PeaceHealth Peace Harbor Medical Center — price list

← Hospital overviewVerified from PeaceHealth Peace Harbor 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.

182 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
2d ultrasound scan of eye tissue and structures Outpatient	76512 CPT	$381	$248	—	—
3d render withintrp postproces Outpatient	76376 CPT	$523	$340	—	—
Allg spec ige crude xtrc each Outpatientapprox. match	86003 CPT	$108	$70.20	—	—
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen Outpatientapprox. match	87635 CPT	$103	$66.95	—	—
Analysis for antibody (igm) to toxoplasma (parasite) Outpatient	86778 CPT	$109	$70.85	—	—
Analysis for antibody (igm) to west nile virus Outpatient	86788 CPT	$88.00	$57.20	—	—
Antidepressants levels; not specified Outpatient	80338 CPT	$15.00	$9.75	—	—
Antiepileptics levels; 4-6 Outpatient	80340 CPT	$60.00	$39.00	—	—
Application of long arm cast Outpatient	29065 CPT	$510	$332	—	—
Assay glucose blood quant Outpatientapprox. match	82947 CPT	$44.00	$28.60	—	—
Assay of lactic acid Outpatient	83605 CPT	$114	$74.10	—	—
Assay of nos vitamin Outpatient	84591 CPT	$196	$127	—	—
Bacterial colony count; urine Outpatient	87086 CPT	$81.00	$52.65	—	—
Bacterial culture; any source; except blood; anaerobic Outpatient	87075 CPT	$166	$108	—	—
Bilirubin level; total Outpatient	82247 CPT	$64.00	$41.60	—	—
Blood count; hemoglobin Outpatient	85018 CPT	$39.00	$25.35	—	—
Blood test; clotting time Outpatient	85610 CPT	$56.00	$36.40	—	—
Blood typing for red blood cell antigens Outpatient	86905 CPT	$91.00	$59.15	—	—
Carbamazepine level; total Outpatient	80156 CPT	$80.00	$52.00	—	—
Cardioversion electric ext Outpatient	92960 CPT	$2,873	$1,867	—	—
Caregiver traing 1st 30 min Outpatient	97550 CPT	$199	$129	—	—
Carotene level Outpatient	82380 CPT	$61.00	$39.65	—	—
Cell examination of specimen; concentration technique Outpatient	88108 CPT	$105	$68.25	—	—
Ceruloplasmin (protein) level Outpatient	82390 CPT	$82.00	$53.30	—	—
Chemo IV push sngl drug Outpatient	96409 CPT	$718	$467	$180 – $180	—
Cholesterol level Outpatient	82465 CPT	$65.00	$42.25	—	—
Chromosome analysis 15-20 Outpatient	88262 CPT	$610	$397	—	—
Chromosome analysis for genetic defects; analyze 100-300 cells Outpatient	88275 CPT	$364	$237	—	—
Clotting factor viii (vw factor) measurement Outpatient	85245 CPT	$90.00	$58.50	—	—
Cltx med ankle fx withmnpj Outpatient	27762 CPT	$3,320	$2,158	—	—