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 |
|---|---|---|---|---|
| Lsh w/t/o uterus above 250 g CPT 58544 | $615.60 | $3,078.00 | $66.41 – $1,453.52 | 16 |
| L/s ratio fetal lung CPT 83661 | $67.60 | $338.00 | $21.99 – $296.34 | 11 |
| Lumbar diskogram s&i CPT 72295 | $1,427.60 | $7,138.00 | $41.41 – $3,012.65 | 18 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $1,066.40 | $5,332.00 | $66.41 – $2,375.20 | 16 |
| Lung function test (mbc/mvv) CPT 94200 | $54.40 | $272.00 | $2.61 – $120.11 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $158.20 | $791.00 | $8.52 – $297.43 | 18 |
| Lung perfusion imaging CPT 78580 | $582.00 | $2,910.00 | $34.33 – $1,184.89 | 18 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $7,159.98 | $35,799.92 | $42.75 – $231.65 | 13 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $487.00 | $2,435.00 | $40.00 – $1,059.30 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $803.80 | $4,019.00 | $54.36 – $1,572.65 | 18 |
| Lymphocyte transformation mitogen CPT 86353 | $119.00 | $595.00 | $43.58 – $661.03 | 11 |
| Lymph vessel x-ray trunk CPT 75807 | $3,451.60 | $17,258.00 | $51.50 – $4,349.38 | 18 |
| Lysis intranasal synechia 30560 CPT 30560 | $152.40 | $762.00 | $30.00 – $742.92 | 17 |
| Lysis of labial adhesions CPT 56441 | $128.20 | $641.00 | $66.41 – $243.95 | 16 |
| Lysis penil circumic lesion CPT 54162 | $139.20 | $696.00 | $60.00 – $469.83 | 16 |
| Macroscopic exam parasite CPT 87169 | $0.76 | $3.80 | $3.80 – $57.56 | 11 |
| Magnesium CPT 83735 | $38.40 | $192.00 | $5.96 – $89.79 | 11 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $19.83 | $99.13 | $0.41 – $2.58 | 10 |
| Makena, 10 mg HCPCS J1726 | $52.00 | $260.00 | $19.65 – $260.00 | 8 |
| Male sling procedure CPT 53440 | $517.00 | $2,585.00 | $60.00 – $1,252.64 | 16 |
| Manipulate finger w/anesth CPT 26340 | $266.60 | $1,333.00 | $30.00 – $559.39 | 16 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $90.60 | $453.00 | $16.78 – $634.00 | 13 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $90.60 | $453.00 | $28.54 – $634.00 | 13 |
| Manipulation of hip joint CPT 27275 | $130.80 | $654.00 | $10.00 – $288.66 | 16 |
| Manipulat palm cord post inj CPT 26341 | $84.60 | $423.00 | $63.66 – $154.85 | 16 |
| Mapping io sentinel lymph node CPT 38900 | $90.20 | $451.00 | $20.00 – $218.94 | 16 |
| Marker biop eviva buckle ss HCPCS A4648 | $222.60 | $1,113.00 | $28.60 – $121.71 | 7 |
| Mastectomy partial CPT 19301 | $446.80 | $2,234.00 | $66.41 – $902.99 | 16 |
| Mast mod rad CPT 19307 | $797.20 | $3,986.00 | $40.00 – $1,608.16 | 16 |
| Mastoids complete CPT 70130 | $262.40 | $1,312.00 | $16.33 – $304.69 | 18 |
| Mastopexy CPT 19316 | $549.60 | $2,748.00 | $66.41 – $1,099.24 | 16 |
| Mast radical CPT 19305 | $774.40 | $3,872.00 | $66.41 – $1,565.98 | 16 |
| Mast rad urban type CPT 19306 | $827.60 | $4,138.00 | $66.41 – $1,682.72 | 16 |
| Mast simple complete CPT 19303 | $647.40 | $3,237.00 | $66.41 – $1,304.06 | 16 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $10.20 | $51.00 | $18.55 – $203.21 | 14 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $2.57 | $12.86 | $12.86 – $194.92 | 11 |
| Mayo aathr protein s free CPT 85306 | $2.72 | $13.62 | $13.62 – $206.73 | 11 |
| Mayo activated protein c resistance assay CPT 85307 | $2.72 | $13.62 | $13.62 – $206.55 | 11 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $59.00 | $295.00 | $38.57 – $294.16 | 11 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $19.32 | $96.59 | $0.08 – $223.07 | 6 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $41.00 | $205.00 | $0.08 – $223.07 | 6 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $3.56 | $17.80 | $13.14 – $199.46 | 11 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $27.20 | $136.00 | $0.08 – $619.63 | 6 |
| Mayo alpha 1 antitrypsin CPT 82103 | $7.27 | $36.36 | $11.94 – $181.03 | 11 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $1.72 | $8.59 | $0.08 – $352.90 | 6 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $1.72 | $8.59 | $0.08 – $320.85 | 6 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $56.00 | $280.00 | $108.11 – $2,780.32 | 11 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $39.00 | $195.00 | $91.66 – $1,040.71 | 11 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $21.92 | $109.60 | $109.60 – $1,832.67 | 11 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $289.50 | $1,447.50 | $190.32 – $2,088.00 | 11 |
| Mayo androstenedione CPT 82157 | $5.20 | $26.02 | $26.02 – $394.66 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $2.60 | $12.98 | $12.98 – $196.83 | 11 |
| Mayo antithrombin iii antigen CPT 85301 | $1.92 | $9.61 | $9.61 – $145.81 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $2.68 | $13.38 | $8.46 – $203.00 | 11 |
| Mayo avwpr vw factor activity CPT 85397 | $19.00 | $95.00 | $30.86 – $492.35 | 11 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $6.03 | $30.15 | $30.15 – $357.62 | 9 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $114.40 | $572.00 | $0.08 – $236.41 | 6 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $1.81 | $9.05 | $9.05 – $137.09 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $7.00 | $35.00 | $35.00 – $869.12 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $10.20 | $51.00 | $51.00 – $2,518.31 | 11 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $2.29 | $11.47 | $11.47 – $177.86 | 11 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $29.20 | $146.00 | $0.08 – $381.77 | 6 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $2.34 | $11.72 | $11.72 – $177.86 | 11 |
| Mayo brcmg brucella antibody igm CPT 86622 | $1.59 | $7.94 | $7.94 – $108.77 | 11 |
| Mayo c1 esterase inhibitor CPT 83883 | $12.35 | $61.76 | $13.60 – $183.58 | 11 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $114.40 | $572.00 | $0.08 – $488.90 | 6 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $3.00 | $14.99 | $14.99 – $226.43 | 11 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $8.27 | $41.33 | $11.60 – $361.07 | 11 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $21.73 | $108.64 | $108.64 – $1,627.39 | 11 |
| Mayo ceruloplasmin CPT 82390 | $1.67 | $8.35 | $8.35 – $144.81 | 11 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $16.90 | $84.50 | $12.55 – $190.57 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $25.75 | $128.75 | $11.45 – $173.77 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $29.25 | $146.25 | $8.45 – $174.04 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $29.25 | $146.25 | $8.45 – $174.04 | 11 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $78.00 | $390.00 | $116.49 – $1,333.78 | 11 |
| Mayo chromium CPT 82495 | $14.18 | $70.92 | $18.03 – $273.46 | 11 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $114.40 | $572.00 | $0.08 – $312.95 | 6 |
| Mayo coccidioides antibody CPT 86635 | $2.14 | $10.70 | $10.20 – $156.88 | 11 |
| Mayo cocou cortisone urine CPT 82542 | $65.00 | $325.00 | $15.35 – $242.50 | 11 |
| Mayo cortisol free CPT 82530 | $2.97 | $14.85 | $14.85 – $228.70 | 11 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $113.00 | $565.00 | $27.50 – $637.52 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $2.16 | $10.78 | $10.78 – $170.23 | 11 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $5.14 | $25.68 | $0.08 – $419.90 | 6 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $5.40 | $27.00 | $0.08 – $482.00 | 6 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $2.35 | $11.77 | $11.77 – $178.67 | 11 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $4.49 | $22.47 | $22.47 – $340.82 | 11 |
| Mayo dihydrotestosterone CPT 82642 | $5.20 | $26.02 | $26.02 – $435.24 | 11 |
| Mayo efpo chloride stool CPT 82438 | $1.75 | $8.73 | $4.34 – $65.91 | 11 |
| Mayo estriol CPT 82677 | $4.30 | $21.49 | $21.49 – $327.48 | 11 |
| Mayo estrone CPT 82679 | $4.44 | $22.18 | $22.18 – $336.55 | 11 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $2.90 | $14.52 | $14.52 – $220.34 | 11 |
| Mayo everolimus therapeutic drug level CPT 80169 | $2.44 | $12.21 | $12.21 – $177.58 | 11 |
| Mayo factor ii CPT 85210 | $2.31 | $11.54 | $11.54 – $175.13 | 11 |
| Mayo factor v CPT 85220 | $3.14 | $15.69 | $15.69 – $238.05 | 11 |
| Mayo factor vii CPT 85230 | $3.18 | $15.91 | $15.91 – $241.50 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $4.08 | $20.39 | $20.39 – $309.41 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $4.08 | $20.39 | $20.39 – $309.41 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $4.08 | $20.39 | $20.39 – $309.41 | 11 |
| Mayo factor x CPT 85260 | $3.18 | $15.91 | $15.91 – $241.50 | 11 |
| Mayo factor xi CPT 85270 | $3.18 | $15.91 | $15.91 – $241.50 | 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.