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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Adventist Health Clearlake

15630 18TH AVE, Clearlake, CA 95422

CMS Overall Rating ★★☆☆☆
Factual Overview

Adventist Health Clearlake is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Clearlake, CA. Mapped commercial insurance prices across 77 procedures average 9.75x the Medicare baseline. The facility holds a CMS quality rating of 2/5 stars with a patient recommendation score of 61%.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 1,330

Patient Experience

Recommendation Rate: 61% High Patient Rating: 62% ER Wait Time (Med): 176 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 77 codes Avg Markup vs Medicare: 9.75x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $527 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 $14,098 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,627 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $1,716 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,820 Calc
CT scan, sinuses
CPT Code: 70486
 $1,578 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,584 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $3,206 Calc
X-ray, chest (single view)
CPT Code: 71045
 $275 Calc
X-ray, chest (two views)
CPT Code: 71046
 $237 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,453 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $321 Calc
X-ray, lower back
CPT Code: 72110
 $525 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,990 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,729 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $1,665 Calc
X-ray, pelvis
CPT Code: 72170
 $314 Calc
CT scan, pelvis
CPT Code: 72192
 $1,736 Calc
X-ray, shoulder
CPT Code: 73030
 $376 Calc
X-ray, hand
CPT Code: 73130
 $390 Calc
X-ray, hip
CPT Code: 73502
 $307 Calc
X-ray, ankle
CPT Code: 73610
 $390 Calc
X-ray, foot
CPT Code: 73630
 $381 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,956 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $2,361 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,800 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $342 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $446 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $385 Calc
Ultrasound, pelvis
CPT Code: 76856
 $479 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $396 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $321 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $62 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $78 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $57 Calc
Blood test, liver function panel
CPT Code: 80076
 $84 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $31 Calc
Blood test, amylase
CPT Code: 82150
 $87 Calc
Blood test, vitamin D
CPT Code: 82306
 $104 Calc
Blood test, calcium
CPT Code: 82310
 $44 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $45 Calc
Blood test, vitamin B12
CPT Code: 82607
 $108 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $60 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $22 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $73 Calc
Blood test, lipase
CPT Code: 83690
 $87 Calc
Blood test, magnesium
CPT Code: 83735
 $54 Calc
Blood test, potassium
CPT Code: 84132
 $41 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $47 Calc
Blood test, sodium
CPT Code: 84295
 $44 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $54 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $23 Calc
Blood test, hemoglobin
CPT Code: 85018
 $26 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $61 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $30 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $13 Calc
Hepatitis C antibody test
CPT Code: 86803
 $49 Calc
Blood antibody screen
CPT Code: 86850
 $42 Calc
Culture, blood
CPT Code: 87040
 $139 Calc
Culture, bacterial
CPT Code: 87070
 $86 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 $32,912 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $213 Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 $33 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $202 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,476 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $904 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $222 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $3,317 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $63 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $64 Calc
Physical therapy (gait training)
CPT Code: 97116
 $79 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $62 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $78 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $153 Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 $136 Calc
Orthotic fitting and training
CPT Code: 97760
 $78 Calc
Prosthetic fitting and training
CPT Code: 97761
 $82 Calc