Visits & medical services prices at Adventist Health Clearlake
Clearlake, CA · every code in this section with a posted price and a Medicare benchmark.
164 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $62.64 | $174 | 1.2× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$11.52–$432.36 | $32–$1,201 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $41.40 | $115 | 2.9× |
| Application Modality 1/> Areas Infrared (97026) | $65.16 | $181 | 9.8× |
| Behavral qualit analys voice (92524) | $276.84 | $769 | 2.5× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) range across 2 matching MRF lines |
$28.08–$619.92 | $78–$1,722 | varies |
| Car seat/bed test 60 min (94780) | $44.28 | $123 | 0.9× |
| Cardiac Stress Tst,Tracing Only (93017) | $541.80 | $1,505 | 2.0× |
| Cardiopulmonary exercise testing (94621) | $342.36 | $951 | 0.7× |
| Cardiopulmonary resuscitation (92950) | $532.44 | $1,479 | 1.9× |
| Cardioversion (92960) | $1,561.32 | $4,337 | 1.8× |
| Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) | $21.60 | $60 | 0.8× |
| Cbt 1st hour (94644) | $223.92 | $622 | 1.3× |
| Chemo Hormon Antineopl Sq/Im (96402) | $81.36 | $226 | 0.9× |
| Chest Wall Manipulation (94668) | $177.48 | $493 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$917.64–$936.36 | $2,549–$2,601 | varies |
| Color/duplex Doppler, limited (93976) | $591.12 | $1,642 | 4.4× |
| Community/Work Reintegration Trainj Ea 15 Min (97537) | $128.88 | $358 | 4.0× |
| Comprehensive Hearing Test (92557) | $140.76 | $391 | 0.9× |
| Continuous Pulse Ox (94762) | $379.08 | $1,053 | 2.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $1,203.84 | $3,344 | 4.3× |
| Cpt initial (94667) | $166.68 | $463 | 1.0× |
| Critical care first hour (99291) range across 3 matching MRF lines |
$3,621.60–$9,020.88 | $10,060–$25,058 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$178.92–$370.80 | $497–$1,030 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 3 matching MRF lines |
$212.76–$719.28 | $591–$1,998 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) range across 3 matching MRF lines |
$115.92–$511.20 | $322–$1,420 | varies |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$173.16–$963 | $481–$2,675 | varies |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) range across 2 matching MRF lines |
$147.96–$502.92 | $411–$1,397 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$190.80–$904.32 | $530–$2,512 | varies |
| Dup-scan xtr veins unilateral/limited study (93971) range across 2 matching MRF lines |
$117–$430.92 | $325–$1,197 | varies |
| Duplex Scan Hemodialysis Access (93990) | $180.72 | $502 | 1.3× |
| Duplex up extrem art bilat (93930) | $932.40 | $2,590 | 3.0× |
| Duplex up extrem art unilat/ltd (93931) | $682.56 | $1,896 | 5.1× |
| ECG/monitoring and analysis (93271) | $246.96 | $686 | 2.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$217.44–$813.60 | $604–$2,260 | varies |
| Echo transesophageal (93312) | $2,825.28 | $7,848 | 4.0× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $648.72 | $1,802 | 0.9× |
| Eeg 41-60 Minutes (95812) | $386.28 | $1,073 | 1.4× |
| EEG awake and asleep (95819) | $386.28 | $1,073 | 1.4× |
| EEG awake drowsy (95816) range across 2 matching MRF lines |
$280.44–$386.28 | $779–$1,073 | varies |
| EEG cont rec w/video by tech min 8 channels (95700) | $194.04 | $539 | 0.7× |
| EEG extended monitoring 61-119 minutes (95813) | $386.28 | $1,073 | 1.4× |
| Eeg Sleep Only (95822) | $386.28 | $1,073 | 1.4× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $386.28 | $1,073 | 1.4× |
| Electrical Stimulation Ea 15 Min (97032) | $125.28 | $348 | 8.5× |
| Electrocardiogram Tracing (93005) | $201.60 | $560 | 2.7× |
| Emergency Dept Visit Level 2 (99282) | $438.48 | $1,218 | 2.2× |
| Emergency Dept Visit Level 3 (99283) range across 3 matching MRF lines |
$828.72–$6,228 | $2,302–$17,300 | varies |
| Emergency Dept Visit Level 4 (99284) range across 3 matching MRF lines |
$1,473.48–$6,872.76 | $4,093–$19,091 | varies |
| Er level 1 (99281) | $153 | $425 | 1.4× |
| Er level v (99285) range across 3 matching MRF lines |
$2,247.48–$7,646.76 | $6,243–$21,241 | varies |
| Evaluate pt use of inhaler (94664) | $237.96 | $661 | 0.8× |
| Evaluate Speech Production (92522) | $254.52 | $707 | 2.3× |
| Evaluate Swallowing Function (92610) | $221.76 | $616 | 2.6× |
| Evaluation of speech fluency (92521) | $143.64 | $399 | 1.1× |
| Evoked Auditory Test,Limited (92587) | $258.12 | $717 | 0.9× |
| External ECG rec>48hr<7d recording (93242) range across 2 matching MRF lines |
$35.28–$46.08 | $98–$128 | varies |
| External ECG rec>7d<15d recording (93246) | $63 | $175 | 1.3× |
| External Ecg Scanning Analysis Report (93226) | $921.60 | $2,560 | 12.1× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$346.68–$731.16 | $963–$2,031 | varies |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$123.84–$491.76 | $344–$1,366 | varies |
| F-up/limited tthrc echo congenital car anomaly (93304) | $282.96 | $786 | 0.4× |
| Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) | $177.48 | $493 | 1.2× |
| Flexible endoscopic eval swallow c/v rec (92612) | $237.24 | $659 | 1.2× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $1,148.40 | $3,190 | 1.3× |
| Holter monitor recording (93225) | $368.64 | $1,024 | 2.2× |
| Icd Device Interrogate (93289) | $47.52 | $132 | 1.0× |
| Icd device progr eval dual (93283) | $66.96 | $186 | 1.4× |
| Icd Device Progr Eval Mult (93284) | $72.36 | $201 | 1.5× |
| Icm Device Eval (93290) | $33.12 | $92 | 0.7× |
| Ilr Device Interrogate (93291) | $20.88 | $58 | 0.6× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $28.80 | $80 | 0.3× |
| Immunization administration (90471) range across 6 matching MRF lines |
$3.68–$31.68 | $10.22–$88 | varies |
| Iontophoresis 15 min (97033) | $43.92 | $122 | 2.3× |
| Irrig Drug Delivery Device (96523) | $479.16 | $1,331 | 6.3× |
| IV infusion hydration each additional hour (96361) | $311.04 | $864 | 5.2× |
| IV infusion hydration initial 31 min-1 hour (96360) | $458.28 | $1,273 | 1.7× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $291.96 | $811 | 3.2× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $306 | $850 | 5.1× |
| IV push initial (96374) | $254.52 | $707 | 0.9× |
| Lung Function Test (Mbc/Mvv) (94200) range across 2 matching MRF lines |
$10.08–$321.84 | $28–$894 | varies |
| Lwr Xtr Vasc Stdy Bilat (93924) | $164.52 | $457 | 0.6× |
| Motion Fluoroscopy/Swallow (92611) | $127.80 | $355 | 1.4× |
| Multiple Sleep Latency Test (95805) | $3,138.84 | $8,719 | 2.8× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $315.72 | $877 | 1.2× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) | $420.84 | $1,169 | 0.8× |
| Neuromuscular Reeducation (97112) | $64.08 | $178 | 2.0× |
| Newborn resuscitation (99465) | $1,034.64 | $2,874 | 1.2× |
| O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) | $307.08 | $853 | 0.6× |
| Oral Function Therapy (92526) range across 2 matching MRF lines |
$180.72–$216.72 | $502–$602 | varies |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $90.36 | $251 | 1.8× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $77.76 | $216 | 1.7× |
| Ot Contrast Bath Ea 15 Min (97034) | $30.24 | $84 | 2.2× |
| Ot eval high complexity (97167) | $196.92 | $547 | 2.0× |
| Ot Eval Low Complex (97165) | $157.32 | $437 | 1.6× |
| Ot Eval Moderate Complexity (97166) | $177.84 | $494 | 1.8× |
| Ot manual therapy 15 min (97140) | $62.28 | $173 | 2.2× |
| Ot paraffin bath (97018) | $85.68 | $238 | 14.3× |
| Ot Prosthetic Training, Each 15 Min (97761) | $81.72 | $227 | 2.0× |
| Ot Re-Eval Est Plan Care (97168) | $101.88 | $283 | 1.5× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $187.92 | $522 | 1.1× |
| Peripheral arterial disease rehab per session (93668) | $75.60 | $210 | 1.0× |
| Phlebotomy therapeutic (99195) | $956.52 | $2,657 | 5.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $66.96 | $186 | 0.9× |
| Physical Performance Test (97750) | $136.08 | $378 | 4.0× |
| Plethysmography (94726) range across 2 matching MRF lines |
$26.64–$443.88 | $74–$1,233 | varies |
| Pm device eval in person (93288) | $35.28 | $98 | 0.7× |
| Pm device progr eval dual (93280) | $36.72 | $102 | 0.8× |
| Pm device progr eval multi (93281) | $37.08 | $103 | 0.8× |
| Pm Device Progr Eval Sngl (93279) | $43.92 | $122 | 0.9× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $3,605.40 | $10,015 | 3.3× |
| Polysom <6 yrs 4/> paramtrs (95782) | $3,003.48 | $8,343 | 2.7× |
| Polysom <6 Yrs Sleep W/Cpap/Bilvl Vent 4/> Param (95783) | $3,138.84 | $8,719 | 2.8× |
| Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) | $53.28 | $148 | 1.1× |
| Pt Eval High Complex (97163) | $178.92 | $497 | 1.8× |
| Pt eval low complex 20 min (97161) | $155.52 | $432 | 1.6× |
| Pt Eval Mod Complex (97162) | $159.84 | $444 | 1.6× |
| Pt gait training 15 min (97116) | $79.20 | $220 | 2.7× |
| Pt group caregiver training (97552) | $34.92 | $97 | 1.6× |
| Pt mechanical traction (97012) | $49.68 | $138 | 3.5× |
| Pt Re-Eval Est Plan Care (97164) | $96.48 | $268 | 1.4× |
| Pulm function test by gas (94727) | $347.76 | $966 | 1.3× |
| Pulmonary service/procedure (94799) range across 2 matching MRF lines |
$170.28–$307.08 | $473–$853 | varies |
| Pulmonary Stress Testing (94618) | $58.68 | $163 | 0.3× |
| Pure Tone Audiometry Air (92552) range across 3 matching MRF lines |
$21.24–$115.92 | $59–$322 | varies |
| Remote 30 Day Ecg Rev/Report (93270) | $266.40 | $740 | 5.6× |
| Respiratory flow volume loop (94375) range across 2 matching MRF lines |
$26.64–$343.80 | $74–$955 | varies |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $101.52 | $282 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) range across 2 matching MRF lines |
$178.92–$284.76 | $497–$791 | varies |
| Self Care Mngment Training (97535) | $153.36 | $426 | 4.7× |
| Sensory Integration Ea 15 Min (97533) | $49.32 | $137 | 0.8× |
| Sleep study unattended (95806) | $540 | $1,500 | 1.9× |
| Slp caregiver training 1st 30 min (97550) | $72 | $200 | 1.4× |
| Slp Stdy Unatnd W/Anal (95801) | $666 | $1,850 | 8.8× |
| Slp Stdy Unatnd W/Hrt Rate/O2 Sat/Resp/Slp Time (95800) range across 2 matching MRF lines |
$849.96–$867.24 | $2,361–$2,409 | varies |
| Speech sound lang comprehen (92523) | $276.84 | $769 | 1.2× |
| Spirometry (94010) range across 3 matching MRF lines |
$14.04–$305.64 | $39–$849 | varies |
| Standardized Cognitive Performance Testing (96125) | $118.80 | $330 | 1.2× |
| Stress Tte Only (93350) | $424.44 | $1,179 | 0.6× |
| Subcutaneous Infusion Each Additional Hour (96370) | $51.84 | $144 | 0.9× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $235.44 | $654 | 0.9× |
| Subq Infusion Additional Pump Infusion Site (96371) | $82.08 | $228 | 0.9× |
| Temp transcutaneous pacing (92953) | $714.60 | $1,985 | 0.8× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) range across 2 matching MRF lines |
$37.44–$46.08 | $104–$128 | varies |
| Ther Ivntj Ea Addl 15 Min (97130) range across 2 matching MRF lines |
$11.52–$14.40 | $32–$40 | varies |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $69.12 | $192 | 2.3× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 3 matching MRF lines |
$5.76–$64.08 | $16–$178 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $548.28 | $1,523 | 2.0× |
| Therapeutic Activities (97530) | $77.76 | $216 | 2.2× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $43.92 | $122 | 0.9× |
| Tte w/doppler, complete (93306) | $1,475.64 | $4,099 | 2.1× |
| Tte W/O Doppler Complete (93307) | $785.88 | $2,183 | 2.6× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $213.12 | $592 | 2.8× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $151.20 | $420 | 2.5× |
| Tympanometry and reflex threshold measurements (92550) | $140.76 | $391 | 0.5× |
| Unlisted cardiovascular service/procedure (93799) | $1,784.16 | $4,956 | 10.8× |
| Upr/L Xtremity Art 2 Levels (93922) range across 2 matching MRF lines |
$298.08–$397.44 | $828–$1,104 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $445.32 | $1,237 | 1.6× |
| Vasopneumatic device (97016) | $66.24 | $184 | 5.5× |
| Vent Mgmt Inpat Init Day (94002) | $2,269.44 | $6,304 | 2.9× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,894.32 | $5,262 | 2.4× |
| Vital capacity, total (94150) | $251.64 | $699 | 1.5× |
| Wheelchair Mgmt Ea 15 Min (97542) | $49.32 | $137 | 1.6× |
| Whirlpool Therapy (97022) | $32.40 | $90 | 2.1× |
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.