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 |
|---|---|---|---|---|
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $334.40 | $1,672.00 | $48.12 – $790.95 | 18 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $298.20 | $1,491.00 | $47.39 – $423.35 | 18 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $51.40 | $257.00 | $66.41 – $504.83 | 14 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $380.20 | $1,901.00 | $66.41 – $1,413.00 | 16 |
| Prenatal Care Only (7+ visits) CPT 59426 | $695.00 | $3,475.00 | $66.41 – $2,591.00 | 16 |
| Prepare fecal microbiota CPT 44705 | $83.60 | $418.00 | $66.41 – $418.00 | 10 |
| Prep skin to 100cm2 other CPT 15004 | $1,195.00 | $5,975.00 | $45.00 – $559.97 | 17 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $583.00 | $2,915.00 | $53.98 – $1,018.06 | 17 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $29.40 | $147.00 | $36.49 – $96.06 | 16 |
| Pressure max expiratory/inspiratory CPT 94799 | $210.00 | $1,050.00 | $177.25 – $319.05 | 5 |
| Pressure velocity wire add ves CPT 93572 | $24.20 | $121.00 | $63.76 – $197.24 | 16 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $11.80 | $59.00 | $23.88 – $422.42 | 11 |
| Pretreat rbc absorption reference CPT 86978 | $77.52 | $387.60 | $28.65 – $242.68 | 11 |
| Pretreat rbc density gradient separation reference CPT 86972 | $25.20 | $126.00 | $23.88 – $422.42 | 11 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $34.87 | $174.35 | $24.79 – $194.20 | 11 |
| Pretreat rbc w enzyme reference CPT 86971 | $15.25 | $76.25 | $23.00 – $422.42 | 11 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $96.00 | $480.00 | $66.41 – $256.92 | 16 |
| Preventive counseling group CPT 99411 | $5.00 | $25.00 | $25.00 – $504.83 | 6 |
| Preventive counseling group CPT 99412 | $8.00 | $40.00 | $40.00 – $504.83 | 6 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $15.20 | $76.00 | $27.55 – $504.83 | 14 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $30.80 | $154.00 | $56.07 – $504.83 | 14 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $46.20 | $231.00 | $231.00 – $504.83 | 6 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $61.80 | $309.00 | $280.46 – $504.83 | 6 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $83.20 | $416.00 | $66.41 – $320.00 | 15 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $750.00 | $3,750.00 | $28.00 – $2,275.05 | 17 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $1,288.40 | $6,442.00 | $19.00 – $2,275.05 | 17 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $728.80 | $3,644.00 | $24.00 – $559.97 | 17 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $907.20 | $4,536.00 | $40.00 – $1,807.11 | 16 |
| Prgrmg dev eval impltbl sys CPT 93260 | $20.20 | $101.00 | $27.64 – $365.43 | 18 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $34.00 | $170.00 | $22.34 – $249.76 | 18 |
| Prgrmg dev eval scrms ip CPT 93285 | $34.60 | $173.00 | $20.67 – $202.10 | 18 |
| Prgrmg eval implantable dfb CPT 93282 | $45.20 | $226.00 | $26.93 – $263.74 | 18 |
| Prgrmg eval implantable dfb CPT 93283 | $51.40 | $257.00 | $31.11 – $299.97 | 18 |
| Prgrmg eval implantable dfb CPT 93284 | $53.20 | $266.00 | $35.29 – $340.64 | 18 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $84.60 | $423.00 | $66.41 – $277.99 | 16 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $84.20 | $421.00 | $66.41 – $193.69 | 17 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $40.00 | $200.00 | $34.30 – $134.35 | 17 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $57.60 | $288.00 | $45.80 – $156.54 | 16 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $39.40 | $197.00 | $37.80 – $103.16 | 16 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $23.80 | $119.00 | $27.50 – $66.41 | 17 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $279.00 | $1,395.00 | $65.00 – $4,257.79 | 16 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $324.40 | $1,622.00 | $66.41 – $1,401.08 | 16 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $397.00 | $1,985.00 | $45.00 – $559.97 | 17 |
| Pr incision & drainage abscess simple/single CPT 10060 | $274.20 | $1,371.00 | $42.44 – $276.37 | 17 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $267.40 | $1,337.00 | $28.00 – $419.76 | 17 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $476.60 | $2,383.00 | $51.75 – $559.97 | 17 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $142.20 | $711.00 | $66.41 – $464.00 | 16 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $105.00 | $525.00 | $66.41 – $342.00 | 16 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $165.60 | $828.00 | $10.86 – $83.61 | 17 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $429.80 | $2,149.00 | $30.00 – $852.27 | 16 |
| Probe nasolacrimal duct CPT 68810 | $114.00 | $570.00 | $45.00 – $437.22 | 17 |
| Probe nasolacrimal duct CPT 68811 | $95.20 | $476.00 | $22.34 – $302.50 | 16 |
| Procalcitonin CPT 84145 | $85.80 | $429.00 | $27.22 – $368.42 | 11 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $12.28 | $61.38 | $1.81 – $50.73 | 10 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | $1,221.00 | $6,105.00 | $66.41 – $2,641.66 | 16 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $75.20 | $376.00 | $20.00 – $392.38 | 16 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $58.20 | $291.00 | $55.00 – $1,602.81 | 16 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $93.00 | $465.00 | $36.11 – $201.40 | 16 |
| Proctosigmoidoscopy volvul CPT 45321 | $69.60 | $348.00 | $55.00 – $168.54 | 16 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $50.00 | $250.00 | $50.63 – $317.71 | 16 |
| Progesterone CPT 84144 | $77.40 | $387.00 | $18.30 – $281.36 | 11 |
| Prolactin CPT 84146 | $49.40 | $247.00 | $16.93 – $261.29 | 11 |
| Prolng clin staff svc 1st hr CPT 99415 | $5.40 | $27.00 | $11.63 – $45.13 | 7 |
| Prolng ip/obs e/m ea 15 min CPT 99418 | $28.00 | $140.00 | $41.35 – $113.00 | 7 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $21.20 | $106.00 | $33.92 – $504.83 | 14 |
| Prolong service without contact CPT 99358 | $46.20 | $231.00 | $66.41 – $504.83 | 14 |
| Prolong serv without contact add CPT 99359 | $31.40 | $157.00 | $54.25 – $504.83 | 14 |
| Promethazine hcl injection HCPCS J2550 | $8.00 | $40.00 | $2.95 – $12.36 | 10 |
| Proph rta dtchmnt pc CPT 67145 | $164.20 | $821.00 | $66.41 – $757.61 | 17 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $52.19 | $260.95 | $0.18 – $62.90 | 8 |
| Prostate biopsy, any mthd HCPCS G0416 | $933.60 | $4,668.00 | $493.75 – $3,050.51 | 11 |
| Prostate ca screening; dre HCPCS G0102 | $9.80 | $49.00 | $7.76 – $66.41 | 15 |
| Prostatectomy (turp) CPT 52601 | $498.20 | $2,491.00 | $66.41 – $1,116.68 | 14 |
| Protein c activity CPT 85303 | $2.46 | $12.30 | $12.30 – $186.66 | 11 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $1.40 | $7.00 | $7.00 – $144.99 | 11 |
| Protein s total CPT 85305 | $2.06 | $10.32 | $10.32 – $156.79 | 11 |
| Protein total 24 hour urine CPT 84156 | $16.60 | $83.00 | $3.26 – $49.57 | 11 |
| Protein total body fluid CPT 84157 | $21.60 | $108.00 | $2.99 – $49.57 | 11 |
| Protein total serum plasma whole blood CPT 84155 | $13.80 | $69.00 | $3.14 – $49.39 | 11 |
| Prothrombin complex kcentra HCPCS J7168 | $2.71 | $13.57 | $2.05 – $18.06 | 13 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $3.20 | $16.00 | $0.63 – $53.11 | 18 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | $296.40 | $1,482.00 | $66.41 – $685.50 | 16 |
| Prp i/hern init block >5 yr CPT 49507 | $399.40 | $1,997.00 | $66.41 – $921.86 | 16 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $40.80 | $204.00 | $66.41 – $139.94 | 17 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $15.80 | $79.00 | $27.47 – $76.00 | 15 |
| Prq card revasc mi 1 vsl CPT 92941 | $302.40 | $1,512.00 | $66.41 – $945.00 | 16 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $269.00 | $1,345.00 | $66.41 – $842.46 | 16 |
| Prq skel fix epcndylr hum fx CPT 24566 | $511.80 | $2,559.00 | $66.41 – $1,049.75 | 16 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $556.40 | $2,782.00 | $66.41 – $1,196.66 | 16 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | $271.20 | $1,356.00 | $66.41 – $585.51 | 16 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $269.20 | $1,346.00 | $66.41 – $843.50 | 16 |
| Prq trlml c athrc st angiop1 CPT 92933 | $302.00 | $1,510.00 | $66.41 – $943.20 | 16 |
| Prq trluml c angiop 1art&/br CPT 92920 | $242.20 | $1,211.00 | $66.41 – $759.82 | 16 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $288.40 | $1,442.00 | $66.41 – $903.21 | 16 |
| Prq trluml revsc ch occ ant CPT 92943 | $302.20 | $1,511.00 | $66.41 – $945.00 | 16 |
| Pr removal drug delivery implant CPT 11982 | $76.80 | $384.00 | $19.00 – $219.30 | 16 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $85.60 | $428.00 | $25.00 – $200.44 | 17 |
| Pr removal intrauterine device CPT 58301 | $79.80 | $399.00 | $10.00 – $419.76 | 17 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $217.00 | $1,085.00 | $35.00 – $559.97 | 17 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $79.00 | $395.00 | $23.00 – $276.37 | 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.