PeaceHealth Peace Island Medical Center — price list

← Hospital overviewVerified from PeaceHealth Peace Island 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.

178 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
3d radiographic procedure Outpatient	76376 CPT	$499	$324	—	—
Administration of chemotherapy into vein; 1 hour or less Outpatient	96413 CPT	$850	$553	—	—
Aldolase (enzyme) level Outpatient	82085 CPT	$108	$70.20	—	—
Alpha-1-antitrypsin pheno Outpatient	82104 CPT	$50.00	$32.50	—	—
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 to mumps virus Outpatient	86735 CPT	$64.00	$41.60	—	—
Analysis for antibody to protozoa (parasite) Outpatient	86753 CPT	$50.00	$32.50	—	—
Analysis of female reproductive genetic marker Outpatient	86305 CPT	$158	$103	—	—
Antiepileptics levels; 4-6 Outpatient	80340 CPT	$53.00	$34.45	—	—
App mdlty 1+cntrst bth each 15 Outpatient	97034 CPT	$87.00	$56.55	—	—
App mdlty 1+iontphrsis each 15 Outpatient	97033 CPT	$92.00	$59.80	—	—
App mdlty 1+ultrasound each 15 Outpatient	97035 CPT	$43.00	$27.95	—	—
Application lower leg splint Outpatient	29515 CPT	$224	$146	—	—
Aspiration of fluid from chest cavity Outpatient	32554 CPT	$1,853	$1,204	—	—
Assay of carotene Outpatient	82380 CPT	$69.00	$44.85	—	—
Assay of cryoglobulin Outpatient	82595 CPT	$84.00	$54.60	—	—
Assay of serotonin Outpatient	84260 CPT	$134	$87.10	—	—
Assay of serum sodium Outpatient	84295 CPT	$27.00	$17.55	—	—
Assay of urine porphyrins Outpatient	84120 CPT	$94.00	$61.10	—	—
Bacterial colony count; urine Outpatient	87086 CPT	$106	$68.90	—	—
Bacterial culture for aerobic isolates Outpatient	87077 CPT	$116	$75.40	—	—
Bacterial culture; any source; except blood; anaerobic Outpatient	87075 CPT	$130	$84.50	—	—
Bcr/abl1 gene other bp Outpatient	81208 CPT	$733	$476	—	—
Bilirubin level; direct Outpatient	82248 CPT	$61.00	$39.65	—	—
Blood test; basic group of blood chemicals (calcium; total) Outpatient	80048 CPT	$68.00	$44.20	—	—
Blood test; clotting time Outpatient	85610 CPT	$70.00	$45.50	—	—
Blood test; comprehensive group of blood chemicals Outpatient	80053 CPT	$68.00	$44.20	—	—
Blood test; thyroid stimulating hormone (TSH) Outpatientapprox. match	84443 CPT	$103	$66.95	—	—
Blood type antigen donor each Outpatient	86902 CPT	$162	$105	—	—
Blood unit compatibility test; electronic Outpatient	86923 CPT	$89.00	$57.85	—	—