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 |
|---|---|---|---|---|
| Hla ii typing 1 loc hr CPT 81382 | $50.00 | $250.00 | $123.68 – $1,812.33 | 11 |
| Hla ii typing ag equiv lr CPT 81375 | $104.00 | $520.00 | $220.74 – $2,847.87 | 11 |
| Hla i low res one antigen equiv ea CPT 81374 | $12.93 | $64.66 | $64.66 – $2,599.92 | 11 |
| Hla i typing 1 locus hr CPT 81380 | $49.00 | $245.00 | $177.25 – $2,308.49 | 11 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $49.00 | $245.00 | $147.70 – $2,599.92 | 11 |
| Hla i typing low res one locus ea CPT 81373 | $19.00 | $95.00 | $95.00 – $2,599.92 | 11 |
| Hlth bhv assmt/reassessment CPT 96156 | $50.60 | $253.00 | $66.41 – $154.73 | 16 |
| Home health care supervision CPT 99374 | $58.80 | $294.00 | $58.18 – $294.00 | 10 |
| Home health care supervision CPT 99375 | $69.20 | $346.00 | $66.41 – $346.00 | 10 |
| Home health care supervision HCPCS G0181 | $52.60 | $263.00 | $66.41 – $251.00 | 15 |
| Home health re-certification physician g0179 HCPCS G0179 | $21.60 | $108.00 | $37.89 – $108.00 | 15 |
| Home/res vst est high mdm 60 CPT 99350 | $90.60 | $453.00 | $66.41 – $287.90 | 16 |
| Home/res vst est mod mdm 40 CPT 99349 | $62.60 | $313.00 | $46.00 – $197.47 | 16 |
| Home/res vst est sf mdm 20 CPT 99347 | $22.40 | $112.00 | $22.40 – $74.51 | 16 |
| Home/res vst new high mdm 75 CPT 99345 | $100.00 | $500.00 | $66.41 – $332.97 | 16 |
| Home/res vst new low mdm 30 CPT 99342 | $38.60 | $193.00 | $43.80 – $140.88 | 16 |
| Home/res vst new mod mdm 60 CPT 99344 | $82.60 | $413.00 | $66.41 – $269.13 | 16 |
| Home/res vst new sf mdm 15 CPT 99341 | $24.40 | $122.00 | $36.70 – $95.57 | 16 |
| Home visit est patient 99348 CPT 99348 | $37.80 | $189.00 | $34.30 – $118.21 | 16 |
| Homocysteine CPT 83090 | $45.20 | $226.00 | $14.99 – $227.34 | 11 |
| Homogenization tissue CPT 87176 | $19.60 | $98.00 | $5.88 – $79.35 | 11 |
| Homovanillic acid (hva) CPT 83150 | $4.48 | $22.41 | $16.35 – $221.43 | 11 |
| Hospice care supervision CPT 99377 | $38.00 | $190.00 | $58.18 – $190.00 | 10 |
| Hpa-1 genotyping CPT 81105 | $21.73 | $108.64 | $108.64 – $2,637.06 | 11 |
| Hpv types 16 & 18 only CPT 87625 | $9.00 | $45.00 | $40.55 – $566.52 | 11 |
| H pylori (c-13) breath CPT 83013 | $254.00 | $1,270.00 | $59.88 – $862.68 | 11 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $510.00 | $2,550.00 | $779.22 – $9,226.98 | 11 |
| Hrdtry cardmypy gene panel CPT 81439 | $354.00 | $1,770.00 | $584.90 – $10,537.88 | 11 |
| Htt gene detc abnor alleles CPT 81271 | $21.92 | $109.60 | $109.60 – $1,832.67 | 11 |
| Human epididymis protein 4 (he4) CPT 86305 | $3.70 | $18.50 | $18.50 – $571.61 | 11 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $2.87 | $14.36 | $1.72 – $15.80 | 10 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $25.36 | $126.81 | $8.78 – $126.81 | 8 |
| Hydration IV infusion each additional hour CPT 96361 | $144.00 | $720.00 | $13.85 – $66.41 | 17 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $246.20 | $1,231.00 | $35.97 – $293.00 | 17 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $4.60 | $23.00 | $2.92 – $66.41 | 15 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $41.82 | $209.12 | $15.15 – $26.47 | 10 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | $16.60 | $83.00 | $10.61 – $83.00 | 15 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $9.79 | $48.93 | $0.28 – $34.33 | 5 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $86.76 | $433.80 | $31.00 – $66.41 | 6 |
| Hydroxyurea 500 mg HCPCS S0176 | $4.80 | $24.00 | $0.96 – $24.00 | 6 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $58.66 | $293.28 | $9.91 – $70.07 | 10 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $16.43 | $82.13 | $15.58 – $228.61 | 11 |
| Hymenotomy CPT 56442 | $33.20 | $166.00 | $43.57 – $87.15 | 16 |
| Hyoid myotomy & suspension CPT 21685 | $679.40 | $3,397.00 | $55.00 – $1,472.04 | 16 |
| Hyperbaric oxygen therapy CPT 99183 | $382.40 | $1,912.00 | $66.41 – $465.00 | 18 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | $179.40 | $897.00 | $66.41 – $468.43 | 16 |
| Hysterosalpingography s&i CPT 74740 | $313.60 | $1,568.00 | $18.05 – $500.07 | 18 |
| Hysteroscopy ablation CPT 58563 | $165.20 | $826.00 | $30.00 – $2,758.12 | 16 |
| Hysteroscopy biopsy CPT 58558 | $907.60 | $4,538.00 | $66.41 – $452.56 | 16 |
| Hysteroscopy dx sep proc CPT 58555 | $241.20 | $1,206.00 | $60.00 – $360.05 | 16 |
| Hysteroscopy lysis CPT 58559 | $190.40 | $952.00 | $66.41 – $569.76 | 16 |
| Hysteroscopy remove fb CPT 58562 | $287.60 | $1,438.00 | $66.41 – $494.30 | 16 |
| Hysteroscopy remove myoma CPT 58561 | $239.60 | $1,198.00 | $30.00 – $909.15 | 16 |
| Hysteroscopy resect septum CPT 58560 | $209.40 | $1,047.00 | $66.41 – $643.33 | 16 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $139.40 | $697.00 | $219.82 – $928.58 | 9 |
| I-123 iobenguane diag HCPCS A9582 | $1,074.80 | $5,374.00 | $2,317.50 – $22,449.21 | 10 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $636.20 | $3,181.00 | $283.78 – $3,181.00 | 8 |
| I131 iodide cap, rx HCPCS A9517 | $30.60 | $153.00 | $24.07 – $958.92 | 13 |
| I131 max 100uci HCPCS A9531 | $233.00 | $1,165.00 | $11.47 – $1,165.00 | 5 |
| Iaadi respiratory synctial virus CPT 87280 | $1.77 | $8.84 | $8.84 – $121.20 | 11 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $76.00 | $380.00 | $35.09 – $457.94 | 11 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $14.40 | $72.00 | $9.65 – $174.59 | 16 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $18,514.20 | $92,571.00 | $6,269.00 – $6,269.00 | 2 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $30,857.00 | $154,285.00 | $27,118.00 – $27,118.00 | 2 |
| Icd crtp serena MRI HCPCS C2621 | $5,135.80 | $25,679.00 | $25,679.00 – $25,679.00 | 2 |
| Icut allergy test-delayed CPT 95028 | $6.40 | $32.00 | $4.20 – $92.15 | 16 |
| Icut allergy test drug/bug CPT 95024 | $4.00 | $20.00 | $0.88 – $59.74 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | $654.40 | $3,272.00 | $35.00 – $1,326.09 | 16 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $266.20 | $1,331.00 | $35.00 – $657.51 | 16 |
| I&d/bursa/foot 28001 CPT 28001 | $1,139.80 | $5,699.00 | $18.00 – $2,275.05 | 17 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $491.80 | $2,459.00 | $30.00 – $1,049.36 | 16 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $307.20 | $1,536.00 | $55.00 – $658.67 | 16 |
| I&d lacrimal sac CPT 68420 | $116.20 | $581.00 | $45.00 – $504.15 | 16 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $253.80 | $1,269.00 | $40.00 – $593.97 | 16 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $219.00 | $1,095.00 | $12.00 – $477.00 | 16 |
| I&d vag hemtma obst/postpart CPT 57022 | $125.00 | $625.00 | $37.00 – $262.42 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $42.00 | $210.00 | $197.99 – $1,812.33 | 11 |
| Igh@ var region somatic mutation analy CPT 81263 | $82.00 | $410.00 | $294.52 – $2,577.86 | 11 |
| Igk rearrangeabn clonal pop CPT 81264 | $38.00 | $190.00 | $172.73 – $5,454.60 | 11 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $68.20 | $341.00 | $45.00 – $575.97 | 11 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $235.40 | $1,177.00 | $20.70 – $968.99 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $177.40 | $887.00 | $19.02 – $234.68 | 18 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | $22.80 | $114.00 | $13.99 – $92.00 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $696.80 | $3,484.00 | $66.41 – $1,484.29 | 16 |
| Iliac/fem angio cath insert HCPCS G0278 | $6.20 | $31.00 | $11.06 – $126.83 | 15 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | $6,000.00 | $30,000.00 | $57.03 – $261.49 | 10 |
| Immob elbow child sm HCPCS L3762 | $57.60 | $288.00 | $52.55 – $170.32 | 15 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $83.20 | $416.00 | $40.15 – $245.99 | 15 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $30.80 | $154.00 | $49.17 – $121.48 | 15 |
| Immobilizer shldr sling med HCPCS L3660 | $67.00 | $335.00 | $36.50 – $198.47 | 15 |
| Immt breast prosthesis 19340 CPT 19340 | $528.00 | $2,640.00 | $66.41 – $1,301.92 | 16 |
| Immune complex assay CPT 86332 | $4.33 | $21.66 | $21.66 – $328.66 | 11 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $59.60 | $298.00 | $18.50 – $280.45 | 11 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $49.80 | $249.00 | $18.50 – $280.45 | 11 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $2.40 | $11.98 | $5.90 – $161.60 | 11 |
| Immunofixation electrophoresis serum CPT 86334 | $3.97 | $19.86 | $15.00 – $301.24 | 11 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $19.97 | $99.84 | $48.35 – $719.59 | 11 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $108.00 | $540.00 | $76.33 – $422.42 | 11 |
| Immunoglobulin assay CPT 86023 | $2.21 | $11.07 | $11.07 – $144.81 | 11 |
| Immunology procedure CPT 86849 | $13.35 | $66.75 | $66.75 – $66.75 | 2 |
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.