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 |
|---|---|---|---|---|
| Opscpy extnd on/mac draw CPT 92202 | $7.20 | $36.00 | $11.97 – $66.41 | 16 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | $455.40 | $2,277.00 | $66.41 – $1,044.02 | 16 |
| Optx acromclv dislc aqt/chrn CPT 23550 | $404.00 | $2,020.00 | $60.00 – $899.66 | 16 |
| Optx acute shoulder dislc CPT 23660 | $414.20 | $2,071.00 | $66.41 – $917.80 | 16 |
| Optx carpl scphd fx int fixj CPT 25628 | $509.20 | $2,546.00 | $66.41 – $1,070.45 | 16 |
| Optx clavicular fx w/int fix CPT 23515 | $506.80 | $2,534.00 | $66.41 – $995.15 | 16 |
| Optx complicated mndblr fx CPT 21470 | $811.60 | $4,058.00 | $66.41 – $1,784.06 | 16 |
| Optx crpl fx oth/thn scph ea CPT 25645 | $405.20 | $2,026.00 | $51.00 – $915.41 | 16 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | $549.00 | $2,745.00 | $35.00 – $1,075.21 | 16 |
| Optx lunate dislocation CPT 25695 | $447.40 | $2,237.00 | $66.41 – $1,016.95 | 16 |
| Optx medial ankle fx CPT 27766 | $428.40 | $2,142.00 | $66.41 – $1,029.18 | 16 |
| Optx mndblr cndylr fx CPT 21465 | $566.40 | $2,832.00 | $40.00 – $1,414.40 | 16 |
| Optx mndblr fx wo ntrdntl CPT 21461 | $741.60 | $3,708.00 | $66.41 – $2,383.49 | 16 |
| Optx partclr fx&/dslc elbw w CPT 24587 | $753.00 | $3,765.00 | $45.00 – $1,734.66 | 16 |
| Optx post ankle fx CPT 27769 | $508.40 | $2,542.00 | $66.41 – $987.29 | 16 |
| Optx prox humrl fx w/int fix CPT 23615 | $617.20 | $3,086.00 | $60.00 – $1,201.35 | 16 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | $851.00 | $4,255.00 | $30.00 – $2,146.18 | 16 |
| Optx radial shaft fracture CPT 25515 | $475.00 | $2,375.00 | $40.00 – $1,101.96 | 16 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | $447.20 | $2,236.00 | $21.00 – $1,012.36 | 16 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | $429.00 | $2,145.00 | $66.41 – $982.27 | 16 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | $557.00 | $2,785.00 | $45.00 – $1,338.26 | 16 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | $669.20 | $3,346.00 | $66.41 – $1,652.05 | 16 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | $635.00 | $3,175.00 | $66.41 – $1,318.16 | 16 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | $479.20 | $2,396.00 | $66.41 – $942.85 | 16 |
| Optx scapular fx w/int fixj CPT 23585 | $676.80 | $3,384.00 | $66.41 – $1,299.79 | 16 |
| Optx sho dislc fx CPT 23670 | $609.80 | $3,049.00 | $66.41 – $1,191.00 | 16 |
| Optx sho dislc neck fx fixj CPT 23680 | $648.40 | $3,242.00 | $40.00 – $1,257.74 | 16 |
| Optx thigh fx CPT 27269 | $851.00 | $4,255.00 | $66.41 – $1,666.03 | 16 |
| Optx trns-scphprlnr fx dislc CPT 25685 | $516.00 | $2,580.00 | $66.41 – $1,160.63 | 16 |
| Optx ulnar shft fx int fixj CPT 25545 | $445.20 | $2,226.00 | $30.00 – $1,048.06 | 16 |
| Optx ulnar styloid fracture CPT 25652 | $444.20 | $2,221.00 | $35.00 – $960.67 | 16 |
| Orchiectomy partial CPT 54522 | $405.20 | $2,026.00 | $60.00 – $881.15 | 16 |
| Orchiopexy (fowler-stephens) CPT 54650 | $491.00 | $2,455.00 | $65.00 – $1,036.71 | 16 |
| Orchiopexy ingun/scrot appr CPT 54640 | $297.40 | $1,487.00 | $30.00 – $651.17 | 16 |
| Organic acids total quant ea spec CPT 83918 | $32.11 | $160.56 | $23.60 – $214.81 | 11 |
| Oropharyngeal biopsy 42800 CPT 42800 | $443.40 | $2,217.00 | $35.00 – $2,137.28 | 17 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $5.20 | $26.00 | $6.39 – $108.76 | 9 |
| Ortho dvc repair per 15 min HCPCS L4205 | $18.60 | $93.00 | $23.62 – $86.17 | 7 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $154.60 | $773.00 | $66.41 – $457.36 | 16 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $267.60 | $1,338.00 | $66.41 – $792.10 | 15 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $94.00 | $470.00 | $222.26 – $521.75 | 7 |
| Orthovisc inj per dose HCPCS J7324 | $68.40 | $342.00 | $111.26 – $1,444.46 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $243.40 | $1,217.00 | $66.41 – $720.39 | 16 |
| Osmolality blood CPT 83930 | $53.80 | $269.00 | $5.88 – $121.38 | 11 |
| Osmolality urine CPT 83935 | $31.60 | $158.00 | $6.82 – $91.97 | 11 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | $224.80 | $1,124.00 | $66.41 – $771.50 | 16 |
| Ostectomy scapula partial CPT 23190 | $407.40 | $2,037.00 | $59.20 – $884.78 | 16 |
| Osteochondral knee allograft CPT 27415 | $948.20 | $4,741.00 | $66.41 – $2,117.78 | 16 |
| Osteochondral knee autograft CPT 27416 | $680.20 | $3,401.00 | $66.41 – $1,309.74 | 16 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $29.60 | $148.00 | $40.33 – $113.00 | 16 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $36.00 | $180.00 | $50.49 – $143.00 | 16 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $42.20 | $211.00 | $29.74 – $170.00 | 17 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | $1,104.20 | $5,521.00 | $66.41 – $2,390.47 | 16 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | $236.00 | $1,180.00 | $66.41 – $619.04 | 16 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | $1,083.00 | $5,415.00 | $65.00 – $2,394.04 | 16 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | $1,183.00 | $5,915.00 | $66.41 – $2,487.83 | 16 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $56.80 | $284.00 | $26.09 – $465.00 | 18 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $38.80 | $194.00 | $20.84 – $465.00 | 18 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $14.80 | $74.00 | $7.76 – $66.41 | 17 |
| Otoplasty 69300 CPT 69300 | $330.80 | $1,654.00 | $30.00 – $802.30 | 16 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $49.80 | $249.00 | $15.98 – $634.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $14.00 | $70.00 | $18.87 – $634.00 | 14 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $14.80 | $74.00 | $20.09 – $634.00 | 14 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $44.20 | $221.00 | $10.96 – $465.00 | 18 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $44.60 | $223.00 | $12.22 – $465.00 | 18 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $45.40 | $227.00 | $5.31 – $465.00 | 18 |
| Ovarian cystectomy 58925 CPT 58925 | $524.40 | $2,622.00 | $33.00 – $1,114.81 | 16 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $128.76 | $643.78 | $0.10 – $321.00 | 8 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $7.12 | $35.58 | $3.36 – $35.58 | 8 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $2.28 | $11.40 | $0.20 – $10.84 | 8 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $1,180.06 | $5,900.28 | $6.02 – $59.33 | 13 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | $637.60 | $3,188.00 | $1,757.32 – $3,839.42 | 8 |
| Palonosetron hcl HCPCS J2469 | $87.06 | $435.30 | $0.70 – $435.30 | 8 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | $1,043.40 | $5,217.00 | $50.00 – $2,135.62 | 16 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $5,217.55 | $26,087.76 | $174.39 – $552.85 | 13 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $7.84 | $39.20 | $4.54 – $39.20 | 5 |
| Papaverin hcl injection HCPCS J2440 | $0.28 | $1.42 | $1.34 – $38.25 | 10 |
| Parathormone (pth) intact CPT 83970 | $104.00 | $520.00 | $34.84 – $556.63 | 11 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | $958.80 | $4,794.00 | $66.41 – $2,120.04 | 16 |
| Parathyroid planar imaging CPT 78070 | $743.00 | $3,715.00 | $37.10 – $698.62 | 18 |
| Parathyroid planar img w/tomo spect CPT 78071 | $556.20 | $2,781.00 | $55.09 – $3,239.44 | 18 |
| Parial mast w/lymph removal 19302 CPT 19302 | $613.00 | $3,065.00 | $66.41 – $1,237.07 | 16 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $270.00 | $1,350.00 | $7.00 – $276.37 | 17 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | $612.80 | $3,064.00 | $66.41 – $1,250.70 | 16 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | $141.00 | $705.00 | $60.00 – $283.29 | 16 |
| Partial complicated cystectomy 51555 CPT 51555 | $856.40 | $4,282.00 | $66.41 – $1,920.35 | 16 |
| Partial exc bone humerus CPT 24140 | $494.60 | $2,473.00 | $55.00 – $1,203.60 | 16 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $3,377.60 | $16,888.00 | $66.41 – $4,507.13 | 17 |
| Partial excision of lip CPT 40500 | $263.60 | $1,318.00 | $66.41 – $714.69 | 16 |
| Partial hip replacement CPT 27125 | $781.00 | $3,905.00 | $66.41 – $1,680.60 | 16 |
| Partial hysterectomy CPT 58180 | $653.60 | $3,268.00 | $66.41 – $1,478.28 | 16 |
| Partial proctectomy; perineal 45123 CPT 45123 | $754.00 | $3,770.00 | $65.00 – $1,534.94 | 16 |
| Partial removal finger bone CPT 26235 | $352.00 | $1,760.00 | $66.41 – $787.55 | 16 |
| Partial removal finger bone CPT 26236 | $317.20 | $1,586.00 | $50.00 – $696.66 | 16 |
| Partial removal foot fascia CPT 28060 | $255.20 | $1,276.00 | $66.41 – $696.65 | 16 |
| Partial removal leg bone(s) CPT 27360 | $1,748.00 | $8,740.00 | $66.41 – $4,507.13 | 17 |
| Partial removal of bladder CPT 51550 | $655.60 | $3,278.00 | $40.00 – $1,441.31 | 16 |
| Partial removal of eye fluid CPT 67005 | $335.80 | $1,679.00 | $66.41 – $668.07 | 16 |
| Partial removal of eye fluid CPT 67010 | $382.40 | $1,912.00 | $47.00 – $777.10 | 16 |
| Partial removal of fibula CPT 27641 | $459.60 | $2,298.00 | $65.00 – $1,156.92 | 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.