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 |
|---|---|---|---|---|
| T cells absolute cd4/cd8 including ratio CPT 86360 | $8.31 | $41.55 | $20.00 – $532.11 | 11 |
| T cells absolute cd 4 count CPT 86361 | $4.76 | $23.80 | $23.80 – $363.16 | 11 |
| T cells total count CPT 86359 | $6.75 | $33.75 | $16.00 – $509.60 | 11 |
| Tcranial magn stim tx deli CPT 90868 | $115.20 | $576.00 | $168.14 – $13,550.62 | 8 |
| Tcranial magn stim tx plan CPT 90867 | $162.40 | $812.00 | $250.00 – $28,067.87 | 8 |
| Tcran magn stim redetemine CPT 90869 | $132.60 | $663.00 | $66.41 – $678.97 | 8 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $651.60 | $3,258.00 | $66.41 – $1,757.85 | 16 |
| Telehealth original site facility fee HCPCS Q3014 | $13.40 | $67.00 | $26.65 – $75.57 | 9 |
| Telethx isodose plan cplx CPT 77307 | $123.00 | $615.00 | $123.37 – $1,708.56 | 16 |
| Telethx isodose plan simple CPT 77306 | $59.20 | $296.00 | $67.34 – $932.77 | 16 |
| Tendon lngth upr a/e ea tdn CPT 24305 | $412.20 | $2,061.00 | $55.47 – $930.02 | 16 |
| Tendon transfer with graft CPT 26492 | $654.20 | $3,271.00 | $61.00 – $1,473.82 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $7,567.10 | $37,835.51 | $197.44 – $37,835.51 | 13 |
| Tenodesis biceps tdn at elbw CPT 24340 | $428.60 | $2,143.00 | $35.00 – $982.92 | 16 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $434.00 | $2,170.00 | $64.78 – $975.97 | 16 |
| Tenosynovectomy radic 26145 CPT 26145 | $369.60 | $1,848.00 | $65.00 – $811.58 | 16 |
| Tenotomy hip flexor open CPT 27005 | $505.80 | $2,529.00 | $66.41 – $1,159.00 | 16 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $700.80 | $3,504.00 | $66.41 – $2,214.98 | 17 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $19.26 | $96.28 | $4.94 – $96.28 | 8 |
| Test for chlorohydrocarbons CPT 82441 | $24.40 | $122.00 | $6.01 – $80.98 | 11 |
| Testicular imaging w/vasc flow CPT 78761 | $484.60 | $2,423.00 | $33.31 – $1,225.56 | 18 |
| Test stress cardiovascular tracing only CPT 93017 | $181.00 | $905.00 | $75.31 – $685.09 | 11 |
| Tetanus immune globulin inj HCPCS J1670 | $727.77 | $3,638.86 | $497.50 – $1,602.30 | 13 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $599.00 | $2,995.00 | $759.53 – $7,740.54 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $64.60 | $323.00 | $14.14 – $190.84 | 11 |
| Therapeutic pulpotomy HCPCS D3220 | $55.80 | $279.00 | $279.00 – $504.83 | 6 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $40.00 | $200.00 | $27.33 – $66.41 | 17 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $34.40 | $172.00 | $22.79 – $66.41 | 17 |
| Ther fx nasal inf turbinate CPT 30930 | $84.40 | $422.00 | $20.00 – $184.95 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $79.40 | $397.00 | $79.23 – $850.42 | 14 |
| Ther/proph/diag inj ia CPT 96373 | $9.80 | $49.00 | $15.90 – $66.41 | 16 |
| Ther radiology tx plng cplx CPT 77263 | $134.60 | $673.00 | $138.57 – $1,739.43 | 16 |
| Ther radiology tx plng intrm CPT 77262 | $86.80 | $434.00 | $92.79 – $1,170.63 | 16 |
| Ther radiology tx plng smpl CPT 77261 | $56.40 | $282.00 | $61.12 – $770.16 | 16 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $19.30 | $96.52 | $1.76 – $15.00 | 10 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $929.00 | $4,645.00 | $32.00 – $930.31 | 17 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | $136.40 | $682.00 | $37.97 – $428.45 | 16 |
| Thoracoscopy diagnostic 32601 CPT 32601 | $200.40 | $1,002.00 | $15.00 – $479.91 | 16 |
| Thoracoscopy lymph node exc CPT 32674 | $136.60 | $683.00 | $15.00 – $321.05 | 16 |
| Thoracoscopy remove cortex CPT 32651 | $718.20 | $3,591.00 | $20.00 – $1,707.75 | 16 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | $697.60 | $3,488.00 | $20.00 – $1,649.24 | 16 |
| Thoracoscopy surgical 32650 CPT 32650 | $444.60 | $2,223.00 | $15.00 – $1,040.42 | 16 |
| Thoracoscopy w/bx med space CPT 32606 | $298.60 | $1,493.00 | $51.01 – $716.79 | 16 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | $85.00 | $425.00 | $35.00 – $1,253.03 | 16 |
| Thoracoscopy w/wedge resect CPT 32666 | $573.60 | $2,868.00 | $66.41 – $1,318.94 | 16 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | $99.60 | $498.00 | $25.69 – $235.07 | 16 |
| Thorax spine fusion CPT 22610 | $873.40 | $4,367.00 | $66.41 – $1,853.31 | 16 |
| Thorax stereo rad targetw/tx CPT 32701 | $135.60 | $678.00 | $35.00 – $323.40 | 16 |
| Thorcscpy w/biop pleura CPT 32609 | $167.20 | $836.00 | $43.19 – $395.28 | 16 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $200.00 | $1,000.00 | $15.00 – $464.98 | 16 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $245.00 | $1,225.00 | $35.00 – $570.06 | 16 |
| Thrombectmy crnry perq mechanical CPT 92973 | $80.60 | $403.00 | $66.41 – $246.64 | 16 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $239.60 | $1,198.00 | $20.00 – $2,887.81 | 16 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $289.20 | $1,446.00 | $20.00 – $3,696.35 | 16 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $332.20 | $1,661.00 | $45.00 – $11,127.26 | 16 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | $717.80 | $3,589.00 | $66.41 – $1,794.47 | 16 |
| Thrombin time CPT 85670 | $1.93 | $9.63 | $5.77 – $77.99 | 11 |
| Thromboendarterectomy common femoral CPT 35371 | $518.40 | $2,592.00 | $50.00 – $1,431.35 | 16 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | $581.00 | $2,905.00 | $40.00 – $1,543.05 | 16 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | $817.00 | $4,085.00 | $40.00 – $2,158.39 | 16 |
| Thromboendarterectomy sfa CPT 35302 | $708.20 | $3,541.00 | $66.41 – $1,654.96 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $1.15 | $5.75 | $5.75 – $87.25 | 11 |
| Thumb fusion with graft CPT 26820 | $587.20 | $2,936.00 | $26.00 – $1,399.45 | 16 |
| Thyroglobulin antibody CPT 86800 | $38.60 | $193.00 | $14.11 – $214.44 | 11 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | $915.60 | $4,578.00 | $66.41 – $2,000.57 | 16 |
| Thyroid imaging CPT 78013 | $418.20 | $2,091.00 | $16.98 – $1,592.17 | 18 |
| Thyroid met imaging CPT 78015 | $25.00 | $125.00 | $31.58 – $927.50 | 16 |
| Thyroid mets imag whole body CPT 78018 | $735.20 | $3,676.00 | $38.77 – $1,826.31 | 18 |
| Thyroid met uptake CPT 78020 | $114.80 | $574.00 | $41.91 – $395.23 | 11 |
| Thyroid (TSH) Test CPT 84443 | $77.00 | $385.00 | $14.76 – $226.61 | 11 |
| Thyroid Ultrasound CPT 76536 | $256.80 | $1,284.00 | $26.91 – $549.00 | 18 |
| Thyroid uptake measurement CPT 78012 | $305.80 | $1,529.00 | $8.83 – $783.24 | 18 |
| Thyroxine binding globulin (tbg) CPT 84442 | $2.63 | $13.14 | $13.14 – $186.30 | 11 |
| Tibial arthroscopy/surgery CPT 29855 | $546.20 | $2,731.00 | $66.41 – $1,242.52 | 16 |
| Tibial arthroscopy/surgery CPT 29856 | $688.80 | $3,444.00 | $66.41 – $1,573.88 | 16 |
| Tissue culture skin/biopsy CPT 88233 | $47.73 | $238.65 | $140.73 – $1,611.05 | 11 |
| Tissue culture tumor CPT 88239 | $35.00 | $175.00 | $90.00 – $1,925.09 | 11 |
| Tissue exam koh skin/hair/nails CPT 87220 | $11.80 | $59.00 | $0.73 – $57.56 | 18 |
| Tissue transglutaminase iga CPT 86364 | $2.40 | $12.00 | $11.53 – $72.10 | 9 |
| Tl-201 thallium diag per mci HCPCS A9505 | $212.20 | $1,061.00 | $117.12 – $1,061.00 | 8 |
| Tlh uterus 250 g or less CPT 58570 | $552.40 | $2,762.00 | $66.41 – $1,262.27 | 16 |
| Tlh uterus over 250 g CPT 58572 | $708.80 | $3,544.00 | $66.41 – $1,564.92 | 16 |
| Tlh w/t/o 250 g or less CPT 58571 | $620.80 | $3,104.00 | $66.41 – $1,382.82 | 16 |
| Tlh w/t/o uterus over 250 g CPT 58573 | $828.60 | $4,143.00 | $66.41 – $1,766.06 | 16 |
| Tobramycin peak therapeutic drug level CPT 80200 | $63.40 | $317.00 | $16.13 – $217.35 | 11 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $67.00 | $335.00 | $24.96 – $390.21 | 17 |
| Tomosynthesis breast screen bilateral CPT 77063 | $67.20 | $336.00 | $23.57 – $391.03 | 18 |
| Tongue and neck surgery CPT 41135 | $1,492.20 | $7,461.00 | $45.00 – $2,967.79 | 16 |
| Tongue base vol reduction CPT 41530 | $268.80 | $1,344.00 | $66.41 – $4,466.44 | 16 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | $971.00 | $4,855.00 | $55.00 – $4,566.99 | 17 |
| Tonsillectomy (age 12+) CPT 42826 | $181.40 | $907.00 | $50.00 – $410.35 | 16 |
| Tonsillectomy (child under 12) CPT 42825 | $191.20 | $956.00 | $66.41 – $420.32 | 16 |
| Total hip arthroplasty CPT 27132 | $1,141.80 | $5,709.00 | $66.41 – $2,589.91 | 16 |
| Total Hip Replacement CPT 27130 | $880.20 | $4,401.00 | $66.41 – $2,223.92 | 16 |
| Total hysterectomy CPT 58150 | $693.80 | $3,469.00 | $65.00 – $1,484.69 | 16 |
| Total Knee Replacement CPT 27447 | $879.20 | $4,396.00 | $66.41 – $2,402.30 | 16 |
| Total ob care failed vbac 59618 CPT 59618 | $1,796.80 | $8,984.00 | $65.00 – $3,526.18 | 16 |
| Total tau CPT 84394 | $60.00 | $300.00 | $128.92 – $311.66 | 6 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | $1,090.00 | $5,450.00 | $30.00 – $2,266.04 | 16 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | $1,192.00 | $5,960.00 | $25.00 – $2,336.91 | 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.