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 |
|---|---|---|---|---|
| Evaluation heart device CPT 93640 | $120.40 | $602.00 | $66.41 – $623.26 | 16 |
| Evaluation of speech fluency 92521 CPT 92521 | $115.00 | $575.00 | $107.55 – $634.00 | 14 |
| Evaluation psychiatric diagnostic CPT 90791 | $85.40 | $427.00 | $66.41 – $256.92 | 16 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $869.00 | $4,345.00 | $65.00 – $2,108.25 | 16 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $738.80 | $3,694.00 | $66.41 – $1,752.50 | 16 |
| Event monitor CPT 93270 | $98.20 | $491.00 | $8.96 – $571.97 | 17 |
| Evoked auditory tst complete CPT 92588 | $19.40 | $97.00 | $29.84 – $66.41 | 16 |
| Evoked oa emissions ltd CPT 92587 | $210.00 | $1,050.00 | $11.23 – $297.43 | 17 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $210.00 | $1,050.00 | $1,050.00 – $1,050.00 | 2 |
| Evok oa screening qual CPT 92558 | $47.80 | $239.00 | $239.00 – $239.00 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | $93.20 | $466.00 | $20.00 – $191.32 | 16 |
| Exam pelvic add-on CPT 99459 | $11.40 | $57.00 | $19.04 – $57.00 | 12 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $72.40 | $362.00 | $66.41 – $178.77 | 16 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $908.60 | $4,543.00 | $55.00 – $4,001.20 | 17 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | $783.20 | $3,916.00 | $63.00 – $4,001.20 | 17 |
| Exc abd les sc 3 cm/> CPT 22903 | $856.80 | $4,284.00 | $38.00 – $4,001.20 | 17 |
| Exc abdl tum deep < 5 cm CPT 22900 | $2,556.20 | $12,781.00 | $66.41 – $4,001.20 | 17 |
| Exc abdl tum deep 5 cm/> CPT 22901 | $455.60 | $2,278.00 | $66.41 – $4,001.20 | 17 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $1,902.80 | $9,514.00 | $27.00 – $4,001.20 | 17 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $518.60 | $2,593.00 | $55.00 – $2,275.05 | 17 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $485.00 | $2,425.00 | $55.00 – $2,275.05 | 17 |
| Exc back tum deep 5 cm/> CPT 21933 | $908.60 | $4,543.00 | $66.41 – $4,001.20 | 17 |
| Exc bartholins gland/cyst CPT 56740 | $215.80 | $1,079.00 | $20.00 – $464.91 | 16 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $200.60 | $1,003.00 | $66.41 – $2,275.05 | 17 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $271.20 | $1,356.00 | $66.41 – $4,001.20 | 17 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $400.00 | $2,000.00 | $66.41 – $2,275.05 | 17 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $194.00 | $970.00 | $33.00 – $975.44 | 17 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $102.40 | $512.00 | $21.00 – $975.44 | 17 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $137.80 | $689.00 | $21.00 – $975.44 | 17 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $162.00 | $810.00 | $41.00 – $2,275.05 | 17 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $150.00 | $750.00 | $66.41 – $975.44 | 17 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $310.00 | $1,550.00 | $28.00 – $2,275.05 | 17 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $231.20 | $1,156.00 | $19.00 – $4,001.20 | 17 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $350.00 | $1,750.00 | $19.00 – $559.97 | 17 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $205.00 | $1,025.00 | $66.41 – $975.44 | 17 |
| Exc breast duct fistula 19112 CPT 19112 | $226.80 | $1,134.00 | $66.41 – $576.50 | 16 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | $768.60 | $3,843.00 | $35.00 – $1,848.86 | 16 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $1,808.80 | $9,044.00 | $25.00 – $1,077.41 | 16 |
| Exc coccygl pr ulc prim sutr CPT 15920 | $438.40 | $2,192.00 | $55.00 – $913.34 | 16 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | $380.20 | $1,901.00 | $66.41 – $829.31 | 16 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | $419.20 | $2,096.00 | $20.00 – $928.09 | 16 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $333.80 | $1,669.00 | $12.00 – $649.83 | 16 |
| Exc face tum deep < 2 cm CPT 21013 | $376.80 | $1,884.00 | $50.00 – $729.28 | 16 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $908.60 | $4,543.00 | $66.41 – $4,001.20 | 17 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $194.00 | $970.00 | $17.00 – $975.44 | 17 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $300.00 | $1,500.00 | $17.00 – $2,275.05 | 17 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $316.40 | $1,582.00 | $66.41 – $684.15 | 16 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $270.40 | $1,352.00 | $66.41 – $477.54 | 16 |
| Exc forearm les sc 3 cm/> CPT 25071 | $518.60 | $2,593.00 | $66.41 – $2,275.05 | 17 |
| Exc forearm tum deep < 3 cm CPT 25076 | $870.00 | $4,350.00 | $25.00 – $2,275.05 | 17 |
| Exc forearm tum deep 3 cm/> CPT 25073 | $378.00 | $1,890.00 | $66.41 – $4,001.20 | 17 |
| Exc hand les sc < 1.5 cm CPT 26115 | $393.60 | $1,968.00 | $35.00 – $979.26 | 16 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | $389.60 | $1,948.00 | $38.00 – $799.58 | 16 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $374.80 | $1,874.00 | $65.00 – $754.34 | 16 |
| Exchange biliary drg cath CPT 47536 | $3,872.60 | $19,363.00 | $66.41 – $4,931.95 | 17 |
| Exchange drainage catheter CPT 49423 | $1,434.80 | $7,174.00 | $12.00 – $2,643.27 | 17 |
| Exchange lens prosthesis CPT 66986 | $628.00 | $3,140.00 | $66.41 – $1,356.44 | 16 |
| Exchange nephrostomy cath CPT 50435 | $2,559.40 | $12,797.00 | $66.41 – $2,879.47 | 17 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | $177.00 | $885.00 | $41.00 – $449.54 | 16 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $244.80 | $1,224.00 | $20.00 – $657.99 | 16 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $783.20 | $3,916.00 | $36.00 – $4,001.20 | 17 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $425.20 | $2,126.00 | $66.41 – $849.17 | 16 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | $1,261.80 | $6,309.00 | $66.41 – $4,001.20 | 17 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $856.80 | $4,284.00 | $50.00 – $4,001.20 | 17 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $247.40 | $1,237.00 | $65.00 – $656.03 | 16 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $481.20 | $2,406.00 | $66.41 – $4,001.20 | 17 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $1,097.40 | $5,487.00 | $66.41 – $2,167.88 | 16 |
| Exc ischial pr ulc prim sutr CPT 15940 | $489.20 | $2,446.00 | $60.00 – $960.76 | 16 |
| Excise anal ext tag/papilla CPT 46220 | $377.20 | $1,886.00 | $15.00 – $1,648.36 | 17 |
| Excise foot tendon sheath CPT 28086 | $246.40 | $1,232.00 | $66.41 – $817.67 | 16 |
| Excise ileoanal reservior CPT 45136 | $1,210.00 | $6,050.00 | $66.41 – $2,579.32 | 16 |
| Excise inferior turbinate CPT 30130 | $297.60 | $1,488.00 | $29.00 – $601.70 | 16 |
| Excise intestine lesion(s) 44110 CPT 44110 | $572.20 | $2,861.00 | $66.41 – $1,133.85 | 16 |
| Excise intraspinl lesion crv CPT 63265 | $1,110.00 | $5,550.00 | $66.41 – $2,359.20 | 16 |
| Excise intrspinl lesion lmbr CPT 63267 | $923.40 | $4,617.00 | $66.41 – $1,986.11 | 16 |
| Excise intrspinl lesion lmbr CPT 63272 | $201.00 | $1,005.00 | $66.41 – $2,743.87 | 16 |
| Excise lesion testis CPT 54512 | $372.00 | $1,860.00 | $60.00 – $774.31 | 16 |
| Excise lip or cheek fold CPT 40819 | $443.40 | $2,217.00 | $66.41 – $2,137.28 | 17 |
| Excise mandible lesion CPT 21040 | $259.00 | $1,295.00 | $20.00 – $702.71 | 16 |
| Excise max/zygoma b9 tumor CPT 21030 | $258.00 | $1,290.00 | $66.41 – $698.02 | 16 |
| Excise parotid gland/lesion CPT 42410 | $437.00 | $2,185.00 | $66.41 – $1,004.76 | 16 |
| Excise parotid gland/lesion CPT 42415 | $730.40 | $3,652.00 | $66.41 – $1,783.39 | 16 |
| Excise parotid gland/lesion CPT 42420 | $816.40 | $4,082.00 | $66.41 – $2,053.42 | 16 |
| Excise parotid gland/lesion CPT 42425 | $581.00 | $2,905.00 | $35.00 – $1,390.24 | 16 |
| Excise pharynx lesion CPT 42808 | $1,029.60 | $5,148.00 | $35.00 – $4,566.99 | 17 |
| Excise/repair mouth lesion CPT 40812 | $443.40 | $2,217.00 | $45.00 – $2,137.28 | 17 |
| Excise sublingual gland CPT 42450 | $258.00 | $1,290.00 | $46.54 – $674.13 | 16 |
| Excise submaxillary gland CPT 42440 | $291.00 | $1,455.00 | $66.41 – $755.51 | 16 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $485.00 | $2,425.00 | $66.41 – $2,275.05 | 17 |
| Excise tendon forearm/wrist CPT 25109 | $383.00 | $1,915.00 | $66.41 – $746.87 | 16 |
| Excise wrist tendon sheath CPT 25118 | $277.20 | $1,386.00 | $40.00 – $646.56 | 16 |
| Excision addl breast lesion 19126 CPT 19126 | $104.40 | $522.00 | $66.41 – $237.76 | 16 |
| Excision aural polyp CPT 69540 | $92.40 | $462.00 | $35.00 – $314.64 | 16 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $123.80 | $619.00 | $66.41 – $975.44 | 17 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $220.00 | $1,100.00 | $66.41 – $2,275.05 | 17 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,317.80 | $6,589.00 | $14.00 – $975.44 | 17 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $447.00 | $2,235.00 | $14.00 – $2,275.05 | 17 |
| Excision breast lesion CPT 19125 | $316.80 | $1,584.00 | $55.00 – $651.86 | 16 |
| Excision floor mouth lesion 41116 CPT 41116 | $971.00 | $4,855.00 | $66.41 – $4,566.99 | 17 |
| Excision graft extremity CPT 35903 | $365.60 | $1,828.00 | $40.00 – $1,020.02 | 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.