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 |
|---|---|---|---|---|
| Partial removal of foot bone CPT 28288 | $428.00 | $2,140.00 | $66.41 – $700.52 | 16 |
| Partial removal of hand bone CPT 26230 | $356.60 | $1,783.00 | $25.00 – $804.66 | 16 |
| Partial removal of lip CPT 40530 | $284.80 | $1,424.00 | $50.63 – $848.53 | 16 |
| Partial removal of lung 32480 CPT 32480 | $965.60 | $4,828.00 | $66.41 – $2,363.60 | 16 |
| Partial removal of nose CPT 30150 | $557.40 | $2,787.00 | $40.00 – $1,295.40 | 16 |
| Partial removal of penis CPT 54120 | $436.40 | $2,182.00 | $66.41 – $888.15 | 16 |
| Partial removal of radius CPT 25151 | $415.40 | $2,077.00 | $55.00 – $1,063.83 | 16 |
| Partial removal of radius CPT 25230 | $311.40 | $1,557.00 | $65.00 – $733.43 | 16 |
| Partial removal of rectum CPT 45111 | $731.80 | $3,659.00 | $66.41 – $1,550.46 | 16 |
| Partial removal of rib CPT 21600 | $399.40 | $1,997.00 | $66.41 – $833.72 | 16 |
| Partial removal of sternum CPT 21620 | $343.60 | $1,718.00 | $55.00 – $835.25 | 16 |
| Partial removal of thyroid CPT 60220 | $483.80 | $2,419.00 | $60.00 – $1,174.28 | 16 |
| Partial removal of thyroid CPT 60225 | $641.40 | $3,207.00 | $66.41 – $1,407.41 | 16 |
| Partial removal of tibia CPT 27640 | $576.20 | $2,881.00 | $35.00 – $1,428.62 | 16 |
| Partial removal of tongue CPT 41120 | $744.40 | $3,722.00 | $35.00 – $1,603.08 | 16 |
| Partial removal of ulna CPT 25119 | $358.60 | $1,793.00 | $66.41 – $851.41 | 16 |
| Partial removal of ulna CPT 25240 | $309.40 | $1,547.00 | $65.00 – $740.23 | 16 |
| Partial removal of vaginal wall 57106 CPT 57106 | $373.40 | $1,867.00 | $55.00 – $721.29 | 16 |
| Partial thyroid excision CPT 60210 | $483.80 | $2,419.00 | $35.00 – $1,075.17 | 16 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | $688.20 | $3,441.00 | $60.00 – $1,549.90 | 16 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $1.40 | $7.00 | $2.54 – $21.25 | 10 |
| Part removal hip bone deep CPT 27071 | $675.60 | $3,378.00 | $45.00 – $1,424.31 | 16 |
| Part removal of metatarsal CPT 28110 | $210.60 | $1,053.00 | $66.41 – $691.65 | 16 |
| Part removal of metatarsal CPT 28113 | $305.80 | $1,529.00 | $40.58 – $894.39 | 16 |
| Part removal of metatarsal 28112 CPT 28112 | $223.00 | $1,115.00 | $66.41 – $741.58 | 16 |
| Patient recorded spirometry CPT 94014 | $28.80 | $144.00 | $27.37 – $181.76 | 16 |
| Patient recorded spirometry CPT 94015 | $16.80 | $84.00 | $14.43 – $176.68 | 15 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | $503.20 | $2,516.00 | $66.41 – $1,221.30 | 16 |
| Ped crit care transport CPT 99466 | $112.00 | $560.00 | $66.41 – $361.35 | 16 |
| Ped crit care transport addl CPT 99467 | $56.20 | $281.00 | $66.41 – $180.37 | 16 |
| Ped critical care initial CPT 99471 | $373.60 | $1,868.00 | $66.41 – $1,203.46 | 16 |
| Ped critical care subsq CPT 99472 | $192.60 | $963.00 | $66.41 – $596.86 | 16 |
| Pedicle enel/ntroral 15576 CPT 15576 | $455.20 | $2,276.00 | $30.00 – $1,087.97 | 16 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $5,853.21 | $29,266.04 | $127.38 – $2,660.67 | 10 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $3,579.60 | $17,898.00 | $133.31 – $2,169.27 | 12 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $3,807.60 | $19,038.00 | $135.89 – $2,307.69 | 13 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,345.60 | $6,728.00 | $31.86 – $1,824.67 | 18 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,191.40 | $5,957.00 | $30.26 – $1,474.05 | 18 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,022.00 | $5,110.00 | $28.39 – $1,275.38 | 18 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,355.80 | $6,779.00 | $57.23 – $4,640.11 | 18 |
| Pelvic MRI (with contrast) CPT 72196 | $963.80 | $4,819.00 | $45.27 – $2,053.63 | 18 |
| Pelvic MRI (without contrast) CPT 72195 | $876.80 | $4,384.00 | $38.24 – $2,093.95 | 18 |
| Pelvic Ultrasound (complete) CPT 76856 | $298.60 | $1,493.00 | $32.99 – $591.85 | 18 |
| Pelvic Ultrasound (limited) CPT 76857 | $193.60 | $968.00 | $24.14 – $407.01 | 18 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $3,104.09 | $15,520.46 | $61.25 – $286.31 | 13 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $192.60 | $963.00 | $4.04 – $269.55 | 13 |
| Peng benzathine/procaine inj HCPCS J0558 | $10.20 | $51.00 | $17.37 – $51.00 | 9 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $460.76 | $2,303.79 | $5.15 – $56.64 | 15 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $22.13 | $110.63 | $1.56 – $103.40 | 8 |
| Penicillin g procaine inj HCPCS J2510 | $377.80 | $1,889.00 | $44.07 – $1,889.00 | 9 |
| Penile injection CPT 54235 | $79.20 | $396.00 | $45.00 – $344.16 | 17 |
| Penile vascular study CPT 93980 | $217.40 | $1,087.00 | $61.37 – $1,436.28 | 18 |
| Penile vascular study CPT 93981 | $16.60 | $83.00 | $21.37 – $1,340.95 | 16 |
| Penis plastic surgery CPT 54360 | $1,032.60 | $5,163.00 | $66.41 – $4,855.61 | 17 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $292.00 | $1,460.00 | $66.41 – $1,460.00 | 5 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $150.00 | $750.00 | $38.00 – $750.00 | 5 |
| Perc d-e cor stent ather s HCPCS C9602 | $237.80 | $1,189.00 | $66.41 – $1,189.00 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $126.20 | $631.00 | $66.41 – $1,559.20 | 5 |
| Perc drug-el cor stent sing HCPCS C9600 | $248.00 | $1,240.00 | $66.41 – $1,240.00 | 5 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $123.40 | $617.00 | $80.42 – $617.00 | 8 |
| Pericardiocentesis wwo imaging CPT 33016 | $151.00 | $755.00 | $66.41 – $365.58 | 16 |
| Peri-implt capslc brst compl CPT 19371 | $496.20 | $2,481.00 | $66.41 – $1,042.28 | 16 |
| Perineoplasty rpr per nonob CPT 56810 | $186.60 | $933.00 | $49.66 – $418.25 | 16 |
| Peri-proc device eval icd CPT 93287 | $10.60 | $53.00 | $15.66 – $149.35 | 16 |
| Peri-proc device eval pm CPT 93286 | $7.20 | $36.00 | $14.41 – $134.10 | 16 |
| Peritoneogram rs&i CPT 74190 | $17.00 | $85.00 | $21.99 – $637.76 | 16 |
| Perq dev breast 1st mr guide CPT 19287 | $506.40 | $2,532.00 | $66.41 – $1,339.92 | 17 |
| Perq dev breast 1st strtctc CPT 19283 | $587.40 | $2,937.00 | $244.60 – $1,755.79 | 7 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $764.40 | $3,822.00 | $66.41 – $1,953.52 | 16 |
| Perq plmt bile duct stent CPT 47538 | $6,020.20 | $30,101.00 | $4,189.49 – $14,989.72 | 7 |
| Perq plmt bile duct stent CPT 47539 | $6,020.20 | $30,101.00 | $4,570.73 – $14,989.72 | 7 |
| Perq plmt bile duct stent CPT 47540 | $6,020.20 | $30,101.00 | $4,746.45 – $14,989.72 | 7 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $234.20 | $1,171.00 | $65.00 – $538.39 | 16 |
| Perq skel fix rad/uln dislc CPT 25671 | $384.00 | $1,920.00 | $17.00 – $799.24 | 16 |
| Perq skel fix ulnar styld fx CPT 25651 | $352.80 | $1,764.00 | $17.00 – $710.57 | 16 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $365.40 | $1,827.00 | $25.00 – $680.87 | 16 |
| Perq tx malar fracture CPT 21355 | $231.60 | $1,158.00 | $20.00 – $639.49 | 16 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $3,519.37 | $17,596.86 | $17.02 – $64.48 | 13 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $7,180.93 | $35,904.65 | $60.23 – $468.16 | 13 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $42.40 | $212.00 | $23.85 – $102.74 | 14 |
| Pessary reusable rub anytype HCPCS A4561 | $42.40 | $212.00 | $9.59 – $66.41 | 14 |
| Pet CT skull-mid thgh initial CPT 78815 | $3,309.40 | $16,547.00 | $62.25 – $9,650.87 | 18 |
| Pet CT whole body initial CPT 78816 | $2,840.00 | $14,200.00 | $62.78 – $11,484.81 | 18 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,705.40 | $8,527.00 | $37.51 – $8,251.36 | 16 |
| Pet image full body CPT 78813 | $71.20 | $356.00 | $48.78 – $10,576.92 | 16 |
| Pet image skull-thigh CPT 78812 | $658.40 | $3,292.00 | $48.47 – $8,742.98 | 18 |
| Pet image w/ct lmtd CPT 78814 | $1,723.80 | $8,619.00 | $55.49 – $8,851.93 | 18 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $9,331.20 | $46,656.00 | $852.00 – $852.00 | 2 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $12.20 | $61.00 | $20.27 – $66.41 | 16 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $17.00 | $85.00 | $29.50 – $78.00 | 16 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $6.60 | $33.00 | $10.50 – $66.41 | 16 |
| Phalangectomy ea toe 28150 CPT 28150 | $198.80 | $994.00 | $66.41 – $578.86 | 16 |
| Pharmacologic management w/psytx CPT 90863 | $22.80 | $114.00 | $30.25 – $137.53 | 10 |
| Ph body fluid CPT 83986 | $40.20 | $201.00 | $3.18 – $48.21 | 11 |
| Phencyclidine (pcp) CPT 83992 | $1.60 | $8.00 | $0.08 – $174.04 | 6 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $81.78 | $408.91 | $15.48 – $408.91 | 8 |
| Phenobarbital therapeutic drug level CPT 80184 | $42.20 | $211.00 | $12.05 – $154.16 | 11 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $5.70 | $28.51 | $0.02 – $28.51 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $57.80 | $289.00 | $11.78 – $178.76 | 11 |
| Phlebotomy therapeutic CPT 99195 | $175.80 | $879.00 | $16.40 – $183.27 | 17 |
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.