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 |
|---|---|---|---|---|
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $468.60 | $710.00 | $23.74 – $305.30 | 13 |
| X-ray small intestine follow-through study CPT 74248 | $161.04 | $244.00 | $32.60 – $315.09 | 13 |
| X-ray spine single view CPT 72020 | $232.32 | $352.00 | $7.81 – $99.56 | 13 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $246.18 | $373.00 | $10.61 – $163.68 | 13 |
| X-ray sternum > 2 views CPT 71120 | $289.74 | $439.00 | $9.54 – $152.32 | 13 |
| X-ray surgical specimen CPT 76098 | $397.98 | $603.00 | $8.27 – $99.62 | 13 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $528.00 | $800.00 | $25.16 – $305.97 | 13 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $374.88 | $568.00 | $11.65 – $195.76 | 13 |
| X-ray thoracic spine 2 views CPT 72070 | $507.54 | $769.00 | $9.90 – $152.32 | 13 |
| X-ray thoracic spine 3 views CPT 72072 | $547.80 | $830.00 | $10.58 – $173.11 | 13 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $64.02 | $97.00 | $10.27 – $157.01 | 13 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $322.08 | $488.00 | $7.38 – $253.90 | 13 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $374.88 | $568.00 | $8.81 – $463.94 | 13 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $443.52 | $672.00 | $7.81 – $122.28 | 13 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $312.18 | $473.00 | $6.43 – $98.85 | 13 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $411.84 | $624.00 | $35.18 – $387.45 | 13 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $540.54 | $819.00 | $35.18 – $343.40 | 13 |
| X-ray wrist 2 views (both sides) CPT 73100 | $508.86 | $771.00 | $8.54 – $115.55 | 13 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $71.94 | $109.00 | $18.11 – $55.23 | 12 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $465.30 | $705.00 | $20.67 – $442.93 | 12 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $232.98 | $353.00 | $75.68 – $184.82 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $126.56 | $191.76 | $19.97 – $575.28 | 6 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $5,322.24 | $8,064.00 | $33.71 – $101.13 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $734.58 | $1,113.00 | $5.38 – $243.60 | 6 |
| Zoster vaccine-live inj CPT 90736 | $420.42 | $637.00 | $204.22 – $923.65 | 5 |
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.