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 |
|---|---|---|---|---|
| Drainage of eye CPT 65800 | $682.80 | $3,414.00 | $66.41 – $3,178.99 | 17 |
| Drainage of eye CPT 65810 | $325.40 | $1,627.00 | $66.41 – $606.26 | 16 |
| Drainage of forearm bursa CPT 25031 | $265.80 | $1,329.00 | $30.00 – $630.82 | 16 |
| Drainage of kidney lesion CPT 50390 | $587.40 | $2,937.00 | $12.00 – $975.44 | 17 |
| Drainage of mouth lesion CPT 41005 | $84.40 | $422.00 | $25.00 – $293.24 | 16 |
| Drainage of mouth lesion CPT 41006 | $165.80 | $829.00 | $25.00 – $516.97 | 16 |
| Drainage of mouth lesion CPT 41007 | $159.00 | $795.00 | $66.41 – $528.79 | 16 |
| Drainage of mouth lesion CPT 41008 | $185.80 | $929.00 | $66.41 – $520.45 | 16 |
| Drainage of mouth lesion CPT 41009 | $204.20 | $1,021.00 | $25.00 – $554.04 | 16 |
| Drainage of mouth lesion CPT 41015 | $214.40 | $1,072.00 | $50.00 – $603.90 | 16 |
| Drainage of mouth lesion CPT 41016 | $245.80 | $1,229.00 | $25.00 – $626.59 | 16 |
| Drainage of mouth lesion CPT 41017 | $331.20 | $1,656.00 | $50.00 – $628.29 | 16 |
| Drainage of mouth lesion CPT 41018 | $284.40 | $1,422.00 | $25.00 – $728.72 | 16 |
| Drainage of nose lesion int 30000 CPT 30000 | $190.40 | $952.00 | $47.00 – $350.49 | 16 |
| Drainage of nose lesion sept 30020 CPT 30020 | $190.80 | $954.00 | $65.90 – $299.83 | 16 |
| Drainage of pelvis bursa CPT 26991 | $367.40 | $1,837.00 | $66.41 – $1,162.51 | 16 |
| Drainage of pelvis lesion 26990 CPT 26990 | $478.20 | $2,391.00 | $40.00 – $979.42 | 16 |
| Drainage of prostate abscess CPT 52700 | $315.80 | $1,579.00 | $30.00 – $637.83 | 16 |
| Drainage of prostate abscess CPT 55720 | $312.80 | $1,564.00 | $60.00 – $712.08 | 16 |
| Drainage of rectal abscess CPT 45005 | $117.00 | $585.00 | $66.41 – $388.80 | 16 |
| Drainage of rectal abscess 45020 CPT 45020 | $396.20 | $1,981.00 | $40.58 – $804.60 | 16 |
| Drainage of throat abscess CPT 42725 | $553.60 | $2,768.00 | $66.41 – $1,217.38 | 16 |
| Drainage of urethra abscess 53060 CPT 53060 | $114.20 | $571.00 | $20.00 – $304.51 | 16 |
| Drain bladder by trocar/cath CPT 51101 | $34.20 | $171.00 | $43.64 – $200.07 | 16 |
| Drain blood from under nail 11740 CPT 11740 | $41.80 | $209.00 | $19.59 – $66.41 | 16 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $136.80 | $684.00 | $60.00 – $1,141.62 | 16 |
| Drain cath image guided visceral pq CPT 49405 | $1,322.20 | $6,611.00 | $66.41 – $2,275.05 | 17 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $519.00 | $2,595.00 | $23.00 – $972.34 | 17 |
| Drain chest lesion CPT 21502 | $345.20 | $1,726.00 | $40.00 – $834.78 | 16 |
| Drain finger abscess;simple 26010 CPT 26010 | $242.20 | $1,211.00 | $6.00 – $426.64 | 16 |
| Drain lower leg bursa CPT 27604 | $1,509.40 | $7,547.00 | $66.41 – $4,507.13 | 17 |
| Drain lower leg lesion 27603 CPT 27603 | $368.20 | $1,841.00 | $40.00 – $807.28 | 16 |
| Drain neck/chest lesion 21501 CPT 21501 | $1,788.40 | $8,942.00 | $10.00 – $4,001.20 | 17 |
| Drain ovarn cyst abd CPT 58805 | $2,074.20 | $10,371.00 | $66.41 – $4,459.09 | 17 |
| Drain penis lesion CPT 54015 | $209.40 | $1,047.00 | $45.00 – $477.86 | 16 |
| Drain shoulder bone lesion CPT 23035 | $477.60 | $2,388.00 | $65.00 – $1,113.53 | 16 |
| Drain shoulder lesion CPT 23030 | $178.60 | $893.00 | $35.00 – $700.62 | 16 |
| Drain thigh/knee lesion 27301 CPT 27301 | $475.40 | $2,377.00 | $66.41 – $1,078.31 | 16 |
| Drain to peritoneal cavity CPT 49062 | $517.80 | $2,589.00 | $60.00 – $1,098.79 | 16 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $526.80 | $2,634.00 | $60.31 – $276.37 | 17 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $261.20 | $1,306.00 | $31.65 – $276.37 | 17 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $975.40 | $4,877.00 | $21.00 – $559.97 | 17 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $29.80 | $149.00 | $21.00 – $79.95 | 16 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $419.40 | $2,097.00 | $27.04 – $346.14 | 12 |
| Drng appendix abscess open 44900 CPT 44900 | $526.40 | $2,632.00 | $30.00 – $1,051.56 | 16 |
| Drng hand tendon sheath 26020 CPT 26020 | $397.60 | $1,988.00 | $66.41 – $788.31 | 14 |
| Drng of eyelid abscess 67700 CPT 67700 | $200.20 | $1,001.00 | $45.00 – $437.22 | 17 |
| Drng of finger abscess comp 26011 CPT 26011 | $338.40 | $1,692.00 | $66.41 – $645.46 | 16 |
| Drng of hydrocele 55000 CPT 55000 | $210.60 | $1,053.00 | $25.00 – $975.44 | 17 |
| Drng of mouth lesion 40801 CPT 40801 | $143.40 | $717.00 | $45.00 – $423.03 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $2,074.20 | $10,371.00 | $66.41 – $4,459.09 | 17 |
| Drng of palm multi bursas 26030 CPT 26030 | $350.80 | $1,754.00 | $66.41 – $764.63 | 16 |
| Drng of palm single bursa 26025 CPT 26025 | $299.00 | $1,495.00 | $52.12 – $651.64 | 16 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $297.00 | $1,485.00 | $40.00 – $604.84 | 16 |
| Drng of salivary cyst 42409 CPT 42409 | $280.80 | $1,404.00 | $66.41 – $470.01 | 16 |
| Drng of scrotum abscess 55100 CPT 55100 | $163.80 | $819.00 | $55.00 – $351.66 | 16 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $740.60 | $3,703.00 | $30.00 – $1,516.12 | 16 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $674.80 | $3,374.00 | $65.00 – $1,356.28 | 16 |
| Drng peritoneal abscess open 49020 CPT 49020 | $1,065.60 | $5,328.00 | $66.41 – $2,161.51 | 16 |
| Drng salivary gland simple 42300 CPT 42300 | $443.40 | $2,217.00 | $25.00 – $2,137.28 | 17 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $18.60 | $93.01 | $14.36 – $93.01 | 8 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $691.60 | $3,458.00 | $3,205.00 – $3,205.00 | 2 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $5.40 | $27.00 | $14.51 – $346.14 | 12 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $67.80 | $339.00 | $8.71 – $346.14 | 12 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $9,059.40 | $45,297.00 | $17.03 – $251.05 | 10 |
| Drug admin & hemodynmic meas CPT 93463 | $46.80 | $234.00 | $66.41 – $148.62 | 16 |
| Drug assay posaconazole CPT 80187 | $4.34 | $21.69 | $21.69 – $206.73 | 11 |
| Drug assay vedolizumab CPT 80280 | $40.00 | $200.00 | $38.57 – $294.16 | 11 |
| Drug assay voriconazole CPT 80285 | $4.34 | $21.69 | $21.69 – $206.73 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $46.00 | $230.00 | $18.64 – $116.55 | 9 |
| Drug of abuse screen urine CPT 80305 | $18.00 | $90.00 | $5.73 – $248.67 | 18 |
| Drug screening tapentadol CPT 80372 | $1.20 | $6.00 | $0.08 – $417.81 | 6 |
| Drug test prsmv instrmnt CPT 80306 | $81.80 | $409.00 | $17.14 – $331.47 | 11 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $102.60 | $513.00 | $14.70 – $1,326.06 | 11 |
| Drvvt confirm - quest CPT 85597 | $3.20 | $15.98 | $15.98 – $205.91 | 11 |
| Dry needling (97799) CPT 97799 | $15.60 | $78.00 | $38.00 – $78.00 | 5 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $101.80 | $509.00 | $66.41 – $669.58 | 16 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $201.20 | $1,006.00 | $50.00 – $357.36 | 16 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $173.00 | $865.00 | $55.00 – $300.30 | 16 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $196.00 | $980.00 | $133.66 – $504.83 | 6 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $188.60 | $943.00 | $66.41 – $471.93 | 16 |
| Ductogram sgl duct CPT 77053 | $13.40 | $67.00 | $17.01 – $1,015.57 | 16 |
| Duodenal exclusion CPT 48547 | $1,187.00 | $5,935.00 | $66.41 – $2,387.85 | 16 |
| Duplex scan bilateral study 93985 CPT 93985 | $428.00 | $2,140.00 | $36.33 – $2,254.20 | 18 |
| Duplex scan unilateral study 93986 CPT 93986 | $88.40 | $442.00 | $22.66 – $1,282.49 | 18 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $190.60 | $953.00 | $21.12 – $1,384.80 | 18 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $18.00 | $90.00 | $23.58 – $1,168.09 | 16 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $622.00 | $3,110.00 | $37.27 – $1,921.82 | 18 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $2,271.45 | $11,357.25 | $86.15 – $465.15 | 13 |
| Dx bronchoscope/brush 31623 CPT 31623 | $88.60 | $443.00 | $15.00 – $537.16 | 16 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,358.80 | $6,794.00 | $15.00 – $2,451.78 | 17 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,533.20 | $7,666.00 | $66.41 – $2,451.78 | 17 |
| Dx laryngoscopy w/oper scope CPT 31526 | $107.80 | $539.00 | $66.41 – $250.00 | 16 |
| Ear and throat examination CPT 92502 | $47.80 | $239.00 | $61.76 – $164.82 | 16 |
| Ear canal biopsy 69105 CPT 69105 | $102.40 | $512.00 | $30.00 – $203.25 | 16 |
| Ear cartilage graft CPT 21235 | $402.80 | $2,014.00 | $45.00 – $1,060.45 | 16 |
| Ear irrigation 69209 CPT 69209 | $24.40 | $122.00 | $11.54 – $504.83 | 6 |
| Ecg 12 lead tracing only CPT 93005 | $122.40 | $612.00 | $7.50 – $208.45 | 17 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | $5.20 | $26.00 | $6.55 – $200.19 | 16 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $54.20 | $271.00 | $6.89 – $81.26 | 17 |
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.