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 |
|---|---|---|---|---|
| Rpr fem hernia init blocked CPT 49553 | $428.80 | $2,144.00 | $40.00 – $910.50 | 16 |
| Rpr ing hernia init blocked CPT 49501 | $412.00 | $2,060.00 | $66.41 – $856.29 | 16 |
| Rpr ing hernia init reduce CPT 49500 | $286.60 | $1,433.00 | $66.41 – $595.68 | 16 |
| Rpr nsl vlv collapse w/implt CPT 30468 | $116.20 | $581.00 | $66.41 – $4,636.14 | 16 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | $103.00 | $515.00 | $55.00 – $4,158.10 | 13 |
| Rpr parastomal hernia rdc 49621 CPT 49621 | $497.60 | $2,488.00 | $155.00 – $1,106.06 | 13 |
| Rpr parastomal hrna ncr/strn 49622 CPT 49622 | $617.00 | $3,085.00 | $160.00 – $1,364.37 | 13 |
| Rpr rem hernia init reduce CPT 49550 | $392.80 | $1,964.00 | $66.41 – $838.17 | 16 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $254.20 | $1,271.00 | $66.41 – $601.50 | 16 |
| Rsv assay w/optic CPT 87807 | $18.80 | $94.00 | $5.96 – $122.75 | 18 |
| Rubella antibody igg CPT 86762 | $77.80 | $389.00 | $10.88 – $193.47 | 11 |
| Rubeola antibody igg CPT 86765 | $31.20 | $156.00 | $11.45 – $173.77 | 11 |
| Russell viper venom diluted CPT 85613 | $7.00 | $35.00 | $8.45 – $129.01 | 11 |
| Salivary gland imaging CPT 78230 | $16.60 | $83.00 | $21.34 – $840.71 | 16 |
| Same day nb discharge 99463 CPT 99463 | $62.00 | $310.00 | $66.41 – $142.13 | 16 |
| Sars-cov-2 antb quantitative CPT 86413 | $102.80 | $514.00 | $42.13 – $301.24 | 11 |
| Sbrt management CPT 77435 | $513.40 | $2,567.00 | $536.14 – $5,814.22 | 16 |
| Sbsq ic vlbw inf<1,500 gm CPT 99478 | $64.20 | $321.00 | $66.41 – $208.51 | 16 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $75.80 | $379.00 | $52.00 – $207.52 | 16 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $36.80 | $184.00 | $27.50 – $101.10 | 16 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $53.40 | $267.00 | $40.00 – $146.15 | 16 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $19.80 | $99.00 | $13.70 – $66.41 | 16 |
| Sbsq psyc collab care mgmt CPT 99493 | $69.00 | $345.00 | $66.41 – $201.91 | 16 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $663.40 | $3,317.00 | $53.54 – $1,932.63 | 18 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $312.00 | $1,560.00 | $37.64 – $1,542.41 | 18 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $418.80 | $2,094.00 | $36.88 – $1,872.89 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $96.80 | $484.00 | $22.84 – $1,245.63 | 16 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $308.20 | $1,541.00 | $23.21 – $1,199.87 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $459.40 | $2,297.00 | $20.61 – $1,340.95 | 18 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $622.00 | $3,110.00 | $36.90 – $1,816.32 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $765.40 | $3,827.00 | $22.30 – $1,212.58 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $577.20 | $2,886.00 | $22.66 – $1,278.04 | 18 |
| Scan proc cranial extra CPT 61782 | $116.40 | $582.00 | $66.41 – $315.24 | 16 |
| Scan proc cranial intra 61781 CPT 61781 | $150.80 | $754.00 | $30.00 – $378.90 | 16 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $882.20 | $4,411.00 | $280.46 – $920.70 | 6 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $89.00 | $445.00 | $66.41 – $542.75 | 15 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $89.00 | $445.00 | $66.41 – $604.90 | 15 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $39.00 | $195.00 | $18.05 – $139.98 | 11 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $23.20 | $116.00 | $18.08 – $176.04 | 15 |
| Screening Mammogram CPT 77067 | $277.80 | $1,389.00 | $35.74 – $1,040.62 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $79.60 | $398.00 | $8.79 – $248.04 | 17 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $46.00 | $230.00 | $3.13 – $66.41 | 10 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $4,348.80 | $21,744.00 | $3.00 – $3.00 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $562.80 | $2,814.00 | $66.41 – $1,212.36 | 16 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $156.00 | $780.00 | $66.41 – $2,773.99 | 16 |
| Sedimentation rate erythrocyte automated CPT 85652 | $21.00 | $105.00 | $2.70 – $35.23 | 11 |
| Segmentectomy 32484 CPT 32484 | $933.60 | $4,668.00 | $66.41 – $2,114.51 | 16 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | $0.60 | $3.00 | $0.35 – $66.41 | 15 |
| Self-meas bp 2 readg bid 30d CPT 99474 | $8.80 | $44.00 | $44.00 – $504.83 | 6 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $10.20 | $51.00 | $15.24 – $66.41 | 10 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $7.60 | $38.00 | $11.49 – $66.41 | 10 |
| Semen analysis presence/motility CPT 89321 | $35.40 | $177.00 | $12.05 – $177.00 | 11 |
| Semen analysis w/count CPT 89310 | $25.40 | $127.00 | $8.61 – $127.00 | 11 |
| Separate eyelid adhesions CPT 68340 | $277.60 | $1,388.00 | $66.41 – $825.34 | 16 |
| Serial casting application 97139app CPT 97139 | $29.40 | $147.00 | $147.00 – $634.00 | 8 |
| Serial tonometry CPT 92100 | $44.00 | $220.00 | $26.62 – $402.92 | 16 |
| Serpina1 gene CPT 81332 | $8.73 | $43.65 | $43.65 – $1,187.16 | 11 |
| Sertraline (zoloft) - sendout CPT 80332 | $31.00 | $155.00 | $0.08 – $369.51 | 6 |
| Set radiation therapy field CPT 77280 | $30.20 | $151.00 | $38.28 – $1,167.18 | 16 |
| Set radiation therapy field CPT 77285 | $45.40 | $227.00 | $57.69 – $1,874.70 | 16 |
| Set radiation therapy field CPT 77290 | $890.80 | $4,454.00 | $84.37 – $2,181.66 | 18 |
| Sgmdsc w/band ligation CPT 45350 | $68.60 | $343.00 | $20.00 – $868.36 | 16 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $82.00 | $410.00 | $13.00 – $276.37 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $97.20 | $486.00 | $13.00 – $276.37 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $119.60 | $598.00 | $13.00 – $559.97 | 17 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $128.20 | $641.00 | $54.73 – $199.37 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $74.60 | $373.00 | $13.00 – $89.74 | 16 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $86.60 | $433.00 | $8.00 – $122.60 | 16 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $97.40 | $487.00 | $39.84 – $276.37 | 17 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $102.20 | $511.00 | $8.00 – $168.49 | 16 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $337.80 | $1,689.00 | $13.00 – $559.97 | 17 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $86.00 | $430.00 | $8.00 – $114.12 | 16 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $176.80 | $884.00 | $13.00 – $276.37 | 17 |
| Sho arthrs dx +- synovial bx CPT 29805 | $333.60 | $1,668.00 | $31.00 – $763.01 | 16 |
| Sho arthrs srg bicp tenodsis CPT 29828 | $636.00 | $3,180.00 | $30.00 – $1,240.14 | 16 |
| Sho arthrs srg capsulorraphy CPT 29806 | $734.20 | $3,671.00 | $66.41 – $1,693.00 | 16 |
| Sho arthrs srg compl synvct CPT 29821 | $418.40 | $2,092.00 | $66.41 – $926.85 | 16 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | $383.00 | $1,915.00 | $66.41 – $900.80 | 16 |
| Sho arthrs srg lss&rescj ads CPT 29825 | $413.40 | $2,067.00 | $66.41 – $918.25 | 16 |
| Sho arthrs srg prtl synvct CPT 29820 | $377.00 | $1,885.00 | $55.00 – $848.72 | 16 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | $413.00 | $2,065.00 | $50.00 – $929.04 | 16 |
| Sho arthrs srg rpr slap les CPT 29807 | $717.80 | $3,589.00 | $66.41 – $1,649.49 | 16 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | $416.60 | $2,083.00 | $66.41 – $981.86 | 16 |
| Shoe post-op mens m HCPCS L3260 | $122.00 | $610.00 | $8.01 – $66.41 | 9 |
| Shortening of hand tendon CPT 26479 | $481.40 | $2,407.00 | $66.41 – $1,122.81 | 16 |
| Shorten radius or ulna CPT 25390 | $540.60 | $2,703.00 | $66.41 – $1,387.48 | 16 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | $739.20 | $3,696.00 | $66.41 – $1,670.35 | 16 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,963.20 | $9,816.00 | $56.12 – $4,631.64 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $1,440.40 | $7,202.00 | $42.65 – $2,502.09 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $1,194.60 | $5,973.00 | $35.82 – $2,045.12 | 18 |
| Shoulder prosthesis removal CPT 23334 | $736.60 | $3,683.00 | $66.41 – $1,593.77 | 16 |
| Shoulder prosthesis removal CPT 23335 | $872.00 | $4,360.00 | $66.41 – $1,896.67 | 16 |
| Shoulder X-ray CPT 73030 | $300.00 | $1,500.00 | $9.22 – $220.07 | 18 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,160.00 | $10,800.00 | $10,800.00 – $10,800.00 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $149.60 | $748.00 | $23.66 – $302.96 | 18 |
| Sialography s&i CPT 70390 | $215.20 | $1,076.00 | $17.69 – $685.73 | 18 |
| Sialolithotomy 42330 CPT 42330 | $166.40 | $832.00 | $66.41 – $342.40 | 16 |
| Sickling rbc CPT 85660 | $0.90 | $4.52 | $4.52 – $74.63 | 11 |
| Sigmoidoscopy and biopsy CPT 45331 | $292.40 | $1,462.00 | $25.00 – $1,281.00 | 17 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | $76.80 | $384.00 | $20.00 – $223.72 | 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.