Supplies, drugs & other prices at Adventist Health Clearlake
Clearlake, CA · every code in this section with a posted price and a Medicare benchmark.
21 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Ca screen;pelvic/breast exam (G0101) | $36 | $100 | 0.3× |
| Catheterize for urine spec (P9612) | $43.20 | $120 | 4.6× |
| Dental prophylaxis adult (D1110) | $67.32 | $187 | 0.4× |
| Direct refer hospital observ (G0379) | $753.84 | $2,094 | 1.0× |
| Fecal blood scrn immunoassay (G0328) | $72.72 | $202 | 4.0× |
| Intraoral periapical first (D0220) | $20.88 | $58 | 0.2× |
| Neuro csf prion prtn qual (0035U) | $169.87 | $471.87 | 0.3× |
| Obtaining screen pap smear (Q0091) | $32.76 | $91 | 0.9× |
| Onc Merkel Cll Carc Srm Quan (0058U) | $122.90 | $341.38 | 0.4× |
| Oth resp proc, group (G0239) | $120.24 | $334 | 2.5× |
| Oth resp proc, indiv (G0238) | $99.36 | $276 | 2.7× |
| Panoramic image (D0330) | $79.56 | $221 | 0.3× |
| Periodic oral evaluation (D0120) | $26.64 | $74 | 0.2× |
| Periodontal maint procedures (D4910) | $83.88 | $233 | 0.1× |
| Periodontal scaling & root (D4341) | $172.80 | $480 | 0.2× |
| Periodontal scaling 1-3teeth (D4342) | $122.40 | $340 | 0.1× |
| Psa screening (G0103) range across 2 matching MRF lines |
$4.57–$181.44 | $12.70–$504 | varies |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $86.40 | $240 | 0.1× |
| Therapeutic procd strg endur (G0237) | $99.36 | $276 | 2.7× |
| Tomosynthesis, mammo (G0279) | $125.28 | $348 | 9.9× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$2,014.92–$5,399.28 | $5,597–$14,998 | varies |
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.