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 |
|---|---|---|---|---|
| CT thoracic spine without contrast CPT 72128 | $1,086.40 | $5,432.00 | $26.15 – $1,276.05 | 18 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $140.40 | $702.00 | $28.01 – $531.72 | 18 |
| CT t-spine w /wo contrast CPT 72130 | $1,280.00 | $6,400.00 | $33.17 – $1,900.98 | 18 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,542.60 | $7,713.00 | $30.26 – $1,276.05 | 18 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,175.20 | $5,876.00 | $26.15 – $1,073.08 | 18 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,740.00 | $8,700.00 | $31.86 – $1,601.27 | 18 |
| Culture aerobic additional method definitive id each CPT 87077 | $28.20 | $141.00 | $7.08 – $108.86 | 11 |
| Culture afb any source CPT 87116 | $7.00 | $35.00 | $9.12 – $145.44 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $52.60 | $263.00 | $8.08 – $169.87 | 11 |
| Culture anaerobic except blood CPT 87075 | $46.80 | $234.00 | $9.47 – $127.56 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $28.80 | $144.00 | $3.74 – $83.02 | 11 |
| Culture body fluid CPT 87070 | $53.80 | $269.00 | $8.62 – $116.03 | 11 |
| Culture fungi definitive id mold CPT 87107 | $55.40 | $277.00 | $10.32 – $139.18 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $43.00 | $215.00 | $5.24 – $139.18 | 11 |
| Culture fungi other (except blood) CPT 87102 | $25.40 | $127.00 | $8.41 – $113.30 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $40.80 | $204.00 | $7.71 – $103.95 | 11 |
| Culture mycoplasma any source CPT 87109 | $8.78 | $43.88 | $15.39 – $207.45 | 11 |
| Culture screening strep group a CPT 87081 | $20.60 | $103.00 | $5.68 – $88.70 | 11 |
| Culture typing added method CPT 87158 | $11.11 | $55.56 | $7.74 – $70.54 | 11 |
| Culture typing immunologic CPT 87147 | $28.00 | $140.00 | $5.18 – $63.10 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $218.00 | $1,090.00 | $218.06 – $1,363.58 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $239.60 | $1,198.00 | $23.05 – $927.14 | 11 |
| Culture urine each isolate CPT 87088 | $25.20 | $126.00 | $8.09 – $97.05 | 11 |
| Curette/treat cornea CPT 65435 | $290.00 | $1,450.00 | $42.07 – $1,373.18 | 17 |
| Curette/treat cornea CPT 65436 | $273.60 | $1,368.00 | $66.41 – $523.88 | 16 |
| Cv line/pic reposition CPT 36597 | $40.00 | $200.00 | $44.68 – $219.58 | 16 |
| Cv stress test i&r only 93018 CPT 93018 | $11.20 | $56.00 | $14.06 – $319.03 | 18 |
| Cv stress test/supervision only 93016 CPT 93016 | $16.40 | $82.00 | $21.35 – $390.21 | 18 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $2.55 | $12.73 | $12.73 – $193.20 | 11 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $14.76 | $73.82 | $0.64 – $17.20 | 10 |
| Cyclic citrullinated peptide antibody CPT 86200 | $4.00 | $20.00 | $6.00 – $170.77 | 11 |
| Cyclosporine 2 hour CPT 80158 | $3.21 | $16.04 | $16.04 – $243.50 | 11 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.58 | $7.91 | $1.06 – $7.91 | 8 |
| Cyp2c19 gene com variants CPT 81225 | $26.00 | $130.00 | $90.00 – $2,328.19 | 11 |
| Cyp2c9 gene com variants CPT 81227 | $20.00 | $100.00 | $70.00 – $1,170.00 | 11 |
| Cyp2d6 gene com variants CPT 81226 | $36.00 | $180.00 | $150.00 – $3,230.45 | 11 |
| Cyp3a4 gene common variants CPT 81230 | $14.00 | $70.00 | $70.00 – $2,811.83 | 11 |
| Cyp3a5 gene common variants CPT 81231 | $14.00 | $70.00 | $70.00 – $2,811.83 | 11 |
| Cystatin c CPT 82610 | $2.96 | $14.80 | $10.49 – $183.39 | 11 |
| Cystic fibrosis cftr CPT 81223 | $172.99 | $864.93 | $499.00 – $16,504.62 | 11 |
| Cysto cgen post urtl valves CPT 52400 | $325.80 | $1,629.00 | $65.00 – $835.73 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $412.20 | $2,061.00 | $15.28 – $480.57 | 18 |
| Cystometrogram w/up 51727 CPT 51727 | $246.00 | $1,230.00 | $262.10 – $504.83 | 6 |
| Cystorrhaphy wound comp 51865 CPT 51865 | $610.60 | $3,053.00 | $66.41 – $1,396.68 | 16 |
| Cystorrhaphy wound simple 51860 CPT 51860 | $508.60 | $2,543.00 | $25.00 – $1,149.36 | 16 |
| Cysto rx balo cath urtl strx CPT 52284 | $111.20 | $556.00 | $65.00 – $4,320.08 | 12 |
| Cystoscopy and biopsy CPT 52007 | $112.60 | $563.00 | $35.00 – $716.33 | 16 |
| Cystoscopy and treatment CPT 52214 | $324.40 | $1,622.00 | $30.00 – $4,855.61 | 17 |
| Cystoscopy and treatment CPT 52224 | $1,114.80 | $5,574.00 | $66.41 – $4,855.61 | 17 |
| Cystoscopy and treatment CPT 52234 | $1,114.80 | $5,574.00 | $66.41 – $4,855.61 | 17 |
| Cystoscopy and treatment CPT 52235 | $1,114.80 | $5,574.00 | $35.00 – $4,855.61 | 17 |
| Cystoscopy and treatment CPT 52240 | $1,654.60 | $8,273.00 | $35.00 – $7,385.79 | 17 |
| Cystoscopy and treatment CPT 52260 | $141.80 | $709.00 | $60.00 – $333.06 | 16 |
| Cystoscopy and treatment CPT 52265 | $109.60 | $548.00 | $35.00 – $588.98 | 16 |
| Cystoscopy and treatment CPT 52276 | $178.20 | $891.00 | $60.00 – $418.21 | 16 |
| Cystoscopy and treatment CPT 52277 | $217.20 | $1,086.00 | $35.00 – $510.93 | 16 |
| Cystoscopy and treatment CPT 52283 | $136.60 | $683.00 | $66.41 – $438.10 | 16 |
| Cystoscopy and treatment CPT 52285 | $234.00 | $1,170.00 | $66.41 – $443.17 | 16 |
| Cystoscopy and treatment CPT 52290 | $164.40 | $822.00 | $35.00 – $385.83 | 16 |
| Cystoscopy and treatment CPT 52300 | $188.40 | $942.00 | $30.00 – $443.26 | 16 |
| Cystoscopy and treatment CPT 52310 | $651.20 | $3,256.00 | $60.00 – $2,879.47 | 17 |
| Cystoscopy and treatment CPT 52315 | $184.60 | $923.00 | $35.00 – $657.40 | 16 |
| Cystoscopy and treatment CPT 52320 | $165.80 | $829.00 | $66.41 – $389.37 | 16 |
| Cystoscopy and treatment CPT 52330 | $177.00 | $885.00 | $65.00 – $789.10 | 16 |
| Cystoscopy (Bladder Scope) CPT 52000 | $218.60 | $1,093.00 | $35.00 – $960.52 | 17 |
| Cystoscopy chemodenervation CPT 52287 | $651.20 | $3,256.00 | $30.00 – $2,879.47 | 17 |
| Cystoscopy inject material CPT 52327 | $173.00 | $865.00 | $65.00 – $454.55 | 16 |
| Cystoscopy removal of clots CPT 52001 | $1,975.20 | $9,876.00 | $30.00 – $4,855.61 | 17 |
| Cystoscopy & revise urethra CPT 52275 | $167.60 | $838.00 | $30.00 – $768.00 | 16 |
| Cystoscopy stone removal CPT 52325 | $214.60 | $1,073.00 | $35.00 – $506.29 | 16 |
| Cystoscopy & ureter catheter CPT 52005 | $90.80 | $454.00 | $66.41 – $426.13 | 16 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $204.60 | $1,023.00 | $66.41 – $457.39 | 16 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | $327.40 | $1,637.00 | $65.00 – $675.20 | 16 |
| Cystouretero & or pyeloscope CPT 52351 | $2,907.20 | $14,536.00 | $66.41 – $4,855.61 | 17 |
| Cysto/uretero stricture tx CPT 52344 | $248.20 | $1,241.00 | $66.41 – $583.54 | 16 |
| Cystouretero w/biopsy CPT 52354 | $280.00 | $1,400.00 | $66.41 – $657.84 | 16 |
| Cystouretero w/excise tumor CPT 52355 | $313.60 | $1,568.00 | $65.00 – $736.32 | 16 |
| Cysto/uretero w/lithotripsy CPT 52356 | $2,351.80 | $11,759.00 | $66.41 – $7,385.79 | 17 |
| Cystouretero w/lithotripsy CPT 52353 | $263.00 | $1,315.00 | $66.41 – $618.95 | 16 |
| Cystouretero w/stone remove CPT 52352 | $238.20 | $1,191.00 | $65.00 – $560.21 | 16 |
| Cysto/uretero w/up stricture CPT 52345 | $264.60 | $1,323.00 | $66.41 – $622.66 | 16 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $651.20 | $3,256.00 | $66.41 – $2,879.47 | 17 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $156.80 | $784.00 | $66.41 – $2,879.47 | 17 |
| Cystourethro w/addl implant 52442 CPT 52442 | $34.00 | $170.00 | $43.30 – $1,555.08 | 16 |
| Cystourethro w/implant CPT 52441 | $141.20 | $706.00 | $60.00 – $2,016.83 | 16 |
| Cysto w/up stricture tx CPT 52342 | $208.00 | $1,040.00 | $65.00 – $488.56 | 16 |
| Cysto w/ureter stricture tx CPT 52341 | $191.00 | $955.00 | $65.00 – $448.37 | 16 |
| Cytogenom microarray copy nmbr var CPT 81228 | $223.00 | $1,115.00 | $516.91 – $5,843.63 | 11 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $2.48 | $12.38 | $12.38 – $193.47 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $2.87 | $14.36 | $14.36 – $217.53 | 11 |
| Cyto/molecular report CPT 88291 | $27.60 | $138.00 | $13.62 – $251.94 | 16 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $105.80 | $529.00 | $14.89 – $596.21 | 18 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $26.80 | $134.00 | $26.61 – $273.00 | 11 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $7.08 | $35.38 | $20.26 – $190.66 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $37.80 | $189.00 | $31.66 – $324.11 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $87.20 | $436.00 | $37.04 – $253.07 | 11 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $10.20 | $51.00 | $30.58 – $58.47 | 11 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $119.20 | $596.00 | $40.58 – $422.42 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $90.80 | $454.00 | $71.78 – $466.13 | 11 |
| Cytopath smear other source CPT 88160 | $47.00 | $235.00 | $39.84 – $200.40 | 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.