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 |
|---|---|---|---|---|
| Sigmoidoscopy for bleeding CPT 45334 | $79.80 | $399.00 | $66.41 – $256.44 | 16 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | $207.80 | $1,039.00 | $20.00 – $448.52 | 16 |
| Sigmoidoscopy w/ablation CPT 45346 | $108.40 | $542.00 | $25.00 – $539.87 | 16 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $71.60 | $358.00 | $20.00 – $474.82 | 16 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | $104.00 | $520.00 | $20.00 – $263.96 | 16 |
| Sigmoidoscopy w/resection CPT 45349 | $148.40 | $742.00 | $50.00 – $467.18 | 16 |
| Sigmoidoscopy w/tumr remove CPT 45338 | $81.60 | $408.00 | $66.41 – $516.26 | 16 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $84.20 | $421.00 | $66.41 – $244.63 | 16 |
| Sigmoidoscopy w/us guide bx CPT 45342 | $114.60 | $573.00 | $66.41 – $371.30 | 16 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | $64.00 | $320.00 | $66.41 – $483.01 | 16 |
| Sig w/tndsc balloon dilation CPT 45340 | $53.20 | $266.00 | $20.00 – $798.50 | 16 |
| Simple cystometrogram 51725 CPT 51725 | $148.80 | $744.00 | $42.44 – $275.14 | 16 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,089.00 | $5,445.00 | $33.17 – $1,528.03 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $1,202.40 | $6,012.00 | $29.51 – $1,225.75 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $774.20 | $3,871.00 | $22.41 – $1,022.78 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $41.60 | $208.00 | $53.59 – $4,861.66 | 14 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | $371.00 | $1,855.00 | $56.00 – $732.78 | 16 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | $421.60 | $2,108.00 | $66.41 – $885.56 | 16 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $35.60 | $178.00 | $0.08 – $363.79 | 6 |
| Skel musc relaxant 3 or more CPT 80370 | $1.20 | $6.00 | $0.08 – $400.11 | 6 |
| Skin Biopsy CPT 11102 | $145.00 | $725.00 | $30.14 – $559.97 | 17 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $469.00 | $2,345.00 | $30.00 – $1,034.74 | 16 |
| Skin full graft add-on 15241 CPT 15241 | $72.20 | $361.00 | $60.00 – $254.85 | 16 |
| Skin pedicle flap trunk CPT 15570 | $503.60 | $2,518.00 | $66.41 – $1,223.40 | 16 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | $728.00 | $3,640.00 | $50.63 – $313.59 | 16 |
| Skyla, 13.5 mg HCPCS J7301 | $365.40 | $1,827.00 | $944.87 – $4,313.17 | 9 |
| Sleep study attended CPT 95807 | $28.60 | $143.00 | $60.74 – $2,458.84 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $327.20 | $1,636.00 | $122.56 – $2,492.52 | 16 |
| Sleep study unattended CPT 95806 | $476.20 | $2,381.00 | $45.90 – $2,052.10 | 18 |
| Sleeve fing rolyan med HCPCS L3933 | $74.20 | $371.00 | $175.08 – $410.98 | 7 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $8.20 | $41.00 | $2.15 – $66.41 | 16 |
| Sling suprapubic suburetheral HCPCS C1771 | $2,424.40 | $12,122.00 | $6,562.00 – $6,562.00 | 2 |
| Slitting of prepuce CPT 54001 | $98.20 | $491.00 | $32.00 – $325.25 | 16 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $25.40 | $127.00 | $127.00 – $634.00 | 8 |
| Slp eval non-spch gen comm dev CPT 92605 | $71.40 | $357.00 | $357.00 – $357.00 | 2 |
| Slp pure tone screening CPT 92551 | $15.60 | $78.00 | $13.99 – $78.00 | 10 |
| Slp stdy unatnd w/anal CPT 95801 | $50.20 | $251.00 | $42.09 – $521.76 | 16 |
| Slp ther svc non-spch gen CPT 92606 | $71.00 | $355.00 | $290.00 – $634.00 | 8 |
| Sm-153 lexidron ther HCPCS A9604 | $13,323.80 | $66,619.00 | $3,159.80 – $37,317.05 | 12 |
| Small bowel endoscopy CPT 44360 | $97.20 | $486.00 | $30.00 – $244.32 | 16 |
| Small bowel endoscopy CPT 44364 | $137.80 | $689.00 | $15.00 – $343.70 | 16 |
| Small bowel endoscopy CPT 44366 | $161.40 | $807.00 | $10.00 – $402.93 | 16 |
| Small bowel endoscopy CPT 44369 | $165.40 | $827.00 | $10.00 – $412.31 | 16 |
| Small bowel endoscopy CPT 44376 | $191.20 | $956.00 | $30.00 – $471.57 | 16 |
| Small bowel endoscopy CPT 44378 | $258.00 | $1,290.00 | $20.00 – $638.55 | 16 |
| Small bowel endoscopy CPT 44382 | $50.80 | $254.00 | $50.00 – $128.37 | 16 |
| Small bowel endoscopy CPT 44384 | $103.00 | $515.00 | $45.00 – $253.96 | 16 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $129.20 | $646.00 | $15.00 – $321.83 | 16 |
| Small bowel endoscopy/biopsy CPT 44361 | $107.40 | $537.00 | $15.00 – $269.24 | 16 |
| Small bowel endoscopy/biopsy CPT 44377 | $200.40 | $1,002.00 | $10.00 – $498.99 | 16 |
| Small bowel endoscopy br/wa CPT 44380 | $39.80 | $199.00 | $20.00 – $108.07 | 16 |
| Small bowel endoscopy br/wa CPT 44381 | $57.60 | $288.00 | $50.00 – $163.29 | 16 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $34.40 | $172.00 | $4.79 – $72.45 | 11 |
| Smear gram stain CPT 87205 | $14.20 | $71.00 | $4.27 – $57.56 | 11 |
| Smear nasal eosinophil CPT 89190 | $16.60 | $83.00 | $5.79 – $64.01 | 11 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $32.20 | $161.00 | $5.33 – $80.80 | 11 |
| Smear wet mount CPT 87210 | $14.20 | $71.00 | $1.34 – $57.56 | 18 |
| Snrpn/ube3a gene CPT 81331 | $67.00 | $335.00 | $51.07 – $867.13 | 11 |
| Sodium 24 hour urine CPT 84300 | $28.00 | $140.00 | $4.32 – $65.55 | 11 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $14.29 | $71.47 | $1.95 – $61.48 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $9.00 | $45.00 | $1.24 – $70.50 | 10 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $8.94 | $44.70 | $1.32 – $55.03 | 8 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $17.72 | $88.59 | $0.25 – $49.55 | 8 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $46.60 | $233.00 | $71.52 – $801.33 | 10 |
| Sodium serum/plasma/whole blood CPT 84295 | $22.20 | $111.00 | $4.81 – $64.64 | 11 |
| Sp bone agrft morsel add-on CPT 20937 | $109.60 | $548.00 | $65.00 – $286.42 | 16 |
| Sp bone agrft struct add-on CPT 20938 | $119.20 | $596.00 | $66.41 – $311.00 | 16 |
| Sp bone algrft morsel add-on CPT 20930 | $147.00 | $735.00 | $66.41 – $735.00 | 10 |
| Special radiation dosimetry CPT 77331 | $37.00 | $185.00 | $17.59 – $199.10 | 16 |
| Special radiation treatment CPT 77470 | $86.20 | $431.00 | $88.89 – $3,745.14 | 16 |
| Special supplies phys/qhp CPT 99070 | $488.56 | $2,442.81 | $1.13 – $66.41 | 7 |
| Special teletx port plan CPT 77321 | $40.20 | $201.00 | $51.34 – $1,774.56 | 16 |
| Specific gravity body fluid CPT 84315 | $14.00 | $70.00 | $3.28 – $33.86 | 11 |
| Speech recep thresh CPT 92555 | $16.00 | $80.00 | $11.20 – $66.41 | 16 |
| Sphenoid sinus surgery CPT 31051 | $733.20 | $3,666.00 | $30.00 – $984.31 | 16 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | $512.40 | $2,562.00 | $25.00 – $995.44 | 16 |
| Spinal bone allograftstructural 20931 CPT 20931 | $72.00 | $360.00 | $30.00 – $188.23 | 16 |
| Spinal bone autograftlocal 20936 CPT 20936 | $161.40 | $807.00 | $66.41 – $807.00 | 10 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $654.20 | $3,271.00 | $23.00 – $972.34 | 17 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $323.00 | $1,615.00 | $10.61 – $514.02 | 18 |
| Splenectomy total open 38100 CPT 38100 | $766.00 | $3,830.00 | $66.41 – $1,530.15 | 16 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $290.40 | $1,452.00 | $66.41 – $859.60 | 16 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $35.20 | $176.00 | $27.15 – $104.07 | 16 |
| Splint finger 4 prong foam sm HCPCS A4570 | $34.00 | $170.00 | $5.36 – $66.41 | 9 |
| Splint finger frog med HCPCS L3927 | $18.80 | $94.00 | $17.09 – $66.41 | 16 |
| Splint func pos polyflex ii med HCPCS L3999 | $13.00 | $65.00 | $38.00 – $66.41 | 5 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $48.00 | $240.00 | $22.26 – $141.93 | 16 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $478.80 | $2,394.00 | $25.00 – $1,219.59 | 16 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | $88.60 | $443.00 | $66.41 – $425.14 | 16 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $1,698.60 | $8,493.00 | $1,013.02 – $11,288.41 | 13 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $214.60 | $1,073.00 | $89.05 – $735.82 | 14 |
| Staph a dna amp probe CPT 87640 | $91.00 | $455.00 | $35.09 – $463.02 | 11 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $83.00 | $415.00 | $91.47 – $634.00 | 13 |
| Stenger test speech CPT 92577 | $15.60 | $78.00 | $13.61 – $66.41 | 16 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $6,827.00 | $34,135.00 | $16,154.00 – $16,154.00 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $5,332.20 | $26,661.00 | $668.00 – $668.00 | 2 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $2,472.80 | $12,364.00 | $2,838.00 – $2,838.00 | 2 |
| Stereotactic radiation trmt CPT 77432 | $339.40 | $1,697.00 | $284.32 – $4,000.25 | 16 |
| Sterile water/saline, 10 ml HCPCS A4216 | $8.42 | $42.11 | $0.62 – $11.82 | 7 |
| Sternal debridement CPT 21627 | $379.20 | $1,896.00 | $50.00 – $858.71 | 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.