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 |
|---|---|---|---|---|
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $11.80 | $59.00 | $10.00 – $114.78 | 14 |
| Administration vaccine hepatitis b HCPCS G0010 | $13.00 | $65.00 | $12.37 – $116.10 | 14 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $10.20 | $51.00 | $10.00 – $100.27 | 14 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $4,596.05 | $22,980.24 | $42.20 – $184.00 | 13 |
| Adrenal cortex & medulla img CPT 78075 | $27.60 | $138.00 | $34.69 – $2,094.59 | 16 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $35.00 | $175.00 | $62.64 – $115.93 | 16 |
| _afb id by dna probe rflx ast CPT 87149 | $11.80 | $59.00 | $20.05 – $270.19 | 11 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $23.48 | $117.40 | $102.54 – $2,192.55 | 11 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $436.00 | $2,180.00 | $66.41 – $1,290.38 | 15 |
| After cataract laser surgery CPT 66821 | $219.60 | $1,098.00 | $66.41 – $757.61 | 17 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $7,138.65 | $35,693.26 | $227.58 – $789.29 | 13 |
| Air conduction bilat CPT 92552 | $35.20 | $176.00 | $15.30 – $183.27 | 17 |
| Air injection into abdomen 49400 CPT 49400 | $60.20 | $301.00 | $60.00 – $268.74 | 16 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $210.00 | $1,050.00 | $12.70 – $282.17 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | $12.40 | $62.00 | $4.06 – $69.73 | 11 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $118.15 | $590.77 | $53.08 – $537.37 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $95.26 | $476.28 | $53.08 – $552.85 | 13 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $22.80 | $114.00 | $5.08 – $78.08 | 11 |
| Albumin serum plasma or whole blood CPT 82040 | $15.60 | $78.00 | $4.02 – $66.82 | 11 |
| Albuterol ipratrop non-comp HCPCS J7620 | $3.20 | $16.00 | $0.17 – $24.07 | 10 |
| Albuterol non-comp con HCPCS J7611 | $5.40 | $27.00 | $0.15 – $27.00 | 9 |
| Albuterol non-comp unit HCPCS J7613 | $5.40 | $27.00 | $0.04 – $11.00 | 10 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $3.55 | $17.77 | $0.08 – $131.73 | 11 |
| Alginate dressing <=16 sq in HCPCS A6196 | $5.20 | $26.00 | $3.28 – $66.41 | 15 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $11.40 | $57.00 | $7.33 – $66.41 | 15 |
| Alginate drsg wound filler HCPCS A6199 | $3.60 | $18.00 | $2.36 – $66.41 | 15 |
| Alkaline phosphatase CPT 84075 | $22.80 | $114.00 | $4.13 – $69.73 | 11 |
| Allergen alpha lactalbumin ige CPT 86008 | $8.05 | $40.25 | $5.00 – $355.98 | 11 |
| Allergen egg white ige CPT 86003 | $37.80 | $189.00 | $4.93 – $213.17 | 11 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $1.59 | $7.97 | $7.97 – $218.44 | 11 |
| Allergy injections; 2 or more 95117 CPT 95117 | $6.40 | $32.00 | $9.45 – $66.41 | 16 |
| Allergy injection; single 95115 CPT 95115 | $5.60 | $28.00 | $4.90 – $66.41 | 16 |
| Allergy Skin Testing CPT 95004 | $2.40 | $12.00 | $1.90 – $39.40 | 17 |
| Allg patch or app # of tests 95044 CPT 95044 | $3.00 | $15.00 | $3.70 – $80.08 | 16 |
| Allgrft implnt knee w/scope CPT 29867 | $885.60 | $4,428.00 | $66.41 – $1,999.24 | 16 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $149.40 | $747.00 | $139.47 – $747.00 | 9 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $348.60 | $1,743.00 | $66.41 – $241.60 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $2,551.60 | $12,758.00 | $66.41 – $247.02 | 15 |
| All tstg perq&iq drugs/biol CPT 95018 | $11.00 | $55.00 | $6.03 – $238.96 | 18 |
| All tstg perq&iq w/venoms CPT 95017 | $26.80 | $134.00 | $2.92 – $140.16 | 18 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $11.45 | $57.26 | $57.26 – $849.69 | 11 |
| Alpha-fetoprotein tumor marker CPT 82105 | $42.20 | $211.00 | $12.03 – $226.25 | 11 |
| Alprostadil for injection HCPCS J0270 | $221.50 | $1,107.51 | $1.29 – $1,107.51 | 8 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $242.20 | $1,211.01 | $95.09 – $255.45 | 13 |
| Alt/sgpt CPT 84460 | $26.60 | $133.00 | $5.30 – $70.54 | 11 |
| Aluminum - quest CPT 82108 | $3.94 | $19.72 | $19.72 – $343.64 | 11 |
| Alveoloplasty each quadrant CPT 41874 | $177.40 | $887.00 | $30.00 – $514.96 | 16 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $39.40 | $197.00 | $35.02 – $721.95 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $51.20 | $256.00 | $0.08 – $371.96 | 6 |
| Ambl bp mntr w/software CPT 93784 | $28.80 | $144.00 | $48.40 – $1,654.27 | 16 |
| Amino acids quant 2-5 CPT 82136 | $32.11 | $160.55 | $19.61 – $226.43 | 11 |
| Aminolevulinic acid delta CPT 82135 | $2.93 | $14.63 | $14.63 – $221.98 | 11 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $60.36 | $301.80 | $5.06 – $240.85 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $4.63 | $23.16 | $0.82 – $182.28 | 8 |
| Amitriptyline (elavil) -sendout CPT 80335 | $6.95 | $34.77 | $0.08 – $369.51 | 6 |
| Ammonia CPT 82140 | $77.40 | $387.00 | $14.57 – $196.56 | 11 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $530.20 | $2,651.00 | $57.26 – $1,268.73 | 17 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $487.80 | $2,439.00 | $26.00 – $1,086.25 | 16 |
| Amphetamine confirm urine -sendout CPT 80324 | $45.80 | $229.00 | $0.08 – $320.85 | 6 |
| Amphetamines 5 or more CPT 80326 | $114.40 | $572.00 | $0.08 – $385.04 | 6 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $23.18 | $115.88 | $1.18 – $25.33 | 8 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $12.72 | $63.61 | $2.66 – $63.22 | 8 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $293.00 | $1,465.00 | $66.41 – $700.37 | 16 |
| Amp thigh through femur re-amp 27596 CPT 27596 | $478.00 | $2,390.00 | $66.41 – $1,147.02 | 16 |
| Amputate leg at thigh CPT 27592 | $451.80 | $2,259.00 | $66.41 – $1,066.13 | 16 |
| Amputate lower leg at knee CPT 27598 | $467.60 | $2,338.00 | $66.41 – $1,158.70 | 16 |
| Amputate metacarpal bone 26910 CPT 26910 | $540.80 | $2,704.00 | $27.00 – $1,199.14 | 16 |
| Amputate thigh through femur 27590 CPT 27590 | $517.00 | $2,585.00 | $66.41 – $1,233.15 | 16 |
| Amputation follow-up surgery CPT 25931 | $563.60 | $2,818.00 | $55.00 – $1,253.70 | 16 |
| Amputation follow-up surgery CPT 27594 | $346.40 | $1,732.00 | $65.00 – $794.76 | 16 |
| Amputation follow-up surgery CPT 27884 | $392.80 | $1,964.00 | $20.00 – $918.81 | 16 |
| Amputation leg thr tib/fib 27880 CPT 27880 | $594.60 | $2,973.00 | $66.41 – $1,251.70 | 16 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | $438.00 | $2,190.00 | $66.41 – $1,042.81 | 16 |
| Amputation of foot at ankle CPT 27889 | $429.40 | $2,147.00 | $66.41 – $1,083.30 | 16 |
| Amputation of foot at ankle CPT 27888 | $376.00 | $1,880.00 | $66.41 – $1,132.24 | 16 |
| Amputation of hand CPT 25927 | $608.00 | $3,040.00 | $66.41 – $1,333.06 | 16 |
| Amputation of lower leg CPT 27882 | $393.60 | $1,968.00 | $66.41 – $1,013.24 | 16 |
| Amputation of lower leg CPT 27881 | $555.40 | $2,777.00 | $60.00 – $1,399.74 | 16 |
| Amputation of midtarsal 28800 CPT 28800 | $368.20 | $1,841.00 | $66.41 – $919.13 | 16 |
| Amputation of upper arm CPT 24900 | $536.60 | $2,683.00 | $66.41 – $1,099.65 | 16 |
| Amputation thru metatarsal CPT 28805 | $485.40 | $2,427.00 | $50.00 – $950.25 | 16 |
| Amputation toe interphalangeal joint CPT 28825 | $2,636.40 | $13,182.00 | $66.41 – $4,507.13 | 17 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,442.60 | $17,213.00 | $40.00 – $4,507.13 | 17 |
| Amylase CPT 82150 | $37.40 | $187.00 | $5.73 – $87.52 | 11 |
| Anabolic steroid 1 or 2 CPT 80327 | $15.60 | $78.00 | $0.08 – $532.93 | 6 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $1.20 | $6.00 | $0.08 – $417.81 | 6 |
| Anal/urinary muscle study CPT 51784 | $75.60 | $378.00 | $10.00 – $177.25 | 17 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $28.40 | $142.00 | $42.49 – $561.80 | 16 |
| Analysis gene f2 20210g>a variant CPT 81240 | $7.58 | $37.90 | $37.90 – $680.92 | 11 |
| Analysis gene f5 leiden variant CPT 81241 | $7.60 | $37.99 | $37.99 – $867.13 | 11 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $21.40 | $107.00 | $50.23 – $504.83 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $26.60 | $133.00 | $33.72 – $386.40 | 18 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $6.03 | $30.15 | $30.15 – $357.62 | 9 |
| Anca screen with reflex to titer -quest CPT 86021 | $2.68 | $13.38 | $13.38 – $203.00 | 11 |
| An cholangiogram percutaneous compl CPT 47531 | $2,581.80 | $12,909.00 | $13.00 – $4,931.95 | 17 |
| An fluoro guide for cvp CPT 77001 | $383.80 | $1,919.00 | $17.68 – $512.23 | 18 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $95.20 | $476.00 | $45.00 – $1,187.17 | 16 |
| Angiotensin ii CPT 82163 | $23.80 | $119.00 | $20.52 – $267.83 | 11 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $940.13 | $4,700.63 | $1.06 – $38.00 | 4 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $112.20 | $561.00 | $66.41 – $1,409.29 | 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.