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 |
|---|---|---|---|---|
| Fixation of shoulder blade CPT 23400 | $675.40 | $3,377.00 | $66.41 – $1,565.22 | 16 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $477.20 | $2,386.00 | $66.41 – $975.74 | 16 |
| Fl exam g/colon tube w contrast CPT 49465 | $330.80 | $1,654.00 | $25.48 – $328.67 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | $292.40 | $1,462.00 | $54.53 – $1,281.00 | 17 |
| Floor of mouth biopsy 41108 CPT 41108 | $485.00 | $2,425.00 | $50.00 – $2,275.05 | 17 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $361.20 | $1,806.00 | $633.23 – $2,969.23 | 9 |
| Flow cytometry interp 16 or more CPT 88189 | $16.67 | $83.35 | $45.29 – $1,101.09 | 16 |
| Flow cytometry marker each additional CPT 88185 | $11.00 | $55.00 | $8.67 – $337.82 | 11 |
| Flow cytometry one marker technical component CPT 88184 | $79.35 | $396.75 | $42.18 – $888.75 | 11 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $22.25 | $111.24 | $6.50 – $539.52 | 8 |
| Fluidotherapy charges pt CPT 97022 | $65.00 | $325.00 | $11.14 – $465.00 | 18 |
| Fluid pressure muscle 20950 CPT 20950 | $61.60 | $308.00 | $10.00 – $417.66 | 16 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | $11.00 | $55.00 | $8.57 – $55.00 | 8 |
| Fluorescein angrph mltiframe CPT 92235 | $21.00 | $105.00 | $43.65 – $133.47 | 16 |
| Fluorescent antibody titer dna CPT 86256 | $123.00 | $615.00 | $10.39 – $162.60 | 11 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $245.40 | $1,227.00 | $28.81 – $495.89 | 18 |
| Fluoroguide needle placement CPT 77002 | $353.40 | $1,767.00 | $27.69 – $649.14 | 18 |
| Fluoro polarize fetal lung CPT 83663 | $66.20 | $331.00 | $15.00 – $166.50 | 11 |
| Fluoroscopy up to 1 hour CPT 76000 | $370.80 | $1,854.00 | $13.56 – $438.96 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $38.86 | $194.31 | $3.88 – $70.22 | 8 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | $11.00 | $55.00 | $17.52 – $76.95 | 8 |
| Fna bx w/ct gdn 1st les CPT 10009 | $608.80 | $3,044.00 | $66.41 – $761.71 | 16 |
| Fna bx w/ct gdn ea addl CPT 10010 | $216.40 | $1,082.00 | $63.94 – $368.48 | 6 |
| Folic acid CPT 82746 | $46.40 | $232.00 | $14.70 – $198.28 | 11 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $0.78 | $3.89 | $0.10 – $3.89 | 4 |
| Follow-up angiography CPT 75898 | $68.40 | $342.00 | $69.27 – $2,175.19 | 16 |
| Followup eval of foot pt lop HCPCS G0246 | $19.80 | $99.00 | $17.50 – $66.41 | 15 |
| Foot arch support remov prem HCPCS L3030 | $44.80 | $224.00 | $40.98 – $224.00 | 15 |
| Foot plas heel stabi pre ots HCPCS L3170 | $30.00 | $150.00 | $27.32 – $150.00 | 15 |
| Foot X-ray CPT 73630 | $282.00 | $1,410.00 | $8.15 – $204.64 | 18 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $662.60 | $3,313.00 | $66.41 – $1,961.06 | 16 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $79.20 | $396.00 | $35.00 – $344.16 | 17 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $437.70 | $2,188.50 | $0.22 – $2,188.50 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $158.65 | $793.27 | $1.33 – $793.27 | 13 |
| Fracture assessment via dxa CPT 77086 | $81.40 | $407.00 | $8.15 – $495.16 | 18 |
| Fragmenting of kidney stone CPT 50590 | $395.40 | $1,977.00 | $55.00 – $1,368.59 | 16 |
| Freeing of bowel adhesion 44005 CPT 44005 | $727.60 | $3,638.00 | $66.41 – $1,508.46 | 16 |
| Free/remove chest lining 32320 CPT 32320 | $1,053.60 | $5,268.00 | $66.41 – $2,385.03 | 16 |
| Frenectomy 41115 CPT 41115 | $443.40 | $2,217.00 | $20.00 – $2,137.28 | 17 |
| Frenotomy 40806 CPT 40806 | $152.40 | $762.00 | $29.57 – $742.92 | 17 |
| Frenulotomy of penis CPT 54164 | $137.40 | $687.00 | $25.00 – $275.64 | 16 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $15.80 | $79.00 | $79.00 – $142.22 | 7 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $19.00 | $95.00 | $92.08 – $165.74 | 7 |
| Fresh frozen plasma thawing ea un CPT 86927 | $213.40 | $1,067.00 | $89.35 – $422.42 | 9 |
| Fructosamine glycated protein CPT 82985 | $2.68 | $13.41 | $13.41 – $203.28 | 11 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $91.80 | $459.00 | $66.41 – $289.70 | 14 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $710.60 | $3,553.00 | $66.41 – $1,212.46 | 16 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $428.20 | $2,141.00 | $35.00 – $1,007.28 | 16 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $46.40 | $232.00 | $56.53 – $207.89 | 16 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $843.00 | $4,215.00 | $66.41 – $2,842.14 | 17 |
| Fundus photography with i&r 92250 CPT 92250 | $77.20 | $386.00 | $21.11 – $183.27 | 17 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $8.00 | $40.00 | $0.02 – $2.06 | 6 |
| Fuse/graft added joint CPT 26863 | $152.40 | $762.00 | $56.00 – $396.35 | 16 |
| Fuse pancreas and bowel CPT 48548 | $1,108.80 | $5,544.00 | $66.41 – $2,212.54 | 16 |
| Fusion/graft of finger joint CPT 26862 | $545.20 | $2,726.00 | $61.00 – $1,217.75 | 16 |
| Fusion/graft of hand joint CPT 26844 | $607.60 | $3,038.00 | $66.41 – $1,437.82 | 16 |
| Fusion of ankle joint open CPT 27870 | $698.20 | $3,491.00 | $66.41 – $1,619.45 | 16 |
| Fusion of big toe joint CPT 28750 | $404.20 | $2,021.00 | $66.41 – $1,249.24 | 16 |
| Fusion of big toe joint CPT 28755 | $239.00 | $1,195.00 | $65.00 – $704.36 | 16 |
| Fusion of finger jnt add-on CPT 26861 | $68.40 | $342.00 | $56.00 – $176.84 | 16 |
| Fusion of finger joint CPT 26860 | $439.80 | $2,199.00 | $66.41 – $942.05 | 16 |
| Fusion of finger tendons CPT 26471 | $472.20 | $2,361.00 | $60.00 – $1,100.15 | 16 |
| Fusion of finger tendons CPT 26474 | $465.00 | $2,325.00 | $57.33 – $994.56 | 16 |
| Fusion of foot bones CPT 28730 | $508.20 | $2,541.00 | $40.00 – $1,268.33 | 16 |
| Fusion of foot bones CPT 28735 | $543.80 | $2,719.00 | $45.00 – $1,231.59 | 16 |
| Fusion of foot bones CPT 28740 | $432.00 | $2,160.00 | $60.00 – $1,231.66 | 16 |
| Fusion of knee CPT 27580 | $1,015.80 | $5,079.00 | $45.00 – $2,265.05 | 16 |
| Fusion of knuckle CPT 26850 | $522.60 | $2,613.00 | $56.00 – $1,165.06 | 16 |
| Fusion of knuckle joint CPT 26516 | $529.00 | $2,645.00 | $66.41 – $1,176.99 | 16 |
| Fusion of knuckle with graft CPT 26852 | $591.80 | $2,959.00 | $26.00 – $1,336.26 | 16 |
| Fusion of tendons at wrist CPT 25300 | $488.20 | $2,441.00 | $66.41 – $1,128.52 | 16 |
| Fusion of tendons at wrist CPT 25301 | $455.80 | $2,279.00 | $45.00 – $1,079.82 | 16 |
| Fusion of thumb CPT 26841 | $549.60 | $2,748.00 | $66.41 – $1,223.71 | 16 |
| Fusion of tibiofibular joint CPT 27871 | $482.40 | $2,412.00 | $66.41 – $1,109.40 | 16 |
| Fusion of toes CPT 28280 | $352.60 | $1,763.00 | $66.41 – $744.30 | 16 |
| Fusion of ureter & kidney CPT 50740 | $818.80 | $4,094.00 | $66.41 – $1,700.98 | 16 |
| G0180 home health certification HCPCS G0180 | $27.60 | $138.00 | $49.50 – $136.00 | 15 |
| G6pd full gene sequence CPT 81249 | $180.00 | $900.00 | $600.00 – $9,650.96 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $34.96 | $174.81 | $174.81 – $2,811.83 | 11 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $169.00 | $845.00 | $59.90 – $1,013.17 | 8 |
| Gabapentin non-blood CPT 80355 | $3.20 | $16.00 | $0.08 – $272.91 | 6 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $0.42 | $2.12 | $0.76 – $5.53 | 8 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $0.46 | $2.32 | $2.32 – $23.77 | 8 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $1.48 | $7.39 | $7.39 – $111.13 | 8 |
| Galectin-3 CPT 82777 | $8.85 | $44.25 | $44.25 – $220.62 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $446.20 | $2,231.00 | $66.41 – $1,056.20 | 16 |
| Gammaglobulin iga CPT 82784 | $10.60 | $53.00 | $3.50 – $104.50 | 11 |
| Gammaglobulin ige CPT 82785 | $3.00 | $15.00 | $8.03 – $222.07 | 11 |
| Gamma glutamyltransferase CPT 82977 | $36.00 | $180.00 | $7.20 – $97.51 | 11 |
| Gamunex-c/gammaked HCPCS J1561 | $3,523.88 | $17,619.38 | $49.73 – $298.78 | 13 |
| Gastric emptying imag study CPT 78265 | $35.60 | $178.00 | $45.59 – $4,352.33 | 16 |
| Gastroduodenostomy CPT 43810 | $678.80 | $3,394.00 | $55.00 – $1,370.11 | 16 |
| Gastroesophageal reflux study CPT 78262 | $25.40 | $127.00 | $31.92 – $1,641.19 | 16 |
| Gastroesophageal reflux test CPT 91034 | $24.00 | $120.00 | $51.65 – $2,491.25 | 16 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | $897.80 | $4,489.00 | $66.41 – $1,784.79 | 16 |
| Gastrojejunostomy w/vagotomy CPT 43825 | $874.60 | $4,373.00 | $66.41 – $1,792.55 | 16 |
| Gated heart multiple CPT 78473 | $510.00 | $2,550.00 | $69.42 – $3,098.08 | 18 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $1.60 | $8.00 | $1.08 – $66.41 | 15 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $1.40 | $7.00 | $0.95 – $66.41 | 15 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $2.60 | $13.00 | $1.61 – $66.41 | 15 |
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.