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 |
|---|---|---|---|---|
| Graft nerve adv 3-4x70mm HCPCS C1762 | $4,566.40 | $22,832.00 | $6,802.00 – $6,802.00 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $3,090.00 | $15,450.00 | $1,892.00 – $1,892.00 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $11.00 | $55.00 | $55.00 – $346.14 | 12 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $149.20 | $746.00 | $66.41 – $203.21 | 15 |
| Graft repair of spine defect 63710 CPT 63710 | $738.80 | $3,694.00 | $66.41 – $1,579.38 | 16 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $3,240.00 | $16,200.00 | $134.06 – $975.44 | 16 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $47.80 | $239.00 | $60.19 – $346.14 | 9 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $168.20 | $841.00 | $37.50 – $975.44 | 16 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $28,268.40 | $141,342.00 | $320.00 – $320.00 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $544.20 | $2,721.00 | $1,322.00 – $1,322.00 | 2 |
| Great toe with reduction 28495 CPT 28495 | $134.40 | $672.00 | $10.00 – $242.90 | 16 |
| Grfg autol soft tiss dir exc CPT 15769 | $334.20 | $1,671.00 | $65.00 – $766.79 | 16 |
| Group health education CPT 99078 | $4.20 | $21.00 | $21.00 – $75.57 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $14.80 | $74.00 | $12.70 – $74.00 | 7 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,275.60 | $6,378.00 | $66.41 – $2,556.93 | 16 |
| Gstrst open wo constj tube CPT 43830 | $568.00 | $2,840.00 | $15.00 – $2,643.27 | 17 |
| G-tube reposition CPT 43761 | $271.40 | $1,357.00 | $66.41 – $344.16 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,470.80 | $7,354.00 | $37.57 – $2,879.47 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $763.80 | $3,819.00 | $20.00 – $1,214.51 | 16 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $3,379.20 | $16,896.00 | $668.13 – $16,896.00 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $849.00 | $4,245.00 | $173.00 – $173.00 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $669.20 | $3,346.00 | $451.00 – $451.00 | 2 |
| Guid loc target vol rad tx CPT 77387 | $14.20 | $71.00 | $33.13 – $611.65 | 14 |
| Gw stiffened micro access kit HCPCS C1894 | $209.80 | $1,049.00 | $260.00 – $260.00 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | $302.80 | $1,514.00 | $66.41 – $700.50 | 16 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $9.01 | $45.07 | $1.46 – $46.43 | 8 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $4.80 | $24.00 | $2.63 – $66.41 | 10 |
| Hand tendon reconstruction CPT 26500 | $489.80 | $2,449.00 | $31.00 – $1,050.31 | 16 |
| Hand tendon reconstruction CPT 26502 | $535.40 | $2,677.00 | $65.00 – $1,183.74 | 16 |
| Hand X-ray CPT 73130 | $308.40 | $1,542.00 | $8.88 – $204.64 | 18 |
| Haptoglobin quantitative CPT 83010 | $10.53 | $52.66 | $10.70 – $169.59 | 11 |
| Harness chest/shlder saddle HCPCS L6672 | $135.00 | $675.00 | $66.41 – $399.36 | 15 |
| Harvest cultured skin graft 15040 CPT 15040 | $85.80 | $429.00 | $43.19 – $365.25 | 16 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $216.20 | $1,081.00 | $43.19 – $594.50 | 16 |
| Harvest vein for bypass 35500 CPT 35500 | $199.40 | $997.00 | $35.00 – $550.40 | 16 |
| Hba1/hba2 full gene sequence CPT 81259 | $93.50 | $467.50 | $467.50 – $9,650.96 | 11 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $32.38 | $161.92 | $161.92 – $3,255.60 | 11 |
| Hbb full gene sequence CPT 81364 | $180.00 | $900.00 | $324.58 – $5,220.91 | 11 |
| Hbb gene dup/del variants CPT 81363 | $32.38 | $161.92 | $161.92 – $3,255.60 | 11 |
| Hb glycosylated a1c home dev CPT 83037 | $7.80 | $39.00 | $3.79 – $130.92 | 16 |
| Hbot, full body chamber, 30m HCPCS G0277 | $110.40 | $552.00 | $189.56 – $634.00 | 11 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $363.60 | $1,818.00 | $47.84 – $515.21 | 18 |
| Hcg free betachain test CPT 84704 | $2.68 | $13.38 | $13.38 – $202.91 | 11 |
| Hcg qualitative CPT 84703 | $43.20 | $216.00 | $2.26 – $101.32 | 18 |
| Hcg quantitative CPT 84702 | $72.60 | $363.00 | $13.24 – $194.29 | 11 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $155.20 | $776.00 | $119.90 – $776.00 | 8 |
| Hc metata joint dislocation anes CPT 28635 | $93.00 | $465.00 | $66.41 – $268.39 | 16 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $35.40 | $177.00 | $45.78 – $2,001.26 | 16 |
| Hc nm kidney imaging with flow CPT 78701 | $499.40 | $2,497.00 | $23.43 – $1,355.39 | 18 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $420.80 | $2,104.00 | $43.37 – $1,998.99 | 18 |
| Head CT scan (with and without contrast) CPT 70470 | $1,063.80 | $5,319.00 | $33.17 – $1,526.13 | 18 |
| Head CT scan (with contrast) CPT 70460 | $940.00 | $4,700.00 | $29.51 – $1,223.29 | 18 |
| Head CT scan (without contrast) CPT 70450 | $851.00 | $4,255.00 | $22.21 – $1,019.71 | 18 |
| Heart infarct image CPT 78466 | $429.40 | $2,147.00 | $32.08 – $1,012.12 | 18 |
| Helicobacter pylori antibody igm CPT 86677 | $55.20 | $276.00 | $16.85 – $200.83 | 11 |
| Hematocrit CPT 85014 | $16.20 | $81.00 | $0.21 – $31.87 | 18 |
| Hemodialysis one evaluation CPT 90935 | $531.40 | $2,657.00 | $56.60 – $945.39 | 17 |
| Hemodialysis repeated eval CPT 90937 | $531.40 | $2,657.00 | $89.14 – $796.09 | 8 |
| Hemoglobin CPT 85018 | $17.60 | $88.00 | $0.21 – $31.87 | 18 |
| Hemoglobin plasma CPT 83051 | $1.30 | $6.50 | $6.50 – $98.51 | 11 |
| Hemoglobin urine CPT 83069 | $0.70 | $3.51 | $3.51 – $53.20 | 11 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $310.60 | $1,553.00 | $35.00 – $703.65 | 16 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $292.40 | $1,462.00 | $20.00 – $1,281.00 | 17 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $268.40 | $1,342.00 | $15.00 – $551.78 | 16 |
| Heparin assay CPT 85520 | $28.00 | $140.00 | $11.47 – $149.98 | 11 |
| Heparin bolus from bag HCPCS J1644 | $23.78 | $118.91 | $0.18 – $19.57 | 10 |
| Heparin neutralization CPT 85525 | $7.00 | $35.00 | $10.10 – $115.85 | 11 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $7.99 | $39.97 | $0.02 – $3.01 | 10 |
| Hepatectomy removal of liver 47120 CPT 47120 | $1,552.20 | $7,761.00 | $66.41 – $3,327.99 | 16 |
| Hepatitis a antibody igm CPT 86709 | $40.20 | $201.00 | $9.91 – $146.81 | 11 |
| Hepatitis b core antibody igm CPT 86705 | $30.80 | $154.00 | $10.37 – $153.62 | 11 |
| Hepatitis b core antibody total CPT 86704 | $30.80 | $154.00 | $12.05 – $157.34 | 11 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $749.27 | $3,746.34 | $140.21 – $1,060.99 | 12 |
| Hepatitis b surface antibody CPT 86706 | $27.80 | $139.00 | $8.38 – $140.09 | 11 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $70.40 | $352.00 | $161.82 – $1,273.79 | 8 |
| Hepatitis c antibody CPT 86803 | $37.60 | $188.00 | $12.57 – $186.30 | 11 |
| Hepatitis d quantification CPT 87523 | $45.00 | $225.00 | $42.84 – $267.91 | 9 |
| Hepatobiliary system imaging CPT 78226 | $987.80 | $4,939.00 | $34.33 – $3,113.15 | 18 |
| Hereditary colon ca dsordrs CPT 81435 | $468.00 | $2,340.00 | $584.90 – $46,336.35 | 11 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $300.00 | $1,500.00 | $626.00 – $5,964.20 | 11 |
| Hernia Repair (Inguinal) CPT 49505 | $534.40 | $2,672.00 | $35.00 – $745.80 | 16 |
| Herpes simplex 1 ag if CPT 87274 | $2.02 | $10.10 | $10.10 – $121.20 | 11 |
| Herpes simplex 2 ag if CPT 87273 | $2.02 | $10.10 | $10.10 – $125.20 | 11 |
| Herpes simplex type 1 antibody igg CPT 86695 | $2.34 | $11.72 | $11.72 – $177.86 | 11 |
| Herpes simplex type 2 antibody igg CPT 86696 | $3.44 | $17.20 | $7.00 – $260.84 | 11 |
| Herpes simplex virus isolation CPT 87255 | $5.42 | $27.08 | $27.08 – $456.58 | 11 |
| Heterophile antibodies screening CPT 86308 | $30.20 | $151.00 | $1.09 – $69.73 | 18 |
| Heterophile antibodies titer CPT 86309 | $1.15 | $5.75 | $5.75 – $87.25 | 11 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $37.40 | $187.00 | $94.37 – $206.84 | 7 |
| Hhv-6 dna quant CPT 87533 | $7.42 | $37.12 | $37.12 – $367.36 | 11 |
| Hib-hepb vaccine im CPT 90748 | $32.20 | $161.00 | $26.03 – $305.23 | 9 |
| High inten beh couns std 30m HCPCS G0445 | $16.00 | $80.00 | $21.27 – $139.94 | 16 |
| Hip arthr0 w/debridement CPT 29862 | $567.60 | $2,838.00 | $66.41 – $1,280.81 | 16 |
| Hip arthro acetabuloplasty CPT 29915 | $702.20 | $3,511.00 | $66.41 – $1,600.36 | 16 |
| Hip arthro w/fb removal CPT 29861 | $485.00 | $2,425.00 | $66.41 – $1,135.47 | 16 |
| Hip arthro w/femoroplasty CPT 29914 | $689.40 | $3,447.00 | $60.00 – $1,570.82 | 16 |
| Hip arthro w/labral repair CPT 29916 | $703.20 | $3,516.00 | $66.41 – $1,605.05 | 16 |
| Hip X-ray CPT 73502 | $206.20 | $1,031.00 | $6.19 – $446.14 | 18 |
| Histamine CPT 83088 | $5.25 | $26.25 | $26.25 – $398.20 | 11 |
| Hla class i&ii antibody qual CPT 86828 | $53.00 | $265.00 | $61.81 – $674.11 | 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.