PeaceHealth Cottage Grove Community Medical Center — price list

← Hospital overviewVerified from PeaceHealth Cottage Grove Community Medical Center’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.

192 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
3d render withintrp postproces Outpatient	76376 CPT	$338	$220	—	—
Ammonia level Outpatient	82140 CPT	$187	$122	—	—
Analgesics levels; 1 or 2 Outpatient	80329 CPT	$75.00	$48.75	—	—
Analysis for antibody to rubeola (measles virus) Outpatient	86765 CPT	$85.00	$55.25	—	—
Ankle control ortho pre ots Outpatient	L4350 HCPCS	$175	$114	—	—
Application lower leg splint Outpatient	29515 CPT	$507	$330	—	—
Application of lower and upper arm splint Outpatient	29105 CPT	$712	$463	—	—
Application of nonmoveable forearm to hand splint Outpatient	29125 CPT	$577	$375	—	—
Apply short leg cast Outpatient	29405 CPT	$448	$291	—	—
Arsenic level Outpatient	82175 CPT	$46.00	$29.90	—	—
Assay of histamine Outpatient	83088 CPT	$57.00	$37.05	—	—
Assay of myoglobin Outpatient	83874 CPT	$119	$77.35	—	—
Assay of phenytoin free Outpatient	80186 CPT	$59.00	$38.35	—	—
Bacterial culture for anaerobic isolates Outpatient	87076 CPT	$86.00	$55.90	—	—
Behav chng smoking 3-10 min Outpatient	99406 CPT	$105	$68.25	—	—
Benzodiazepines1-12 Outpatient	80346 CPT	$58.00	$37.70	—	—
Biochemical assays for evaluation of chronic hepatitis c virus infection Outpatient	81596 CPT	$180	$117	—	—
Blood gases measurement Outpatient	82803 CPT	$289	$188	—	—
Blood gases o2 sat only Outpatient	82810 CPT	$40.00	$26.00	—	—
Blood group typing (abo) Outpatient	86900 CPT	$57.00	$37.05	—	—
Blood smear interpretation by physician with written report Outpatient	85060 CPT	$114	$74.10	—	—
Blood test; comprehensive group of blood chemicals Outpatient	80053 CPT	$85.00	$55.25	—	—
Body fluid cell count with cell identification Outpatient	89051 CPT	$105	$68.25	—	—
Brca1 gene known famil vrnt Outpatient	81215 CPT	$1,313	$853	—	—
Canalith repositioning proc Outpatient	95992 CPT	$130	$84.50	—	—
Chemical analysis using chromatography technique Outpatient	82542 CPT	$178	$116	—	—
Chemo IV infus each addl seq Outpatient	96417 CPT	$331	$215	—	—
Clotting factor ix (ptc or christmas) measurement Outpatient	85250 CPT	$169	$110	—	—
Cltx med ankle fx withmnpj Outpatient	27762 CPT	$3,320	$2,158	—	—
Cltx tmprmand dislc 1st/sbsq Outpatient	21480 CPT	$411	$267	—	—