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 |
|---|---|---|---|---|
| Urethrocystography void s&i CPT 74455 | $388.40 | $1,942.00 | $15.99 – $608.83 | 18 |
| Uric acid blood CPT 84550 | $23.20 | $116.00 | $4.52 – $61.01 | 11 |
| Uric acid urine CPT 84560 | $17.80 | $89.00 | $4.22 – $64.01 | 11 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $4.00 | $20.00 | $0.20 – $29.14 | 18 |
| Urinalysis (with microscopy) CPT 81001 | $18.00 | $90.00 | $3.17 – $41.22 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $13.00 | $65.00 | $0.20 – $30.32 | 18 |
| Urine Culture Test CPT 87086 | $35.80 | $179.00 | $8.07 – $107.31 | 11 |
| Urine flow measurement 51736 CPT 51736 | $35.20 | $176.00 | $8.70 – $183.27 | 17 |
| Urine pregnancy test CPT 81025 | $27.60 | $138.00 | $2.80 – $68.82 | 18 |
| Urography, antegrade CPT 74425 | $369.60 | $1,848.00 | $24.11 – $499.98 | 18 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $80.80 | $404.00 | $158.82 – $404.00 | 5 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $76.80 | $384.00 | $144.48 – $672.26 | 6 |
| Vaccine dtap < 7 years im CPT 90700 | $90.44 | $452.20 | $26.03 – $126.82 | 9 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $55.60 | $278.00 | $26.03 – $426.46 | 9 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $20.80 | $104.00 | $26.03 – $327.58 | 9 |
| Vaccine dtap-ipv/hib im CPT 90698 | $38.80 | $194.00 | $26.03 – $315.98 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $17.40 | $87.00 | $26.03 – $328.87 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $20.20 | $101.00 | $14.05 – $155.62 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $35.20 | $176.00 | $26.03 – $402.38 | 9 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $149.80 | $749.00 | $134.83 – $749.00 | 8 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $19.60 | $98.00 | $26.03 – $192.16 | 9 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $37.60 | $188.00 | $75.15 – $457.41 | 9 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $35.20 | $176.00 | $75.15 – $347.36 | 9 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $84.20 | $421.00 | $168.72 – $839.04 | 9 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $43.53 | $217.63 | $26.03 – $186.15 | 9 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $115.40 | $577.00 | $26.03 – $1,080.76 | 9 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $62.60 | $313.00 | $26.03 – $829.27 | 9 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $36.80 | $184.00 | $88.08 – $179.27 | 9 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $117.62 | $588.09 | $75.20 – $346.38 | 9 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $11.00 | $55.00 | $21.82 – $55.00 | 8 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $29.37 | $146.86 | $22.95 – $94.15 | 9 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $10.60 | $53.00 | $18.68 – $98.02 | 9 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $38.60 | $193.00 | $59.00 – $122.95 | 9 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $11.80 | $59.00 | $19.36 – $141.44 | 9 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $11.20 | $56.00 | $20.00 – $116.50 | 9 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $10.40 | $52.00 | $9.34 – $55.76 | 9 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $11.80 | $59.00 | $24.86 – $143.16 | 8 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $36.80 | $184.00 | $65.67 – $233.43 | 9 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $8.80 | $44.00 | $28.15 – $214.52 | 9 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $5.40 | $27.00 | $7.61 – $27.08 | 8 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $105.20 | $526.00 | $26.03 – $1,270.96 | 9 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $61.40 | $307.00 | $26.03 – $5,368.57 | 9 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $209.00 | $1,045.00 | $180.52 – $1,045.00 | 8 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $72.00 | $360.00 | $26.03 – $493.52 | 9 |
| Vaccine mmr live subcutaneous CPT 90707 | $90.28 | $451.38 | $26.03 – $269.12 | 9 |
| Vaccine mmrv live subcutaneous CPT 90710 | $87.80 | $439.00 | $26.03 – $722.66 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $66.80 | $334.00 | $26.03 – $140.50 | 9 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $129.00 | $645.00 | $26.03 – $760.49 | 9 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $126.80 | $634.00 | $267.06 – $1,432.42 | 8 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $158.40 | $792.00 | $26.03 – $1,544.62 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $21.60 | $108.00 | $26.03 – $179.27 | 9 |
| Vaccine rabies im CPT 90675 | $412.01 | $2,060.04 | $315.22 – $948.36 | 14 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $290.60 | $1,453.00 | $312.94 – $1,453.00 | 5 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $726.75 | $3,633.76 | $567.26 – $2,462.38 | 6 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $457.40 | $2,287.00 | $567.26 – $2,462.38 | 6 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $125.00 | $625.00 | $312.48 – $625.00 | 5 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $58.20 | $291.00 | $26.03 – $707.18 | 9 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $56.40 | $282.00 | $26.03 – $436.35 | 9 |
| Vaccine tdap >=7 years im CPT 90715 | $72.53 | $362.67 | $26.03 – $267.40 | 9 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $22.51 | $112.56 | $38.97 – $132.41 | 9 |
| Vaccine typhoid vicps im CPT 90691 | $50.60 | $253.00 | $159.53 – $284.59 | 9 |
| Vaccine varicella live subcutaneous CPT 90716 | $63.40 | $317.00 | $26.03 – $420.01 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $675.80 | $3,379.00 | $66.41 – $1,565.04 | 16 |
| Vag hyst incl t/o complex CPT 58291 | $840.20 | $4,201.00 | $35.00 – $2,004.53 | 16 |
| Vag hyst including t/o CPT 58262 | $630.80 | $3,154.00 | $40.00 – $1,447.84 | 16 |
| Vaginal bx CPT 58999 | $104.20 | $521.00 | $38.00 – $66.41 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $585.20 | $2,926.00 | $40.00 – $2,027.32 | 16 |
| Vaginal Delivery (full care) CPT 59400 | $1,614.60 | $8,073.00 | $40.00 – $3,400.77 | 16 |
| Vaginal hysterectomy CPT 58260 | $571.60 | $2,858.00 | $35.00 – $1,304.68 | 16 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $796.40 | $3,982.00 | $66.41 – $1,596.57 | 16 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $13.16 | $65.78 | $65.78 – $65.78 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $55.00 | $275.00 | $12.04 – $182.67 | 11 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $40.42 | $202.12 | $0.06 – $1.27 | 4 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $34.97 | $174.85 | $0.20 – $174.85 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $69.40 | $347.00 | $13.54 – $182.67 | 11 |
| Varicella zoster antibody igg CPT 86787 | $31.20 | $156.00 | $11.38 – $173.77 | 11 |
| Vasc graft into carpal bone CPT 25430 | $516.40 | $2,582.00 | $45.00 – $1,085.75 | 16 |
| Vasectomy CPT 55250 | $613.20 | $3,066.00 | $66.41 – $2,879.47 | 17 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $52.20 | $261.00 | $1.06 – $261.00 | 5 |
| Vbac delivery 59610 CPT 59610 | $1,676.80 | $8,384.00 | $35.00 – $3,354.92 | 16 |
| Vbac/include postpartum care 59614 CPT 59614 | $757.80 | $3,789.00 | $66.41 – $3,789.00 | 16 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $6,000.00 | $30,000.00 | $20.98 – $106.61 | 13 |
| Veeg cont 2-12 hrs CPT 95713 | $497.40 | $2,487.00 | $514.02 – $5,832.19 | 10 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $251.80 | $1,259.00 | $514.02 – $5,832.19 | 10 |
| Veeg unmon 2-12 hrs CPT 95711 | $271.60 | $1,358.00 | $297.43 – $5,832.19 | 10 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | $913.20 | $4,566.00 | $66.41 – $2,147.78 | 16 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | $1,055.80 | $5,279.00 | $40.00 – $2,683.03 | 16 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | $1,049.40 | $5,247.00 | $66.41 – $2,532.15 | 16 |
| Vein x-ray kidney CPT 75831 | $39.60 | $198.00 | $50.30 – $4,859.39 | 14 |
| Vein x-ray liver CPT 75891 | $40.40 | $202.00 | $51.04 – $4,861.66 | 14 |
| Vein x-ray liver w/hemodynam CPT 75889 | $40.00 | $200.00 | $50.67 – $4,861.66 | 14 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $127.60 | $638.00 | $7.94 – $66.41 | 17 |
| Venogram ext bil s&i CPT 75822 | $2,031.40 | $10,157.00 | $62.79 – $2,168.37 | 18 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $728.80 | $3,644.00 | $41.87 – $2,168.37 | 18 |
| Venous mech thrombectomy CPT 37187 | $256.20 | $1,281.00 | $30.00 – $4,062.54 | 16 |
| Venous m-thrombectomy add-on CPT 37188 | $183.40 | $917.00 | $60.00 – $3,437.86 | 16 |
| Venous sampling s&i CPT 75893 | $19.60 | $98.00 | $26.03 – $4,834.79 | 14 |
| Ven thrombosis images bilat CPT 78458 | $33.60 | $168.00 | $42.50 – $1,540.24 | 16 |
| Ventilator each subsequent day CPT 94003 | $974.40 | $4,872.00 | $35.30 – $851.00 | 18 |
| Ventilator initial day CPT 94002 | $974.40 | $4,872.00 | $44.80 – $851.00 | 18 |
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.