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 |
|---|---|---|---|---|
| Angio trnslmnl balloon same artery ini CPT 37246 | $223.80 | $1,119.00 | $55.00 – $3,495.11 | 16 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $193.20 | $966.00 | $66.41 – $2,412.71 | 16 |
| Ankle arthroscopy/surgery CPT 29891 | $474.20 | $2,371.00 | $66.41 – $1,080.43 | 16 |
| Ankle arthroscopy/surgery CPT 29894 | $355.20 | $1,776.00 | $66.41 – $796.74 | 16 |
| Ankle arthroscopy/surgery CPT 29895 | $323.20 | $1,616.00 | $66.41 – $769.06 | 16 |
| Ankle arthroscopy/surgery CPT 29897 | $345.80 | $1,729.00 | $66.41 – $805.64 | 16 |
| Ankle arthroscopy/surgery CPT 29898 | $392.80 | $1,964.00 | $66.41 – $899.98 | 16 |
| Ankle X-ray CPT 73610 | $283.00 | $1,415.00 | $8.52 – $204.64 | 18 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $95.60 | $478.00 | $39.38 – $423.08 | 17 |
| Annual alcohol screen 15 min HCPCS G0442 | $9.00 | $45.00 | $8.12 – $66.41 | 15 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | $45.80 | $229.00 | $66.41 – $504.83 | 14 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | $52.00 | $260.00 | $66.41 – $504.83 | 14 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | $51.40 | $257.00 | $66.41 – $504.83 | 14 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | $63.20 | $316.00 | $66.41 – $504.83 | 14 |
| Anora (draw only) CPT 99001 | $20.80 | $104.00 | $2.79 – $129.65 | 11 |
| Anoscopy CPT 46611 | $55.00 | $275.00 | $30.00 – $283.04 | 16 |
| Anoscopy ablation lesion 46615 CPT 46615 | $62.00 | $310.00 | $20.00 – $230.73 | 16 |
| Anoscopy and biopsy CPT 46606 | $1,108.20 | $5,541.00 | $29.04 – $1,648.36 | 17 |
| Anoscopy and dilation 46604 CPT 46604 | $449.40 | $2,247.00 | $15.00 – $1,038.40 | 16 |
| Anoscopy remove fb 46608 CPT 46608 | $57.00 | $285.00 | $66.41 – $386.30 | 16 |
| Anoscopy remove lesion 46610 CPT 46610 | $54.80 | $274.00 | $66.41 – $367.97 | 16 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | $64.20 | $321.00 | $30.00 – $446.59 | 16 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | $421.00 | $2,105.00 | $60.00 – $834.86 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $14.06 | $70.30 | $12.88 – $173.77 | 11 |
| Antibody elution rbc reference CPT 86860 | $213.40 | $1,067.00 | $28.44 – $422.42 | 11 |
| Antibody htlv/hiv confirm test CPT 86689 | $3.44 | $17.20 | $17.20 – $261.02 | 11 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $7.96 | $39.80 | $16.33 – $210.18 | 11 |
| Antibody id rbc panel CPT 86870 | $659.80 | $3,299.00 | $16.52 – $888.75 | 11 |
| Antibody influenza virus CPT 86710 | $10.80 | $54.00 | $6.17 – $186.30 | 18 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $2.29 | $11.44 | $11.44 – $173.59 | 11 |
| Antibody screen rbc CPT 86850 | $37.60 | $188.00 | $3.73 – $145.63 | 11 |
| Anticoag mgmt pt warfarin CPT 93793 | $5.60 | $28.00 | $15.10 – $504.83 | 6 |
| Antidepressant not specified CPT 80338 | $13.00 | $65.00 | $0.08 – $369.51 | 6 |
| Antidepressants class 6/more CPT 80334 | $1.00 | $5.00 | $0.08 – $443.41 | 6 |
| Antiepileptics nos 7/more CPT 80341 | $0.80 | $4.00 | $0.08 – $343.09 | 6 |
| Antigen therapy services CPT 95145 | $18.40 | $92.00 | $2.58 – $66.41 | 16 |
| Antigen therapy services CPT 95146 | $34.00 | $170.00 | $2.58 – $170.00 | 16 |
| Antigen therapy services CPT 95148 | $48.60 | $243.00 | $2.58 – $66.41 | 16 |
| Antigen therapy services CPT 95165 | $52.80 | $264.00 | $2.58 – $66.41 | 17 |
| Antigen therapy services CPT 95170 | $5.40 | $27.00 | $12.32 – $504.83 | 6 |
| Anti mog serum - sendout CPT 86362 | $35.00 | $175.00 | $12.05 – $75.34 | 9 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $2.41 | $12.05 | $12.05 – $75.34 | 9 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | $472.00 | $2,360.00 | $30.00 – $1,237.15 | 16 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | $491.20 | $2,456.00 | $66.41 – $1,286.63 | 16 |
| Antinuclear antibodies CPT 86038 | $50.60 | $253.00 | $5.00 – $162.97 | 11 |
| Antinuclear antibodies titer CPT 86039 | $184.80 | $924.00 | $9.92 – $150.35 | 11 |
| Antiphosphatidylserine antibody CPT 86148 | $17.60 | $88.00 | $12.81 – $217.89 | 11 |
| Antipsychotics nos 1-3 CPT 80342 | $3.03 | $15.14 | $0.08 – $321.57 | 6 |
| Antipsychotics nos 7/more CPT 80344 | $0.80 | $4.00 | $0.08 – $385.85 | 6 |
| Antistreptolysin o titer CPT 86060 | $1.30 | $6.49 | $6.49 – $98.42 | 11 |
| Antithrombin iii activity CPT 85300 | $2.49 | $12.44 | $11.85 – $159.79 | 11 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | $592.60 | $2,963.00 | $35.00 – $1,147.05 | 16 |
| Aortic dysfunction/dilation CPT 81410 | $127.20 | $636.00 | $504.00 – $46,336.35 | 11 |
| Aortic dysfunction/dilation CPT 81411 | $340.80 | $1,704.00 | $1,350.19 – $46,336.35 | 11 |
| Appendectomy CPT 44950 | $430.60 | $2,153.00 | $66.41 – $941.51 | 16 |
| Appendectomy add-on 44955 CPT 44955 | $54.80 | $274.00 | $44.00 – $135.11 | 16 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | $586.40 | $2,932.00 | $66.41 – $1,164.35 | 16 |
| Appendix Removal (Laparoscopic) CPT 44970 | $407.80 | $2,039.00 | $66.41 – $839.91 | 16 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $2,008.60 | $10,043.00 | $35.00 – $2,842.14 | 17 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $517.00 | $2,585.00 | $40.00 – $127.78 | 17 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $517.00 | $2,585.00 | $20.35 – $66.41 | 17 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $2,472.20 | $12,361.00 | $66.41 – $2,842.14 | 17 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $741.60 | $3,708.00 | $36.50 – $108.95 | 17 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $599.80 | $2,999.00 | $14.28 – $66.41 | 17 |
| Appl body cast sho to hips CPT 29035 | $195.60 | $978.00 | $244.97 – $504.83 | 6 |
| Appl cast figure-of-eight CPT 29049 | $79.60 | $398.00 | $121.00 – $504.83 | 7 |
| Application clubfoot cast CPT 29450 | $102.80 | $514.00 | $33.00 – $232.26 | 16 |
| Application finger splntstatic 29130 CPT 29130 | $30.40 | $152.00 | $11.00 – $66.41 | 16 |
| Application long leg splint 29505 CPT 29505 | $67.20 | $336.00 | $26.00 – $120.01 | 16 |
| Application lower leg splint 29515 CPT 29515 | $241.00 | $1,205.00 | $42.66 – $223.84 | 17 |
| Application multi layer compression below knee (both sides) CPT 29581 | $202.80 | $1,014.00 | $23.52 – $223.84 | 17 |
| Application of cylinder cast 29365 CPT 29365 | $90.60 | $453.00 | $66.41 – $186.16 | 16 |
| Application of forearm cast 29075 CPT 29075 | $64.80 | $324.00 | $53.43 – $132.19 | 16 |
| Application of long arm cast 29065 CPT 29065 | $71.20 | $356.00 | $36.00 – $143.63 | 16 |
| Application of long leg cast CPT 29355 | $102.20 | $511.00 | $66.41 – $212.50 | 16 |
| Application of long leg cast 29345 CPT 29345 | $98.20 | $491.00 | $39.00 – $385.27 | 17 |
| Application of paste boot 29580 CPT 29580 | $354.60 | $1,773.00 | $10.00 – $223.84 | 17 |
| Application short leg cast 29405 CPT 29405 | $243.00 | $1,215.00 | $55.17 – $385.27 | 17 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,347.20 | $6,736.00 | $55.00 – $1,018.06 | 17 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,523.20 | $7,616.00 | $20.00 – $1,018.06 | 17 |
| Appl long leg cast brace CPT 29358 | $119.20 | $596.00 | $197.59 – $504.83 | 6 |
| Appl mltpln uni ext fixj sys CPT 20692 | $788.60 | $3,943.00 | $30.00 – $1,531.29 | 16 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $38.40 | $192.00 | $6.24 – $634.00 | 14 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $26.00 | $130.00 | $12.52 – $634.00 | 14 |
| Appl multlay comprs arm/hand CPT 29584 | $10.80 | $54.00 | $12.66 – $112.83 | 16 |
| Appl patllr tdn bearing cast CPT 29435 | $60.40 | $302.00 | $18.00 – $179.83 | 16 |
| Appl unipln uni ext fixj sys CPT 20690 | $414.20 | $2,071.00 | $66.41 – $791.47 | 16 |
| Apply forearm splintdynamic 29126 CPT 29126 | $58.20 | $291.00 | $64.41 – $504.83 | 6 |
| Apply hand/wrist cast 29085 CPT 29085 | $71.00 | $355.00 | $36.00 – $140.02 | 16 |
| Apply interstit radiat compl CPT 77778 | $1,822.00 | $9,110.00 | $959.38 – $1,878.90 | 8 |
| Apply of finger splint 29131 CPT 29131 | $39.80 | $199.00 | $33.51 – $146.27 | 7 |
| Apply rem fixation device CPT 20660 | $157.00 | $785.00 | $66.41 – $371.05 | 16 |
| Apply rigid leg cast 29445 CPT 29445 | $286.20 | $1,431.00 | $38.00 – $385.27 | 17 |
| Apply r&l pulm art bands CPT 33620 | $1,062.20 | $5,311.00 | $66.41 – $2,734.09 | 16 |
| Apply short leg castambul type 29425 CPT 29425 | $236.40 | $1,182.00 | $33.00 – $385.27 | 17 |
| App topical fluoride varnish CPT 99188 | $8.80 | $44.00 | $27.00 – $504.83 | 6 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | $586.16 | $2,930.80 | $1.64 – $114.00 | 15 |
| Aquaporin-4 antibody cba each CPT 86052 | $60.00 | $300.00 | $12.05 – $75.34 | 9 |
| Aquaporin-4 antibody elisa CPT 86051 | $2.31 | $11.53 | $11.53 – $72.10 | 9 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $38.80 | $194.00 | $19.98 – $634.00 | 14 |
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.