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 |
|---|---|---|---|---|
| Colonoscopy w/band ligation CPT 45398 | $157.40 | $787.00 | $10.00 – $1,108.43 | 16 |
| Colonoscopy w/control bleed CPT 45382 | $464.60 | $2,323.00 | $66.41 – $965.86 | 16 |
| Colonoscopy w/decompression CPT 44408 | $156.00 | $780.00 | $20.00 – $371.58 | 16 |
| Colonoscopy w/dilation CPT 44405 | $124.00 | $620.00 | $25.00 – $874.27 | 16 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | $173.60 | $868.00 | $66.41 – $461.40 | 16 |
| Colonoscopy w/endoscopic fnb CPT 45392 | $204.40 | $1,022.00 | $15.00 – $586.55 | 16 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | $194.40 | $972.00 | $66.41 – $522.94 | 14 |
| Colonoscopy w/fb removal CPT 45379 | $160.60 | $803.00 | $35.00 – $803.23 | 16 |
| Colonoscopy w/injection CPT 44404 | $115.80 | $579.00 | $55.00 – $584.54 | 16 |
| Colonoscopy with ablation CPT 44401 | $163.00 | $815.00 | $25.00 – $799.67 | 16 |
| Colonoscopy (with biopsy) CPT 45380 | $135.40 | $677.00 | $66.41 – $742.74 | 16 |
| Colonoscopy with biopsy CPT 44389 | $290.20 | $1,451.00 | $66.41 – $639.04 | 16 |
| Colonoscopy (with polyp removal) CPT 45385 | $171.00 | $855.00 | $35.00 – $836.61 | 16 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | $185.20 | $926.00 | $20.00 – $441.48 | 16 |
| Colonoscopy w/resection CPT 45390 | $223.20 | $1,116.00 | $10.00 – $533.40 | 16 |
| Colonoscopy w/stent plcmt CPT 44402 | $175.80 | $879.00 | $50.00 – $415.23 | 16 |
| Colonoscopy w/ultrasound CPT 44406 | $154.60 | $773.00 | $25.00 – $368.20 | 16 |
| Colostomy skin level cecostomy 44320 CPT 44320 | $805.40 | $4,027.00 | $20.00 – $1,660.25 | 16 |
| Colostomy with biopsies CPT 44322 | $704.80 | $3,524.00 | $25.00 – $1,426.01 | 16 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | $657.60 | $3,288.00 | $66.41 – $1,332.65 | 16 |
| Colpocleisis (le forte type) 57120 CPT 57120 | $365.60 | $1,828.00 | $55.00 – $782.40 | 16 |
| Colpopexy abdominal approach 57280 CPT 57280 | $657.60 | $3,288.00 | $66.41 – $1,458.18 | 16 |
| Colpopexy extraperitoneal CPT 57282 | $474.40 | $2,372.00 | $60.00 – $887.91 | 16 |
| Colpopexy intraperitoneal CPT 57283 | $477.40 | $2,387.00 | $66.41 – $1,082.33 | 16 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $231.80 | $1,159.00 | $22.00 – $448.06 | 16 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $123.80 | $619.00 | $50.00 – $261.88 | 16 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $242.80 | $1,214.00 | $25.00 – $560.27 | 16 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $91.80 | $459.00 | $51.68 – $278.49 | 17 |
| Colposcopy vulva 56820 CPT 56820 | $87.80 | $439.00 | $66.41 – $182.67 | 16 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $116.80 | $584.00 | $50.00 – $246.83 | 16 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $112.60 | $563.00 | $66.41 – $240.67 | 16 |
| Colpotomy drng of abscess 57010 CPT 57010 | $315.60 | $1,578.00 | $66.41 – $638.92 | 16 |
| Colpotomy w/exploration 57000 CPT 57000 | $139.20 | $696.00 | $66.41 – $304.29 | 16 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $320.20 | $1,601.00 | $169.52 – $485.36 | 9 |
| Compatibility test each unit immediate spin technique CPT 86920 | $320.20 | $1,601.00 | $158.06 – $485.36 | 9 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $245.20 | $1,226.00 | $15.00 – $960.52 | 17 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $258.00 | $1,290.00 | $10.00 – $486.06 | 16 |
| Complement antigen each component c3 CPT 86160 | $50.09 | $250.46 | $10.51 – $161.88 | 11 |
| Complete removal of vulva CPT 56625 | $462.80 | $2,314.00 | $66.41 – $901.81 | 16 |
| Complex cystometrogram 51726 CPT 51726 | $200.60 | $1,003.00 | $91.21 – $504.83 | 6 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $251.00 | $1,255.00 | $26.00 – $436.71 | 16 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $280.40 | $1,402.00 | $26.00 – $1,018.06 | 17 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $86.60 | $433.00 | $8.70 – $297.43 | 17 |
| Compl oph exam general anes CPT 92018 | $69.60 | $348.00 | $47.88 – $184.94 | 16 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $298.00 | $1,490.00 | $50.00 – $540.55 | 16 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $348.80 | $1,744.00 | $25.00 – $721.40 | 16 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $128.80 | $644.00 | $18.99 – $255.62 | 16 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $975.60 | $4,878.00 | $48.00 – $559.97 | 17 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $331.80 | $1,659.00 | $43.00 – $702.57 | 16 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $117.20 | $586.00 | $48.00 – $226.44 | 16 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $88.20 | $441.00 | $41.00 – $174.48 | 17 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $241.20 | $1,206.00 | $66.41 – $420.99 | 16 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $128.40 | $642.00 | $21.00 – $142.71 | 17 |
| Composite byp grft 2 veins CPT 35682 | $219.80 | $1,099.00 | $66.41 – $610.55 | 16 |
| Composite byp grft 3/> segmt CPT 35683 | $255.60 | $1,278.00 | $66.41 – $713.30 | 16 |
| Composite byp grft pros&vein CPT 35681 | $49.80 | $249.00 | $66.41 – $141.17 | 16 |
| Composite graft/pri close/don area 15760 CPT 15760 | $488.60 | $2,443.00 | $65.00 – $1,105.62 | 16 |
| Comprehensive hearing test CPT 92557 | $18.40 | $92.00 | $26.42 – $71.76 | 16 |
| Compre oph exam est pt 1/> CPT 92014 | $64.00 | $320.00 | $39.44 – $183.39 | 17 |
| Compre oph exam new pt 1/> CPT 92004 | $75.40 | $377.00 | $39.44 – $183.39 | 17 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | $1,179.20 | $5,896.00 | $120.19 – $480.57 | 7 |
| Concentration infection agents any type CPT 87015 | $23.40 | $117.00 | $6.68 – $90.06 | 11 |
| Condylomata destruction 56420 CPT 56420 | $131.40 | $657.00 | $62.83 – $210.60 | 16 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $211.20 | $1,056.00 | $25.00 – $422.08 | 16 |
| Conization of cervix CPT 57520 | $206.80 | $1,034.00 | $30.00 – $516.59 | 16 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $492.96 | $2,464.82 | $247.95 – $705.09 | 15 |
| Consultation pathology during surgery CPT 88329 | $29.40 | $147.00 | $19.28 – $390.30 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $521.60 | $2,608.00 | $166.01 – $1,997.66 | 11 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $23.20 | $116.00 | $27.81 – $112.49 | 11 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $119.20 | $596.00 | $63.86 – $422.42 | 11 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $24.00 | $120.00 | $50.00 – $395.08 | 11 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $29.40 | $147.00 | $51.45 – $527.03 | 11 |
| Consultation with family CPT 90887 | $28.00 | $140.00 | $66.41 – $160.80 | 10 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $5.20 | $26.00 | $3.28 – $66.41 | 15 |
| Contact lens fitting for tx CPT 92071 | $18.20 | $91.00 | $26.62 – $66.41 | 17 |
| Contact lens fitting ou CPT 92310 | $20.00 | $100.00 | $36.00 – $119.42 | 10 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | $17.00 | $85.00 | $21.45 – $113.12 | 17 |
| Contour of face bone lesion CPT 21029 | $441.00 | $2,205.00 | $55.00 – $1,105.89 | 16 |
| Contrast baths charges CPT 97034 | $23.20 | $116.00 | $11.23 – $634.00 | 14 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,519.20 | $12,596.00 | $64.49 – $4,834.97 | 18 |
| Contrast exam thoracic aorta CPT 75600 | $17.60 | $88.00 | $23.42 – $4,861.57 | 16 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $40.80 | $204.00 | $51.93 – $4,834.97 | 16 |
| Contrast x-ray gallbladder CPT 74290 | $172.00 | $860.00 | $14.92 – $286.08 | 18 |
| Contrast x-ray of ankle CPT 73615 | $32.00 | $160.00 | $28.60 – $806.84 | 16 |
| Contrast x-ray of elbow CPT 73085 | $20.20 | $101.00 | $25.50 – $806.84 | 16 |
| Contrast x-ray of hip CPT 73525 | $552.00 | $2,760.00 | $28.97 – $806.84 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $572.80 | $2,864.00 | $31.94 – $1,011.03 | 18 |
| Contrast x-ray of wrist CPT 73115 | $317.20 | $1,586.00 | $27.51 – $605.93 | 18 |
| Control nosebleed pack+caut 30905 CPT 30905 | $248.60 | $1,243.00 | $28.00 – $350.26 | 16 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $353.20 | $1,766.00 | $60.00 – $828.09 | 16 |
| Control of nosebleed ant comp 30903 CPT 30903 | $172.60 | $863.00 | $28.00 – $271.54 | 17 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $111.40 | $557.00 | $28.00 – $183.27 | 17 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $112.80 | $564.00 | $15.00 – $275.46 | 16 |
| Control throat bleeding CPT 42961 | $294.80 | $1,474.00 | $50.00 – $675.69 | 16 |
| Control throat bleeding CPT 42962 | $362.60 | $1,813.00 | $66.41 – $836.38 | 16 |
| Conversion ext bil drg cath CPT 47535 | $3,872.60 | $19,363.00 | $15.00 – $4,931.95 | 17 |
| Convert nephrostomy catheter CPT 50434 | $1,706.20 | $8,531.00 | $66.41 – $2,879.47 | 17 |
| Conv gtube to jtube CPT 44373 | $129.40 | $647.00 | $20.00 – $321.38 | 16 |
| Coombs direct CPT 86880 | $13.60 | $68.00 | $5.39 – $72.45 | 11 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $3.70 | $18.50 | $5.72 – $77.17 | 11 |
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.