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 |
|---|---|---|---|---|
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $81.80 | $409.00 | $38.00 – $251.07 | 16 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $1,100.20 | $5,501.00 | $42.79 – $276.37 | 17 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $249.80 | $1,249.00 | $37.00 – $276.37 | 17 |
| Pr robotic surgical system HCPCS S2900 | $29.80 | $149.00 | $66.41 – $5,052.00 | 7 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $495.60 | $2,478.00 | $20.00 – $1,287.91 | 16 |
| Pr subsequent hospital care e/m normal newborn per day CPT 99462 | $43.20 | $216.00 | $25.20 – $66.41 | 16 |
| Prtl exc bone olecrn process CPT 24147 | $2,968.20 | $14,841.00 | $25.00 – $4,507.13 | 17 |
| Prtl excision bone clavicle CPT 23180 | $487.20 | $2,436.00 | $66.41 – $1,150.07 | 16 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,090.20 | $5,451.00 | $52.00 – $2,168.37 | 17 |
| Pr visit complexity e&m service serious/complex condition HCPCS G2211 | $7.80 | $39.00 | $0.01 – $66.41 | 16 |
| PSA (Prostate) Test CPT 84153 | $55.00 | $275.00 | $10.05 – $248.04 | 11 |
| Psychotherapy group therapy CPT 90853 | $14.40 | $72.00 | $23.96 – $67.71 | 16 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $40.40 | $202.00 | $66.41 – $110.02 | 16 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $53.40 | $267.00 | $66.41 – $186.19 | 16 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $79.00 | $395.00 | $38.01 – $236.97 | 16 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $59.80 | $299.00 | $66.41 – $257.63 | 16 |
| Psy evaluation of records CPT 90885 | $27.80 | $139.00 | $57.19 – $143.57 | 10 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $21.40 | $107.00 | $21.60 – $75.35 | 16 |
| Psytx complex interactive CPT 90785 | $7.20 | $36.00 | $3.88 – $66.41 | 16 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $37.20 | $186.00 | $34.49 – $105.79 | 16 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $47.20 | $236.00 | $56.02 – $136.02 | 16 |
| Psytx pt w/e&m 53+ min CPT 90838 | $62.60 | $313.00 | $66.41 – $161.74 | 16 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $15.60 | $78.00 | $8.66 – $465.00 | 18 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $18.00 | $90.00 | $4.00 – $465.00 | 12 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $38.20 | $191.00 | $13.17 – $634.00 | 14 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $30.80 | $154.00 | $7.43 – $465.00 | 18 |
| Pt application of modality traction mechanical CPT 97012 | $41.20 | $206.00 | $11.14 – $465.00 | 18 |
| Pt evaluation high complexity patient/family CPT 97163 | $108.60 | $543.00 | $103.01 – $634.00 | 14 |
| Pt evaluation low complexity patient/family CPT 97161 | $90.60 | $453.00 | $61.21 – $465.00 | 18 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $95.40 | $477.00 | $61.21 – $465.00 | 18 |
| Pt-focused hlth risk assmt CPT 96160 | $4.80 | $24.00 | $3.07 – $66.41 | 17 |
| Pt prgrm for implt neurostim HCPCS L8681 | $1,492.60 | $7,463.00 | $1,294.82 – $2,330.68 | 5 |
| Pt re-evaluation patient/family CPT 97164 | $59.60 | $298.00 | $71.23 – $634.00 | 14 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $48.60 | $243.00 | $30.28 – $465.00 | 16 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.60 | $78.00 | $78.00 – $504.83 | 6 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $47.40 | $237.00 | $11.28 – $465.00 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $39.60 | $198.00 | $14.76 – $634.00 | 14 |
| Pt wheelchair management each 15 minutes CPT 97542 | $29.40 | $147.00 | $32.59 – $634.00 | 14 |
| Pul art balloon repr percut CPT 92997 | $293.00 | $1,465.00 | $66.41 – $1,058.09 | 16 |
| Pul art balloon repr percut CPT 92998 | $146.20 | $731.00 | $66.41 – $517.97 | 16 |
| Pulmonary decortication partial 32225 CPT 32225 | $656.20 | $3,281.00 | $60.00 – $1,424.31 | 16 |
| Pulmonary vent imaging CPT 78579 | $470.40 | $2,352.00 | $22.70 – $1,605.60 | 18 |
| Pulse ox continuous overnight monitoring CPT 94762 | $168.80 | $844.00 | $24.43 – $468.38 | 15 |
| Pulse ox multiple CPT 94761 | $87.00 | $435.00 | $4.57 – $317.13 | 15 |
| Pulse ox single CPT 94760 | $30.00 | $150.00 | $3.07 – $122.66 | 17 |
| Punc of shunt for asp or inj CPT 61070 | $559.80 | $2,799.00 | $30.00 – $972.34 | 17 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $157.60 | $788.00 | $12.66 – $183.27 | 17 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $307.60 | $1,538.00 | $8.00 – $559.97 | 17 |
| Puncture/clear windpipe 31612 CPT 31612 | $32.40 | $162.00 | $20.00 – $128.85 | 16 |
| Puncture spinal lumbar diagnostic CPT 62270 | $604.80 | $3,024.00 | $55.86 – $972.34 | 17 |
| Puraply 1 sq cm HCPCS Q4195 | $14.20 | $71.00 | $71.00 – $346.14 | 9 |
| Pyelotomy w/removal calculus CPT 50130 | $704.60 | $3,523.00 | $40.00 – $1,562.88 | 16 |
| Pyloroplasty 43800 CPT 43800 | $621.40 | $3,107.00 | $40.00 – $1,287.90 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $742.40 | $3,712.00 | $38.43 – $2,790.85 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | $470.40 | $2,352.00 | $33.75 – $1,722.09 | 18 |
| Quest t3 uptake CPT 84479 | $24.00 | $120.00 | $6.47 – $87.25 | 11 |
| Rabies ig ht&sol human im/sc CPT 90377 | $515.87 | $2,579.36 | $242.18 – $2,364.87 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $140.20 | $701.00 | $279.95 – $476.33 | 8 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $4.80 | $24.00 | $9.00 – $38.00 | 4 |
| Radiation handling CPT 77790 | $146.80 | $734.00 | $20.13 – $266.25 | 11 |
| Radiation therapy dose plan CPT 77300 | $323.40 | $1,617.00 | $33.73 – $520.40 | 18 |
| Radiation treatment aid(s) CPT 77332 | $272.20 | $1,361.00 | $24.46 – $518.22 | 18 |
| Radiation treatment aid(s) CPT 77333 | $32.00 | $160.00 | $16.04 – $737.12 | 16 |
| Radiation treatment aid(s) CPT 77334 | $48.60 | $243.00 | $62.00 – $1,253.07 | 16 |
| Radiation tx management x5 CPT 77427 | $153.80 | $769.00 | $114.37 – $1,684.05 | 16 |
| Radical abdominal hysterectomy 58210 CPT 58210 | $1,240.60 | $6,203.00 | $45.00 – $2,743.39 | 16 |
| Radical resection of elbow CPT 24149 | $825.80 | $4,129.00 | $66.41 – $1,705.06 | 16 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | $707.40 | $3,537.00 | $60.00 – $4,001.20 | 17 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | $978.40 | $4,892.00 | $66.41 – $2,031.97 | 16 |
| Radiotherapy dose plan imrt CPT 77301 | $338.40 | $1,692.00 | $432.51 – $10,271.78 | 16 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $0.67 | $3.34 | $3.34 – $754.96 | 12 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,225.40 | $6,127.00 | $36.36 – $2,113.48 | 18 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,156.40 | $5,782.00 | $45.90 – $1,674.42 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,155.00 | $5,775.00 | $50.08 – $2,291.70 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $551.60 | $2,758.00 | $30.73 – $1,298.19 | 18 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | $699.40 | $3,497.00 | $66.41 – $1,374.56 | 14 |
| Rad resect abd tumor 5 cm/> CPT 22905 | $899.20 | $4,496.00 | $66.41 – $1,953.45 | 16 |
| Rad resect hand tumor < 3 cm CPT 26117 | $525.00 | $2,625.00 | $66.41 – $1,024.33 | 16 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | $651.00 | $3,255.00 | $66.41 – $1,268.86 | 16 |
| Rapid Strep Test CPT 87880 | $57.80 | $289.00 | $6.99 – $121.20 | 18 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $14,083.16 | $70,415.82 | $223.68 – $1,415.84 | 13 |
| Rbc irradiated each unit HCPCS P9038 | $56.30 | $281.52 | $155.53 – $279.97 | 7 |
| Rbc osmotic fragility CPT 85555 | $14.55 | $72.73 | $7.47 – $90.15 | 11 |
| Realignment of knee CPT 27457 | $660.80 | $3,304.00 | $66.41 – $1,552.45 | 16 |
| Realignment of tendons CPT 26437 | $476.40 | $2,382.00 | $35.00 – $1,042.72 | 16 |
| Rebuild eardrum structures CPT 69632 | $755.60 | $3,778.00 | $45.00 – $1,677.48 | 16 |
| Rebuild eardrum structures CPT 69633 | $735.80 | $3,679.00 | $66.41 – $1,608.48 | 16 |
| Rebuild eardrum structures CPT 69636 | $992.00 | $4,960.00 | $66.41 – $2,206.56 | 16 |
| Rebuild outer ear canal CPT 69310 | $790.20 | $3,951.00 | $66.41 – $1,651.20 | 16 |
| Rechanneling of artery CPT 35361 | $961.80 | $4,809.00 | $66.41 – $2,638.67 | 16 |
| Rechanneling of artery CPT 35306 | $278.00 | $1,390.00 | $66.41 – $678.29 | 16 |
| Rechanneling of artery CPT 35363 | $1,025.40 | $5,127.00 | $55.00 – $2,829.85 | 16 |
| Rechanneling of artery 35305 CPT 35305 | $774.60 | $3,873.00 | $66.41 – $1,817.87 | 16 |
| Rechanneling of artery 35341 CPT 35341 | $873.60 | $4,368.00 | $45.00 – $2,385.45 | 16 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | $807.20 | $4,036.00 | $66.41 – $1,891.01 | 16 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | $919.40 | $4,597.00 | $66.41 – $2,475.96 | 16 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | $619.60 | $3,098.00 | $66.41 – $1,722.97 | 16 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | $777.40 | $3,887.00 | $66.41 – $1,817.87 | 16 |
| Reconst lwr jaw w/fixation CPT 21196 | $998.80 | $4,994.00 | $66.41 – $2,239.43 | 16 |
| Reconstruct ankle joint CPT 27702 | $666.40 | $3,332.00 | $55.00 – $1,601.43 | 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.