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 |
|---|---|---|---|---|
| Lap rmvl gastr adj all parts CPT 43774 | $643.80 | $3,219.00 | $66.41 – $1,335.45 | 16 |
| Lap rmvl gastr adj device CPT 43772 | $636.40 | $3,182.00 | $66.41 – $1,330.44 | 16 |
| Lap sleeve gastrectomy CPT 43775 | $722.20 | $3,611.00 | $66.41 – $1,916.24 | 16 |
| Laps surg prst8ect rpbic rad CPT 55866 | $811.80 | $4,059.00 | $66.41 – $2,577.16 | 16 |
| Laps surg prst8ect smpl stot CPT 55867 | $714.00 | $3,570.00 | $940.47 – $1,589.30 | 11 |
| Lap tot proctocolectomy 44210 CPT 44210 | $1,187.40 | $5,937.00 | $66.41 – $2,611.84 | 16 |
| Lap w/omentopexy add-on 49326 CPT 49326 | $122.00 | $610.00 | $66.41 – $255.11 | 16 |
| Largsc w/njx augmentation CPT 31574 | $288.80 | $1,444.00 | $35.00 – $2,451.78 | 17 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $91.60 | $458.00 | $35.00 – $389.22 | 16 |
| Laryngoscope w/vc inj CPT 31570 | $1,103.80 | $5,519.00 | $66.41 – $5,135.74 | 17 |
| Laryngoscopic sensory i&r CPT 92615 | $16.00 | $80.00 | $40.54 – $504.83 | 6 |
| Laryngoscopic sensory vid CPT 92614 | $77.60 | $388.00 | $54.91 – $232.73 | 16 |
| Laryngoscop w/vc inj + scope CPT 31571 | $169.20 | $846.00 | $25.00 – $397.50 | 16 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $109.60 | $548.00 | $15.00 – $406.42 | 16 |
| Laryngoscopy telescopic CPT 31579 | $139.40 | $697.00 | $30.00 – $337.88 | 16 |
| Laryngoscopy w/biopsy CPT 31535 | $129.40 | $647.00 | $66.41 – $302.09 | 16 |
| Laryngoscopy w/bx & op scope CPT 31536 | $143.20 | $716.00 | $25.00 – $335.46 | 16 |
| Laryngoscopy w/exc of tumor CPT 31540 | $164.00 | $820.00 | $20.00 – $384.70 | 16 |
| Laryngoscopy w/fb & op scope CPT 31531 | $143.40 | $717.00 | $20.00 – $338.30 | 16 |
| Laryngoscopy w/fb removal CPT 31530 | $135.20 | $676.00 | $66.41 – $312.33 | 16 |
| Laryngoscopy with biopsy CPT 31576 | $82.60 | $413.00 | $66.41 – $361.56 | 14 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $76.40 | $382.00 | $66.41 – $335.03 | 16 |
| Larynscop w/tumr exc + scope CPT 31541 | $178.60 | $893.00 | $55.00 – $420.38 | 16 |
| Laser surgery of prostate CPT 52648 | $476.80 | $2,384.00 | $66.41 – $2,863.63 | 16 |
| Lat retinacular release open CPT 27425 | $325.80 | $1,629.00 | $66.41 – $708.10 | 14 |
| Lavage cannulation maxillary sinus CPT 31000 | $133.20 | $666.00 | $15.00 – $254.14 | 16 |
| Lavh >250 gms 58553 CPT 58553 | $756.40 | $3,782.00 | $66.41 – $1,825.85 | 16 |
| Lb with mastopexy 15839 CPT 15839 | $513.60 | $2,568.00 | $30.00 – $1,085.28 | 16 |
| Lead capillary CPT 83655 | $21.20 | $106.00 | $5.51 – $163.24 | 18 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $666.60 | $3,333.00 | $2,343.00 – $2,343.00 | 2 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,657.60 | $23,288.00 | $23,288.00 – $23,288.00 | 2 |
| Lefort i-1 piece without graft CPT 21141 | $932.40 | $4,662.00 | $66.41 – $2,072.75 | 16 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $1.20 | $6.00 | $0.78 – $66.41 | 15 |
| Left compres band <3"/yd HCPCS A6448 | $0.80 | $4.00 | $0.52 – $66.41 | 15 |
| Left compres band >=5"/yd HCPCS A6450 | $1.60 | $8.00 | $1.04 – $66.41 | 15 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $427.80 | $2,139.00 | $32.23 – $1,717.82 | 18 |
| Leishmania antibody CPT 86717 | $2.18 | $10.89 | $10.89 – $165.42 | 11 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | $741.80 | $3,709.00 | $66.41 – $1,963.19 | 16 |
| Lengthen metacarpal/finger CPT 26568 | $655.60 | $3,278.00 | $66.41 – $1,504.35 | 16 |
| Lens, intraocular (new tech) HCPCS C1780 | $370.40 | $1,852.00 | $1,333.00 – $1,333.00 | 2 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $517.40 | $2,587.00 | $575.00 – $575.00 | 2 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,492.60 | $7,463.00 | $142.87 – $257.17 | 5 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $133.60 | $668.00 | $142.87 – $257.17 | 5 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $45.24 | $226.20 | $7.68 – $226.20 | 8 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $6,645.04 | $33,225.21 | $170.78 – $3,558.27 | 15 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,890.43 | $19,452.13 | $735.42 – $3,178.03 | 15 |
| Levalbuterol non-comp unit HCPCS J7614 | $0.80 | $4.00 | $0.05 – $8.17 | 9 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $35.80 | $179.01 | $0.08 – $44.90 | 8 |
| Levetiracetam therapeutic drug level CPT 80177 | $30.40 | $152.00 | $11.78 – $171.59 | 11 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $18.58 | $92.88 | $4.32 – $121.66 | 8 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | $146.90 | $734.52 | $11.96 – $734.52 | 5 |
| Liberta rc ipg HCPCS C1820 | $27,250.00 | $136,250.00 | $2,328.00 – $2,328.00 | 2 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $37.88 | $189.41 | $0.01 – $4.00 | 7 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $4.80 | $24.00 | $0.01 – $22.66 | 7 |
| Lidocaine therapeutic drug level CPT 80176 | $19.80 | $99.00 | $14.69 – $198.01 | 11 |
| Ligate leg veins radical 37760 CPT 37760 | $370.60 | $1,853.00 | $40.00 – $1,038.87 | 16 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | $50.20 | $251.00 | $40.00 – $128.35 | 16 |
| Ligate/strip long leg vein CPT 37722 | $297.40 | $1,487.00 | $40.00 – $749.44 | 16 |
| Ligate/strip short leg vein CPT 37718 | $255.00 | $1,275.00 | $66.41 – $638.89 | 16 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | $254.60 | $1,273.00 | $66.00 – $581.53 | 16 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $518.60 | $2,593.00 | $16.00 – $2,275.05 | 17 |
| Ligation/divis of long saph vein 37700 CPT 37700 | $162.40 | $812.00 | $40.58 – $427.23 | 16 |
| Ligation external carotid artery 37600 CPT 37600 | $510.40 | $2,552.00 | $66.41 – $1,169.13 | 16 |
| Ligation internal/common carotid artery 37605 CPT 37605 | $470.60 | $2,353.00 | $40.00 – $1,323.52 | 16 |
| Ligation/major artery/extremity 37618 CPT 37618 | $262.20 | $1,311.00 | $66.41 – $553.24 | 14 |
| Ligation major artery neck CPT 37615 | $352.60 | $1,763.00 | $25.00 – $697.88 | 16 |
| Ligation of abdomen artery 37617 CPT 37617 | $866.20 | $4,331.00 | $30.00 – $2,057.88 | 16 |
| Ligation of femoral vein CPT 37650 | $296.60 | $1,483.00 | $66.41 – $816.21 | 16 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $233.60 | $1,168.00 | $66.41 – $585.48 | 16 |
| Lig/band angioaccess av fistula CPT 37607 | $245.80 | $1,229.00 | $50.00 – $638.34 | 16 |
| Lig&div&compl strpg saph vn CPT 37735 | $374.20 | $1,871.00 | $66.41 – $1,056.67 | 16 |
| Liletta, 52 mg HCPCS J7297 | $362.20 | $1,811.00 | $870.45 – $4,145.51 | 9 |
| Limb exercise test CPT 95875 | $61.80 | $309.00 | $51.18 – $193.83 | 16 |
| Limited visual field xm CPT 92081 | $28.00 | $140.00 | $16.25 – $81.26 | 17 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $52.83 | $264.15 | $5.48 – $264.15 | 8 |
| Lipase CPT 83690 | $40.00 | $200.00 | $6.08 – $92.79 | 11 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $246.40 | $1,232.00 | $25.00 – $726.65 | 16 |
| Lipoprotein blood quant CPT 83704 | $11.00 | $55.00 | $28.05 – $416.18 | 11 |
| Lipoprotein direct measurement hdl CPT 83718 | $30.40 | $152.00 | $8.19 – $110.31 | 11 |
| Lipoprotein direct measurement ldl CPT 83721 | $24.20 | $121.00 | $8.22 – $127.20 | 11 |
| Lithium therapeutic drug level CPT 80178 | $26.60 | $133.00 | $6.61 – $89.06 | 11 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $70.00 | $350.00 | $122.40 – $213.29 | 10 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $814.00 | $4,070.00 | $30.00 – $1,620.01 | 16 |
| Liver Function Test CPT 80076 | $47.40 | $237.00 | $8.17 – $110.22 | 11 |
| Liver imaging CPT 78201 | $1,056.40 | $5,282.00 | $20.09 – $905.53 | 18 |
| Liver imag w/vasclr flow CPT 78202 | $1,056.40 | $5,282.00 | $23.38 – $1,101.27 | 18 |
| Liver/spleen imag static only CPT 78215 | $640.00 | $3,200.00 | $23.07 – $1,120.06 | 18 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $21.40 | $107.00 | $26.88 – $1,331.24 | 16 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $3,878.80 | $19,394.00 | $59.20 – $4,507.13 | 17 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $3.20 | $16.00 | $1.55 – $7.84 | 8 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $10.00 | $50.00 | $1.19 – $73.94 | 10 |
| Low back disk surgery CPT 63030 | $626.60 | $3,133.00 | $40.00 – $1,395.08 | 16 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,288.80 | $6,444.00 | $32.98 – $1,900.98 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,210.80 | $6,054.00 | $31.86 – $1,525.57 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,042.40 | $5,212.00 | $26.15 – $1,276.05 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,800.00 | $9,000.00 | $59.88 – $4,042.25 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,152.60 | $5,763.00 | $46.58 – $2,462.91 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $995.20 | $4,976.00 | $38.80 – $2,275.68 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $206.40 | $1,032.00 | $10.97 – $258.57 | 18 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $565.20 | $2,826.00 | $66.41 – $1,321.24 | 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.