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 |
|---|---|---|---|---|
| Impact tooth remov part bony HCPCS D7230 | $137.20 | $686.00 | $280.46 – $686.00 | 6 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $1,333.00 | $6,665.00 | $2,232.00 – $2,232.00 | 2 |
| Implant hormone pellet(s) 11980 CPT 11980 | $37.00 | $185.00 | $40.00 – $150.95 | 16 |
| Implant neuroelectrodes CPT 63655 | $573.40 | $2,867.00 | $66.41 – $1,193.97 | 16 |
| Implant neuroelectrodes CPT 64561 | $206.60 | $1,033.00 | $66.41 – $1,700.26 | 16 |
| Implant spine infusion pump CPT 62362 | $264.80 | $1,324.00 | $66.41 – $670.82 | 16 |
| Implant ureth bulk agent HCPCS L8606 | $136.60 | $683.00 | $66.41 – $404.44 | 15 |
| Impl neurostim electr perc CPT 63650 | $286.20 | $1,431.00 | $65.00 – $636.21 | 16 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | $144.00 | $720.00 | $66.41 – $318.31 | 16 |
| Implnt spinl canal catheter 62350 CPT 62350 | $274.80 | $1,374.00 | $52.12 – $645.66 | 16 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,178.80 | $5,894.00 | $1,103.19 – $31,590.97 | 11 |
| In-111 capromab pendet HCPCS A9507 | $962.60 | $4,813.00 | $1,730.29 – $32,987.02 | 13 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $275.80 | $1,379.00 | $334.63 – $15,795.48 | 13 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $636.20 | $3,181.00 | $745.62 – $6,644.69 | 13 |
| In-111 pentetreotide HCPCS A9572 | $421.20 | $2,106.00 | $2,000.94 – $59,744.52 | 11 |
| In-111 satumomab pend HCPCS A4642 | $1,518.20 | $7,591.00 | $4,419.90 – $10,474.14 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $417.60 | $2,088.00 | $66.41 – $1,363.28 | 16 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | $366.00 | $1,830.00 | $35.00 – $791.33 | 16 |
| Incis 1 vertebral seg cerv CPT 22210 | $1,209.00 | $6,045.00 | $66.41 – $2,667.67 | 16 |
| Incis 1 vertebral seg lumbar CPT 22214 | $1,032.80 | $5,164.00 | $65.00 – $2,231.72 | 16 |
| Incis 1 vertebral seg thorac CPT 22212 | $1,033.80 | $5,169.00 | $40.00 – $2,191.69 | 16 |
| Incis addl spine segment CPT 22216 | $237.40 | $1,187.00 | $61.43 – $623.80 | 16 |
| Incise/drain eyelid lining CPT 68020 | $290.00 | $1,450.00 | $30.00 – $1,373.18 | 17 |
| Incise flexor carpi radialis CPT 25001 | $254.40 | $1,272.00 | $50.26 – $512.08 | 16 |
| Incise hand/finger tendon CPT 26460 | $325.60 | $1,628.00 | $55.00 – $685.18 | 16 |
| Incise inner ear CPT 69801 | $443.40 | $2,217.00 | $66.41 – $2,137.28 | 17 |
| Incise perq finger tendon 26060 CPT 26060 | $184.00 | $920.00 | $65.00 – $413.63 | 16 |
| Incise tear duct opening 68440 CPT 68440 | $89.40 | $447.00 | $20.00 – $437.22 | 17 |
| Incise thigh tendon & fascia CPT 27305 | $343.40 | $1,717.00 | $55.00 – $732.94 | 16 |
| Incise wrist/forearm tendon CPT 25290 | $313.40 | $1,567.00 | $66.41 – $858.28 | 16 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $1,322.20 | $6,611.00 | $49.89 – $2,275.05 | 17 |
| Incision & drainage open of deep abscess (subfascial) pos CPT 22010 | $667.80 | $3,339.00 | $66.41 – $1,361.97 | 16 |
| Incision/fixation of femur CPT 27165 | $942.80 | $4,714.00 | $66.41 – $2,047.21 | 16 |
| Incision of achilles tendon CPT 27605 | $479.20 | $2,396.00 | $20.00 – $2,214.98 | 17 |
| Incision of anal sphincter CPT 46080 | $108.20 | $541.00 | $50.00 – $315.02 | 16 |
| Incision of breast lesion CPT 19020 | $485.00 | $2,425.00 | $22.00 – $2,275.05 | 17 |
| Incision of burn scab initi CPT 16035 | $131.00 | $655.00 | $66.41 – $319.69 | 16 |
| Incision of eardrum CPT 69420 | $136.40 | $682.00 | $55.85 – $326.26 | 17 |
| Incision of eardrum CPT 69421 | $107.40 | $537.00 | $12.00 – $249.21 | 16 |
| Incision of facial nerve CPT 64742 | $349.80 | $1,749.00 | $66.41 – $709.75 | 16 |
| Incision of finger tendon CPT 26455 | $332.00 | $1,660.00 | $66.41 – $699.94 | 16 |
| Incision of foot fascia CPT 28008 | $2,622.00 | $13,110.00 | $66.41 – $4,507.13 | 17 |
| Incision of foot tendon 28234 CPT 28234 | $293.40 | $1,467.00 | $66.41 – $617.96 | 16 |
| Incision of gallbladder 47480 CPT 47480 | $596.20 | $2,981.00 | $35.00 – $1,201.35 | 16 |
| Incision of heel bone CPT 28300 | $455.80 | $2,279.00 | $45.00 – $1,095.86 | 16 |
| Incision of hip tendon CPT 27000 | $700.80 | $3,504.00 | $20.00 – $2,214.98 | 17 |
| Incision of hip tendon CPT 27001 | $379.60 | $1,898.00 | $40.00 – $863.59 | 16 |
| Incision of hip tendons CPT 27006 | $1,454.00 | $7,270.00 | $66.41 – $4,507.13 | 17 |
| Incision of knee joint CPT 27435 | $566.80 | $2,834.00 | $66.41 – $1,190.86 | 16 |
| Incision of metatarsal CPT 28306 | $287.20 | $1,436.00 | $66.41 – $922.48 | 16 |
| Incision of metatarsal CPT 28308 | $405.60 | $2,028.00 | $47.28 – $838.26 | 16 |
| Incision of midfoot bones CPT 28304 | $431.20 | $2,156.00 | $66.41 – $1,118.68 | 16 |
| Incision of neck of femur CPT 27161 | $841.80 | $4,209.00 | $66.41 – $1,913.65 | 16 |
| Incision of palm tendon CPT 26450 | $334.40 | $1,672.00 | $60.00 – $699.83 | 16 |
| Incision of prostate CPT 52450 | $330.80 | $1,654.00 | $66.27 – $722.89 | 16 |
| Incision of rectal abscess CPT 46060 | $1,510.60 | $7,553.00 | $58.00 – $3,823.43 | 17 |
| Incision of small bowel 44010 CPT 44010 | $575.40 | $2,877.00 | $66.41 – $1,179.87 | 16 |
| Incision of spinal nerve 64772 CPT 64772 | $389.40 | $1,947.00 | $66.41 – $809.12 | 16 |
| Incision of tendon & muscle CPT 23405 | $4,200.40 | $21,002.00 | $64.04 – $9,995.33 | 17 |
| Incision of tendon sheath CPT 25000 | $252.80 | $1,264.00 | $65.00 – $583.85 | 16 |
| Incision of thigh CPT 27448 | $577.80 | $2,889.00 | $66.41 – $1,304.06 | 16 |
| Incision of thigh CPT 27450 | $697.60 | $3,488.00 | $61.00 – $1,629.32 | 16 |
| Incision of thigh tendon CPT 27306 | $2,911.80 | $14,559.00 | $66.41 – $4,507.13 | 17 |
| Incision of thigh tendon CPT 27390 | $322.20 | $1,611.00 | $35.00 – $689.32 | 16 |
| Incision of thigh tendons CPT 27307 | $2,831.00 | $14,155.00 | $25.00 – $4,507.13 | 17 |
| Incision of tibia CPT 27705 | $519.00 | $2,595.00 | $66.41 – $1,228.14 | 16 |
| Incision of toe tendons 28011 CPT 28011 | $1,301.00 | $6,505.00 | $55.00 – $2,214.98 | 17 |
| Incision of tongue fold CPT 41010 | $1,017.20 | $5,086.00 | $66.41 – $2,137.28 | 17 |
| Incision of urethra CPT 53020 | $65.80 | $329.00 | $55.00 – $168.62 | 16 |
| Incision tendon sheath CPT 26055 | $862.20 | $4,311.00 | $66.41 – $2,214.98 | 17 |
| Incisn of toe tndn CPT 28010 | $168.40 | $842.00 | $66.41 – $354.60 | 16 |
| Incisn windpipe CPT 31600 | $202.20 | $1,011.00 | $60.00 – $659.49 | 16 |
| Induced ab 1+vag supp d&c CPT 59856 | $330.60 | $1,653.00 | $60.00 – $792.09 | 16 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | $283.40 | $1,417.00 | $55.00 – $661.78 | 16 |
| Induced abortion d&c CPT 59840 | $149.60 | $748.00 | $66.41 – $349.85 | 16 |
| Induced abortion dilat&evac CPT 59841 | $248.80 | $1,244.00 | $59.00 – $595.47 | 16 |
| Infect ag drug suscept pheno predict CPT 87900 | $48.38 | $241.89 | $130.35 – $1,719.45 | 11 |
| Infect ag eia influenza a or b ea CPT 87400 | $30.40 | $152.00 | $8.31 – $81.74 | 11 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $70.60 | $353.00 | $33.54 – $4,385.56 | 11 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $31.18 | $155.90 | $128.73 – $2,196.37 | 11 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $84.64 | $423.21 | $228.84 – $3,469.50 | 11 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $33.00 | $165.00 | $31.34 – $388.67 | 11 |
| Infect ag ia optc obs influenza CPT 87804 | $23.60 | $118.00 | $8.85 – $121.20 | 18 |
| Infect ag if influenza a CPT 87276 | $3.21 | $16.07 | $8.56 – $121.20 | 11 |
| Infect ag if influenza b CPT 87275 | $2.45 | $12.25 | $8.51 – $125.20 | 11 |
| Infect ag if legionella pneumophila CPT 87278 | $2.02 | $10.10 | $10.10 – $121.20 | 11 |
| Infect ag if nos ea CPT 87299 | $2.02 | $10.10 | $10.10 – $121.20 | 11 |
| Infect ag if pneumocystis carinii CPT 87281 | $2.80 | $14.00 | $11.98 – $125.20 | 11 |
| Infect ag if varicella zoster CPT 87290 | $2.02 | $10.10 | $10.10 – $121.20 | 11 |
| Infect ag na hpv high-risk types CPT 87624 | $82.00 | $410.00 | $31.00 – $566.52 | 11 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $257.20 | $1,286.00 | $43.59 – $1,451.99 | 18 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $19.20 | $96.00 | $51.31 – $875.66 | 11 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $17.00 | $85.00 | $35.09 – $386.57 | 8 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,110.80 | $5,554.00 | $416.78 – $7,099.79 | 11 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $68.20 | $341.00 | $41.38 – $311.76 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $48.40 | $242.00 | $11.98 – $121.20 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $2.02 | $10.10 | $10.10 – $125.20 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $1.72 | $8.62 | $8.62 – $121.20 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $22.60 | $113.00 | $8.28 – $125.74 | 11 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $2.89 | $14.45 | $12.79 – $214.99 | 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.