ADVENTIST HEALTH CLEARLAKE HOSPITAL — price list
← Hospital overviewVerified from ADVENTIST HEALTH CLEARLAKE HOSPITAL’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
193 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Analysis for antibody to HIV-1 and HIV-2 virus Outpatient | 1010358_1 CDM | $197 | $70.92 | $15.72 – $177 | $147 | |
| Analysis for antibody to HIV-1 and HIV-2 virus Outpatient | 1010358_I_1 CDM | $281 | $101 | $15.72 – $253 | $118 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012589_1 CDM | $186 | $66.96 | $16.51 – $168 | $139 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012589_I_1 CDM | $198 | $71.28 | $16.51 – $178 | $83.16 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012590_1 CDM | $108 | $38.88 | $15.54 – $168 | $22.68 | |
| Analysis for antibody to Rubella (German measles virus) Outpatient | 1012590_I_1 CDM | $191 | $68.76 | $16.51 – $172 | $134 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10077677_1 CDM | $1,024 | $369 | $215 – $1,690 | $1,613 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10115546_1 CDM | $352 | $127 | $73.92 – $581 | $148 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10124035_1 CDM | $3,044 | $1,096 | $639 – $5,023 | $1,278 | |
| Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient | 10187489_1 CDM | $4,389 | $1,580 | $922 – $7,242 | $1,843 | |
| Bacterial culture for aerobic isolates Outpatient | 1004096_1 CDM | $192 | $69.12 | $9.27 – $173 | $40.32 | |
| Bacterial culture for aerobic isolates Outpatient | 1004096_I_1 CDM | $261 | $93.96 | $9.27 – $235 | $41.60 | |
| Bacterial culture for anaerobic isolates Outpatient | 1004095_1 CDM | $145 | $52.20 | $9.27 – $147 | $30.45 | |
| Bacterial culture for anaerobic isolates Outpatient | 1004095_I_1 CDM | $302 | $109 | $9.27 – $272 | $63.42 | |
| Bacterial culture, any other source except urine, blood or stool, aerobic Outpatient | 1000006_1 CDM | $238 | $85.68 | $9.88 – $214 | $80.59 | |
| Bacterial culture, any other source except urine, blood or stool, aerobic Outpatient | 1000006_I_1 CDM | $395 | $142 | $9.88 – $356 | $8.62 | |
| Bacterial urine culture Outpatient | 1004102_1 CDM | $146 | $52.56 | $8.72 – $131 | $61.32 | |
| Bacterial urine culture Outpatient | 1004102_I_1 CDM | $207 | $74.52 | $8.72 – $186 | $155 | |
| Blood chloride level Outpatient | 10072179_1 CDM | $122 | $43.92 | $4.32 – $110 | $51.24 | |
| Blood chloride level Outpatient | 10072179_I_1 CDM | $222 | $79.92 | $4.32 – $200 | $93.24 | |
| Blood chloride level Outpatient | 10072194_1 CDM | $122 | $43.92 | $4.32 – $110 | $25.62 | |
| Blood chloride level Outpatient | 10072194_I_1 CDM | $222 | $79.92 | $4.32 – $200 | $93.24 | |
| Blood chloride level Outpatient | 10077356_1 CDM | $122 | $43.92 | $4.32 – $110 | $91.16 | |
| Blood chloride level Outpatient | 10077356_I_1 CDM | $222 | $79.92 | $4.32 – $200 | $166 | |
| Blood chloride level Outpatient | 10077394_1 CDM | $122 | $43.92 | $4.32 – $110 | $51.24 | |
| Blood chloride level Outpatient | 10077394_I_1 CDM | $222 | $79.92 | $4.32 – $200 | $46.62 | |
| Blood gases measurement Outpatient | 1006124_1 CDM | $346 | $125 | $17.00 – $311 | $311 | |
| Blood gases measurement Outpatient | 1006124_I_1 CDM | $703 | $253 | $17.00 – $633 | $525 | |
| Blood gases measurement Outpatient | 10072204_1 CDM | $346 | $125 | $17.00 – $311 | $259 | |
| Blood gases measurement Outpatient | 10072204_I_1 CDM | $703 | $253 | $17.00 – $633 | $295 |