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 |
|---|---|---|---|---|
| Clot factor xiii fibrin stab CPT 85290 | $2.90 | $14.52 | $14.52 – $220.34 | 11 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $246.00 | $1,230.00 | $11.00 – $551.66 | 16 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $250.60 | $1,253.00 | $50.00 – $496.99 | 16 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $260.00 | $1,300.00 | $8.00 – $532.93 | 16 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $176.40 | $882.00 | $192.11 – $504.83 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $171.00 | $855.00 | $11.00 – $370.97 | 16 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $143.40 | $717.00 | $66.41 – $315.98 | 16 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $279.00 | $1,395.00 | $13.00 – $660.17 | 16 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $232.80 | $1,164.00 | $50.00 – $477.11 | 16 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $74.20 | $371.00 | $66.41 – $195.21 | 16 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $521.60 | $2,608.00 | $66.41 – $1,235.67 | 16 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $513.80 | $2,569.00 | $52.00 – $2,214.98 | 17 |
| Clsd tx fracture of radius 25500 CPT 25500 | $213.80 | $1,069.00 | $66.41 – $412.10 | 16 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $106.40 | $532.00 | $66.41 – $202.20 | 16 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $122.00 | $610.00 | $15.00 – $220.74 | 16 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $255.00 | $1,275.00 | $66.41 – $520.76 | 16 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $391.40 | $1,957.00 | $35.00 – $854.69 | 16 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $217.80 | $1,089.00 | $66.41 – $413.21 | 16 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $377.80 | $1,889.00 | $53.24 – $807.44 | 16 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $202.80 | $1,014.00 | $10.00 – $410.44 | 16 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $299.40 | $1,497.00 | $66.41 – $734.62 | 16 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $284.40 | $1,422.00 | $66.41 – $567.12 | 16 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $270.00 | $1,350.00 | $66.41 – $525.00 | 16 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $260.80 | $1,304.00 | $10.00 – $577.98 | 16 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $427.40 | $2,137.00 | $10.00 – $709.36 | 16 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $176.00 | $880.00 | $17.00 – $342.70 | 16 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $226.60 | $1,133.00 | $11.00 – $456.92 | 16 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $245.40 | $1,227.00 | $11.00 – $483.01 | 16 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $362.40 | $1,812.00 | $66.41 – $742.59 | 16 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $166.80 | $834.00 | $66.41 – $411.57 | 16 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $161.60 | $808.00 | $15.00 – $332.12 | 16 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $155.00 | $775.00 | $66.41 – $368.70 | 16 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $240.40 | $1,202.00 | $66.41 – $510.68 | 16 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $248.00 | $1,240.00 | $6.00 – $596.02 | 16 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $242.80 | $1,214.00 | $35.00 – $482.35 | 16 |
| Clsd tx pelvic ring fx CPT 27197 | $93.40 | $467.00 | $15.00 – $186.15 | 16 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $293.80 | $1,469.00 | $66.41 – $647.62 | 16 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $152.00 | $760.00 | $6.00 – $311.07 | 16 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $199.00 | $995.00 | $66.41 – $391.92 | 16 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $295.40 | $1,477.00 | $66.41 – $675.42 | 16 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $181.40 | $907.00 | $11.00 – $382.11 | 16 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $291.00 | $1,455.00 | $66.41 – $640.88 | 14 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $359.20 | $1,796.00 | $40.00 – $844.47 | 16 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $293.80 | $1,469.00 | $31.00 – $623.20 | 16 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $249.20 | $1,246.00 | $66.41 – $524.41 | 16 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $100.80 | $504.00 | $27.58 – $152.04 | 16 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $66.40 | $332.00 | $66.41 – $160.77 | 16 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $246.40 | $1,232.00 | $50.00 – $472.45 | 16 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $316.00 | $1,580.00 | $66.41 – $774.15 | 14 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $200.00 | $1,000.00 | $10.00 – $385.52 | 16 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $211.80 | $1,059.00 | $13.00 – $431.18 | 16 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $228.00 | $1,140.00 | $12.00 – $459.89 | 16 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $231.00 | $1,155.00 | $42.00 – $447.39 | 16 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $244.80 | $1,224.00 | $12.00 – $488.87 | 16 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $219.00 | $1,095.00 | $6.00 – $432.90 | 16 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $294.40 | $1,472.00 | $20.00 – $593.44 | 16 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $326.60 | $1,633.00 | $17.00 – $707.74 | 16 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $248.20 | $1,241.00 | $10.00 – $482.88 | 16 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $367.80 | $1,839.00 | $10.00 – $834.01 | 16 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $233.20 | $1,166.00 | $60.68 – $510.34 | 16 |
| Cltx lunate dislc w/mnpj CPT 25690 | $355.40 | $1,777.00 | $32.00 – $722.17 | 16 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $660.00 | $3,300.00 | $15.00 – $1,372.51 | 16 |
| Cltx post ankle fx CPT 27767 | $218.00 | $1,090.00 | $38.35 – $457.08 | 16 |
| Cltx post ankle fx w/mnpj CPT 27768 | $325.00 | $1,625.00 | $12.00 – $657.76 | 16 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $267.80 | $1,339.00 | $66.41 – $550.43 | 16 |
| Cmbn ant pst colprhy CPT 57260 | $530.60 | $2,653.00 | $66.41 – $1,313.61 | 16 |
| Cmptr ophth dx img ant segmt CPT 92132 | $15.20 | $76.00 | $15.91 – $81.26 | 17 |
| Cmptr ophth img optic nerve CPT 92133 | $15.60 | $78.00 | $16.96 – $81.26 | 17 |
| #cmvcul-virus inoculation shell CPT 87254 | $4.87 | $24.34 | $7.76 – $172.08 | 11 |
| Cmv pcr-sendout CPT 87496 | $98.00 | $490.00 | $31.19 – $457.94 | 11 |
| Co2 monitor per day CPT 94681 | $210.00 | $1,050.00 | $9.90 – $570.06 | 18 |
| Cold agglutinin screen (arc) CPT 86156 | $11.80 | $59.00 | $8.07 – $89.61 | 11 |
| Cold agglutinin titer CPT 86157 | $32.60 | $163.00 | $7.17 – $108.77 | 11 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | $1,097.20 | $5,486.00 | $35.00 – $2,211.23 | 16 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | $1,239.40 | $6,197.00 | $66.41 – $2,467.19 | 16 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | $1,382.60 | $6,913.00 | $66.41 – $2,736.41 | 16 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | $895.40 | $4,477.00 | $35.00 – $1,947.93 | 16 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | $1,282.60 | $6,413.00 | $66.41 – $2,569.23 | 16 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | $1,099.00 | $5,495.00 | $66.41 – $2,440.83 | 16 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | $1,398.00 | $6,990.00 | $66.41 – $2,791.08 | 16 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | $829.60 | $4,148.00 | $66.41 – $1,730.32 | 16 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | $1,206.00 | $6,030.00 | $66.41 – $2,416.17 | 16 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | $1,172.20 | $5,861.00 | $45.00 – $2,342.83 | 16 |
| Collagenase, clost hist inj HCPCS J0775 | $51.40 | $257.00 | $66.27 – $242.00 | 15 |
| Collagen dressing <=16 sq in HCPCS A6021 | $14.60 | $73.00 | $9.37 – $73.00 | 15 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $31.60 | $158.00 | $14.92 – $66.41 | 16 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $51.80 | $259.00 | $55.30 – $129.82 | 7 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $66.20 | $331.00 | $102.00 – $329.89 | 10 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $105.60 | $528.00 | $176.00 – $329.89 | 10 |
| Collection of venous blood by venipuncture CPT 36415 | $19.20 | $96.00 | $1.37 – $27.60 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | $124.60 | $623.00 | $25.00 – $623.21 | 16 |
| Colonoscopy flex with decompression 45393 CPT 45393 | $168.00 | $840.00 | $15.00 – $402.02 | 16 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | $152.60 | $763.00 | $10.00 – $741.88 | 16 |
| Colonoscopy & polypectomy 44392 CPT 44392 | $133.40 | $667.00 | $20.00 – $708.30 | 16 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | $204.20 | $1,021.00 | $50.00 – $486.44 | 16 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | $151.40 | $757.00 | $20.00 – $798.86 | 16 |
| Colonoscopy submucous njx CPT 45381 | $135.40 | $677.00 | $30.00 – $747.90 | 16 |
| Colonoscopy thru stoma spx CPT 44388 | $105.20 | $526.00 | $55.00 – $569.40 | 16 |
| Colonoscopy w/ablation CPT 45388 | $181.40 | $907.00 | $10.00 – $882.96 | 16 |
| Colonoscopy w/balloon dilat CPT 45386 | $142.80 | $714.00 | $35.00 – $1,079.66 | 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.