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 |
|---|---|---|---|---|
| Biopsy hand joint lining CPT 26100 | $246.00 | $1,230.00 | $65.00 – $507.52 | 16 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $1,925.40 | $9,627.00 | $30.53 – $4,001.20 | 17 |
| Biopsy knee joint lining CPT 27330 | $302.80 | $1,514.00 | $66.41 – $629.11 | 16 |
| Biopsy lower leg soft tissue CPT 27613 | $113.80 | $569.00 | $66.41 – $346.54 | 16 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | $452.40 | $2,262.00 | $66.41 – $1,013.48 | 16 |
| Biopsy muscle percutaneous needle CPT 20206 | $518.60 | $2,593.00 | $45.00 – $2,275.05 | 17 |
| Biopsy needle liver percutaneous CPT 47000 | $1,139.80 | $5,699.00 | $66.41 – $2,275.05 | 17 |
| Biopsy needle lymph node superficial CPT 38505 | $1,139.80 | $5,699.00 | $64.53 – $2,275.05 | 17 |
| Biopsy of foot joint lining CPT 28050 | $198.80 | $994.00 | $35.00 – $665.64 | 16 |
| Biopsy of heart lining CPT 93505 | $105.60 | $528.00 | $66.41 – $918.37 | 16 |
| Biopsy of inestine 44100 CPT 44100 | $71.40 | $357.00 | $66.41 – $175.40 | 16 |
| Biopsy of lip 40490 CPT 40490 | $86.80 | $434.00 | $25.00 – $326.26 | 17 |
| Biopsy of nail unit 11755 CPT 11755 | $86.60 | $433.00 | $25.00 – $170.69 | 16 |
| Biopsy of penis CPT 54105 | $147.40 | $737.00 | $37.00 – $470.74 | 16 |
| Biopsy of penis 54100 CPT 54100 | $485.00 | $2,425.00 | $12.00 – $2,275.05 | 17 |
| Biopsy of prostate CPT 55705 | $182.40 | $912.00 | $30.00 – $416.54 | 16 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $212.60 | $1,063.00 | $45.00 – $446.29 | 16 |
| Biopsy of salivary gland 42400 CPT 42400 | $751.20 | $3,756.00 | $11.00 – $975.44 | 17 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $215.20 | $1,076.00 | $66.41 – $466.89 | 16 |
| Biopsy of stomach CPT 43605 | $566.40 | $2,832.00 | $65.00 – $1,135.39 | 16 |
| Biopsy of tear sac CPT 68525 | $176.00 | $880.00 | $35.00 – $408.37 | 16 |
| Biopsy of upper nose/throat CPT 42804 | $154.60 | $773.00 | $62.55 – $317.09 | 16 |
| Biopsy of urethra CPT 53200 | $96.60 | $483.00 | $66.41 – $251.27 | 16 |
| Biopsy/removal lymph nodes CPT 38525 | $1,219.00 | $6,095.00 | $66.41 – $5,393.45 | 17 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | $322.40 | $1,612.00 | $66.41 – $701.00 | 16 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,139.80 | $5,699.00 | $35.00 – $2,275.05 | 17 |
| Biopsy roof of mouth CPT 42100 | $443.40 | $2,217.00 | $25.00 – $2,137.28 | 17 |
| Biopsy skin incisional single lesion CPT 11106 | $495.40 | $2,477.00 | $46.05 – $1,018.06 | 17 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,322.20 | $6,611.00 | $66.41 – $2,275.05 | 17 |
| Biopsy thigh soft tissues CPT 27324 | $1,925.40 | $9,627.00 | $30.00 – $4,001.20 | 17 |
| Biopsy tongue anterior two-thirds CPT 41100 | $152.40 | $762.00 | $55.00 – $742.92 | 17 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | $102.80 | $514.00 | $48.00 – $225.56 | 16 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $152.40 | $762.00 | $45.00 – $742.92 | 17 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $294.80 | $1,474.00 | $66.41 – $651.67 | 16 |
| Biospy of bladder CPT 53899 | $927.00 | $4,635.00 | $38.00 – $504.83 | 8 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $79.20 | $396.00 | $25.69 – $344.16 | 17 |
| Bld prd mix CPT 86965 | $109.34 | $546.72 | $146.61 – $546.72 | 11 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $107.60 | $538.00 | $21.52 – $1,796.11 | 10 |
| Blepharoplasty lower 15820 CPT 15820 | $502.60 | $2,513.00 | $66.41 – $2,842.14 | 17 |
| Blepharoplasty upper 15822 CPT 15822 | $281.40 | $1,407.00 | $20.00 – $601.97 | 16 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $582.60 | $2,913.00 | $66.41 – $870.66 | 16 |
| Blepharp lwr eyelid fat pad CPT 15821 | $388.00 | $1,940.00 | $66.41 – $765.05 | 16 |
| Blink reflex test CPT 95933 | $15.20 | $76.00 | $32.69 – $364.15 | 16 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $1,156.80 | $5,784.00 | $385.00 – $385.00 | 2 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $3,720.00 | $18,600.00 | $1,235.00 – $1,235.00 | 2 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $2,550.60 | $12,753.00 | $6,900.00 – $6,900.00 | 2 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $51.80 | $259.00 | $12.00 – $126.57 | 16 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $48.40 | $242.00 | $65.42 – $115.18 | 16 |
| Block paracervical nrv CPT 64435 | $56.00 | $280.00 | $7.00 – $212.37 | 16 |
| Block plantar digital nerve CPT 64455 | $35.00 | $175.00 | $28.29 – $76.34 | 16 |
| Block tap inj(s) w/wo img bi CPT 64488 | $40.40 | $202.00 | $8.00 – $244.15 | 16 |
| Block tap inj(s) w/wo img uni CPT 64486 | $77.40 | $387.00 | $8.00 – $198.25 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $22.80 | $114.00 | $0.73 – $53.11 | 18 |
| Blood Clotting (PTT) Test CPT 85730 | $34.80 | $174.00 | $5.34 – $80.98 | 11 |
| Blood Count (CBC) Test CPT 85025 | $41.80 | $209.00 | $6.75 – $104.86 | 11 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $35.00 | $175.00 | $6.47 – $87.25 | 11 |
| Blood Culture Test CPT 87040 | $71.40 | $357.00 | $10.32 – $139.18 | 11 |
| Blood draw capillary 36416 CPT 36416 | $157.60 | $788.00 | $1.31 – $66.41 | 10 |
| Blood gases o2 saturation direct measurement CPT 82805 | $175.20 | $876.00 | $34.86 – $379.13 | 11 |
| Blood gases ph venous CPT 82800 | $37.20 | $186.00 | $9.57 – $114.12 | 11 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $24.80 | $124.00 | $9.46 – $33.86 | 18 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $22.60 | $113.00 | $0.72 – $42.85 | 18 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $13.00 | $65.00 | $0.79 – $33.86 | 18 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.40 | $77.00 | $5.08 – $42.85 | 11 |
| Blood smear interpretation CPT 85060 | $18.60 | $93.00 | $11.49 – $212.08 | 16 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $18.80 | $94.00 | $3.80 – $46.39 | 11 |
| Blood split unit HCPCS P9011 | $31.00 | $155.00 | $155.00 – $300.42 | 7 |
| Blood typing abo CPT 86900 | $11.60 | $58.00 | $2.38 – $40.22 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $16.00 | $80.00 | $4.70 – $65.28 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $56.20 | $281.00 | $3.83 – $51.57 | 11 |
| Blood typing rh (d) CPT 86901 | $19.60 | $98.00 | $2.46 – $84.98 | 11 |
| Blood typing rh phenotype complete reference CPT 86906 | $14.50 | $72.50 | $7.47 – $104.50 | 11 |
| Blood volume CPT 78122 | $392.00 | $1,960.00 | $129.31 – $1,778.56 | 11 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | $1,378.00 | $6,890.00 | $6,890.00 – $6,890.00 | 2 |
| Bone biopsy open superficial CPT 20240 | $2,233.40 | $11,167.00 | $20.00 – $4,001.20 | 17 |
| Bone Density Scan (DEXA) CPT 77080 | $376.80 | $1,884.00 | $9.54 – $1,101.27 | 18 |
| Bone imaging multiple areas CPT 78305 | $607.00 | $3,035.00 | $38.66 – $1,337.78 | 18 |
| Bone/joint imaging ltd area CPT 78300 | $460.60 | $2,303.00 | $28.61 – $939.67 | 18 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,139.80 | $5,699.00 | $53.97 – $2,275.05 | 17 |
| Bone marrow aspir bone grfg CPT 20939 | $45.80 | $229.00 | $30.00 – $104.66 | 16 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $518.60 | $2,593.00 | $57.97 – $2,275.05 | 17 |
| Bone marrow harvest allogen CPT 38230 | $135.20 | $676.00 | $60.00 – $501.75 | 16 |
| Bone marrow harvest autolog CPT 38232 | $126.20 | $631.00 | $35.00 – $274.62 | 16 |
| Bone marrow imaging ltd CPT 78102 | $355.80 | $1,779.00 | $25.10 – $787.50 | 18 |
| Bone marrow imaging mult CPT 78103 | $305.80 | $1,529.00 | $29.74 – $1,222.75 | 16 |
| Bone marrow interpretation CPT 85097 | $521.60 | $2,608.00 | $50.56 – $1,997.66 | 11 |
| Bone/skin graft iliac crest CPT 20970 | $1,935.80 | $9,679.00 | $66.41 – $4,527.43 | 16 |
| Bone survey-lead poisoning CPT 77074 | $162.60 | $813.00 | $21.00 – $386.13 | 18 |
| Boot cast sandal rocker med HCPCS L3265 | $9.00 | $45.00 | $8.66 – $66.41 | 9 |
| Boot j walker l HCPCS L4386 | $172.60 | $863.00 | $66.41 – $275.92 | 16 |
| Boot mlti podous univ xlg HCPCS L4396 | $97.00 | $485.00 | $66.41 – $287.15 | 15 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $182.00 | $910.00 | $66.41 – $538.65 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $17.40 | $87.00 | $17.03 – $217.26 | 11 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $53.93 | $269.64 | $5.36 – $269.64 | 8 |
| Bowel imaging CPT 78290 | $464.80 | $2,324.00 | $31.56 – $1,173.54 | 18 |
| Bpg axillary-pop/-tibial CPT 35623 | $832.40 | $4,162.00 | $66.41 – $2,281.70 | 16 |
| Bpg carotid-vertebral CPT 35642 | $631.00 | $3,155.00 | $66.41 – $1,747.15 | 16 |
| Bpg ilio-celiac CPT 35632 | $1,139.20 | $5,696.00 | $66.41 – $2,872.69 | 16 |
| Bpg ilio-mesenteric CPT 35633 | $1,247.80 | $6,239.00 | $66.41 – $3,101.31 | 16 |
| Bpg iliorenal CPT 35634 | $1,115.20 | $5,576.00 | $66.41 – $2,811.65 | 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.