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 |
|---|---|---|---|---|
| Cardioversion/elective/internal 92961 CPT 92961 | $372.24 | $564.00 | $172.78 – $347.34 | 12 |
| Caregiver health risk assmt CPT 96161 | $15.84 | $24.00 | $3.25 – $34.80 | 12 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $90.42 | $137.00 | $20.67 – $152.25 | 12 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $5,462.84 | $8,277.03 | $30.16 – $188.52 | 6 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,296.24 | $1,964.00 | $30.61 – $225.88 | 13 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,032.90 | $1,565.00 | $30.00 – $633.10 | 12 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $92.40 | $140.00 | $54.35 – $222.46 | 11 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $40.26 | $61.00 | $10.31 – $88.45 | 11 |
| Cataract Surgery CPT 66984 | $1,252.02 | $1,897.00 | $145.00 – $1,112.74 | 12 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $480.48 | $728.00 | $301.16 – $728.00 | 12 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $650.10 | $985.00 | $20.67 – $1,428.25 | 3 |
| Catheter declot mechanical CPT 36596 | $101.64 | $154.00 | $40.00 – $239.75 | 12 |
| Catheter insert artery CPT 36625 | $229.02 | $347.00 | $65.00 – $173.68 | 12 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $15.18 | $23.00 | $23.00 – $69.00 | 2 |
| Catheter stripping venous CPT 36595 | $396.66 | $601.00 | $155.70 – $1,041.27 | 12 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $117.48 | $178.00 | $15.00 – $180.16 | 12 |
| Cath left heart/lv gram CPT 93452 | $359.04 | $544.00 | $225.84 – $544.00 | 12 |
| Cath left heart transseptal punc CPT 93462 | $314.16 | $476.00 | $165.14 – $291.98 | 12 |
| Cath lt/rt pulm art CPT 36014 | $1,788.60 | $2,710.00 | $97.17 – $1,467.11 | 12 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $747.78 | $1,133.00 | $1,133.00 – $3,399.00 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $334.62 | $507.00 | $75.00 – $1,675.17 | 12 |
| Cath place cardio brachytx CPT 92974 | $243.54 | $369.00 | $131.66 – $230.80 | 12 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $628.32 | $952.00 | $392.33 – $952.00 | 12 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $473.22 | $717.00 | $296.09 – $717.00 | 12 |
| Cath plc art/grft/angio right hrt CPT 93457 | $531.96 | $806.00 | $332.93 – $806.00 | 12 |
| Cath right heart w/o2 sat & card CPT 93451 | $200.64 | $304.00 | $126.55 – $304.00 | 12 |
| Cath right hrt mnpul art CPT 36013 | $273.24 | $414.00 | $80.79 – $1,458.81 | 12 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $132.00 | $200.00 | $35.00 – $176.46 | 12 |
| Cath stripping venous s&i CPT 75901 | $56.76 | $86.00 | $22.51 – $86.00 | 12 |
| Cauterization chemical granulation tissue CPT 17250 | $430.32 | $652.00 | $3.00 – $100.88 | 12 |
| Cauterization of cervix 57510 CPT 57510 | $254.76 | $386.00 | $6.00 – $221.50 | 12 |
| Cciiv4 vacc abx free im CPT 90756 | $53.46 | $81.00 | $24.23 – $117.45 | 5 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $140.58 | $213.00 | $24.39 – $308.85 | 5 |
| Cdna analysis for variants CPT 81403 | $270.60 | $410.00 | $176.00 – $2,172.80 | 5 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $54.12 | $82.00 | $26.24 – $118.90 | 12 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $77.88 | $118.00 | $0.83 – $60.00 | 6 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $37.02 | $56.09 | $2.38 – $168.28 | 6 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $70.34 | $106.58 | $0.46 – $16.68 | 6 |
| Cell count body fluid CPT 89050 | $203.28 | $308.00 | $7.49 – $43.06 | 5 |
| Cell count w differential body fluid CPT 89051 | $106.92 | $162.00 | $6.43 – $50.17 | 5 |
| Cell function assay w/stim CPT 86352 | $89.67 | $135.86 | $91.88 – $1,028.52 | 5 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $821.70 | $1,245.00 | $60.80 – $472.10 | 12 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $4,099.97 | $6,212.07 | $6.87 – $54.39 | 6 |
| Cervical laminoplsty 2/> seg CPT 63050 | $3,306.60 | $5,010.00 | $764.70 – $2,224.78 | 12 |
| Cervical lymphadenectomy 38720 CPT 38720 | $3,033.36 | $4,596.00 | $801.19 – $1,787.12 | 12 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $64.68 | $98.00 | $24.62 – $95.70 | 11 |
| Cesarean section delivery only 59514 CPT 59514 | $1,937.76 | $2,936.00 | $90.00 – $1,867.56 | 12 |
| #cf-97variants CPT 81220 | $108.90 | $165.00 | $165.00 – $6,154.86 | 5 |
| Cftr gene dup/delet variants CPT 81222 | $396.00 | $600.00 | $435.07 – $2,610.42 | 5 |
| Change cystostomy tube; complex 51710 CPT 51710 | $181.50 | $275.00 | $61.00 – $273.61 | 12 |
| Change cystostomy tube simple CPT 51705 | $229.02 | $347.00 | $47.05 – $196.68 | 12 |
| Change g-tube to g-j perc CPT 49446 | $320.10 | $485.00 | $123.97 – $1,715.42 | 12 |
| Change of ureter tube/stent CPT 50688 | $179.52 | $272.00 | $45.05 – $139.84 | 12 |
| Change of windpipe airway 31502 CPT 31502 | $77.22 | $117.00 | $30.15 – $86.38 | 12 |
| Change stent via transureth CPT 50385 | $477.18 | $723.00 | $60.00 – $2,067.20 | 12 |
| Chemical exfoliation acne 17360 CPT 17360 | $287.76 | $436.00 | $51.01 – $278.92 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | $1,127.94 | $1,709.00 | $123.23 – $369.69 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | $797.94 | $1,209.00 | $114.81 – $344.43 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | $246.18 | $373.00 | $66.19 – $748.00 | 13 |
| Chemodener muscle larynx emg CPT 64617 | $372.90 | $565.00 | $20.67 – $289.63 | 12 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $213.18 | $323.00 | $20.00 – $135.84 | 12 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $275.22 | $417.00 | $15.00 – $166.67 | 12 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $411.84 | $624.00 | $20.67 – $237.79 | 12 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $353.10 | $535.00 | $20.67 – $207.58 | 12 |
| Chemodenervation anal musc CPT 46505 | $575.52 | $872.00 | $10.00 – $366.73 | 12 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $318.78 | $483.00 | $20.00 – $271.88 | 12 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $495.66 | $751.00 | $55.00 – $351.89 | 12 |
| Chemodenerv eccrine glands CPT 64653 | $238.92 | $362.00 | $58.45 – $278.92 | 3 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $205.92 | $312.00 | $51.01 – $278.92 | 3 |
| Chemodenerv musc migraine 64615 CPT 64615 | $339.90 | $515.00 | $20.67 – $213.68 | 12 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $468.60 | $710.00 | $15.00 – $178.77 | 12 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $258.72 | $392.00 | $20.00 – $165.65 | 12 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $368.94 | $559.00 | $20.00 – $223.36 | 12 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $413.16 | $626.00 | $15.00 – $258.54 | 12 |
| Chemo extend IV infus w/pump HCPCS G0498 | $301.62 | $457.00 | $457.00 – $1,371.00 | 2 |
| Chemo ia push tecnique CPT 96420 | $245.52 | $372.00 | $60.49 – $842.00 | 4 |
| Chest 2 vws w oblique CPT 71048 | $455.40 | $690.00 | $14.94 – $264.62 | 13 |
| Chest apical lordotic proj CPT 71047 | $422.40 | $640.00 | $13.04 – $257.21 | 13 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,640.00 | $4,000.00 | $58.44 – $2,047.60 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $2,277.00 | $3,450.00 | $54.65 – $1,642.73 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $2,014.32 | $3,052.00 | $50.29 – $1,373.54 | 13 |
| Chest X-ray CPT 71046 | $389.40 | $590.00 | $10.24 – $201.77 | 13 |
| Chest X-ray (single view) CPT 71045 | $318.12 | $482.00 | $8.49 – $109.15 | 13 |
| Chg pr pul rehab for copd patients CPT 94626 | $124.74 | $189.00 | $67.14 – $189.00 | 2 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $480.48 | $728.00 | $32.60 – $489.54 | 13 |
| Chiropractic manj 5 regions CPT 98942 | $85.80 | $130.00 | $23.98 – $278.92 | 3 |
| Chiropract manj 1-2 regions CPT 98940 | $45.54 | $69.00 | $23.98 – $278.92 | 3 |
| Chiropract manj 3-4 regions CPT 98941 | $66.00 | $100.00 | $23.98 – $278.92 | 3 |
| Chlnggrphy intraop addl s&i CPT 74301 | $349.80 | $530.00 | $9.54 – $160.32 | 13 |
| Chloride CPT 82435 | $50.82 | $77.00 | $3.54 – $42.20 | 5 |
| Chloride 24 hour urine CPT 82436 | $31.02 | $47.00 | $0.25 – $45.70 | 5 |
| Chloroprocaine hcl injection HCPCS J2401 | $65.41 | $99.10 | $0.07 – $297.30 | 5 |
| Cholangiogram percutaneous compl CPT 47532 | $2,562.12 | $3,882.00 | $8.00 – $1,339.21 | 12 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $476.52 | $722.00 | $13.03 – $91.35 | 12 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $2,490.18 | $3,773.00 | $65.00 – $1,521.35 | 12 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $758.34 | $1,149.00 | $305.50 – $631.07 | 12 |
| Cholesterol CPT 82465 | $35.64 | $54.00 | $0.41 – $39.57 | 5 |
| Cholesterol body fluid CPT 84999 | $36.30 | $55.00 | $55.00 – $165.00 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $118.80 | $180.00 | $1.55 – $121.83 | 5 |
| Cholinesterase CPT 82480 | $4.62 | $7.00 | $0.55 – $71.67 | 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.