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 |
|---|---|---|---|---|
| Med serv eve/wkend/holiday CPT 99051 | $6.40 | $32.00 | $8.00 – $66.41 | 10 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $8.00 | $40.00 | $0.66 – $14.54 | 6 |
| Meniscal trnspl knee w/scpe CPT 29868 | $1,145.20 | $5,726.00 | $66.41 – $2,698.05 | 16 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $10.00 | $50.00 | $2.90 – $19.00 | 10 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $3,285.77 | $16,428.86 | $30.51 – $170.67 | 15 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $25.32 | $126.59 | $0.76 – $74.81 | 8 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | $167.20 | $836.00 | $33.95 – $431.94 | 16 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $5.14 | $25.68 | $3.40 – $233.00 | 8 |
| Metabolic Blood Panel (Basic) CPT 80048 | $48.60 | $243.00 | $7.27 – $114.12 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $62.40 | $312.00 | $10.56 – $142.72 | 11 |
| Metered dose inhaler drug HCPCS J3535 | $242.46 | $1,212.29 | $483.64 – $1,212.29 | 5 |
| Methadone oral 5mg HCPCS S0109 | $3.46 | $17.29 | $0.66 – $7.84 | 6 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $9.33 | $46.66 | $2.58 – $98.45 | 10 |
| Methotrexate therapeutic drug level CPT 80204 | $16.00 | $80.00 | $30.86 – $294.16 | 11 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $1,107.34 | $5,536.70 | $1.29 – $26.71 | 12 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $34.36 | $171.79 | $17.09 – $171.79 | 8 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $222.27 | $1,111.34 | $1.93 – $1,111.34 | 8 |
| Methylphenidate CPT 80360 | $20.00 | $100.00 | $0.08 – $320.85 | 6 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $28.40 | $141.98 | $0.11 – $18.11 | 7 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $19.26 | $96.29 | $0.21 – $12.36 | 7 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $7.97 | $39.85 | $1.08 – $17.63 | 10 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $8.00 | $40.00 | $0.24 – $40.00 | 4 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $7.84 | $39.22 | $0.06 – $39.22 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $244.60 | $1,222.98 | $0.50 – $1,222.98 | 8 |
| Microalbumin urine screen CPT 82044 | $5.00 | $25.00 | $1.56 – $59.65 | 16 |
| Microfluid analy tears CPT 83861 | $49.00 | $245.00 | $22.48 – $285.89 | 11 |
| Microsatellite instability CPT 81301 | $93.00 | $465.00 | $348.56 – $3,557.57 | 11 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | $139.20 | $696.00 | $36.86 – $361.81 | 16 |
| Microvolt t-wave assess CPT 93025 | $29.00 | $145.00 | $38.70 – $3,299.00 | 16 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $10.00 | $50.00 | $0.28 – $41.63 | 8 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $42.98 | $214.90 | $0.36 – $214.90 | 5 |
| Middle cerebral artery echo CPT 76821 | $93.00 | $465.00 | $120.39 – $617.37 | 11 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $3,499.69 | $17,498.46 | $70.26 – $309.53 | 10 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | $1.46 | $7.32 | $2.32 – $11.98 | 6 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $9.20 | $46.00 | $20.35 – $792.30 | 15 |
| Mlh1 gene CPT 81288 | $72.00 | $360.00 | $192.32 – $2,878.01 | 11 |
| Mnl appl strs jt radiography CPT 77071 | $44.40 | $222.00 | $24.56 – $178.58 | 16 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | $56.00 | $280.00 | $14.00 – $132.04 | 16 |
| Mnl prep&insj i-artic rx dev CPT 20704 | $100.40 | $502.00 | $19.00 – $228.58 | 16 |
| Mnl prep&insj imed rx dev CPT 20702 | $98.20 | $491.00 | $40.00 – $219.40 | 16 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $138.40 | $692.00 | $23.00 – $310.60 | 16 |
| Mnpj elbow under anes CPT 24300 | $324.40 | $1,622.00 | $66.41 – $676.72 | 16 |
| Mnt subs tx for change dx HCPCS G0270 | $34.40 | $172.00 | $22.79 – $172.00 | 7 |
| Mobilization of colon 44139 CPT 44139 | $78.60 | $393.00 | $40.00 – $195.12 | 16 |
| Mopath procedure level 1 CPT 81400 | $12.79 | $63.96 | $63.96 – $680.92 | 11 |
| Mopath procedure level 3 CPT 81402 | $84.38 | $421.88 | $150.33 – $1,600.61 | 11 |
| Mopath procedure level 5 CPT 81404 | $180.00 | $900.00 | $225.00 – $3,868.70 | 11 |
| Mopath procedure level 6 CPT 81405 | $154.80 | $774.00 | $187.00 – $5,071.47 | 11 |
| Mopath procedure level 7 CPT 81406 | $180.00 | $900.00 | $171.00 – $5,173.25 | 11 |
| Mopath procedure level 8 CPT 81407 | $169.25 | $846.27 | $846.27 – $41,702.66 | 11 |
| Mopath procedure level 9 CPT 81408 | $388.60 | $1,943.00 | $442.00 – $48,735.63 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $10.00 | $50.00 | $2.18 – $8.00 | 10 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $39.36 | $196.80 | $27.00 – $196.80 | 6 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $65.00 | $325.00 | $50.00 – $2,012.43 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $235.40 | $1,177.00 | $82.00 – $893.55 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $119.20 | $596.00 | $22.76 – $502.43 | 18 |
| Motor &/ sens nrve cndj test CPT 95905 | $33.00 | $165.00 | $2.61 – $680.01 | 16 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $202.60 | $1,013.00 | $15.00 – $539.53 | 16 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $60.00 | $300.00 | $234.68 – $1,872.43 | 11 |
| Mpl gene analysis common variants CPT 81338 | $30.07 | $150.33 | $120.26 – $1,146.57 | 11 |
| Mpsv4 vaccine subq CPT 90733 | $48.20 | $241.00 | $26.03 – $484.07 | 9 |
| MRA abdomen post contrast CPT 74185 | $1,026.80 | $5,134.00 | $46.56 – $2,056.25 | 18 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,156.20 | $5,781.00 | $46.74 – $2,055.77 | 18 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $66.80 | $334.00 | $46.93 – $2,056.29 | 16 |
| MRA pelvis CPT 72198 | $66.40 | $332.00 | $46.37 – $2,056.25 | 16 |
| MRA pelvis w IV cont HCPCS C8918 | $764.20 | $3,821.00 | $480.57 – $3,821.00 | 10 |
| MRA pelvis wo IV cont HCPCS C8919 | $712.40 | $3,562.00 | $328.67 – $3,562.00 | 10 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,026.80 | $5,134.00 | $45.46 – $2,055.20 | 18 |
| MRA w/cont, lwr ext HCPCS C8912 | $796.20 | $3,981.00 | $480.57 – $3,981.00 | 10 |
| MRA without cont, lwr ext HCPCS C8913 | $708.20 | $3,541.00 | $328.67 – $3,541.00 | 10 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,026.80 | $5,134.00 | $480.57 – $5,134.00 | 10 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $985.60 | $4,928.00 | $480.57 – $4,928.00 | 10 |
| MRI breast c- unilateral CPT 77046 | $759.40 | $3,797.00 | $37.86 – $1,077.39 | 18 |
| MRI breast c-+ w/cad uni CPT 77048 | $680.00 | $3,400.00 | $54.81 – $1,774.21 | 18 |
| MRI breast without cont bi CPT 77047 | $796.20 | $3,981.00 | $41.79 – $1,070.88 | 18 |
| MRI breast w IV cont bi CPT 77049 | $1,250.60 | $6,253.00 | $60.06 – $1,765.39 | 18 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $637.00 | $3,185.00 | $60.58 – $1,858.50 | 18 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $985.80 | $4,929.00 | $66.75 – $2,713.36 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $109.80 | $549.00 | $77.05 – $3,391.29 | 16 |
| MRI chest without contrast CPT 71550 | $854.80 | $4,274.00 | $38.24 – $2,053.63 | 18 |
| MRI chest without & w/contrast CPT 71552 | $1,474.00 | $7,370.00 | $58.73 – $4,611.83 | 18 |
| MRI chest w IV cont CPT 71551 | $1,016.20 | $5,081.00 | $45.07 – $2,507.81 | 18 |
| MRI guid ndl plc s&i CPT 77021 | $524.20 | $2,621.00 | $71.90 – $2,106.64 | 18 |
| MRI loex nonjt w IV cont CPT 73719 | $1,500.60 | $7,503.00 | $42.46 – $2,502.09 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,194.40 | $5,972.00 | $35.23 – $2,086.88 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,785.00 | $8,925.00 | $55.92 – $2,052.58 | 18 |
| MRI orbit/face/neck without contrast CPT 70540 | $694.40 | $3,472.00 | $35.03 – $2,052.58 | 18 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $1,532.60 | $7,663.00 | $55.92 – $4,631.64 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,237.80 | $6,189.00 | $42.46 – $2,502.09 | 18 |
| MRI tmj CPT 70336 | $746.60 | $3,733.00 | $38.61 – $1,820.98 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,196.40 | $5,982.00 | $35.42 – $2,086.88 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $1,926.00 | $9,630.00 | $56.12 – $2,052.58 | 18 |
| MRI upper extremity w/dye CPT 73219 | $1,333.20 | $6,666.00 | $42.65 – $2,515.18 | 18 |
| Mthfr gene analy common variants CPT 81291 | $13.07 | $65.34 | $65.34 – $983.79 | 11 |
| Mucopolysaccharides CPT 83864 | $102.02 | $510.10 | $22.86 – $259.75 | 11 |
| Multi family grp psychotherapy CPT 90849 | $19.60 | $98.00 | $30.80 – $67.71 | 16 |
| Multiple sleep latency test CPT 95805 | $27.80 | $139.00 | $59.31 – $2,082.61 | 16 |
| Mumps antibody igg CPT 86735 | $31.60 | $158.00 | $9.43 – $177.86 | 11 |
| Muscle-skin graft arm CPT 15736 | $840.00 | $4,200.00 | $66.41 – $2,066.11 | 16 |
| Muscle-skin graft leg CPT 15738 | $865.20 | $4,326.00 | $66.41 – $2,152.32 | 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.