Adventist Health Clearlake
Clearlake, CA · Critical Access Hospital
Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| After-cataract laser surgery (YAG capsulotomy) (66821) | $205.20 | $570 | 0.3× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$1,411.56–$1,843.20 | $3,921–$5,120 | varies |
| MRI brain without contrast (70551) | $1,584 | $4,400 | 5.2× |
| MRI brain with contrast (70552) range across 2 matching MRF lines |
$1,461.60–$1,636.20 | $4,060–$4,545 | varies |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$2,836.80–$3,575.16 | $7,880–$9,931 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$495.72–$555.12 | $1,377–$1,542 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$1,545.48–$1,784.52 | $4,293–$4,957 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$1,755.72–$2,106.36 | $4,877–$5,851 | varies |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$1,548–$2,383.56 | $4,300–$6,621 | varies |
| CT abdomen and pelvis with contrast (74177) range across 3 matching MRF lines |
$2,792.52–$2,807.96 | $7,757–$7,799.88 | varies |
| Ultrasound, abdomen complete (76700) range across 3 matching MRF lines |
$193.32–$509.74 | $537–$1,415.93 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$140.76–$518.04 | $391–$1,439 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$196.56–$433.08 | $546–$1,203 | varies |
| Mammography, one breast (diagnostic) (77065) | $316.44 | $879 | 3.7× |
| Mammography, both breasts (diagnostic) (77066) | $405 | $1,125 | 3.7× |
| Mammography, screening (bilateral) (77067) range across 2 matching MRF lines |
$316.80–$422.28 | $880–$1,173 | varies |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$2.62–$62.28 | $7.27–$173 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$4.57–$78.12 | $12.70–$217 | varies |
| Obstetric panel (80055) | $201.24 | $559 | 4.2× |
| Lipid panel (80061) range across 3 matching MRF lines |
$4.15–$106.56 | $11.54–$296 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$5.77–$97.56 | $16.03–$271 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$4.57–$84.24 | $12.70–$234 | varies |
| Urinalysis, non-automated, with microscopy (81000) | $16.20 | $45 | 4.0× |
| Urinalysis, non-automated, without microscopy (81002) range across 4 matching MRF lines |
$6.48–$15.84 | $2.15–$44 | varies |
| PSA, total (84153) range across 3 matching MRF lines |
$3.62–$88.20 | $10.05–$245 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines |
$5.31–$101.52 | $14.76–$282 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$2.43–$61.20 | $6.75–$170 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$2.06–$56.52 | $5.71–$157 | varies |
| Prothrombin time (PT) (85610) range across 5 matching MRF lines |
$1.26–$36 | $3.49–$100 | varies |
| Partial thromboplastin time (PTT) (85730) range across 6 matching MRF lines |
$1.92–$60.12 | $5.34–$167 | varies |
| Electrocardiogram (ECG), complete (93000) range across 2 matching MRF lines |
$23.04–$42.12 | $64–$117 | varies |
| Sleep study (attended polysomnography) (95810) | $3,317.04 | $9,214 | 3.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $63.36 | $176 | 2.2× |
| Office consultation (low complexity, ~30 min) (99243) | $46.80 | $130 | 0.3× |
| Office consultation (moderate complexity, ~40 min) (99244) | $62.28 | $173 | 0.4× |
| Preventive visit, new patient (age 18–39) (99385) | $92.52 | $257 | — |
| Preventive visit, new patient (age 40–64) (99386) | $100.08 | $278 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 253 codes with posted prices and Medicare benchmarks
- Lab & pathology: 917 codes with posted prices and Medicare benchmarks
- Visits & medical services: 164 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 137 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 21 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 95.3 MB) ↓ — captured 2026-09-03
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.