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 |
|---|---|---|---|---|
| Chromatography CPT 83021 | $19.01 | $28.80 | $2.78 – $163.61 | 5 |
| Chromogenic substrate assay CPT 85130 | $93.06 | $141.00 | $13.64 – $107.38 | 5 |
| Chromo high res and frag x - sendout CPT 81243 | $30.12 | $45.63 | $26.03 – $710.55 | 5 |
| Chromosome analysis 100 CPT 88249 | $291.06 | $441.00 | $198.71 – $1,568.53 | 5 |
| Chromosome karyotype study CPT 88280 | $25.08 | $38.00 | $12.72 – $228.35 | 5 |
| Chylomicron screen, bf - sendout CPT 82664 | $22.54 | $34.15 | $21.00 – $265.35 | 5 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $23.79 | $36.05 | $5.45 – $108.14 | 6 |
| Circum 28 days or older CPT 54161 | $452.10 | $685.00 | $30.00 – $293.90 | 12 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $514.80 | $780.00 | $278.92 – $2,340.00 | 3 |
| Circumcision (newborn) CPT 54150 | $342.54 | $519.00 | $25.00 – $288.45 | 12 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $9.51 | $14.40 | $5.74 – $48.62 | 6 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $165.00 | $250.00 | $250.00 – $3,730.67 | 5 |
| C-laminoplasty w/graft/plate CPT 63051 | $3,751.44 | $5,684.00 | $70.00 – $2,541.98 | 12 |
| Claviculectomy partial CPT 23120 | $1,377.42 | $2,087.00 | $71.85 – $896.97 | 12 |
| Clean out mastoid cavity CPT 69222 | $508.20 | $770.00 | $50.00 – $334.72 | 12 |
| Clearance of tear duct CPT 68530 | $583.44 | $884.00 | $30.00 – $684.17 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $35.14 | $53.24 | $1.27 – $130.71 | 5 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $491.70 | $745.00 | $20.67 – $567.00 | 3 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $45.54 | $69.00 | $17.23 – $100.05 | 5 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $925.98 | $1,403.00 | $207.00 – $574.45 | 12 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $1,650.66 | $2,501.00 | $60.00 – $1,180.49 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,131.24 | $1,714.00 | $210.00 – $722.14 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $823.02 | $1,247.00 | $137.73 – $502.29 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,077.78 | $1,633.00 | $269.17 – $771.22 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $256.74 | $389.00 | $17.00 – $211.79 | 12 |
| Closed tx orbit without manipulj CPT 21400 | $526.68 | $798.00 | $203.28 – $609.84 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,351.02 | $2,047.00 | $11.00 – $915.27 | 12 |
| Closed tx septal&nose fx CPT 21337 | $712.80 | $1,080.00 | $8.00 – $565.06 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | $253.44 | $384.00 | $10.00 – $162.22 | 12 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $586.74 | $889.00 | $20.00 – $355.79 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $533.28 | $808.00 | $68.50 – $351.60 | 12 |
| Close tear duct opening CPT 68760 | $340.56 | $516.00 | $30.00 – $315.73 | 12 |
| Close tear duct opening CPT 68761 | $339.24 | $514.00 | $108.56 – $229.39 | 12 |
| Clos txnose fx without stablz 21315 CPT 21315 | $366.30 | $555.00 | $13.00 – $366.40 | 12 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $1,915.98 | $2,903.00 | $84.51 – $1,166.98 | 12 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $3,477.54 | $5,269.00 | $717.00 – $2,312.44 | 12 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $2,236.08 | $3,388.00 | $461.00 – $1,399.24 | 12 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $3,059.76 | $4,636.00 | $35.00 – $1,985.47 | 12 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $475.86 | $721.00 | $30.53 – $458.38 | 12 |
| Closure of eyelid by suture CPT 67875 | $220.44 | $334.00 | $31.00 – $273.42 | 12 |
| Closure of windpipe lesion 31820 CPT 31820 | $764.94 | $1,159.00 | $40.00 – $649.65 | 12 |
| Clot factor fletcher fact CPT 85292 | $75.99 | $115.13 | $21.72 – $166.73 | 5 |
| Clot factor xii hageman CPT 85280 | $11.35 | $17.20 | $3.33 – $176.04 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $9.58 | $14.52 | $2.37 – $148.66 | 5 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $811.80 | $1,230.00 | $11.00 – $551.66 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $826.98 | $1,253.00 | $20.00 – $496.99 | 12 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $858.00 | $1,300.00 | $13.00 – $532.93 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $582.12 | $882.00 | $192.11 – $576.33 | 3 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $564.30 | $855.00 | $92.93 – $370.97 | 12 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $473.22 | $717.00 | $37.00 – $315.98 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $920.70 | $1,395.00 | $38.00 – $660.17 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $768.24 | $1,164.00 | $50.00 – $477.11 | 12 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $244.86 | $371.00 | $4.00 – $195.21 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $1,721.28 | $2,608.00 | $357.78 – $1,235.67 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $1,292.94 | $1,959.00 | $27.00 – $834.62 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | $705.54 | $1,069.00 | $148.06 – $444.18 | 12 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $351.12 | $532.00 | $10.00 – $202.20 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $402.60 | $610.00 | $61.80 – $220.74 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $841.50 | $1,275.00 | $157.38 – $520.76 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,291.62 | $1,957.00 | $15.00 – $854.69 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $718.74 | $1,089.00 | $30.00 – $413.21 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,246.74 | $1,889.00 | $35.00 – $807.44 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $669.24 | $1,014.00 | $10.00 – $410.44 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $988.02 | $1,497.00 | $6.00 – $734.62 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $938.52 | $1,422.00 | $278.92 – $856.25 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $891.00 | $1,350.00 | $253.75 – $761.24 | 12 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $860.64 | $1,304.00 | $15.00 – $577.98 | 12 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,410.42 | $2,137.00 | $278.92 – $709.36 | 10 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $580.80 | $880.00 | $11.00 – $342.70 | 12 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $747.78 | $1,133.00 | $138.83 – $456.92 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $809.82 | $1,227.00 | $12.00 – $483.01 | 12 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $1,195.92 | $1,812.00 | $278.92 – $742.59 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $550.44 | $834.00 | $154.88 – $411.57 | 12 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $533.28 | $808.00 | $10.00 – $332.12 | 12 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $511.50 | $775.00 | $81.30 – $368.70 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $793.32 | $1,202.00 | $180.94 – $510.68 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $818.40 | $1,240.00 | $40.21 – $596.02 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $801.24 | $1,214.00 | $176.52 – $482.35 | 12 |
| Clsd tx pelvic ring fx CPT 27197 | $308.22 | $467.00 | $15.00 – $186.15 | 12 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $969.54 | $1,469.00 | $83.77 – $647.62 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $501.60 | $760.00 | $6.00 – $311.07 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $656.70 | $995.00 | $149.31 – $447.93 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $974.82 | $1,477.00 | $26.00 – $675.42 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $598.62 | $907.00 | $137.40 – $412.20 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $960.30 | $1,455.00 | $194.71 – $640.88 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $1,185.36 | $1,796.00 | $65.00 – $844.47 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $969.54 | $1,469.00 | $146.69 – $623.20 | 12 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $822.36 | $1,246.00 | $124.35 – $524.41 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $332.64 | $504.00 | $14.15 – $152.04 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $219.12 | $332.00 | $90.10 – $160.77 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $813.12 | $1,232.00 | $15.00 – $472.45 | 12 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,042.80 | $1,580.00 | $475.58 – $774.15 | 10 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $660.00 | $1,000.00 | $5.00 – $385.52 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $698.94 | $1,059.00 | $13.00 – $431.18 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $752.40 | $1,140.00 | $163.65 – $459.89 | 12 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $762.30 | $1,155.00 | $47.00 – $447.39 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $807.84 | $1,224.00 | $278.92 – $488.87 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $722.70 | $1,095.00 | $11.00 – $432.90 | 12 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $971.52 | $1,472.00 | $83.77 – $593.44 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,077.78 | $1,633.00 | $32.00 – $707.74 | 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.