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 |
|---|---|---|---|---|
| Endo cath panc duct s&i CPT 74329 | $24.60 | $123.00 | $25.14 – $1,208.58 | 16 |
| Endocerv curettage w/scope 57456 CPT 57456 | $105.80 | $529.00 | $60.00 – $227.38 | 16 |
| Endocervical curettage 57505 CPT 57505 | $109.00 | $545.00 | $44.00 – $167.94 | 16 |
| Endo cholangiopancreatograph CPT 43261 | $2,490.20 | $12,451.00 | $66.41 – $5,310.86 | 17 |
| Endo cholangiopancreatograph CPT 43262 | $2,888.60 | $14,443.00 | $66.41 – $5,310.86 | 17 |
| Endoluminl ivus oct c 1st CPT 92978 | $70.00 | $350.00 | $66.41 – $377.32 | 16 |
| Endoluminl ivus oct c ea CPT 92979 | $35.40 | $177.00 | $66.41 – $227.21 | 16 |
| Endome abla/them without hystero guide 58353 CPT 58353 | $1,477.80 | $7,389.00 | $55.00 – $6,890.80 | 17 |
| Endometrial cryoablation w/us 58356 CPT 58356 | $237.20 | $1,186.00 | $25.00 – $2,857.34 | 16 |
| Endoscopic injection/implant CPT 51715 | $1,032.60 | $5,163.00 | $61.00 – $4,855.61 | 17 |
| Endoscopic pancreatoscopy CPT 43273 | $79.60 | $398.00 | $25.00 – $195.38 | 16 |
| Endoscopic Ultrasound exam esoph CPT 43237 | $1,004.40 | $5,022.00 | $40.00 – $2,643.27 | 17 |
| Endoscopy bowel pouch/biop CPT 44386 | $60.80 | $304.00 | $66.41 – $577.53 | 16 |
| Endoscopy maxillary sinus CPT 31267 | $269.60 | $1,348.00 | $60.00 – $501.19 | 16 |
| Endoscopy of bowel pouch 44385 CPT 44385 | $49.60 | $248.00 | $45.00 – $432.11 | 16 |
| Endoscopy swallow (fees) vid CPT 92612 | $33.00 | $165.00 | $55.10 – $280.13 | 16 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $181.60 | $908.00 | $35.00 – $413.23 | 16 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $966.20 | $4,831.00 | $40.00 – $2,331.27 | 16 |
| Endovenous laser vein addon 36479 CPT 36479 | $87.40 | $437.00 | $66.41 – $605.29 | 16 |
| Endovenous rf abl vein addl CPT 36476 | $85.60 | $428.00 | $66.41 – $599.44 | 16 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $115.80 | $579.00 | $66.41 – $3,479.66 | 16 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | $2,623.72 | $13,118.61 | $36.71 – $181.72 | 13 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $40.51 | $202.56 | $0.52 – $95.44 | 10 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $2.02 | $10.10 | $10.10 – $125.20 | 11 |
| Enterectomy small intestine addl 44121 CPT 44121 | $157.00 | $785.00 | $40.00 – $389.11 | 16 |
| Enterectomy small intestine single 44120 CPT 44120 | $813.00 | $4,065.00 | $66.41 – $1,623.08 | 16 |
| Enteroenterostomy fusion 44130 CPT 44130 | $879.40 | $4,397.00 | $66.41 – $1,743.80 | 16 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $928.60 | $4,643.00 | $66.41 – $1,871.80 | 16 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $1,072.00 | $5,360.00 | $66.41 – $2,147.85 | 16 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | $564.00 | $2,820.00 | $66.41 – $1,155.56 | 16 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | $29.00 | $145.00 | $66.41 – $160.80 | 10 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | $482.80 | $2,414.00 | $25.00 – $1,069.52 | 16 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $78.40 | $392.00 | $12.00 – $205.46 | 17 |
| Epidural lysis on single day 62264 CPT 62264 | $168.40 | $842.00 | $66.41 – $705.99 | 16 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | $23.11 | $115.55 | $6.00 – $115.55 | 4 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $4.20 | $21.00 | $0.43 – $21.00 | 5 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | $25.38 | $126.88 | $2.22 – $126.88 | 4 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $2,071.60 | $10,358.00 | $22.71 – $4,459.09 | 17 |
| Epstein barr early antigen antibody CPT 86663 | $2.14 | $10.70 | $10.70 – $177.86 | 11 |
| Epstein barr nuclear antigen antibody CPT 86664 | $2.14 | $10.70 | $10.70 – $209.36 | 11 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $2.14 | $10.70 | $10.70 – $217.44 | 11 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $1,769.34 | $8,846.70 | $20.55 – $99.18 | 13 |
| Ercp biliary & pancreas CPT 74330 | $926.40 | $4,632.00 | $28.37 – $1,208.58 | 17 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $4,216.60 | $21,083.00 | $66.41 – $8,362.57 | 17 |
| Ercp ea duct/ampulla dilate CPT 43277 | $2,490.20 | $12,451.00 | $20.00 – $5,310.86 | 17 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $2,490.20 | $12,451.00 | $25.00 – $5,310.86 | 17 |
| Ercp lithotripsy calculi CPT 43265 | $3,969.40 | $19,847.00 | $50.00 – $8,362.57 | 17 |
| Ercp remove duct calculi 43264 CPT 43264 | $2,888.60 | $14,443.00 | $66.41 – $5,310.86 | 17 |
| Ercp remove forgn body duct 43275 CPT 43275 | $1,754.20 | $8,771.00 | $20.00 – $2,643.27 | 17 |
| Ercp sphincter pressure meas CPT 43263 | $2,490.20 | $12,451.00 | $50.00 – $2,643.27 | 17 |
| Ercp stent exchange w/dilate CPT 43276 | $322.40 | $1,612.00 | $25.00 – $796.44 | 16 |
| Ercp w/specimen collection CPT 43260 | $216.60 | $1,083.00 | $66.41 – $537.39 | 16 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $120.01 | $600.04 | $9.16 – $138.43 | 10 |
| ER Visit (level 1, minor) CPT 99281 | $115.40 | $577.00 | $10.34 – $116.15 | 17 |
| ER Visit (level 2) CPT 99282 | $262.20 | $1,311.00 | $19.20 – $211.50 | 17 |
| ER Visit (level 3) CPT 99283 | $4,086.40 | $20,432.00 | $44.60 – $376.02 | 17 |
| ER Visit (level 4) CPT 99284 | $4,509.20 | $22,546.00 | $53.83 – $574.77 | 17 |
| ER Visit (level 5, high severity) CPT 99285 | $4,823.40 | $24,117.00 | $66.41 – $820.34 | 17 |
| Escharotomy ea addl incision CPT 16036 | $54.40 | $272.00 | $20.00 – $127.07 | 16 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $87.00 | $435.00 | $0.42 – $69.79 | 5 |
| Esophageal dilat s&i CPT 74360 | $21.00 | $105.00 | $29.51 – $1,208.49 | 16 |
| Esophageal motility CPT 78258 | $327.80 | $1,639.00 | $34.33 – $1,112.71 | 18 |
| Esophagosc dilate balloon 30 CPT 43214 | $131.40 | $657.00 | $35.00 – $320.86 | 16 |
| Esophagoscop stent placement CPT 43212 | $126.20 | $631.00 | $40.00 – $313.78 | 16 |
| Esophagoscop ultrasound exam CPT 43231 | $105.60 | $528.00 | $66.41 – $659.49 | 16 |
| Esophagoscopy balloon <30mm CPT 43220 | $80.40 | $402.00 | $66.41 – $1,887.64 | 16 |
| Esophagoscopy control bleed CPT 43227 | $111.60 | $558.00 | $66.41 – $643.44 | 16 |
| Esophagoscopy flex biopsy CPT 43202 | $70.00 | $350.00 | $35.00 – $596.45 | 16 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $59.80 | $299.00 | $15.00 – $443.43 | 16 |
| Esophagoscopy flex dx brush CPT 43197 | $55.20 | $276.00 | $66.41 – $305.78 | 16 |
| Esophagoscopy flex remove fb CPT 43215 | $95.40 | $477.00 | $66.41 – $668.89 | 16 |
| Esophagoscopy lesion ablate CPT 43229 | $132.40 | $662.00 | $20.00 – $1,198.66 | 16 |
| Esophagoscopy retro balloon CPT 43213 | $173.80 | $869.00 | $15.00 – $2,037.75 | 16 |
| Esophagoscopy rigid balloon CPT 43195 | $127.20 | $636.00 | $35.00 – $296.03 | 16 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | $107.20 | $536.00 | $66.41 – $244.85 | 16 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | $377.20 | $1,886.00 | $66.41 – $883.72 | 16 |
| Esophagoscopy snare les remv CPT 43217 | $108.40 | $542.00 | $66.41 – $731.03 | 16 |
| Esophagoscopy w/us needle bx CPT 43232 | $133.80 | $669.00 | $40.00 – $783.07 | 16 |
| Esophagoscp rig trnso biopsy CPT 43193 | $116.60 | $583.00 | $40.00 – $270.89 | 16 |
| Esophagoscp rig trnso rem fb CPT 43194 | $130.60 | $653.00 | $35.00 – $303.27 | 16 |
| Esophagus motility study CPT 91010 | $31.40 | $157.00 | $69.11 – $395.93 | 16 |
| Esoph egd dilation <30 mm CPT 43249 | $103.80 | $519.00 | $35.00 – $1,798.11 | 16 |
| Esoph endoscopy dilation CPT 43226 | $88.20 | $441.00 | $35.00 – $622.88 | 16 |
| Esoph imped function test CPT 91037 | $261.60 | $1,308.00 | $192.53 – $1,285.66 | 12 |
| Esoph imped funct test > 1hr CPT 91038 | $403.20 | $2,016.00 | $163.29 – $925.24 | 12 |
| Esoph scope w/submucous inj CPT 43201 | $70.60 | $353.00 | $20.00 – $451.55 | 16 |
| Essure 58565 CPT 58565 | $1,712.00 | $8,560.00 | $66.41 – $3,388.98 | 16 |
| Established Patient Office Visit (level 1) CPT 99211 | $41.40 | $207.00 | $7.76 – $66.41 | 17 |
| Established Patient Office Visit (level 2) CPT 99212 | $25.60 | $128.00 | $18.10 – $68.34 | 17 |
| Established Patient Office Visit (level 3) CPT 99213 | $47.20 | $236.00 | $24.00 – $114.28 | 17 |
| Established Patient Office Visit (level 4) CPT 99214 | $67.20 | $336.00 | $37.50 – $156.86 | 17 |
| Established Patient Office Visit (level 5) CPT 99215 | $82.80 | $414.00 | $57.20 – $187.48 | 17 |
| Estradiol total CPT 82670 | $103.40 | $517.00 | $24.71 – $376.87 | 11 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $5.60 | $28.00 | $7.25 – $63.20 | 9 |
| Etonogestrel implant system HCPCS J7307 | $505.60 | $2,528.00 | $1,190.96 – $3,613.29 | 10 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $1.33 | $6.64 | $2.08 – $87.27 | 8 |
| Euflexxa inj per dose HCPCS J7323 | $75.20 | $376.00 | $105.46 – $846.04 | 9 |
| Evacuate mole of uterus CPT 59870 | $365.00 | $1,825.00 | $40.00 – $713.68 | 16 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $115.00 | $575.00 | $128.91 – $634.00 | 13 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $221.40 | $1,107.00 | $98.11 – $1,107.00 | 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.