337.39 | 13 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,029.60 | $1,560.00 | $9.01 – $406.05 | 13 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $279.18 | $423.00 | $5.79 – $203.42 | 13 |
| X-ray humerus >= 2 views left CPT 73060 | $526.02 | $797.00 | $8.18 – $133.63 | 13 |
| X-ray joint survey 1 view CPT 77077 | $71.28 | $108.00 | $16.57 – $260.54 | 13 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $658.68 | $998.00 | $8.18 – $122.28 | 13 |
| X-ray knee 3 views (both sides) CPT 73562 | $730.62 | $1,107.00 | $9.59 – $133.58 | 13 |
| X-ray knee ap standing bilateral CPT 73565 | $211.20 | $320.00 | $8.54 – $115.61 | 13 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $427.68 | $648.00 | $7.81 – $115.55 | 13 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $302.28 | $458.00 | $10.97 – $209.10 | 13 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $694.98 | $1,053.00 | $12.88 – $214.45 | 13 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $592.02 | $897.00 | $14.60 – $277.24 | 13 |
| X-ray mandible complete > 4 views CPT 70110 | $429.66 | $651.00 | $11.99 – $145.65 | 13 |
| X-ray mandible ltd <4 views CPT 70100 | $233.64 | $354.00 | $9.22 – $122.22 | 13 |
| X-ray nasal bones complete > 3 views CPT 70160 | $260.04 | $394.00 | $8.52 – $122.28 | 13 |
| X-ray neck soft tissue CPT 70360 | $371.58 | $563.00 | $8.62 – $99.56 | 13 |
| X-ray nose to rectum for foreign body child CPT 76010 | $124.08 | $188.00 | $8.49 – $129.39 | 13 |
| X-ray of mammary ducts CPT 77054 | $54.78 | $83.00 | $21.34 – $83.00 | 12 |
| X-ray optic foramina CPT 70190 | $312.18 | $473.00 | $10.63 – $145.65 | 13 |
| X-ray pelvis 1-2 views CPT 72170 | $328.68 | $498.00 | $8.52 – $122.28 | 13 |
| X-ray pelvis complete > 3 views CPT 72190 | $363.00 | $550.00 | $11.47 – $157.01 | 13 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $341.22 | $517.00 | $18.48 – $539.11 | 13 |
| X-ray ribs 2 views left CPT 71100 | $385.44 | $584.00 | $10.61 – $134.29 | 13 |
| X-ray ribs 3 views bilateral CPT 71110 | $429.00 | $650.00 | $13.53 – $185.07 | 13 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $490.38 | $743.00 | $12.85 – $157.72 | 13 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $475.20 | $720.00 | $15.28 – $209.77 | 13 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $330.66 | $501.00 | $9.67 – $145.04 | 13 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $301.62 | $457.00 | $8.52 – $133.63 | 13 |
| X-ray scapula complete (both sides) CPT 73010 | $443.52 | $672.00 | $9.25 – $122.28 | 13 |
| X-ray sella turcica CPT 70240 | $142.56 | $216.00 | $9.20 – $99.56 | 13 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $330.66 | $501.00 | $7.47 – $110.92 | 13 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $417.12 | $632.00 | $10.61 – $184.41 | 13 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $397.98 | $603.00 | $24.21 – $245.99 | 13 |
| X-ray skull < 4 views CPT 70250 | $353.10 | $535.00 | $8.86 – $145.65 | 13 |
| X-ray skull > 4 views complete CPT 70260 | $591.36 | $896.00 | $13.38 – $210.43 | 13 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $351.78 | $533.00 | $27.59 – $294.61 | 13 |
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.