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 |
|---|---|---|---|---|
| Coombs indirect titer reference CPT 86886 | $55.00 | $275.00 | $4.22 – $69.73 | 11 |
| Copper intrauterine device HCPCS J7300 | $407.20 | $2,036.00 | $983.00 – $2,036.00 | 10 |
| Core ndl bx lng/med perq CPT 32408 | $1,283.60 | $6,418.00 | $12.00 – $2,275.05 | 17 |
| Cor hlx vlgs double osteot CPT 28299 | $420.40 | $2,102.00 | $66.41 – $1,261.71 | 16 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | $364.60 | $1,823.00 | $66.41 – $1,086.31 | 16 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | $357.60 | $1,788.00 | $40.00 – $1,081.23 | 16 |
| Corneal smear CPT 65430 | $109.80 | $549.00 | $49.00 – $615.36 | 17 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $153.80 | $769.00 | $66.41 – $1,507.83 | 16 |
| Coronary angio/lv gram/lt heart CPT 93458 | $135.60 | $678.00 | $66.41 – $1,385.28 | 16 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $172.20 | $861.00 | $66.41 – $1,668.64 | 16 |
| Coronary art/grft angio s&i CPT 93455 | $128.40 | $642.00 | $66.41 – $1,344.28 | 16 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $110.00 | $550.00 | $66.41 – $1,183.04 | 16 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | $345.60 | $1,728.00 | $66.41 – $1,187.90 | 16 |
| Correct finger deformity CPT 26567 | $512.00 | $2,560.00 | $65.00 – $1,145.16 | 16 |
| Correct inverted nipple(s) CPT 19355 | $430.80 | $2,154.00 | $50.00 – $1,056.26 | 16 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | $422.00 | $2,110.00 | $66.41 – $1,541.84 | 16 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $35.20 | $176.00 | $19.31 – $183.27 | 17 |
| Correct malrotation of bowel 44055 CPT 44055 | $990.60 | $4,953.00 | $66.41 – $2,020.37 | 16 |
| Correct metacarpal flaw CPT 26565 | $507.80 | $2,539.00 | $30.00 – $1,139.29 | 16 |
| Correct rectal prolapse CPT 45541 | $640.20 | $3,201.00 | $66.41 – $1,286.98 | 16 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | $710.80 | $3,554.00 | $66.41 – $1,504.41 | 16 |
| Corrj halux rigdus w/implt CPT 28291 | $336.20 | $1,681.00 | $66.41 – $1,193.70 | 16 |
| Corrj halux rigdus without implt CPT 28289 | $487.60 | $2,438.00 | $66.41 – $1,107.27 | 16 |
| Cortisol acth stimulation test - sendout CPT 80400 | $81.80 | $409.00 | $32.62 – $440.05 | 11 |
| Cortisol total am CPT 82533 | $41.80 | $209.00 | $11.03 – $220.07 | 11 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $145.00 | $725.00 | $41.30 – $725.00 | 8 |
| Counseling smoke cess interm >10mins CPT 99407 | $24.20 | $121.00 | $19.93 – $66.41 | 17 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $22.20 | $111.00 | $22.59 – $573.24 | 16 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $2,454.00 | $12,270.00 | $6,000.00 – $6,000.00 | 2 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $29.60 | $148.00 | $26.03 – $184.11 | 12 |
| #covid19rsv-rsv CPT 87634 | $56.20 | $281.00 | $31.94 – $1,393.97 | 16 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $2.32 | $11.58 | $11.58 – $177.86 | 11 |
| C-peptide CPT 84681 | $16.57 | $82.84 | $11.88 – $228.70 | 11 |
| Cptr-asst dir ms px CPT 20985 | $96.60 | $483.00 | $22.34 – $206.17 | 16 |
| Cptrized corneal topography CPT 92025 | $18.60 | $93.00 | $38.47 – $146.27 | 7 |
| Cptr ophth dx img post segmt CPT 92134 | $16.80 | $84.00 | $18.40 – $81.26 | 17 |
| Cr-51 sodium chromate HCPCS A9553 | $654.80 | $3,274.00 | $241.04 – $5,221.64 | 10 |
| Crbrospnl fld flw imag cistern CPT 78630 | $1,549.20 | $7,746.00 | $31.19 – $1,923.09 | 18 |
| C-reactive protein CPT 86140 | $30.20 | $151.00 | $5.18 – $69.73 | 11 |
| C-reactive protein high sensitivity CPT 86141 | $59.40 | $297.00 | $11.19 – $174.50 | 11 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | $509.40 | $2,547.00 | $66.41 – $1,052.75 | 16 |
| Create eardrum opening CPT 69436 | $169.40 | $847.00 | $64.00 – $273.29 | 16 |
| Creatine kinase CPT 82550 | $37.80 | $189.00 | $5.79 – $88.43 | 11 |
| Creatine kinase isoenzymes CPT 82552 | $2.38 | $11.90 | $11.90 – $180.58 | 11 |
| Creatine kinase mb CPT 82553 | $59.80 | $299.00 | $10.13 – $155.70 | 11 |
| Creatine - sendout CPT 82540 | $8.38 | $41.88 | $4.64 – $61.92 | 11 |
| Creatinine CPT 82565 | $24.80 | $124.00 | $4.31 – $69.00 | 11 |
| Creatinine 24 hour urine CPT 82570 | $26.00 | $130.00 | $4.60 – $69.73 | 11 |
| Creatinine clearance urine CPT 82575 | $43.20 | $216.00 | $9.46 – $127.20 | 11 |
| #creutz-prot.,western blot CPT 84182 | $32.00 | $160.00 | $19.59 – $242.68 | 11 |
| Cricopharyngeal myotomy 43030 CPT 43030 | $364.40 | $1,822.00 | $66.41 – $848.31 | 16 |
| Crisis psychotherapy 90839 CPT 90839 | $75.80 | $379.00 | $38.01 – $236.97 | 16 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $37.20 | $186.00 | $62.46 – $94.79 | 16 |
| Critical care 30-74 minutes CPT 99291 | $5,710.80 | $28,554.00 | $66.41 – $1,137.84 | 17 |
| Critical care each additional 30 minutes CPT 99292 | $830.00 | $4,150.00 | $58.90 – $195.47 | 17 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | $506.00 | $2,530.00 | $66.41 – $1,216.55 | 16 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | $20.40 | $102.00 | $20.62 – $102.00 | 15 |
| Cryocautery of cervix 57511 CPT 57511 | $139.60 | $698.00 | $66.41 – $241.19 | 16 |
| Cryoprecipitate each unit HCPCS P9012 | $15.20 | $76.00 | $59.15 – $138.71 | 7 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $105.20 | $526.00 | $5.00 – $176.22 | 16 |
| Cryotherapy of acne 17340 CPT 17340 | $37.00 | $185.00 | $37.23 – $66.41 | 16 |
| Crystal identification light microscopy CPT 89060 | $50.40 | $252.00 | $7.33 – $96.33 | 11 |
| C-Section Delivery (full care) CPT 59510 | $1,780.00 | $8,900.00 | $65.00 – $3,437.50 | 16 |
| C-section delivery incl p/p care 59515 CPT 59515 | $874.00 | $4,370.00 | $66.41 – $2,080.05 | 16 |
| Csf leakage imaging CPT 78650 | $28.40 | $142.00 | $24.25 – $1,767.93 | 16 |
| CT 3d report other modality w/workstation CPT 76377 | $376.40 | $1,882.00 | $28.60 – $1,371.55 | 18 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,421.00 | $7,105.00 | $47.31 – $1,868.21 | 18 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,369.40 | $6,847.00 | $61.72 – $1,868.21 | 18 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,155.60 | $10,778.00 | $48.99 – $1,639.94 | 18 |
| Cta neck without &/or w/contrast CPT 70498 | $1,016.60 | $5,083.00 | $45.64 – $1,589.03 | 18 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,051.60 | $10,258.00 | $57.06 – $2,738.01 | 18 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,459.80 | $7,299.00 | $47.51 – $1,943.54 | 18 |
| CT Angiogram of the Head CPT 70496 | $1,179.20 | $5,896.00 | $45.64 – $1,589.03 | 18 |
| CT angio hrt w/3d image CPT 75574 | $1,122.00 | $5,610.00 | $61.89 – $1,498.99 | 18 |
| CT angio pelvis CPT 72191 | $1,184.20 | $5,921.00 | $46.74 – $1,868.21 | 18 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,423.80 | $12,119.00 | $46.74 – $1,639.94 | 18 |
| CT bone density axial CPT 77078 | $416.80 | $2,084.00 | $6.46 – $626.17 | 18 |
| CT cerebral perf w cont & prcssng CPT 70473 | $317.00 | $1,585.00 | $48.22 – $241.61 | 7 |
| CT colonography screening CPT 74263 | $89.60 | $448.00 | $60.06 – $3,286.99 | 14 |
| CT guidance for needle placement CPT 77012 | $1,086.00 | $5,430.00 | $68.04 – $1,786.98 | 18 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $452.20 | $2,261.00 | $55.11 – $1,208.58 | 18 |
| CT guid cryo ablat intramuscular CPT 20999 | $305.80 | $1,529.00 | $38.00 – $504.83 | 10 |
| CT guid parench tis ablat CPT 77013 | $141.60 | $708.00 | $178.70 – $1,876.71 | 16 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $197.20 | $986.00 | $15.09 – $250.29 | 18 |
| CT hrt w/3d image CPT 75572 | $896.60 | $4,483.00 | $45.34 – $990.11 | 18 |
| CT limited or localized follow-up study CPT 76380 | $35.20 | $176.00 | $25.20 – $1,230.01 | 16 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,585.20 | $7,926.00 | $30.26 – $1,276.05 | 18 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,240.80 | $6,204.00 | $26.15 – $1,073.08 | 18 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,817.40 | $9,087.00 | $31.67 – $1,601.27 | 18 |
| CT neck soft tissue w/contrast CPT 70491 | $920.20 | $4,601.00 | $36.17 – $1,226.32 | 18 |
| CT neck soft tissue without contrast CPT 70490 | $777.40 | $3,887.00 | $33.55 – $1,024.68 | 18 |
| CT neck soft tissue without & w/contrast CPT 70492 | $888.80 | $4,444.00 | $42.46 – $1,528.64 | 18 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,200.00 | $6,000.00 | $32.98 – $1,528.64 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,090.00 | $5,450.00 | $29.51 – $1,226.32 | 18 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $818.20 | $4,091.00 | $33.35 – $1,024.68 | 18 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $269.60 | $1,348.00 | $28.00 – $405.00 | 16 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,753.80 | $8,769.00 | $52.37 – $1,918.71 | 18 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,495.00 | $7,475.00 | $47.70 – $1,451.31 | 18 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,340.60 | $6,703.00 | $45.45 – $760.56 | 18 |
| CT thoracic spine w/contrast CPT 72129 | $1,181.40 | $5,907.00 | $31.86 – $1,525.57 | 18 |
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.