ADVENTIST HEALTH UKIAH VALLEY
Acute Care Hospitals
Procedure Prices at ADVENTIST HEALTH UKIAH VALLEY
CBC AUTO W/AUTO DIFF 1.1
CPT 85025
$3.51
EKG Interpretation
CPT 93010
$5.67
COMP METABOLIC PNL 1.1
CPT 80053
$6.31
EKG
CPT 93000
$9.45
Alcohol Blood Draw
CPT 36415
$10.53
Chest X-Ray (1 view)
CPT 71045
$10.53
Thoracic Spine X-Ray
CPT 72072
$12.25
Chest X-Ray (2 views)
CPT 71046
$12.59
Echocardiogram
CPT 93307
$30.78
Mechanical Traction
CPT 97012
$30.78
Abdominal Ultrasound — Limited
CPT 76705
$32.89
ER Visit — Low-Moderate Complexity
CPT 99283
$36.99
Laparoscopic Hernia Repair
CPT 49650
$40.77
Screening Mammogram (bilateral)
CPT 77067
$42.59
Diagnostic Mammogram (unilateral)
CPT 77065
$44.87
Abdominal Ultrasound
CPT 76700
$45.14
Therapeutic Exercises
CPT 97110
$45.9
Retroperitoneal Ultrasound
CPT 76770
$49.58
Therapeutic Activities
CPT 97530
$52.92
OB Ultrasound
CPT 76805
$55.47
Diagnostic Mammogram (bilateral)
CPT 77066
$57.22
EKG Tracing
CPT 93005
$62.73
Office Visit EST 20-29 Total Mins per DOS
CPT 99213
$63.72
CT Chest
CPT 71250
$72.86
Echocardiogram w/ Doppler
CPT 93306
$95.1
Inguinal Hernia Repair
CPT 49505
$96.41
PF PAS ARTHRO SHLDR W/REP CUFF
CPT 29827
$97.61
CT Abdomen & Pelvis
CPT 74177
$99.55
Psychotherapy, 1 hour
CPT 90837
$104.22
Upper GI Endoscopy w/ Biopsy
CPT 43239
$107.19
MRI Brain w/o Contrast
CPT 70551
$114.74
Knee Replacement
CPT 27447
$120.15
Hip Replacement
CPT 27130
$120.42
64483 Inject Anesthetic Epidural w/ imaging - Lumbar/Sacral, Single Level
CPT 64483
$134.19
Knee Arthroscopy
CPT 29881
$136.58
ER Visit — Moderate Complexity
CPT 99284
$145.46
MRI Brain w/ Contrast
CPT 70553
$154.46
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$159.7
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$162.82
Colonoscopy
CPT 45378
$182.25
Colonoscopy w/ Biopsy
CPT 45380
$199.26
ER Visit — High Complexity
CPT 99285
$213.16
Laparoscopic Cholecystectomy
CPT 47562
$271.47
Appendectomy
CPT 44950
$315.72
Cataract Surgery
CPT 66984
$378.81
MRI Joint of Lower Extremity
CPT 73721
$408
Recurrent Inguinal Hernia Repair
CPT 49520
$435.78
Cataract Surgery — Complex
CPT 66982
$518.94
27245 Treat Thigh Fracture
CPT 27245
$847.53
C-Section
CPT 59510
$1,089.26
Vaginal Delivery
CPT 59400
$1,631.88
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.