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 |
|---|---|---|---|---|
| Tvh w/mmk 58267 CPT 58267 | $725.80 | $3,629.00 | $65.00 – $1,660.71 | 16 |
| Tx closed hip disl traumatic without anes CPT 27250 | $117.00 | $585.00 | $66.41 – $374.23 | 14 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $412.20 | $2,061.00 | $66.41 – $966.91 | 14 |
| Tx closed tib shaft fx without manip CPT 27750 | $257.80 | $1,289.00 | $10.00 – $519.13 | 16 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $525.20 | $2,626.00 | $20.00 – $1,012.92 | 16 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $362.60 | $1,813.00 | $45.00 – $724.64 | 16 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $394.20 | $1,971.00 | $15.00 – $778.56 | 16 |
| Tx open nsl fx uncomp CPT 21325 | $317.40 | $1,587.00 | $60.00 – $789.50 | 16 |
| Tx open nsl sptl fx CPT 21336 | $451.80 | $2,259.00 | $55.00 – $982.53 | 16 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $425.00 | $2,125.00 | $15.00 – $835.44 | 16 |
| Tx septic abortion surgical 59830 CPT 59830 | $311.40 | $1,557.00 | $40.00 – $689.03 | 16 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $156.80 | $784.00 | $66.41 – $325.55 | 16 |
| Tympanic membrane repair CPT 69610 | $268.60 | $1,343.00 | $66.41 – $637.68 | 16 |
| Tympanolysis transcanal 69450 CPT 69450 | $385.60 | $1,928.00 | $66.41 – $805.08 | 16 |
| Tympanometry & reflex thresh CPT 92550 | $49.80 | $249.00 | $17.67 – $297.43 | 17 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $216.00 | $1,080.00 | $50.00 – $742.92 | 17 |
| Ua w/micro/comp poc CPT 81000 | $4.60 | $23.00 | $0.64 – $42.58 | 18 |
| Ugt1a1 gene analy common variants CPT 81350 | $46.43 | $232.13 | $232.13 – $808.66 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $228.80 | $1,144.00 | $26.01 – $930.31 | 18 |
| Ultrasound breast complete CPT 76641 | $282.60 | $1,413.00 | $34.35 – $909.43 | 18 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $288.60 | $1,443.00 | $31.92 – $696.17 | 18 |
| Ultrasound chest CPT 76604 | $231.60 | $1,158.00 | $28.11 – $503.88 | 18 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $233.40 | $1,167.00 | $20.39 – $617.27 | 18 |
| Ultrasound dx ophth b-scan CPT 76512 | $39.00 | $195.00 | $31.67 – $591.85 | 16 |
| Ultrasound elastography parenchyma CPT 76981 | $22.40 | $112.00 | $29.76 – $1,098.18 | 16 |
| Ultrasound encephalogram CPT 76506 | $145.60 | $728.00 | $29.86 – $473.10 | 18 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $432.60 | $2,163.00 | $35.37 – $722.77 | 18 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $284.20 | $1,421.00 | $37.54 – $634.16 | 18 |
| Ultrasound guidance for vascular access CPT 76937 | $150.80 | $754.00 | $13.68 – $172.86 | 18 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $281.00 | $1,405.00 | $32.13 – $586.95 | 18 |
| Ultrasound guide intraoperative CPT 76998 | $302.20 | $1,511.00 | $48.11 – $875.66 | 17 |
| Ultrasound guide tissue ablation CPT 76940 | $77.00 | $385.00 | $57.93 – $653.59 | 16 |
| Ultrasound hips infant dynamic CPT 76885 | $138.40 | $692.00 | $34.69 – $589.49 | 18 |
| Ultrasound infant hips ltd without stress CPT 76886 | $23.20 | $116.00 | $29.15 – $547.91 | 16 |
| Ultrasound joint complete left CPT 76881 | $246.40 | $1,232.00 | $38.75 – $881.29 | 18 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $280.80 | $1,404.00 | $9.19 – $144.01 | 18 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $233.80 | $1,169.00 | $45.61 – $1,047.34 | 18 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $233.80 | $1,169.00 | $26.62 – $299.06 | 18 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $722.40 | $3,612.00 | $91.69 – $1,435.92 | 18 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $140.80 | $704.00 | $41.72 – $370.69 | 18 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $251.80 | $1,259.00 | $31.27 – $524.76 | 18 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $261.20 | $1,306.00 | $36.13 – $604.11 | 18 |
| Ultrasound prostate/transrectal CPT 76872 | $164.60 | $823.00 | $32.69 – $525.85 | 18 |
| Ultrasound retroperitoneal limited CPT 76775 | $259.60 | $1,298.00 | $27.59 – $548.91 | 18 |
| Ultrasound scrotum and contents CPT 76870 | $283.80 | $1,419.00 | $30.20 – $530.30 | 18 |
| Ultrasound spinal canal and contents CPT 76800 | $145.60 | $728.00 | $63.45 – $555.63 | 18 |
| Ultrasound transabd ea addl gest CPT 76812 | $67.00 | $335.00 | $57.13 – $499.07 | 18 |
| Ultrasound transvaginal non obstetric CPT 76830 | $250.20 | $1,251.00 | $32.99 – $591.85 | 18 |
| Umbilical artery cath newborn 36660 CPT 36660 | $46.00 | $230.00 | $25.00 – $118.70 | 16 |
| Umbilicoplasty 15847 CPT 15847 | $431.60 | $2,158.00 | $66.41 – $2,158.00 | 10 |
| Unlistd noninvas vasc dx std CPT 93998 | $9.40 | $47.00 | $66.41 – $97.33 | 3 |
| Unlisted chemotherapy px CPT 96549 | $87.80 | $439.00 | $64.50 – $116.10 | 5 |
| Unlisted cytogenetic study CPT 88299 | $6.20 | $31.00 | $71.78 – $129.20 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $735.40 | $3,677.00 | $38.00 – $66.41 | 3 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $214.40 | $1,072.00 | $66.41 – $1,085.12 | 5 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $852.60 | $4,263.00 | $38.00 – $66.41 | 3 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | $69.60 | $348.00 | $38.00 – $66.41 | 3 |
| Unlisted laps px bladder CPT 51999 | $1,126.60 | $5,633.00 | $38.00 – $160.00 | 5 |
| Unlisted laps px ovidct ovry CPT 58679 | $182.40 | $912.00 | $38.00 – $155.00 | 5 |
| Unlisted laps px renal CPT 50549 | $518.00 | $2,590.00 | $38.00 – $160.00 | 5 |
| Unlisted laps px spleen CPT 38129 | $904.20 | $4,521.00 | $38.00 – $160.00 | 5 |
| Unlisted laps px uterus CPT 58578 | $400.40 | $2,002.00 | $38.00 – $155.00 | 5 |
| Unlisted mr procedure CPT 76498 | $712.40 | $3,562.00 | $119.88 – $2,188.89 | 6 |
| Unlisted oph svc/procedure CPT 92499 | $12.20 | $61.00 | $38.00 – $71.71 | 10 |
| Unlisted orl service/px CPT 92700 | $29.80 | $149.00 | $39.84 – $634.00 | 11 |
| Unlisted procedure rectum CPT 45999 | $240.40 | $1,202.00 | $38.00 – $75.00 | 5 |
| Unlisted procedure urinary 58750 CPT 58750 | $617.60 | $3,088.00 | $66.41 – $3,088.00 | 16 |
| Unlisted px abdomen muscskel CPT 22999 | $424.20 | $2,121.00 | $35.00 – $66.41 | 5 |
| Unlisted px accessory sinus CPT 31299 | $87.80 | $439.00 | $38.00 – $66.41 | 3 |
| Unlisted px ant segment eye CPT 66999 | $126.00 | $630.00 | $38.00 – $66.41 | 3 |
| Unlisted px arthroscopy CPT 29999 | $491.60 | $2,458.00 | $38.00 – $66.41 | 3 |
| Unlisted px conjunctiva CPT 68399 | $77.60 | $388.00 | $38.00 – $787.00 | 8 |
| Unlisted px external ear CPT 69399 | $51.80 | $259.00 | $38.00 – $66.41 | 3 |
| Unlisted px foot/toes CPT 28899 | $1,093.20 | $5,466.00 | $38.00 – $504.83 | 7 |
| Unlisted px leg/ankle CPT 27899 | $588.20 | $2,941.00 | $38.00 – $75.00 | 5 |
| Unlisted px male genital sys CPT 55899 | $193.00 | $965.00 | $38.00 – $66.41 | 5 |
| Unlisted px middle ear CPT 69799 | $63.20 | $316.00 | $38.00 – $66.41 | 3 |
| Unlisted px neck/thorax CPT 21899 | $88.20 | $441.00 | $38.00 – $504.83 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | $51.80 | $259.00 | $38.00 – $66.41 | 3 |
| Unlisted px small intestine CPT 44799 | $1,097.60 | $5,488.00 | $38.00 – $66.41 | 3 |
| Unlisted px tongue flr mouth CPT 41599 | $54.80 | $274.00 | $38.00 – $66.41 | 3 |
| Unlisted special svc px/rprt CPT 99199 | $44.60 | $223.00 | $38.00 – $504.83 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $194.60 | $973.00 | $38.00 – $66.41 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $531.40 | $2,657.00 | $945.39 – $2,657.00 | 7 |
| Upgrade pm system CPT 33214 | $316.80 | $1,584.00 | $50.00 – $832.91 | 16 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,800.00 | $9,000.00 | $59.88 – $4,040.68 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $1,170.80 | $5,854.00 | $46.58 – $2,464.48 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,029.40 | $5,147.00 | $38.80 – $2,277.77 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $280.60 | $1,403.00 | $20.00 – $1,249.36 | 17 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $93.60 | $468.00 | $15.00 – $656.03 | 16 |
| Uppr gi scope w/submuc inj CPT 43236 | $93.60 | $468.00 | $20.00 – $639.63 | 16 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $440.00 | $2,200.00 | $66.41 – $981.14 | 16 |
| Urea nitrogen CPT 84520 | $22.20 | $111.00 | $3.15 – $53.20 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $27.80 | $139.00 | $4.75 – $64.01 | 11 |
| Ureteral reflux study CPT 78740 | $354.00 | $1,770.00 | $27.80 – $818.64 | 18 |
| Ureter endoscopy & treatment CPT 50961 | $212.00 | $1,060.00 | $32.00 – $613.35 | 16 |
| Ureteroneocystostomy 50780 CPT 50780 | $755.40 | $3,777.00 | $66.41 – $1,668.69 | 16 |
| Ureteroureterostomy 50760 CPT 50760 | $764.20 | $3,821.00 | $66.41 – $1,680.28 | 16 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $350.40 | $1,752.00 | $15.62 – $560.62 | 18 |
| Urethrlys transvag with scope CPT 53500 | $510.80 | $2,554.00 | $66.41 – $1,178.33 | 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.