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 |
|---|---|---|---|---|
| Insj biomechanical device 22853 CPT 22853 | $167.80 | $839.00 | $43.93 – $399.84 | 16 |
| Ins lv lead exist pm/icd CPT 33224 | $331.60 | $1,658.00 | $66.41 – $831.32 | 16 |
| Ins mark thor for right perq CPT 32553 | $117.80 | $589.00 | $17.00 – $900.72 | 16 |
| Ins picad w subq port 5yr> CPT 36571 | $209.00 | $1,045.00 | $65.00 – $2,208.25 | 16 |
| Ins picc wo subq prt/pmp w image guidnc <5yr CPT 36572 | $53.40 | $267.00 | $66.41 – $686.30 | 16 |
| Ins pm gen exist dual lead CPT 33230 | $246.40 | $1,232.00 | $60.00 – $572.95 | 16 |
| Ins pm gen w/exist mlt leads CPT 33221 | $236.80 | $1,184.00 | $66.41 – $533.26 | 16 |
| Ins pq tunnld ip cath w/img CPT 49418 | $134.20 | $671.00 | $66.41 – $2,661.93 | 16 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $232.40 | $1,162.00 | $30.00 – $656.33 | 16 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $314.20 | $1,571.00 | $66.41 – $757.81 | 16 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $224.00 | $1,120.00 | $66.41 – $665.12 | 16 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $215.20 | $1,076.00 | $66.41 – $587.20 | 16 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $301.20 | $1,506.00 | $66.41 – $734.10 | 16 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | $201.80 | $1,009.00 | $66.41 – $495.39 | 16 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $199.80 | $999.00 | $37.43 – $960.52 | 17 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $237.40 | $1,187.00 | $66.41 – $5,169.98 | 16 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $215.60 | $1,078.00 | $66.41 – $1,517.57 | 16 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $174.20 | $871.00 | $66.41 – $1,419.72 | 16 |
| Ins tun intraperit dia cath CPT 49421 | $147.80 | $739.00 | $66.41 – $443.17 | 16 |
| Inst via cath agent pleurds CPT 32560 | $50.00 | $250.00 | $66.41 – $453.51 | 16 |
| Insulin total CPT 83525 | $27.80 | $139.00 | $9.28 – $154.16 | 11 |
| Ins vag brachytx device CPT 57156 | $106.20 | $531.00 | $6.00 – $233.78 | 16 |
| Intens behave ther cardio dx HCPCS G0446 | $16.20 | $81.00 | $21.27 – $66.41 | 15 |
| Interdiscal perq aspir dx CPT 62267 | $104.40 | $522.00 | $13.00 – $366.48 | 16 |
| Intermediate visual field xm CPT 92082 | $24.00 | $120.00 | $21.11 – $81.26 | 17 |
| Internal nerve revision 64727 CPT 64727 | $122.80 | $614.00 | $60.00 – $304.18 | 16 |
| Interrogate subq defib CPT 93261 | $17.40 | $87.00 | $27.64 – $365.43 | 16 |
| Interrogation vad in person CPT 93750 | $19.20 | $96.00 | $34.05 – $548.46 | 16 |
| Interrog dev eval icpms ip CPT 93290 | $31.80 | $159.00 | $11.90 – $112.49 | 18 |
| Interrog dev eval scrms ip CPT 93291 | $24.80 | $124.00 | $17.90 – $184.94 | 18 |
| Interrog device eval heart CPT 93289 | $36.20 | $181.00 | $26.10 – $249.76 | 18 |
| Interrog evl pm/ldls pm ip CPT 93288 | $59.60 | $298.00 | $20.67 – $206.55 | 18 |
| Interstitial brachy inter CPT 77799 | $1,761.00 | $8,805.00 | $140.54 – $252.97 | 5 |
| Intestinal stricturoplasty CPT 44615 | $715.00 | $3,575.00 | $66.41 – $1,484.47 | 16 |
| Int hrhc lig 1 hroid without img CPT 46945 | $774.00 | $3,870.00 | $25.00 – $3,823.43 | 17 |
| Int hrhc lig 2+hroid without img CPT 46946 | $269.80 | $1,349.00 | $35.00 – $577.70 | 16 |
| Intra-atrial pacing CPT 93610 | $74.40 | $372.00 | $66.41 – $289.04 | 16 |
| Intranasal biopsy 30100 CPT 30100 | $443.40 | $2,217.00 | $17.00 – $2,137.28 | 17 |
| Intraop colon lavage add-on CPT 44701 | $110.20 | $551.00 | $24.57 – $269.78 | 16 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $76.00 | $380.00 | $40.00 – $231.09 | 16 |
| Intraoral periapical first HCPCS D0220 | $11.00 | $55.00 | $55.00 – $504.83 | 6 |
| Intrinsic factor antibody CPT 86340 | $2.68 | $13.40 | $13.40 – $203.28 | 11 |
| Intrm oph exam est patient CPT 92012 | $45.20 | $226.00 | $22.59 – $183.39 | 17 |
| Intro cath dialysis circuit CPT 36901 | $110.00 | $550.00 | $66.41 – $926.55 | 16 |
| Intro cath dialysis circuit w/pta CPT 36902 | $156.20 | $781.00 | $50.00 – $1,983.34 | 16 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $204.40 | $1,022.00 | $50.00 – $9,193.13 | 16 |
| Intro catheter aorta CPT 36200 | $658.60 | $3,293.00 | $66.41 – $936.33 | 17 |
| Intro cath svc/ivc CPT 36010 | $69.60 | $348.00 | $66.41 – $822.87 | 16 |
| Intro long gi tube CPT 44500 | $652.60 | $3,263.00 | $16.19 – $1,249.36 | 17 |
| Intro long gi tube w/mult fluo CPT 74340 | $208.20 | $1,041.00 | $25.50 – $1,011.03 | 17 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $57.00 | $285.00 | $66.41 – $2,313.38 | 16 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $45.60 | $228.00 | $59.52 – $349.85 | 16 |
| Intubation endotracheal emergency procedure CPT 31500 | $198.80 | $994.00 | $59.20 – $326.26 | 17 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $444.60 | $2,223.00 | $419.18 – $13,570.77 | 8 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $3.20 | $16.00 | $1.09 – $3.01 | 8 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $3.00 | $15.00 | $0.38 – $15.00 | 8 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $4,719.67 | $23,598.33 | $187.17 – $795.74 | 13 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $58.60 | $293.00 | $66.41 – $504.83 | 14 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $87.40 | $437.00 | $66.41 – $504.83 | 14 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $115.00 | $575.00 | $66.41 – $504.83 | 14 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $38.00 | $190.00 | $66.41 – $504.83 | 14 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.20 | $6.00 | $0.32 – $21.92 | 9 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $145.98 | $729.89 | $3.58 – $883.44 | 8 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $2,144.88 | $10,724.40 | $66.37 – $249.77 | 13 |
| Iron CPT 83540 | $30.80 | $154.00 | $5.72 – $87.34 | 11 |
| Iron binding capacity CPT 83550 | $33.00 | $165.00 | $8.74 – $92.24 | 11 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $48.77 | $243.83 | $17.23 – $104.04 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $169.88 | $849.42 | $0.23 – $3.87 | 10 |
| Irradiation of blood product each unit reference CPT 86945 | $46.00 | $230.00 | $36.09 – $242.68 | 11 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $76.40 | $382.00 | $28.26 – $81.26 | 15 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $17.00 | $85.00 | $11.00 – $81.52 | 16 |
| Island pedicle flap graft CPT 15740 | $588.00 | $2,940.00 | $60.00 – $1,237.59 | 16 |
| Ivc venogram s&i CPT 75825 | $2,301.00 | $11,505.00 | $51.75 – $4,834.97 | 18 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $144.00 | $720.00 | $31.05 – $99.18 | 17 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $124.60 | $623.00 | $17.96 – $66.41 | 17 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $167.00 | $835.00 | $19.27 – $66.41 | 17 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $312.00 | $1,560.00 | $62.60 – $293.00 | 17 |
| IV inj ra drug dx study CPT 78808 | $305.80 | $1,529.00 | $57.65 – $991.22 | 8 |
| Ivp w/nephrotomography CPT 74415 | $779.20 | $3,896.00 | $23.07 – $813.02 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $769.40 | $3,847.00 | $23.07 – $649.05 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | $59.00 | $295.00 | $65.08 – $1,412.40 | 11 |
| Jejunstmy tube plcmt CPT 44372 | $161.00 | $805.00 | $30.00 – $400.25 | 16 |
| John cunningham antibody CPT 86711 | $6.00 | $30.00 | $16.89 – $245.31 | 11 |
| J-tube placement CPT 44015 | $91.60 | $458.00 | $35.00 – $230.35 | 16 |
| Ketamine and metabolite screen - quest CPT 80357 | $21.20 | $106.00 | $0.08 – $287.35 | 6 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $49.00 | $245.00 | $7.15 – $109.58 | 11 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $12.77 | $63.85 | $0.30 – $55.89 | 15 |
| Kidney endoscopy & treatment CPT 50561 | $264.60 | $1,323.00 | $66.41 – $751.90 | 16 |
| Kidney imaging morphology CPT 78700 | $644.00 | $3,220.00 | $20.43 – $1,096.91 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | $1,276.80 | $6,384.00 | $64.26 – $1,725.44 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $855.00 | $4,275.00 | $44.17 – $1,711.92 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $307.80 | $1,539.00 | $34.69 – $762.45 | 18 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $25.80 | $129.00 | $21.81 – $129.00 | 15 |
| Kit gene analys d816 variant CPT 81273 | $56.00 | $280.00 | $124.87 – $2,095.50 | 11 |
| Kit lead specify 5-6-5 HCPCS C1778 | $2,771.80 | $13,859.00 | $9,600.00 – $9,600.00 | 2 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,786.60 | $8,933.00 | $66.41 – $4,660.00 | 5 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $181.80 | $909.00 | $17.03 – $346.14 | 12 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $437.00 | $2,185.00 | $65.00 – $986.05 | 16 |
| Knee arthroscopy/drainage CPT 29871 | $364.40 | $1,822.00 | $66.41 – $815.35 | 16 |
| Knee arthroscopy dx CPT 29870 | $294.40 | $1,472.00 | $66.41 – $941.71 | 16 |
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.