ADVENTIST HEALTH CLEARLAKE
Critical Access Hospitals
Procedure Prices at ADVENTIST HEALTH CLEARLAKE
CBC AUTO W/AUTO DIFF 1.1
CPT 85025
$2.84
COMP METABOLIC PNL 1.1
CPT 80053
$7.06
COLLECTION: Venous Draw
CPT 36415
$8.57
EKG
CPT 93000
$11
Mechanical Traction
CPT 97012
$29
Therapeutic Exercises
CPT 97110
$44
EKG Tracing
CPT 93005
$86.25
Therapeutic Activities
CPT 97530
$87.78
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$92.75
Chest X-Ray (1 view)
CPT 71045
$93.91
OB Ultrasound
CPT 76805
$97.75
Screening Mammogram (bilateral)
CPT 77067
$104.75
Upper GI Endoscopy w/ Biopsy
CPT 43239
$129.36
Chest X-Ray (2 views)
CPT 71046
$135
Psychotherapy, 1 hour
CPT 90837
$143.04
Diagnostic Mammogram (unilateral)
CPT 77065
$156
Abdominal Ultrasound — Limited
CPT 76705
$166
Colonoscopy w/ Biopsy
CPT 45380
$187.32
Diagnostic Mammogram (bilateral)
CPT 77066
$191.5
Abdominal Ultrasound
CPT 76700
$192.5
Colonoscopy
CPT 45378
$199.86
Retroperitoneal Ultrasound
CPT 76770
$205.75
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$282.51
Laparoscopic Hernia Repair
CPT 49650
$386.56
Echocardiogram
CPT 93307
$455.75
Inguinal Hernia Repair
CPT 49505
$470.06
ER Visit — Low-Moderate Complexity
CPT 99283
$494.5
Laparoscopic Cholecystectomy
CPT 47562
$584.01
Cataract Surgery
CPT 66984
$584.44
MRI Brain w/o Contrast
CPT 70551
$697
ER Visit — Moderate Complexity
CPT 99284
$919
MRI Joint of Lower Extremity
CPT 73721
$1,034.75
Echocardiogram w/ Doppler
CPT 93306
$1,045.75
CT Chest
CPT 71250
$1,137
ER Visit — High Complexity
CPT 99285
$1,338.5
MRI Brain w/ Contrast
CPT 70553
$1,409.75
Vaginal Delivery
CPT 59400
$1,852.83
CT Abdomen & Pelvis
CPT 74177
$1,939.25
C-Section
CPT 59510
$2,038.44
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.