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 |
|---|---|---|---|---|
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $382.40 | $1,912.00 | $66.41 – $859.39 | 16 |
| Knee arthroscopy/surgery CPT 29850 | $440.40 | $2,202.00 | $66.41 – $989.21 | 16 |
| Knee arthroscopy/surgery CPT 29851 | $646.40 | $3,232.00 | $55.00 – $1,472.94 | 16 |
| Knee arthroscopy/surgery CPT 29873 | $383.80 | $1,919.00 | $60.00 – $828.06 | 16 |
| Knee arthroscopy/surgery CPT 29874 | $377.40 | $1,887.00 | $66.41 – $851.66 | 16 |
| Knee arthroscopy/surgery CPT 29875 | $351.00 | $1,755.00 | $66.41 – $785.72 | 16 |
| Knee arthroscopy/surgery CPT 29876 | $458.40 | $2,292.00 | $66.41 – $1,042.00 | 16 |
| Knee arthroscopy/surgery CPT 29879 | $464.60 | $2,323.00 | $60.00 – $1,050.02 | 16 |
| Knee arthroscopy/surgery CPT 29880 | $396.20 | $1,981.00 | $60.00 – $892.50 | 16 |
| Knee arthroscopy/surgery CPT 29882 | $482.00 | $2,410.00 | $66.41 – $1,107.96 | 16 |
| Knee arthroscopy/surgery CPT 29883 | $585.20 | $2,926.00 | $66.41 – $1,333.44 | 16 |
| Knee arthroscopy/surgery CPT 29884 | $436.20 | $2,181.00 | $66.41 – $975.71 | 16 |
| Knee arthroscopy/surgery CPT 29886 | $448.80 | $2,244.00 | $66.41 – $1,009.64 | 16 |
| Knee arthroscopy/surgery CPT 29887 | $529.00 | $2,645.00 | $66.41 – $1,182.47 | 16 |
| Knee arthroscopy/surgery CPT 29888 | $674.00 | $3,370.00 | $65.00 – $1,554.33 | 16 |
| Knee arthroscopy/surgery CPT 29889 | $850.20 | $4,251.00 | $60.00 – $1,933.97 | 16 |
| Knee control full kneecap HCPCS L2795 | $63.80 | $319.00 | $47.76 – $188.91 | 15 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $84.20 | $421.00 | $66.41 – $249.47 | 15 |
| Knee MRI (with and without contrast) CPT 73723 | $1,926.00 | $9,630.00 | $56.12 – $4,631.64 | 18 |
| Knee MRI (with contrast) CPT 73722 | $1,416.60 | $7,083.00 | $42.65 – $2,502.09 | 18 |
| Knee MRI (without contrast) CPT 73721 | $1,235.80 | $6,179.00 | $35.42 – $2,045.12 | 18 |
| Knee X-ray CPT 73564 | $326.80 | $1,634.00 | $11.34 – $239.86 | 18 |
| Kras gene variants exon 2 CPT 81275 | $86.60 | $433.00 | $193.25 – $2,426.97 | 11 |
| Kyleena, 19.5 mg HCPCS J7296 | $526.60 | $2,633.00 | $1,134.75 – $5,693.14 | 9 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $9.34 | $46.68 | $0.70 – $46.68 | 5 |
| Labioplasty 56800 CPT 56800 | $174.80 | $874.00 | $55.00 – $395.46 | 16 |
| Lactate dehydrogenase (ldh) CPT 83615 | $28.60 | $143.00 | $5.37 – $81.17 | 11 |
| Lactated ringers intravenous solution HCPCS J7120 | $8.84 | $44.22 | $4.76 – $72.22 | 8 |
| Lactation class HCPCS S9443 | $60.80 | $304.00 | $72.00 – $72.00 | 2 |
| Lactic acid CPT 83605 | $62.20 | $311.00 | $11.57 – $143.99 | 11 |
| Lactoferrin fecal qualitative CPT 83630 | $3.49 | $17.45 | $17.45 – $172.68 | 11 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $168.20 | $841.00 | $114.00 – $384.41 | 13 |
| Lam facetec & foramot crv CPT 63045 | $866.80 | $4,334.00 | $66.41 – $1,836.00 | 16 |
| Lam facetec & foramot lumbar CPT 63047 | $1,127.20 | $5,636.00 | $40.00 – $1,658.39 | 16 |
| Lam facetec & foramot thrc CPT 63046 | $831.20 | $4,156.00 | $66.41 – $1,763.76 | 16 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $149.20 | $746.00 | $102.00 – $287.90 | 13 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $1,143.40 | $5,717.00 | $45.00 – $2,434.42 | 16 |
| Laminotomy single cervical CPT 63040 | $929.00 | $4,645.00 | $45.00 – $2,076.13 | 16 |
| Laminotomy single lumbar CPT 63042 | $876.80 | $4,384.00 | $66.41 – $1,965.84 | 16 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | $190.20 | $951.00 | $66.41 – $951.00 | 10 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $7,600.00 | $38,000.00 | $35.72 – $173.68 | 13 |
| Laparo ablate renal cyst CPT 50541 | $624.40 | $3,122.00 | $66.41 – $1,438.46 | 16 |
| Laparo-asst vag hysterectomy CPT 58550 | $601.20 | $3,006.00 | $66.41 – $1,403.56 | 16 |
| Laparo cholecystectomy/explr CPT 47564 | $751.40 | $3,757.00 | $66.41 – $1,502.21 | 16 |
| Laparo cholecystectomy/graph CPT 47563 | $484.40 | $2,422.00 | $66.41 – $1,133.13 | 16 |
| Laparo drng lymphocele 49323 CPT 49323 | $433.60 | $2,168.00 | $66.41 – $915.79 | 16 |
| Laparo new ureter/bladder CPT 50947 | $937.60 | $4,688.00 | $66.41 – $2,203.57 | 16 |
| Laparo partial colectomy 44204 CPT 44204 | $1,023.00 | $5,115.00 | $66.41 – $2,297.51 | 16 |
| Laparo partial nephrectomy CPT 50543 | $1,012.60 | $5,063.00 | $66.41 – $2,283.65 | 16 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $620.40 | $3,102.00 | $38.00 – $66.41 | 3 |
| Laparo radical nephrectomy CPT 50545 | $904.20 | $4,521.00 | $66.41 – $2,123.54 | 16 |
| Laparo remove w/ureter CPT 50548 | $908.00 | $4,540.00 | $66.41 – $2,147.36 | 16 |
| Laparoscopic myomectomy CPT 58545 | $612.20 | $3,061.00 | $66.41 – $1,424.34 | 16 |
| Laparoscopic nephrectomy CPT 50546 | $818.00 | $4,090.00 | $66.41 – $1,849.02 | 16 |
| Laparoscopic proc CPT 45400 | $765.00 | $3,825.00 | $66.41 – $1,595.36 | 16 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $536.40 | $2,682.00 | $66.41 – $1,328.67 | 16 |
| Laparoscopy aspiration CPT 49322 | $253.40 | $1,267.00 | $66.41 – $568.79 | 16 |
| Laparoscopy biopsy CPT 49321 | $234.20 | $1,171.00 | $49.89 – $527.40 | 16 |
| Laparoscopye procstom 43659 CPT 43659 | $210.20 | $1,051.00 | $38.00 – $66.41 | 3 |
| Laparoscopy excise lesions CPT 58662 | $485.40 | $2,427.00 | $66.41 – $1,148.75 | 16 |
| Laparoscopy fundoplasty CPT 43280 | $717.40 | $3,587.00 | $66.41 – $1,613.24 | 16 |
| Laparoscopy gastrostomy CPT 43653 | $394.60 | $1,973.00 | $66.41 – $811.80 | 16 |
| Laparoscopy lymphadenectomy CPT 38571 | $452.00 | $2,260.00 | $66.41 – $1,305.01 | 16 |
| Laparoscopy lymph node biop CPT 38570 | $352.80 | $1,764.00 | $66.41 – $866.56 | 16 |
| Laparoscopy lysis CPT 58660 | $464.40 | $2,322.00 | $66.41 – $1,082.85 | 16 |
| Laparoscopy orchiectomy CPT 54690 | $450.20 | $2,251.00 | $66.41 – $974.65 | 16 |
| Laparoscopy pyeloplasty CPT 50544 | $840.60 | $4,203.00 | $66.41 – $1,976.98 | 16 |
| Laparoscopy remove adnexa CPT 58661 | $664.40 | $3,322.00 | $66.41 – $1,057.73 | 16 |
| Laparoscopy splenectomy CPT 38120 | $113.80 | $569.00 | $66.41 – $1,603.14 | 16 |
| Laparoscopy surg colpopexy CPT 57425 | $661.60 | $3,308.00 | $66.41 – $1,513.79 | 16 |
| Laparoscopy tubal block 58671 CPT 58671 | $255.00 | $1,275.00 | $66.41 – $578.63 | 16 |
| Laparo sling operation 51992 CPT 51992 | $566.40 | $2,832.00 | $66.41 – $1,310.19 | 16 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | $780.80 | $3,904.00 | $66.41 – $1,562.60 | 16 |
| Laparo urethral suspension CPT 51990 | $509.60 | $2,548.00 | $66.41 – $1,214.07 | 16 |
| Laparo-vag hyst incl t/o CPT 58552 | $667.80 | $3,339.00 | $66.41 – $1,559.81 | 16 |
| Laparo-vag hyst w/t/o compl CPT 58554 | $882.60 | $4,413.00 | $66.41 – $2,100.75 | 16 |
| Lap close enterostomy with resect 44227 CPT 44227 | $1,101.20 | $5,506.00 | $66.41 – $2,306.08 | 16 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | $1,204.60 | $6,023.00 | $66.41 – $2,720.10 | 16 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | $1,312.60 | $6,563.00 | $66.41 – $2,955.59 | 16 |
| Lap colectomy part w/ileum 44205 CPT 44205 | $890.40 | $4,452.00 | $40.00 – $2,037.58 | 16 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | $228.80 | $1,144.00 | $66.41 – $3,249.87 | 16 |
| Lap colostomy 44188 CPT 44188 | $815.80 | $4,079.00 | $66.41 – $1,639.16 | 16 |
| Lap enterectomy 44202 CPT 44202 | $924.20 | $4,621.00 | $66.41 – $2,035.48 | 16 |
| Lap enterolysis CPT 44180 | $616.00 | $3,080.00 | $66.41 – $1,282.70 | 16 |
| Lap esophageal lengthening addl 43283 CPT 43283 | $101.60 | $508.00 | $65.00 – $245.36 | 16 |
| Lap gastric bypass/roux-en-y CPT 43644 | $1,153.20 | $5,766.00 | $66.41 – $2,550.53 | 16 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | $737.40 | $3,687.00 | $66.41 – $1,495.85 | 16 |
| Lap ing hernia repair init CPT 49650 | $445.00 | $2,225.00 | $66.41 – $625.65 | 16 |
| Lap ing hernia repair recur CPT 49651 | $386.00 | $1,930.00 | $66.41 – $809.26 | 16 |
| Lap insert tunnel ip cath CPT 49324 | $258.40 | $1,292.00 | $66.41 – $523.20 | 16 |
| Lap jejunostomy 44186 CPT 44186 | $438.40 | $2,192.00 | $66.41 – $903.55 | 16 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | $122.20 | $611.00 | $66.41 – $293.22 | 16 |
| Lap paraesophag hern repair CPT 43281 | $1,013.20 | $5,066.00 | $66.41 – $2,395.82 | 16 |
| Lap paraesoph her rpr w/mesh CPT 43282 | $1,141.20 | $5,706.00 | $66.41 – $2,558.56 | 16 |
| Lap part colectomy w/stoma 44206 CPT 44206 | $1,156.20 | $5,781.00 | $66.41 – $2,512.34 | 16 |
| Lap place gastr adj device CPT 43770 | $755.80 | $3,779.00 | $66.41 – $1,517.04 | 16 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | $1,015.60 | $5,078.00 | $66.41 – $2,160.13 | 16 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | $210.00 | $1,050.00 | $66.41 – $2,730.07 | 16 |
| Lap resect s/intestine addl 44203 CPT 44203 | $156.60 | $783.00 | $40.00 – $388.83 | 16 |
| Lap revision perm ip cath CPT 49325 | $275.20 | $1,376.00 | $66.41 – $562.39 | 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.