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 |
|---|---|---|---|---|
| Mayo fat/lipids feces quantitative CPT 82710 | $9.35 | $46.75 | $16.80 – $226.61 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $4.09 | $20.46 | $11.49 – $121.57 | 11 |
| Mayo ffspg allergen clam igg CPT 86001 | $3.55 | $17.75 | $7.82 – $70.45 | 11 |
| Mayo fibrinogen antigen CPT 85385 | $1.85 | $9.25 | $9.25 – $113.85 | 11 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $2.89 | $14.43 | $14.43 – $171.59 | 11 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $890.00 | $4,450.00 | $26.88 – $339.03 | 3 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $18.00 | $90.00 | $35.09 – $457.94 | 11 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $9.00 | $45.00 | $35.09 – $457.94 | 11 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $2.22 | $11.11 | $8.03 – $170.23 | 11 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $4.59 | $22.94 | $22.94 – $320.39 | 11 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $48.20 | $241.00 | $8.89 – $119.75 | 11 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $17.60 | $88.00 | $13.52 – $185.21 | 11 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $37.00 | $185.00 | $22.73 – $366.33 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $128.00 | $640.00 | $10.24 – $174.59 | 11 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $55.60 | $278.00 | $2.56 – $202.19 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $48.20 | $241.00 | $9.00 – $280.45 | 11 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $33.00 | $165.00 | $18.50 – $280.63 | 11 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $26.60 | $133.00 | $6.99 – $121.20 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $5.70 | $28.52 | $11.98 – $122.57 | 11 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $184.40 | $922.00 | $35.09 – $463.02 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $21.63 | $108.15 | $35.09 – $267.74 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $95.20 | $476.00 | $35.09 – $457.94 | 11 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $81.40 | $407.00 | $35.09 – $219.39 | 9 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $10.00 | $50.00 | $38.08 – $376.93 | 11 |
| Mayo infliximab therapeutic drug level CPT 80230 | $43.20 | $216.00 | $30.86 – $294.16 | 11 |
| Mayo inhab inhibin a CPT 86336 | $2.77 | $13.85 | $13.85 – $305.05 | 11 |
| Mayo insft insulin free CPT 83527 | $2.30 | $11.51 | $11.51 – $176.13 | 11 |
| Mayo insulin antibodies CPT 86337 | $3.81 | $19.03 | $19.03 – $245.13 | 11 |
| Mayo iodine CPT 83789 | $3.27 | $16.34 | $16.34 – $242.50 | 11 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $5.42 | $27.11 | $21.69 – $206.73 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $3.03 | $15.14 | $15.14 – $206.73 | 11 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $2.36 | $11.78 | $11.78 – $171.59 | 11 |
| Mayo legionella antibody CPT 86713 | $2.72 | $13.60 | $13.60 – $203.37 | 11 |
| Mayo leptospira antibody igm CPT 86720 | $2.45 | $12.23 | $12.23 – $115.85 | 11 |
| Mayo lipoprotein electrophoresis CPT 83700 | $2.11 | $10.57 | $10.57 – $149.53 | 11 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $18.40 | $92.00 | $13.77 – $291.25 | 11 |
| Mayo manganese CPT 83785 | $14.18 | $70.92 | $21.86 – $331.56 | 11 |
| Mayo metanephrines plasma CPT 83835 | $3.01 | $15.06 | $15.06 – $228.52 | 11 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $114.40 | $572.00 | $0.08 – $337.19 | 6 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $3.68 | $18.40 | $12.05 – $115.04 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $2.45 | $12.27 | $12.27 – $115.04 | 9 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $2.91 | $14.55 | $12.93 – $197.47 | 11 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $56.00 | $280.00 | $12.59 – $196.38 | 11 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $19.00 | $95.00 | $95.00 – $680.92 | 11 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $44.20 | $221.00 | $148.16 – $1,412.40 | 11 |
| Mayo muramidase CPT 85549 | $3.33 | $16.67 | $16.67 – $252.94 | 11 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $59.00 | $295.00 | $18.40 – $115.04 | 9 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $3.21 | $16.04 | $16.04 – $233.69 | 11 |
| Mayo myoglobin CPT 83874 | $48.00 | $240.00 | $11.48 – $174.68 | 11 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $114.40 | $572.00 | $0.08 – $401.65 | 6 |
| Mayo opatu oxycodone definitive assay CPT 80365 | $1.40 | $7.00 | $0.08 – $401.65 | 6 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $2.94 | $14.68 | $14.68 – $221.89 | 11 |
| Mayo oxalate 24 hour urine CPT 83945 | $2.31 | $11.56 | $7.77 – $173.59 | 11 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $2.67 | $13.36 | $13.36 – $203.00 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $62.00 | $310.00 | $10.71 – $162.60 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $6.24 | $31.19 | $31.19 – $457.94 | 11 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $3.20 | $15.98 | $15.98 – $306.69 | 11 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $2.45 | $12.23 | $12.23 – $189.02 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $1.50 | $7.50 | $7.50 – $113.94 | 11 |
| Mayo pregnenolone CPT 84140 | $3.68 | $18.38 | $18.38 – $272.82 | 11 |
| Mayo proinsulin CPT 84206 | $3.88 | $19.39 | $19.39 – $232.42 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $55.60 | $278.00 | $16.35 – $246.95 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $62.00 | $310.00 | $12.27 – $182.21 | 11 |
| Mayo receptor assay transferrin soluble CPT 84238 | $4.52 | $22.58 | $22.58 – $477.10 | 11 |
| Mayo renin CPT 84244 | $3.91 | $19.55 | $19.55 – $296.61 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $3.17 | $15.85 | $15.85 – $235.60 | 11 |
| Mayo selenium CPT 84255 | $14.18 | $70.92 | $22.69 – $344.36 | 11 |
| Mayo serotonin CPT 84260 | $5.51 | $27.54 | $27.54 – $417.72 | 11 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $3.44 | $17.20 | $17.20 – $260.84 | 11 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $2.40 | $11.99 | $11.99 – $181.03 | 11 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $55.60 | $278.00 | $45.08 – $165.65 | 6 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $13.20 | $66.00 | $3.80 – $57.56 | 11 |
| Mayo tau phosphorylated 217 each CPT 84393 | $75.00 | $375.00 | $128.92 – $311.66 | 6 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $52.00 | $260.00 | $208.92 – $2,388.30 | 11 |
| Mayo tgrp testosterone free CPT 84402 | $4.53 | $22.64 | $22.64 – $350.72 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $95.60 | $478.00 | $22.80 – $348.09 | 11 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $3.55 | $17.74 | $17.74 – $225.93 | 9 |
| Mayo thyroglobulin CPT 84432 | $16.20 | $81.00 | $14.28 – $220.89 | 11 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $22.84 | $114.19 | $9.05 – $137.09 | 11 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $28.82 | $144.08 | $11.01 – $165.42 | 11 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $18.20 | $91.00 | $0.08 – $401.65 | 6 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $2.26 | $11.32 | $11.32 – $140.27 | 11 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $2.41 | $12.04 | $12.04 – $218.89 | 11 |
| Mayo vasoactive intestinal peptide CPT 84586 | $7.07 | $35.33 | $35.33 – $157.88 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $3.60 | $17.99 | $17.99 – $231.69 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $19.60 | $98.00 | $17.06 – $156.25 | 11 |
| Mayo vitamin k CPT 84597 | $2.44 | $12.20 | $12.20 – $178.85 | 11 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $2.36 | $11.78 | $11.78 – $171.59 | 11 |
| Md inr test revie inter mgmt HCPCS G0250 | $4.20 | $21.00 | $8.40 – $66.41 | 15 |
| Md service required for pmd HCPCS G0372 | $4.20 | $21.00 | $21.00 – $504.83 | 6 |
| Measure kidney pressure CPT 50396 | $462.20 | $2,311.00 | $45.79 – $960.52 | 17 |
| Measurement post void urine by ultrasound CPT 51798 | $19.40 | $97.00 | $12.72 – $81.26 | 16 |
| #mec-opiates CPT 80356 | $1.40 | $7.00 | $0.08 – $401.65 | 6 |
| Med genetics&genetic counseling svcs each 30 min CPT 96041 | $32.20 | $161.00 | $61.69 – $504.83 | 10 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | $262.00 | $1,310.00 | $15.00 – $634.04 | 16 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | $201.80 | $1,009.00 | $30.00 – $486.99 | 16 |
| Medical services after hrs CPT 99050 | $11.40 | $57.00 | $22.37 – $66.41 | 10 |
| Medical testimony CPT 99075 | $94.00 | $470.00 | $280.46 – $504.83 | 6 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $48.95 | $244.74 | $0.52 – $90.00 | 10 |
| Med serv 10pm-8am 24 hr fac CPT 99053 | $13.80 | $69.00 | $8.00 – $69.00 | 10 |
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.