CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Adventist Health Mendocino Coast

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$78
about 0.8× the $95 Medicare rate · typically $44–$212
modeled estimate · not a bill or quote
What this hospital charges insurers
$69
Below the fair price — a good deal
about $9 under the fair price · 0.7× Medicare
Medicare pays $95 Fair price $78 This hospital $69 Cash price $103 Hospital's list price $157

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $18 Priciest $69

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Office visit, established patient (20-29 min) is about $78 (about 0.8× the $95 Medicare rate). Adventist Health Mendocino Coast charges insurers about $69, or about $103 in cash — below the fair price — a good deal. Located in Fort Bragg, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna AetnaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $66 69%
Blue Cross Blue Shieldmajor $70 - $156 74%
Cignamajor $58 - $144 61%
Health Net $84 - $120 88%
+ 4 smaller / regional plans $35 - $166
Government programs also on file: Medicaid, Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 700 River Drive, Fort Bragg, CA 95437
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals