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 |
|---|---|---|---|---|
| Bx vag mucos smpl (sep proc) CPT 57100 | $72.20 | $361.00 | $23.00 – $147.99 | 16 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $260.60 | $1,303.00 | $10.00 – $1,268.73 | 17 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $26.00 | $130.00 | $24.71 – $66.41 | 16 |
| Bypass graft patency/patch CPT 35685 | $124.00 | $620.00 | $66.41 – $358.28 | 16 |
| Bypass temp external fem-fem CPT 37799 | $370.20 | $1,851.00 | $38.00 – $66.41 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $2.13 | $10.67 | $10.67 – $161.88 | 11 |
| Cadd pump refill CPT 96521 | $152.60 | $763.00 | $16.53 – $293.00 | 17 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $1,082.62 | $5,413.12 | $214.74 – $5,413.12 | 8 |
| Calcium 24 hour urine CPT 82340 | $22.40 | $112.00 | $5.36 – $81.35 | 11 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $18.17 | $90.85 | $0.06 – $90.85 | 4 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $15.37 | $76.84 | $0.06 – $76.84 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $33.79 | $168.95 | $0.18 – $168.95 | 5 |
| Calcium ionized CPT 82330 | $14.00 | $70.00 | $12.16 – $184.30 | 11 |
| Calcium total CPT 82310 | $25.40 | $127.00 | $4.10 – $69.36 | 11 |
| Calprotectin fecal CPT 83993 | $3.66 | $18.31 | $18.31 – $264.65 | 11 |
| Candida dna CPT 87480 | $52.00 | $260.00 | $17.83 – $261.65 | 11 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $3,595.60 | $17,978.00 | $1,037.00 – $1,037.00 | 2 |
| Cap nerve 2x15mm HCPCS C1763 | $5,384.80 | $26,924.00 | $5,238.00 – $5,238.00 | 2 |
| Capsaicin 8% patch HCPCS J7336 | $1,655.20 | $8,276.00 | $3.27 – $8,276.00 | 15 |
| Capsular contracture release CPT 23020 | $485.60 | $2,428.00 | $60.00 – $1,091.69 | 16 |
| Capsulectomy/capsulotomy hip CPT 27036 | $708.20 | $3,541.00 | $45.00 – $1,517.77 | 16 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $179.00 | $895.00 | $66.41 – $593.47 | 16 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $238.60 | $1,193.00 | $66.41 – $735.64 | 16 |
| Cap trach decann 15mm HCPCS C1750 | $740.80 | $3,704.00 | $634.00 – $634.00 | 2 |
| Carbamazepine free CPT 80157 | $2.20 | $10.99 | $10.99 – $134.00 | 11 |
| Carbamazepine total therapeutic drug level CPT 80156 | $63.60 | $318.00 | $12.61 – $196.38 | 11 |
| Carbohydrate deficient transf - sendout CPT 82373 | $3.61 | $18.06 | $13.37 – $158.89 | 11 |
| Carbon dioxide CPT 82374 | $25.80 | $129.00 | $1.95 – $64.01 | 11 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $28.85 | $144.23 | $5.86 – $791.01 | 8 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $417.24 | $2,086.19 | $15.56 – $63.08 | 7 |
| Carboxyhemoglobin quantitative CPT 82375 | $2.19 | $10.95 | $10.95 – $166.23 | 11 |
| Carcinoembryonic ag (cea) CPT 82378 | $51.00 | $255.00 | $16.85 – $255.39 | 11 |
| Cardiac drug stress test CPT 93024 | $42.80 | $214.00 | $55.18 – $450.59 | 16 |
| Cardiac MRI w/stress img CPT 75559 | $107.40 | $537.00 | $74.57 – $2,884.18 | 16 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $49.60 | $248.00 | $62.23 – $1,203.59 | 16 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $36.20 | $181.00 | $46.26 – $1,431.56 | 16 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,412.20 | $7,061.00 | $64.69 – $1,783.36 | 18 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $6.60 | $33.00 | $12.07 – $355.26 | 16 |
| Cardiac Stress Test CPT 93015 | $79.80 | $399.00 | $77.86 – $1,489.67 | 18 |
| Cardiolipin antibody iga CPT 86147 | $6.00 | $30.00 | $11.55 – $194.74 | 11 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $1,009.80 | $5,049.00 | $66.41 – $910.44 | 17 |
| Cardioversion/elective/internal 92961 CPT 92961 | $112.80 | $564.00 | $66.41 – $347.34 | 16 |
| Caregiver health risk assmt CPT 96161 | $4.80 | $24.00 | $3.07 – $66.41 | 16 |
| Care mgmt svc bhvl hlth cond CPT 99484 | $27.40 | $137.00 | $34.26 – $105.00 | 16 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $2,546.78 | $12,733.89 | $56.24 – $183.14 | 13 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $145.00 | $725.00 | $584.90 – $10,537.88 | 11 |
| Carotene CPT 82380 | $24.43 | $122.14 | $8.20 – $124.47 | 11 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $622.00 | $3,110.00 | $37.63 – $1,807.43 | 18 |
| Carpal Tunnel Release Surgery CPT 64721 | $1,924.20 | $9,621.00 | $60.00 – $2,689.85 | 17 |
| Car seat/bed test 60 minutes CPT 94780 | $105.60 | $528.00 | $51.45 – $528.00 | 10 |
| Car seat/bed test additional 30 minutes CPT 94781 | $34.20 | $171.00 | $7.05 – $176.68 | 10 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $28.00 | $140.00 | $54.35 – $222.46 | 15 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $12.20 | $61.00 | $10.31 – $66.41 | 15 |
| Cataract Surgery CPT 66984 | $379.40 | $1,897.00 | $66.41 – $1,112.74 | 16 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $2,555.00 | $12,775.00 | $633.00 – $633.00 | 2 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $999.80 | $4,999.00 | $731.00 – $731.00 | 2 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $145.60 | $728.00 | $66.41 – $1,521.04 | 16 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $682.20 | $3,411.00 | $66.41 – $167.00 | 5 |
| Catheter declot mechanical CPT 36596 | $30.80 | $154.00 | $40.00 – $239.75 | 16 |
| Catheter insert artery CPT 36625 | $69.40 | $347.00 | $66.41 – $173.68 | 16 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $7.00 | $35.00 | $9.34 – $23.00 | 7 |
| Catheter stripping venous CPT 36595 | $120.20 | $601.00 | $35.00 – $1,041.27 | 16 |
| Cath hawkone s directional HCPCS C1714 | $3,954.00 | $19,770.00 | $19,770.00 – $19,770.00 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $35.60 | $178.00 | $10.00 – $180.16 | 16 |
| Cath left heart/lv gram CPT 93452 | $108.80 | $544.00 | $66.41 – $1,180.30 | 16 |
| Cath left heart transseptal punc CPT 93462 | $95.20 | $476.00 | $66.41 – $291.98 | 16 |
| Cath lt/rt pulm art CPT 36014 | $542.00 | $2,710.00 | $50.00 – $1,467.11 | 16 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $888.40 | $4,442.00 | $686.00 – $686.00 | 2 |
| Cath place 1st order venous 36011 CPT 36011 | $101.40 | $507.00 | $66.41 – $1,675.17 | 16 |
| Cath place cardio brachytx CPT 92974 | $73.80 | $369.00 | $66.41 – $225.20 | 16 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $190.40 | $952.00 | $66.41 – $1,867.70 | 16 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $143.40 | $717.00 | $66.41 – $1,497.36 | 16 |
| Cath plc art/grft/angio right hrt CPT 93457 | $161.20 | $806.00 | $66.41 – $1,658.15 | 16 |
| Cath right heart w/o2 sat & card CPT 93451 | $60.80 | $304.00 | $66.41 – $1,090.56 | 16 |
| Cath right hrt mnpul art CPT 36013 | $82.80 | $414.00 | $50.00 – $1,458.81 | 16 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $1,139.80 | $5,699.00 | $30.00 – $176.46 | 17 |
| Cath stripping venous s&i CPT 75901 | $17.20 | $86.00 | $22.51 – $705.52 | 16 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $142.80 | $714.00 | $130.00 – $130.00 | 2 |
| Cauterization chemical granulation tissue CPT 17250 | $381.80 | $1,909.00 | $20.10 – $276.37 | 17 |
| Cauterization of cervix 57510 CPT 57510 | $77.20 | $386.00 | $11.00 – $221.50 | 16 |
| Cciiv4 vacc abx free im CPT 90756 | $16.20 | $81.00 | $28.97 – $132.41 | 9 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $17.00 | $85.00 | $30.57 – $133.27 | 9 |
| Cdna analysis for variants CPT 81403 | $90.00 | $450.00 | $185.20 – $3,220.47 | 11 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $16.40 | $82.00 | $34.34 – $94.16 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $13.87 | $69.37 | $0.76 – $61.80 | 10 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $43.03 | $215.16 | $1.74 – $80.26 | 8 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $319.00 | $1,595.00 | $0.43 – $91.14 | 10 |
| #celiac hla-dq8 CPT 81383 | $19.40 | $97.01 | $97.01 – $1,127.51 | 11 |
| Cell count body fluid CPT 89050 | $25.80 | $129.00 | $4.72 – $63.82 | 11 |
| Cell count w differential body fluid CPT 89051 | $31.80 | $159.00 | $5.60 – $74.36 | 11 |
| Cell enumeration & id CPT 86152 | $56.26 | $281.31 | $250.78 – $5,228.29 | 11 |
| Cell function assay w/stim CPT 86352 | $59.00 | $295.00 | $135.86 – $1,524.44 | 11 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $6,000.00 | $30,000.00 | $29.76 – $175.03 | 13 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | $249.00 | $1,245.00 | $42.00 – $472.10 | 16 |
| Cervical laminoplsty 2/> seg CPT 63050 | $1,002.00 | $5,010.00 | $66.41 – $2,224.78 | 16 |
| Cervical lymphadenectomy 38720 CPT 38720 | $919.20 | $4,596.00 | $40.00 – $1,755.18 | 16 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $19.60 | $98.00 | $24.62 – $66.41 | 15 |
| Cesarean section delivery only 59514 CPT 59514 | $587.20 | $2,936.00 | $60.00 – $1,867.56 | 16 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $1,204.55 | $6,022.73 | $80.46 – $331.88 | 13 |
| #cf-97variants CPT 81220 | $163.50 | $817.50 | $165.00 – $9,122.57 | 11 |
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.