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 |
|---|---|---|---|---|
| Nm imaging bone/joint 3 phase study CPT 78315 | $919.40 | $4,597.00 | $46.97 – $1,700.84 | 18 |
| Nm imaging bone/joint whole body CPT 78306 | $798.60 | $3,993.00 | $39.50 – $1,608.60 | 18 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $818.80 | $4,094.00 | $45.77 – $1,854.91 | 18 |
| Nm imaging gastric emptying study CPT 78264 | $741.00 | $3,705.00 | $36.39 – $1,387.35 | 18 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $703.80 | $3,519.00 | $45.93 – $1,880.88 | 18 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $987.80 | $4,939.00 | $41.77 – $3,113.15 | 18 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $678.80 | $3,394.00 | $55.07 – $1,725.44 | 18 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $849.20 | $4,246.00 | $49.21 – $2,885.18 | 18 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $496.40 | $2,482.00 | $23.04 – $2,320.20 | 18 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $495.40 | $2,477.00 | $49.97 – $987.97 | 18 |
| Non-card vasc flow imaging CPT 78445 | $498.40 | $2,492.00 | $23.07 – $712.97 | 18 |
| Npm1 gene CPT 81310 | $70.00 | $350.00 | $188.27 – $808.66 | 11 |
| Nps surg dilat eust tube bi CPT 69706 | $165.20 | $826.00 | $66.41 – $5,090.81 | 16 |
| Nps surg dilat eust tube uni CPT 69705 | $118.60 | $593.00 | $66.41 – $4,950.67 | 16 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $64.20 | $321.00 | $66.41 – $206.99 | 16 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $48.20 | $241.00 | $66.41 – $157.83 | 16 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | $10.80 | $54.00 | $54.00 – $504.83 | 6 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | $16.60 | $83.00 | $83.00 – $504.83 | 6 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $5.80 | $29.00 | $29.00 – $504.83 | 6 |
| Nras gene variants exon 2&3 CPT 81311 | $73.00 | $365.00 | $295.79 – $4,963.62 | 11 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | $768.20 | $3,841.00 | $66.41 – $1,692.55 | 16 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | $721.00 | $3,605.00 | $60.00 – $1,564.48 | 16 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | $740.60 | $3,703.00 | $66.41 – $1,659.03 | 16 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | $865.60 | $4,328.00 | $66.41 – $1,902.33 | 16 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | $937.40 | $4,687.00 | $30.00 – $2,058.81 | 16 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | $621.40 | $3,107.00 | $25.00 – $1,224.02 | 16 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | $114.80 | $574.00 | $26.43 – $243.65 | 16 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | $678.80 | $3,394.00 | $40.00 – $1,577.57 | 16 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | $318.60 | $1,593.00 | $20.00 – $734.02 | 16 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | $1,172.80 | $5,864.00 | $45.00 – $3,442.88 | 16 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | $173.40 | $867.00 | $40.00 – $6,387.15 | 16 |
| Nsl/sins ndsc surg max sins CPT 31295 | $1,154.80 | $5,774.00 | $66.41 – $3,398.52 | 16 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | $1,145.00 | $5,725.00 | $66.41 – $3,384.53 | 16 |
| Nsl/sins ndsc total CPT 31253 | $506.20 | $2,531.00 | $66.41 – $777.61 | 16 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | $301.20 | $1,506.00 | $15.00 – $692.67 | 16 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | $424.20 | $2,121.00 | $66.41 – $977.77 | 16 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | $1,757.40 | $8,787.00 | $131.72 – $4,039.86 | 10 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | $299.80 | $1,499.00 | $60.00 – $692.19 | 16 |
| Ntrprof ph1/ntrnet/ehr 11-20 CPT 99447 | $17.60 | $88.00 | $15.00 – $88.00 | 16 |
| Ntrprof ph1/ntrnet/ehr 21-30 CPT 99448 | $26.00 | $130.00 | $45.75 – $130.00 | 16 |
| Ntrprof ph1/ntrnet/ehr 31/> CPT 99449 | $35.20 | $176.00 | $49.98 – $176.00 | 16 |
| Ntrprof ph1/ntrnet/ehr 5/> CPT 99451 | $16.80 | $84.00 | $30.16 – $66.41 | 16 |
| Ntrprof ph1/ntrnet/ehr 5-10 CPT 99446 | $30.80 | $154.00 | $15.90 – $154.00 | 16 |
| Nuclear rx intra-arterial CPT 79445 | $275.00 | $1,375.00 | $88.29 – $993.96 | 18 |
| Nuclear rx intra-articular CPT 79440 | $226.40 | $1,132.00 | $321.42 – $1,015.57 | 9 |
| Nuclear rx intracav admin CPT 79200 | $226.40 | $1,132.00 | $61.80 – $1,015.57 | 18 |
| Nuclear rx IV admin CPT 79101 | $250.40 | $1,252.00 | $54.33 – $987.97 | 18 |
| Nuclear Stress Test (Heart) CPT 78452 | $1,826.00 | $9,130.00 | $76.34 – $4,430.78 | 18 |
| Nuclr rx interstit colloid CPT 79300 | $226.40 | $1,132.00 | $321.42 – $3,850.63 | 11 |
| Nudt15 gene common variants CPT 81306 | $46.62 | $233.09 | $233.09 – $3,897.30 | 11 |
| Nursing facility discharge management > 30 min 99316 CPT 99316 | $64.20 | $321.00 | $46.60 – $173.50 | 16 |
| Nursing facility discharge management 30 min/less than 99315 CPT 99315 | $40.20 | $201.00 | $38.40 – $108.59 | 16 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | $89,249.68 | $446,248.39 | $1,285.78 – $6,908.89 | 13 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $6,000.00 | $30,000.00 | $81.81 – $342.20 | 13 |
| Observation direct referral from physician office for admission HCPCS G0379 | $540.40 | $2,702.00 | $820.34 – $2,702.00 | 7 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $100.80 | $504.00 | $66.41 – $364.68 | 16 |
| Observation/inpatient hospital care low severity 99234 CPT 99234 | $52.00 | $260.00 | $66.41 – $221.44 | 17 |
| Observation/inpatient hospital care mod severity 99235 CPT 99235 | $77.20 | $386.00 | $66.41 – $292.09 | 16 |
| Observation per hour HCPCS G0378 | $42.00 | $210.00 | $179.00 – $179.00 | 2 |
| Obstetrical care 59410 CPT 59410 | $708.80 | $3,544.00 | $40.00 – $2,080.05 | 16 |
| Obstetrics panel CPT 80055 | $78.80 | $394.00 | $47.81 – $398.55 | 11 |
| Obtaining screen pap smear HCPCS Q0091 | $23.00 | $115.00 | $15.69 – $404.10 | 17 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $93.20 | $466.00 | $57.71 – $683.46 | 16 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | $173.60 | $868.00 | $61.00 – $411.78 | 16 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $12,136.88 | $60,684.42 | $59.60 – $359.39 | 13 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $19.40 | $97.00 | $0.61 – $29.66 | 10 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $6,304.25 | $31,521.27 | $142.14 – $539.52 | 15 |
| Ocular instrumnt screen bil CPT 99174 | $11.40 | $57.00 | $7.01 – $953.28 | 11 |
| Ocular instrumnt screen bil CPT 99177 | $3.80 | $19.00 | $19.00 – $504.83 | 6 |
| Office emergency care CPT 99058 | $14.20 | $71.00 | $71.00 – $504.83 | 6 |
| Off/op cnsltj new/est low 30 CPT 99243 | $56.20 | $281.00 | $66.41 – $162.56 | 10 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $80.60 | $403.00 | $66.41 – $229.58 | 10 |
| Off/op consltj new/est hi 55 CPT 99245 | $106.00 | $530.00 | $66.41 – $270.21 | 10 |
| Off/op consltj new/est sf 20 CPT 99242 | $36.60 | $183.00 | $66.41 – $109.49 | 10 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $61.50 | $307.48 | $1.62 – $307.48 | 5 |
| Ol dig e/m svc 11-20 min CPT 99422 | $14.60 | $73.00 | $22.46 – $66.41 | 16 |
| Ol dig e/m svc 21+ min CPT 99423 | $23.20 | $116.00 | $35.39 – $97.00 | 16 |
| Ol dig e/m svc 5-10 min CPT 99421 | $7.40 | $37.00 | $11.05 – $66.41 | 16 |
| Omental flap intra-abdom 49905 CPT 49905 | $230.20 | $1,151.00 | $66.41 – $571.26 | 16 |
| Oncoprotein dcp CPT 83951 | $11.45 | $57.26 | $57.26 – $1,381.35 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $7.69 | $38.47 | $0.09 – $37.40 | 10 |
| One-way allow prorated trip HCPCS P9604 | $6.80 | $34.00 | $22.00 – $22.00 | 2 |
| Open aortofemor prosth repr CPT 34832 | $1,194.80 | $5,974.00 | $66.41 – $3,291.96 | 16 |
| Open bx/exc inguinofem nodes CPT 38531 | $2,185.60 | $10,928.00 | $65.00 – $5,393.45 | 17 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | $770.60 | $3,853.00 | $66.41 – $2,214.98 | 17 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | $398.00 | $1,990.00 | $65.00 – $815.41 | 16 |
| Open tx nose fx w/skele fixj CPT 21330 | $378.80 | $1,894.00 | $35.00 – $968.34 | 16 |
| Open tx nose & septal fx CPT 21335 | $502.20 | $2,511.00 | $35.00 – $1,167.86 | 16 |
| Open wedge bx lung nodule 32097 CPT 32097 | $528.00 | $2,640.00 | $66.41 – $1,219.01 | 16 |
| Ophthalmic biometry CPT 92136 | $89.00 | $445.00 | $31.36 – $518.59 | 18 |
| Opioids & opiate analogs 3/4 CPT 80363 | $2.00 | $10.00 | $0.08 – $441.69 | 6 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | $1,380.40 | $6,902.00 | $1,799.87 – $2,897.31 | 10 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | $1,122.20 | $5,611.00 | $1,501.14 – $2,422.95 | 10 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | $885.20 | $4,426.00 | $1,188.57 – $1,910.93 | 10 |
| Opn impltj nea sacral nerve CPT 64581 | $446.00 | $2,230.00 | $66.41 – $1,176.29 | 16 |
| Opn tx complx malar fx CPT 21365 | $752.00 | $3,760.00 | $66.41 – $1,672.84 | 16 |
| Opn tx dprsd zygomatic arch CPT 21356 | $284.60 | $1,423.00 | $25.00 – $724.43 | 16 |
| Opn tx orbit fx combined CPT 21387 | $533.80 | $2,669.00 | $66.41 – $1,206.30 | 16 |
| Opn tx orbit fx periorbital CPT 21386 | $483.00 | $2,415.00 | $40.00 – $1,050.69 | 16 |
| Opn tx orbit periorbtl implt CPT 21390 | $559.60 | $2,798.00 | $66.41 – $1,152.94 | 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.