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 |
|---|---|---|---|---|
| Cytopath smear other source CPT 88162 | $43.40 | $217.00 | $69.86 – $275.97 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $24.80 | $124.00 | $29.63 – $205.00 | 11 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $89.40 | $447.00 | $234.68 – $3,154.74 | 11 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,437.98 | $7,189.88 | $15.00 – $98.88 | 13 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $52.20 | $261.00 | $0.06 – $261.00 | 8 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $6,000.00 | $30,000.00 | $55.03 – $279.00 | 13 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $2.20 | $11.00 | $2.84 – $193.45 | 15 |
| D&c after delivery 59160 CPT 59160 | $185.80 | $929.00 | $66.41 – $364.72 | 16 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $207.60 | $1,038.00 | $39.00 – $362.91 | 16 |
| Dch glucoscan CPT 82948 | $12.20 | $61.00 | $1.01 – $42.58 | 18 |
| Dch pulmonary stress test CPT 94621 | $32.80 | $164.00 | $69.55 – $622.81 | 16 |
| Dch validity tests CPT 81002 | $9.00 | $45.00 | $0.49 – $32.05 | 18 |
| Dcmprn plantar digital nerve CPT 64726 | $191.80 | $959.00 | $66.41 – $456.08 | 16 |
| D&c of cervical stump CPT 57558 | $89.40 | $447.00 | $35.00 – $182.08 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $2.21 | $11.03 | $11.03 – $72.10 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | $460.00 | $2,300.00 | $66.41 – $1,040.50 | 16 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $201.00 | $1,005.00 | $19.36 – $559.97 | 17 |
| Debridement (>20 cm) charge pt CPT 97598 | $104.20 | $521.00 | $13.00 – $465.00 | 18 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,752.00 | $8,760.00 | $6.00 – $2,275.05 | 17 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $848.60 | $4,243.00 | $25.00 – $89.54 | 17 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,016.20 | $5,081.00 | $53.23 – $146.13 | 17 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,357.60 | $6,788.00 | $20.00 – $559.97 | 17 |
| Debride nail1-5 11720 CPT 11720 | $225.20 | $1,126.00 | $4.00 – $81.26 | 17 |
| Debride nail6 or more 11721 CPT 11721 | $225.20 | $1,126.00 | $6.70 – $81.26 | 17 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $201.40 | $1,007.00 | $6.00 – $779.12 | 16 |
| Debride skin bone at fx site CPT 11012 | $280.60 | $1,403.00 | $20.00 – $1,133.13 | 16 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | $374.40 | $1,872.00 | $6.00 – $831.56 | 16 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $503.40 | $2,517.00 | $66.41 – $1,132.57 | 16 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $731.60 | $3,658.00 | $14.31 – $66.41 | 17 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $83.80 | $419.00 | $40.00 – $276.37 | 17 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $189.80 | $949.00 | $66.41 – $658.11 | 16 |
| Debr inf skin add-on 11001 CPT 11001 | $19.20 | $96.00 | $10.42 – $66.41 | 16 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,357.60 | $6,788.00 | $66.41 – $1,018.06 | 17 |
| Decalcification CPT 88311 | $16.20 | $81.00 | $11.33 – $44.68 | 11 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $128.40 | $642.00 | $1.30 – $642.00 | 8 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $108.40 | $542.00 | $28.17 – $454.99 | 17 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | $318.00 | $1,590.00 | $50.00 – $821.63 | 16 |
| Decomp forearm 1 space 25020 CPT 25020 | $525.20 | $2,626.00 | $66.41 – $1,098.83 | 16 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | $847.80 | $4,239.00 | $60.00 – $1,717.82 | 16 |
| Decompress fasciotomyhand 26037 CPT 26037 | $398.00 | $1,990.00 | $40.00 – $892.66 | 16 |
| Decompress fingers/hand CPT 26035 | $605.80 | $3,029.00 | $40.00 – $1,195.00 | 16 |
| Decompress forearm 1 space CPT 25023 | $919.80 | $4,599.00 | $35.00 – $1,891.77 | 16 |
| Decompress forearm 2 spaces CPT 25024 | $543.80 | $2,719.00 | $55.00 – $1,111.49 | 16 |
| Decompression fasct forearm CPT 24495 | $649.80 | $3,249.00 | $66.41 – $1,368.62 | 16 |
| Decompression of leg CPT 27892 | $375.20 | $1,876.00 | $45.00 – $853.20 | 16 |
| Decompression of leg CPT 27893 | $434.60 | $2,173.00 | $66.41 – $863.90 | 16 |
| Decompression of leg CPT 27894 | $560.20 | $2,801.00 | $66.41 – $1,203.75 | 16 |
| Decompression of lower leg CPT 27600 | $276.00 | $1,380.00 | $66.41 – $669.04 | 16 |
| Decompression of lower leg CPT 27601 | $306.40 | $1,532.00 | $66.41 – $686.90 | 16 |
| Decompression of thigh/knee CPT 27498 | $464.40 | $2,322.00 | $66.41 – $919.81 | 16 |
| Decompression of tibia nerve CPT 28035 | $256.80 | $1,284.00 | $66.41 – $787.04 | 16 |
| Decompression unspecified nerve 64722 CPT 64722 | $260.60 | $1,303.00 | $66.41 – $547.45 | 14 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | $1,082.00 | $5,410.00 | $66.41 – $2,402.24 | 16 |
| Decompress small bowel CPT 44021 | $650.60 | $3,253.00 | $40.00 – $1,316.63 | 16 |
| Decompress spinal cord lmbr CPT 63056 | $997.00 | $4,985.00 | $66.41 – $2,241.58 | 16 |
| Decompress spinal cord thrc CPT 63064 | $1,176.20 | $5,881.00 | $66.41 – $2,657.74 | 16 |
| Decompress spine cord add-on CPT 63066 | $131.40 | $657.00 | $39.09 – $334.24 | 16 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | $208.60 | $1,043.00 | $66.41 – $540.02 | 16 |
| Deep muscle biopsy 20205 CPT 20205 | $211.80 | $1,059.00 | $66.41 – $404.23 | 16 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $627.17 | $3,135.85 | $1.93 – $8.02 | 15 |
| Delay flap eye/nos/ear/lip CPT 15630 | $245.00 | $1,225.00 | $66.41 – $605.41 | 16 |
| Delay flap fccnaxghf 15620 CPT 15620 | $232.80 | $1,164.00 | $66.41 – $630.70 | 16 |
| Delivery of placenta 59414 CPT 59414 | $1,298.00 | $6,490.00 | $60.00 – $4,459.09 | 17 |
| Delivery only failed vbac 59620 CPT 59620 | $605.80 | $3,029.00 | $66.41 – $2,107.21 | 16 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | $905.00 | $4,525.00 | $66.41 – $4,525.00 | 16 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $152.60 | $763.00 | $8.60 – $465.00 | 18 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,146.16 | $15,730.81 | $26.71 – $123.38 | 15 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $114.20 | $571.00 | $38.00 – $290.03 | 16 |
| Depo-estradiol cypionate inj HCPCS J1000 | $12.40 | $62.00 | $23.64 – $62.00 | 9 |
| Dermabrasion segmental face 15781 CPT 15781 | $297.60 | $1,488.00 | $33.88 – $686.25 | 16 |
| Derm autograft face/nck/hf/g CPT 15135 | $528.00 | $2,640.00 | $20.00 – $1,144.69 | 16 |
| Design mlc device for imrt CPT 77338 | $181.40 | $907.00 | $232.34 – $3,270.04 | 16 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $49.70 | $248.52 | $6.82 – $248.52 | 8 |
| Desoxycorticosterone CPT 82633 | $6.35 | $31.75 | $30.98 – $404.19 | 11 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $101.20 | $506.00 | $43.93 – $168.87 | 16 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $128.60 | $643.00 | $25.00 – $214.71 | 16 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $146.60 | $733.00 | $55.00 – $248.56 | 16 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $107.40 | $537.00 | $50.00 – $180.31 | 16 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $119.40 | $597.00 | $55.00 – $197.81 | 16 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $134.60 | $673.00 | $25.00 – $226.36 | 16 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $71.40 | $357.00 | $37.60 – $126.93 | 16 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $106.60 | $533.00 | $30.00 – $172.80 | 16 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $127.60 | $638.00 | $30.00 – $210.12 | 16 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $138.00 | $690.00 | $25.00 – $231.71 | 16 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $133.20 | $666.00 | $15.00 – $719.29 | 16 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $45.60 | $228.00 | $45.00 – $332.12 | 16 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $110.00 | $550.00 | $66.41 – $294.57 | 16 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $55.20 | $276.00 | $3.00 – $276.37 | 17 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $193.80 | $969.00 | $40.00 – $343.81 | 16 |
| Destroy vulva lesion simple 56501 CPT 56501 | $136.00 | $680.00 | $66.41 – $213.82 | 16 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $95.80 | $479.00 | $8.00 – $158.40 | 16 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $320.80 | $1,604.00 | $8.00 – $749.80 | 16 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $246.40 | $1,232.00 | $3.00 – $537.99 | 16 |
| Destruction 2-14 lesions 17003 CPT 17003 | $4.80 | $24.00 | $1.72 – $66.41 | 16 |
| Destruction anal lesion(s) CPT 46910 | $94.40 | $472.00 | $10.00 – $305.36 | 16 |
| Destruction anal lesion(s) CPT 46924 | $399.80 | $1,999.00 | $66.41 – $729.94 | 16 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $174.00 | $870.00 | $35.00 – $287.71 | 16 |
| Destruction benign lesions < 14 lesions CPT 17110 | $82.20 | $411.00 | $8.00 – $276.37 | 17 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $180.40 | $902.00 | $98.29 – $504.83 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $40.00 | $200.00 | $20.00 – $299.72 | 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.