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 |
|---|---|---|---|---|
| X-ray thoracic spine 3 views CPT 72072 | $250.80 | $1,254.00 | $10.58 – $285.08 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $207.00 | $1,035.00 | $10.27 – $258.57 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $159.00 | $795.00 | $7.38 – $376.32 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $196.00 | $980.00 | $8.81 – $687.64 | 18 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $273.60 | $1,368.00 | $7.81 – $201.37 | 18 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $226.20 | $1,131.00 | $6.43 – $162.78 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $386.20 | $1,931.00 | $42.50 – $638.07 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $322.80 | $1,614.00 | $38.56 – $565.52 | 18 |
| X-ray wrist 2 views (both sides) CPT 73100 | $250.20 | $1,251.00 | $8.54 – $190.29 | 18 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $187.40 | $937.00 | $25.06 – $420.26 | 18 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $141.00 | $705.00 | $66.41 – $442.93 | 15 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $70.60 | $353.00 | $75.68 – $2,162.05 | 16 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $61.92 | $309.61 | $18.30 – $309.61 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $444.18 | $2,220.88 | $5.06 – $1,134.50 | 10 |
| Zoster vaccine-live inj CPT 90736 | $83.20 | $416.00 | $216.92 – $1,116.02 | 9 |
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.