California / Adventist Health Ukiah Valley
CMS certification 050301 · Ukiah, CA · 2 entries in CMS's price-transparency list
Adventist Health Ukiah Valley: charges and Medicare payments
Adventist Health Ukiah Valley reported 606 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 4.29 times what it was paid — among the lower ratios in California, number 167 of 247 hospitals with at least 100 stays (state median 5.18×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 167 stays at an average charge of $103,160, 14% above the national average. It also billed 1,813 outpatient services, charging 6.52 times what Medicare paid.
- 1Medicare inpatient stays 606
- 2Charge ÷ paid, inpatient 4.29×
- 3Rank in CA (highest ratio = 1) 167 of 247
- 4CMS price-transparency actions 2
Inpatient stays
For the 24 DRGs that can be compared with the national average, Adventist Health Ukiah Valley charged more than the national average in 17 (71%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 167 | $103,160 | +14% | $23,873 |
| 291 Heart Failure and Shock with MCC | 55 | $79,258 | +41% | $16,293 |
| 193 Simple Pneumonia and Pleurisy with MCC | 36 | $80,833 | +35% | $17,098 |
| 177 Respiratory Infections and Inflammations with MCC | 29 | $107,496 | +52% | $20,873 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 24 | $63,049 | +29% | $13,270 |
| 189 Pulmonary Edema and Respiratory Failure | 22 | $96,348 | +67% | $15,775 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 21 | $96,310 | +31% | $22,279 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 20 | $53,325 | +48% | $12,693 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 19 | $243,302 | +6% | $65,770 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $56,154 | +1% | $13,023 |
| 682 Renal Failure with MCC | 18 | $59,992 | -9% | $17,424 |
| 330 Major Small and Large Bowel Procedures with CC | 16 | $104,780 | -12% | $28,793 |
| 683 Renal Failure with CC | 16 | $50,816 | +25% | $11,478 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 15 | $80,576 | -19% | $24,280 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 15 | $60,618 | +20% | $13,817 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $71,812 | +19% | $16,448 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 15 | $40,842 | +10% | $10,106 |
| 378 Gastrointestinal Hemorrhage with CC | 14 | $45,835 | -6% | $12,451 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 13 | $88,849 | +17% | $20,004 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $58,035 | -11% | $16,852 |
| 377 Gastrointestinal Hemorrhage with MCC | 12 | $59,607 | -30% | $21,632 |
| 690 Kidney and Urinary Tract Infections without MCC | 12 | $53,450 | +41% | $10,801 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $52,077 | +30% | $10,269 |
| 689 Kidney and Urinary Tract Infections with MCC | 11 | $49,179 | -4% | $14,103 |
Outpatient services
Against the California average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Adventist Health Ukiah Valley charged $103,160 on average, 28% less than the California average of $143,063, and was paid $23,873 against a state average of $23,020. For Heart Failure and Shock with MCC (DRG 291), Adventist Health Ukiah Valley charged $79,258 on average, 21% less than the California average of $100,739, and was paid $16,293 against a state average of $15,556. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Adventist Health Ukiah Valley charged $80,833 on average, 22% less than the California average of $103,761, and was paid $17,098 against a state average of $15,112. For Respiratory Infections and Inflammations with MCC (DRG 177), Adventist Health Ukiah Valley charged $107,496 on average, 14% less than the California average of $124,302, and was paid $20,873 against a state average of $18,986. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $718 was 85% below the state average of $4,853. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $12,886 was 39% below the state average of $20,986. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,255 was 23% below the state average of $41,628. For Level 3 Urology and Related Services (outpatient APC 5373), its average charge of $4,219 was 76% below the state average of $17,793.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Adventist Health Ukiah Valley in Ukiah, CA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-03-01 (CMS case 2155)
- Met Requirements — 2025-08-27 (CMS case 6407)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.