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 |
|---|---|---|---|---|
| Cftr gene dup/delet variants CPT 81222 | $87.01 | $435.07 | $435.07 – $2,543.48 | 11 |
| Change cystostomy tube; complex 51710 CPT 51710 | $354.20 | $1,771.00 | $61.00 – $960.52 | 17 |
| Change cystostomy tube simple CPT 51705 | $79.20 | $396.00 | $47.05 – $344.16 | 17 |
| Change g-tube to g-j perc CPT 49446 | $1,293.20 | $6,466.00 | $66.41 – $2,643.27 | 17 |
| Change of ureter tube/stent CPT 50688 | $1,706.20 | $8,531.00 | $45.05 – $2,879.47 | 17 |
| Change of windpipe airway 31502 CPT 31502 | $78.20 | $391.00 | $25.00 – $326.26 | 17 |
| Change stent via transureth CPT 50385 | $144.60 | $723.00 | $60.00 – $2,067.20 | 16 |
| Chemical exfoliation acne 17360 CPT 17360 | $87.20 | $436.00 | $51.01 – $504.83 | 6 |
| Chemical peel nonfacial 15793 CPT 15793 | $341.80 | $1,709.00 | $123.23 – $504.83 | 6 |
| Chemical peel nonfacial; epidermal CPT 15792 | $241.80 | $1,209.00 | $114.81 – $504.83 | 6 |
| Chemo adm cns w/lmbr punct CPT 96450 | $108.40 | $542.00 | $66.19 – $610.69 | 18 |
| Chemodener muscle larynx emg CPT 64617 | $113.00 | $565.00 | $66.41 – $289.63 | 16 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $64.60 | $323.00 | $45.00 – $135.84 | 16 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $83.40 | $417.00 | $15.00 – $166.67 | 16 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $124.80 | $624.00 | $60.68 – $237.79 | 16 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $107.00 | $535.00 | $45.00 – $207.58 | 16 |
| Chemodenervation anal musc CPT 46505 | $174.40 | $872.00 | $10.00 – $366.73 | 16 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $96.60 | $483.00 | $20.00 – $271.88 | 16 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | $150.20 | $751.00 | $66.41 – $351.89 | 16 |
| Chemodenerv eccrine glands CPT 64653 | $72.40 | $362.00 | $58.45 – $504.83 | 6 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $62.40 | $312.00 | $51.01 – $504.83 | 6 |
| Chemodenerv musc migraine 64615 CPT 64615 | $103.00 | $515.00 | $66.41 – $213.68 | 16 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $142.00 | $710.00 | $66.41 – $178.77 | 16 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $78.40 | $392.00 | $66.41 – $165.65 | 16 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $111.80 | $559.00 | $15.00 – $223.36 | 16 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $125.20 | $626.00 | $50.00 – $258.54 | 16 |
| Chemo extend IV infus w/pump HCPCS G0498 | $101.20 | $506.00 | $454.99 – $818.98 | 7 |
| Chemo intralesional up to 7 96405 CPT 96405 | $62.00 | $310.00 | $56.39 – $275.18 | 8 |
| Chest 2 vws w oblique CPT 71048 | $215.00 | $1,075.00 | $14.94 – $392.21 | 18 |
| Chest apical lordotic proj CPT 71047 | $197.20 | $986.00 | $13.04 – $381.22 | 18 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,066.60 | $5,333.00 | $35.97 – $1,902.26 | 18 |
| Chest CT scan (with contrast) CPT 71260 | $1,012.20 | $5,061.00 | $32.62 – $1,526.13 | 18 |
| Chest CT scan (without contrast) CPT 71250 | $871.40 | $4,357.00 | $30.26 – $1,276.05 | 18 |
| Chest X-ray CPT 71046 | $160.00 | $800.00 | $10.24 – $299.06 | 18 |
| Chest X-ray (single view) CPT 71045 | $150.00 | $750.00 | $8.49 – $161.79 | 18 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $248.00 | $1,240.00 | $32.60 – $725.59 | 18 |
| Chiropractic manj 5 regions CPT 98942 | $26.00 | $130.00 | $23.98 – $504.83 | 6 |
| Chiropract manj 1-2 regions CPT 98940 | $13.80 | $69.00 | $23.98 – $504.83 | 6 |
| Chiropract manj 3-4 regions CPT 98941 | $20.00 | $100.00 | $23.98 – $504.83 | 6 |
| Chlamydia culture CPT 87110 | $3.37 | $16.87 | $16.87 – $264.29 | 11 |
| Chlamydia type CPT 87140 | $1.07 | $5.37 | $5.37 – $75.26 | 11 |
| Chlnggrphy intraop addl s&i CPT 74301 | $160.60 | $803.00 | $9.54 – $264.01 | 17 |
| Chloride CPT 82435 | $17.40 | $87.00 | $4.32 – $62.55 | 11 |
| Chloride 24 hour urine CPT 82436 | $22.60 | $113.00 | $4.39 – $67.73 | 11 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $50.27 | $251.34 | $42.56 – $251.34 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | $2,581.80 | $12,909.00 | $66.41 – $4,931.95 | 17 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $437.00 | $2,185.00 | $13.03 – $80.13 | 14 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | $754.60 | $3,773.00 | $66.41 – $1,498.77 | 16 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $1,056.60 | $5,283.00 | $66.41 – $4,931.95 | 17 |
| Cholesterol CPT 82465 | $21.00 | $105.00 | $4.35 – $58.65 | 11 |
| Cholesterol body fluid CPT 84999 | $4.54 | $22.70 | $10.03 – $10.03 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $49.60 | $248.00 | $11.54 – $180.58 | 11 |
| Cholinesterase CPT 82480 | $1.40 | $7.00 | $7.00 – $106.22 | 11 |
| Chromatography CPT 83021 | $5.76 | $28.80 | $15.40 – $242.50 | 11 |
| Chromogenic substrate assay CPT 85130 | $28.20 | $141.00 | $11.89 – $159.15 | 11 |
| Chromo high res and frag x - sendout CPT 81243 | $9.13 | $45.63 | $45.63 – $1,053.15 | 11 |
| Chromosome analysis 100 CPT 88249 | $88.20 | $441.00 | $173.17 – $2,324.83 | 11 |
| Chromosome analysis 15-20 cell count CPT 88262 | $42.27 | $211.35 | $125.49 – $1,680.78 | 11 |
| Chromosome analysis 45 CPT 88263 | $52.67 | $263.36 | $150.29 – $1,960.86 | 11 |
| Chromosome karyotype study CPT 88280 | $7.60 | $38.00 | $27.50 – $338.46 | 11 |
| Chromosome study additional CPT 88289 | $75.18 | $375.92 | $17.33 – $119.75 | 11 |
| Chylomicron screen, bf - sendout CPT 82664 | $6.83 | $34.15 | $34.15 – $393.30 | 11 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $16.19 | $80.94 | $2.26 – $88.56 | 8 |
| Circum 28 days or older CPT 54161 | $1,366.20 | $6,831.00 | $30.00 – $2,879.47 | 17 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $156.00 | $780.00 | $280.46 – $780.00 | 6 |
| Circumcision (newborn) CPT 54150 | $1,526.80 | $7,634.00 | $55.00 – $2,879.47 | 17 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $4.82 | $24.08 | $4.22 – $265.68 | 8 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $50.00 | $250.00 | $250.00 – $5,529.50 | 11 |
| C-laminoplasty w/graft/plate CPT 63051 | $1,136.80 | $5,684.00 | $66.41 – $2,541.98 | 16 |
| Claviculectomy partial CPT 23120 | $417.40 | $2,087.00 | $66.41 – $896.97 | 16 |
| Clean out mastoid cavity CPT 69222 | $154.00 | $770.00 | $50.00 – $334.72 | 16 |
| Clearance of tear duct CPT 68530 | $176.80 | $884.00 | $66.41 – $684.17 | 16 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $23.73 | $118.64 | $3.82 – $97.00 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $1,458.00 | $7,290.00 | $1,539.00 – $1,539.00 | 2 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $499.40 | $2,497.00 | $30.00 – $88.72 | 5 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $13.80 | $69.00 | $16.20 – $321.13 | 9 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $280.60 | $1,403.00 | $12.00 – $574.45 | 16 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $500.20 | $2,501.00 | $55.00 – $1,180.49 | 16 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $342.80 | $1,714.00 | $35.00 – $722.14 | 16 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $249.40 | $1,247.00 | $66.41 – $502.29 | 16 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $326.60 | $1,633.00 | $66.41 – $771.22 | 14 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $77.80 | $389.00 | $61.43 – $211.79 | 16 |
| Closed tx orbit without manipulj CPT 21400 | $159.60 | $798.00 | $203.28 – $504.83 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $409.40 | $2,047.00 | $6.00 – $915.27 | 16 |
| Closed tx septal&nose fx CPT 21337 | $216.00 | $1,080.00 | $66.41 – $565.06 | 16 |
| Closed tx sesamoid fx 28530 CPT 28530 | $76.80 | $384.00 | $10.00 – $162.22 | 16 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $177.80 | $889.00 | $15.00 – $355.79 | 16 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $161.60 | $808.00 | $66.41 – $351.60 | 16 |
| Close tear duct opening CPT 68760 | $129.40 | $647.00 | $35.00 – $437.22 | 17 |
| Close tear duct opening CPT 68761 | $102.80 | $514.00 | $45.00 – $437.22 | 17 |
| Clos txnose fx without stablz 21315 CPT 21315 | $111.00 | $555.00 | $8.00 – $366.40 | 16 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | $580.60 | $2,903.00 | $60.00 – $1,148.71 | 16 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | $1,053.80 | $5,269.00 | $40.00 – $2,312.44 | 16 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | $677.60 | $3,388.00 | $66.41 – $1,399.24 | 16 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | $927.20 | $4,636.00 | $65.00 – $1,985.47 | 16 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $144.20 | $721.00 | $50.00 – $458.38 | 16 |
| Closure of eyelid by suture CPT 67875 | $66.80 | $334.00 | $11.00 – $273.42 | 16 |
| Closure of windpipe lesion 31820 CPT 31820 | $971.00 | $4,855.00 | $45.00 – $4,566.99 | 17 |
| Clot factor fletcher fact CPT 85292 | $23.03 | $115.13 | $18.93 – $247.13 | 11 |
| Clot factor xii hageman CPT 85280 | $3.44 | $17.20 | $17.20 – $260.93 | 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.