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 |
|---|---|---|---|---|
| Bpg pop-tibl/-prnl artery CPT 35671 | $719.20 | $3,596.00 | $66.41 – $1,893.66 | 16 |
| Bpg subclavian-axillary CPT 35616 | $697.20 | $3,486.00 | $66.41 – $1,566.30 | 16 |
| Bpg subclavian-vertebral CPT 35645 | $602.00 | $3,010.00 | $66.41 – $1,699.80 | 16 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $90.40 | $452.00 | $66.41 – $267.36 | 15 |
| Brace ank air stirrup univ HCPCS L4350 | $67.20 | $336.00 | $50.24 – $198.72 | 16 |
| Brace ankle stablizing lg HCPCS L1902 | $51.60 | $258.00 | $44.87 – $258.00 | 15 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $241.80 | $1,209.00 | $66.41 – $715.45 | 15 |
| Brace knee extender plus 22-30in HCPCS L1832 | $409.00 | $2,045.00 | $66.41 – $1,210.46 | 16 |
| Brace knee hing pat open med HCPCS L1820 | $89.20 | $446.00 | $66.41 – $263.77 | 15 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $133.80 | $669.00 | $66.41 – $396.08 | 14 |
| Brace wrist classic lft sm HCPCS L3908 | $44.00 | $220.00 | $32.95 – $130.33 | 16 |
| Brachioplasty 15836 CPT 15836 | $557.40 | $2,787.00 | $30.00 – $1,071.74 | 16 |
| Brach/thor cath 1st CPT 36215 | $140.40 | $702.00 | $66.41 – $1,654.31 | 16 |
| Brach/thor cath 2nd CPT 36216 | $176.00 | $880.00 | $35.00 – $2,180.04 | 16 |
| Brach/thor cath 3rd CPT 36217 | $217.40 | $1,087.00 | $52.49 – $3,719.82 | 16 |
| Brach/thor cath addl CPT 36218 | $34.00 | $170.00 | $15.00 – $347.13 | 16 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $71.00 | $355.00 | $69.06 – $124.31 | 5 |
| Brachytx isodose complex CPT 77318 | $377.40 | $1,887.00 | $156.85 – $2,570.24 | 18 |
| Brachytx, non-str, gold-198 HCPCS C1716 | $204.60 | $1,023.00 | $550.03 – $1,023.00 | 7 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | $133.00 | $665.00 | $665.00 – $1,751.80 | 7 |
| Braf gene CPT 81210 | $193.00 | $965.00 | $75.00 – $1,044.71 | 11 |
| Brain flow imaging only CPT 78610 | $10.80 | $54.00 | $13.87 – $530.30 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,565.60 | $7,828.00 | $38.80 – $4,150.68 | 18 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,220.00 | $6,100.00 | $31.30 – $2,110.88 | 18 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,053.60 | $5,268.00 | $31.30 – $2,110.88 | 18 |
| Brain MRI (with and without contrast) CPT 70553 | $1,400.00 | $7,000.00 | $59.88 – $4,042.25 | 18 |
| Brain MRI (with contrast) CPT 70552 | $1,210.60 | $6,053.00 | $46.58 – $2,458.68 | 18 |
| Brain MRI (without contrast) CPT 70551 | $973.00 | $4,865.00 | $38.80 – $2,052.58 | 18 |
| Brcassure comprehensive panel-sendout CPT 81162 | $324.42 | $1,622.11 | $1,622.11 – $54,353.47 | 11 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $2,109.00 | $10,545.00 | $42.00 – $2,275.05 | 17 |
| Breast punct aspir cyst, bil CPT 19000 | $726.40 | $3,632.00 | $18.00 – $975.44 | 17 |
| Breast reconstruction 19357 CPT 19357 | $812.80 | $4,064.00 | $66.41 – $2,038.96 | 16 |
| Breast reconstruction tram flap 19367 CPT 19367 | $1,216.40 | $6,082.00 | $60.00 – $2,569.83 | 16 |
| Breast reduction CPT 19318 | $1,133.40 | $5,667.00 | $66.41 – $1,639.43 | 16 |
| Breath hydrogen test 91065 CPT 91065 | $86.40 | $432.00 | $9.90 – $297.43 | 18 |
| Brief alcohol misuse counsel HCPCS G0443 | $16.20 | $81.00 | $21.27 – $66.41 | 15 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | $7.20 | $36.00 | $10.87 – $66.41 | 15 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | $13.00 | $65.00 | $22.46 – $66.41 | 15 |
| Brief comunicaj tech-bsd svc CPT 98016 | $8.20 | $41.00 | $13.11 – $24.50 | 10 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $95.80 | $479.00 | $10.00 – $470.94 | 16 |
| Bronchial allergy tests CPT 95070 | $27.40 | $137.00 | $40.77 – $885.92 | 17 |
| Bronchial challenge CPT 94070 | $32.40 | $162.00 | $29.36 – $690.81 | 16 |
| Bronchoscopy clear airways 31645 CPT 31645 | $98.60 | $493.00 | $15.00 – $523.35 | 16 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $32.40 | $162.00 | $15.00 – $114.07 | 16 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $117.60 | $588.00 | $35.00 – $601.71 | 16 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $124.80 | $624.00 | $10.00 – $961.34 | 16 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $104.20 | $521.00 | $10.00 – $538.08 | 16 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $117.20 | $586.00 | $66.41 – $563.17 | 16 |
| Br punct aspir ea add, l CPT 19001 | $228.00 | $1,140.00 | $17.75 – $66.41 | 17 |
| Brst rcnstj free flap CPT 19364 | $2,780.60 | $13,903.00 | $66.41 – $3,911.11 | 16 |
| Budesonide non-comp unit HCPCS J7626 | $12.80 | $64.00 | $1.01 – $28.53 | 10 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $6.73 | $33.67 | $0.72 – $28.52 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $151.20 | $756.00 | $30.10 – $541.69 | 11 |
| Bundled special stain group 2 CPT 88313 | $123.00 | $615.00 | $29.42 – $445.49 | 11 |
| Bundle his recording CPT 93600 | $53.60 | $268.00 | $66.41 – $264.99 | 16 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $18.30 | $91.48 | $0.02 – $40.00 | 5 |
| Buprenorphine and metabolite - sendout CPT 80348 | $5.30 | $26.48 | $0.08 – $404.65 | 6 |
| Buprenorphine hydrochloride HCPCS J0592 | $25.33 | $126.67 | $4.51 – $126.67 | 8 |
| Buprenorphine oral 1mg HCPCS J0571 | $3.06 | $15.29 | $0.64 – $13.43 | 8 |
| Bur rotalink 2.15mm HCPCS C1724 | $4,122.00 | $20,610.00 | $20,610.00 – $20,610.00 | 2 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $25.80 | $129.00 | $2.80 – $37.40 | 10 |
| Buttock fasciotomy CPT 27027 | $610.80 | $3,054.00 | $65.00 – $1,201.18 | 16 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | $695.20 | $3,476.00 | $66.41 – $1,336.00 | 16 |
| Bx bone trocar/ndl deep CPT 20225 | $1,342.80 | $6,714.00 | $13.00 – $2,275.05 | 17 |
| Bx breast 1st lesion mr imag CPT 19085 | $1,481.00 | $7,405.00 | $35.00 – $2,275.05 | 17 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,511.00 | $7,555.00 | $42.00 – $2,275.05 | 17 |
| Bx breast add lesion mr imag CPT 19086 | $444.20 | $2,221.00 | $74.88 – $134.78 | 7 |
| Bx breast add lesion strtctc CPT 19082 | $875.60 | $4,378.00 | $47.00 – $846.40 | 17 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $670.60 | $3,353.00 | $64.41 – $835.48 | 17 |
| Bx breast perq without image 19100 CPT 19100 | $2,578.20 | $12,891.00 | $34.00 – $2,275.05 | 17 |
| Bx breast pq tomo guide CPT 19499 | $87.80 | $439.00 | $38.00 – $66.41 | 5 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $120.80 | $604.00 | $66.41 – $419.76 | 17 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $365.20 | $1,826.00 | $19.00 – $776.22 | 16 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $2,917.80 | $14,589.00 | $39.00 – $5,393.45 | 17 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | $1,196.60 | $5,983.00 | $66.41 – $2,566.20 | 16 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | $1,046.40 | $5,232.00 | $66.41 – $2,280.05 | 16 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | $1,189.00 | $5,945.00 | $66.41 – $2,546.01 | 16 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | $290.80 | $1,454.00 | $25.00 – $831.17 | 16 |
| Bx liver with other CPT 47001 | $186.20 | $931.00 | $48.77 – $166.42 | 17 |
| Bx muscle CPT 20200 | $151.60 | $758.00 | $41.00 – $290.47 | 16 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | $100.80 | $504.00 | $65.00 – $360.10 | 16 |
| Bx of breast open 19101 CPT 19101 | $1,146.40 | $5,732.00 | $25.00 – $5,393.45 | 17 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $229.60 | $1,148.00 | $66.41 – $451.33 | 16 |
| Bx pancreas pq ndl CPT 48102 | $1,322.20 | $6,611.00 | $47.00 – $2,275.05 | 17 |
| Bx perianal mass CPT 46999 | $600.20 | $3,001.00 | $38.00 – $66.41 | 3 |
| Bx pleura pq ndl CPT 32400 | $1,322.20 | $6,611.00 | $37.00 – $2,275.05 | 17 |
| Bx prostate trnsrctl u/s guid CPT 55707 | $3,264.20 | $16,321.00 | $65.00 – $4,855.61 | 9 |
| Bx prst8 ndl sat sampling CPT 55706 | $260.80 | $1,304.00 | $60.00 – $602.40 | 16 |
| Bx shoulder tissues deep 23066 CPT 23066 | $265.00 | $1,325.00 | $35.00 – $766.53 | 16 |
| Bx shoulder tissues supf 23065 CPT 23065 | $111.20 | $556.00 | $65.00 – $2,275.05 | 17 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $106.40 | $532.00 | $17.00 – $115.80 | 17 |
| Bx skin punch ea sep/ addl les CPT 11105 | $75.20 | $376.00 | $20.96 – $98.20 | 17 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $65.80 | $329.00 | $17.00 – $85.81 | 17 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | $833.80 | $4,169.00 | $35.00 – $2,275.05 | 17 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $240.00 | $1,200.00 | $35.00 – $518.65 | 16 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $492.20 | $2,461.00 | $20.00 – $1,082.33 | 16 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $2,913.00 | $14,565.00 | $66.41 – $2,275.05 | 17 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $485.00 | $2,425.00 | $5.00 – $2,275.05 | 17 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $1,139.80 | $5,699.00 | $15.00 – $2,275.05 | 17 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $506.40 | $2,532.00 | $32.00 – $975.44 | 17 |
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.