UKIAH ADVENTIST HOSPITAL
275 Hospital Dr, Ukiah, CA · Adventisthealth · · NPI 1235120676
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $5.20 | $26.02 | $26.02 – $394.66 | 11 |
| 17-hydroxypregnenolone CPT 84143 | $4.06 | $20.28 | $20.28 – $307.77 | 11 |
| 17-ketosteroids CPT 83586 | $5.95 | $29.73 | $12.80 – $172.68 | 11 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $44.80 | $224.00 | $47.20 – $122.99 | 16 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $431.80 | $2,159.00 | $66.41 – $1,347.88 | 16 |
| 1st/sbsq psyc collab care CPT 99494 | $29.20 | $146.00 | $57.88 – $504.83 | 6 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $276.00 | $1,380.00 | $1,079.84 – $2,631.70 | 10 |
| 2nd order venous cath CPT 36012 | $113.60 | $568.00 | $40.00 – $1,425.22 | 16 |
| 2vhpv vaccine 3 dose im CPT 90650 | $51.80 | $259.00 | $9.83 – $853.35 | 9 |
| 3-d radiotherapy plan CPT 77295 | $2,265.20 | $11,326.00 | $231.97 – $9,413.19 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $223.40 | $1,117.00 | $7.52 – $1,300.82 | 18 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $12.83 | $64.16 | $7.78 – $64.16 | 6 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $40.00 | $200.00 | $66.41 – $504.83 | 14 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $45.80 | $229.00 | $66.41 – $504.83 | 14 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $45.80 | $229.00 | $66.41 – $504.83 | 14 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $34.40 | $172.00 | $58.41 – $504.83 | 14 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $40.00 | $200.00 | $66.41 – $504.83 | 14 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $40.00 | $200.00 | $66.41 – $504.83 | 14 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $45.80 | $229.00 | $66.41 – $504.83 | 14 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $57.60 | $288.00 | $66.41 – $504.83 | 14 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,116.00 | $5,580.00 | $44.72 – $124.67 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $2.13 | $10.67 | $10.67 – $167.05 | 11 |
| Abd aorta w/runoff s&i CPT 75630 | $3,451.60 | $17,258.00 | $49.00 – $5,039.06 | 18 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $805.80 | $4,029.00 | $45.00 – $1,588.00 | 16 |
| Abd/low ext cath 1st CPT 36245 | $153.20 | $766.00 | $66.41 – $1,787.84 | 16 |
| Abd/low ext cath 2nd CPT 36246 | $161.40 | $807.00 | $45.00 – $2,236.65 | 16 |
| Abd/low ext cath 3rd CPT 36247 | $192.80 | $964.00 | $45.00 – $3,538.56 | 16 |
| Abd/low ext cath addl CPT 36248 | $31.80 | $159.00 | $40.56 – $296.59 | 16 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,093.80 | $5,469.00 | $36.55 – $1,827.13 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $990.00 | $4,950.00 | $33.36 – $1,475.89 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $920.40 | $4,602.00 | $31.11 – $1,223.86 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,301.60 | $6,508.00 | $57.23 – $4,640.11 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $1,063.80 | $5,319.00 | $45.27 – $2,507.81 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $943.20 | $4,716.00 | $38.24 – $2,053.63 | 18 |
| Abdominal paracentesis w/image guidance CPT 49083 | $800.80 | $4,004.00 | $66.41 – $1,249.36 | 17 |
| Abdominal Ultrasound (complete) CPT 76700 | $359.60 | $1,798.00 | $38.17 – $762.45 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $310.80 | $1,554.00 | $27.93 – $549.00 | 18 |
| Abdominoplasty 15830 CPT 15830 | $809.80 | $4,049.00 | $66.41 – $1,548.69 | 16 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $604.80 | $3,024.00 | $58.57 – $1,249.36 | 17 |
| Abl1 gene CPT 81170 | $148.23 | $741.13 | $300.00 – $7,204.65 | 11 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $443.40 | $2,217.00 | $32.00 – $2,137.28 | 17 |
| Ablate inf turbinate superf 30801 CPT 30801 | $443.40 | $2,217.00 | $12.00 – $2,137.28 | 17 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $105.40 | $527.00 | $177.25 – $319.05 | 5 |
| Ablation cryo abd perit om CPT 49999 | $508.20 | $2,541.00 | $38.00 – $66.41 | 3 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $196.60 | $983.00 | $38.00 – $66.41 | 5 |
| Ablation cryo thigh/knee CPT 27599 | $152.00 | $760.00 | $38.00 – $611.60 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $236.40 | $1,182.00 | $38.00 – $504.83 | 7 |
| Abrasion lesions add-on CPT 15787 | $11.60 | $58.00 | $14.45 – $81.31 | 16 |
| Abrasion lesion single CPT 15786 | $94.80 | $474.00 | $32.00 – $313.55 | 16 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,707.00 | $8,535.00 | $66.41 – $2,275.05 | 17 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $2.20 | $11.00 | $1.45 – $66.41 | 15 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $4.40 | $22.00 | $2.83 – $66.41 | 15 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $18.60 | $93.00 | $21.22 – $196.98 | 16 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $19.12 | $95.61 | $0.12 – $95.61 | 8 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $10.80 | $54.00 | $0.01 – $66.41 | 5 |
| Acetaminophen level CPT 80143 | $40.00 | $200.00 | $14.91 – $142.08 | 11 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $70.56 | $352.80 | $51.18 – $352.80 | 8 |
| Acetone qualitative CPT 82009 | $23.60 | $118.00 | $4.52 – $61.01 | 11 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1.72 | $8.60 | $8.60 – $75.34 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $143.92 | $719.58 | $0.74 – $719.58 | 8 |
| Acne surgery 10040 CPT 10040 | $83.20 | $416.00 | $17.00 – $127.22 | 16 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $83.00 | $415.00 | $66.41 – $415.00 | 15 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $65.60 | $328.00 | $66.41 – $328.00 | 15 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $31.20 | $156.00 | $64.71 – $504.83 | 6 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $36.80 | $184.00 | $31.54 – $120.00 | 16 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $68.60 | $343.00 | $63.98 – $221.00 | 16 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $309.40 | $1,547.00 | $138.19 – $639.97 | 10 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $9.00 | $45.00 | $8.12 – $66.41 | 15 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $14.80 | $74.00 | $12.70 – $22.86 | 7 |
| Acoustic refl threshold tst CPT 92568 | $15.60 | $78.00 | $9.28 – $66.41 | 16 |
| Acromp/acromionectomy prtl CPT 23130 | $438.80 | $2,194.00 | $30.00 – $969.85 | 16 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $26.80 | $134.00 | $20.00 – $504.83 | 6 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $14.80 | $74.00 | $20.00 – $504.83 | 6 |
| Acup 1/> without estim ea add 15 CPT 97811 | $13.20 | $66.00 | $20.00 – $504.83 | 6 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $23.80 | $119.00 | $20.00 – $66.41 | 16 |
| Acute hepatitis panel CPT 80074 | $133.60 | $668.00 | $41.79 – $545.37 | 11 |
| Acyclovir 400 mg tablet HCPCS J8499 | $37.60 | $188.00 | $1.03 – $38.00 | 4 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $43.50 | $217.50 | $0.13 – $163.56 | 8 |
| #acylcarnitineprfl CPT 82017 | $3.00 | $14.99 | $14.99 – $226.43 | 11 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,077.00 | $5,385.00 | $5,385.00 – $5,385.00 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $14.97 | $74.83 | $0.87 – $74.83 | 8 |
| Adenovirus assay w/optic CPT 87809 | $24.00 | $120.00 | $14.49 – $125.29 | 11 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $615.40 | $3,077.00 | $60.00 – $1,380.48 | 16 |
| Adh-sendout CPT 84588 | $9.00 | $45.00 | $33.94 – $459.48 | 11 |
| Adj gastric band via subq port CPT 43999 | $340.00 | $1,700.00 | $35.00 – $2,248.85 | 10 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $318.60 | $1,593.00 | $66.41 – $745.72 | 16 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $535.00 | $2,675.00 | $66.41 – $1,288.61 | 16 |
| Adjustment gastric band HCPCS S2083 | $46.60 | $233.00 | $66.41 – $151.13 | 7 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $6.65 | $33.25 | $0.22 – $23.00 | 10 |
| Admin ecg contrast agent CPT 93352 | $29.00 | $145.00 | $34.77 – $412.45 | 16 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $128.60 | $643.00 | $21.49 – $609.00 | 18 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $115.40 | $577.00 | $28.59 – $609.00 | 18 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $315.40 | $1,577.00 | $28.59 – $609.00 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $196.00 | $980.00 | $17.96 – $609.00 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $117.20 | $586.00 | $10.66 – $609.00 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $123.20 | $616.00 | $10.66 – $609.00 | 18 |
| Administration immunization 1 vaccine CPT 90471 | $27.80 | $139.00 | $4.46 – $99.18 | 17 |
| Administration immunization each additional vaccine CPT 90472 | $15.00 | $75.00 | $10.00 – $66.41 | 17 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $8.60 | $43.00 | $3.00 – $99.18 | 17 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $6.00 | $30.00 | $3.00 – $66.41 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.