Healdsburg Hospital
1375 University Ave, Healdsburg, CA · Providence · · NPI 1295342012
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 |
|---|---|---|---|---|
| Patient recorded spirometry CPT 94015 | not published | not published | $61.14 – $290.92 | 2 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $255.05 – $686.00 | 3 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $293.38 – $976.03 | 2 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $1,148.11 | 3 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $270.32 – $270.32 | 1 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,779.95 – $5,330.31 | 3 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $173.37 – $189.14 | 2 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $149.55 – $173.37 | 2 |
| Pedicle enel/ntroral 15576 CPT 15576 | $1,760.52 | $3,452.00 | $2,779.95 – $5,330.31 | 3 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $354.08 – $691.48 | 3 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $755.86 – $3,516.84 | 3 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $4,248.53 – $54,141.06 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $39.96 – $1,814.83 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.31 – $1,109.75 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $135.89 – $1,180.56 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $158.26 – $1,215.97 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $79.50 – $1,180.56 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $112.13 – $706.84 | 3 |
| Peginesatide injection HCPCS J0890 | not published | not published | $21.54 – $36.73 | 2 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $1,135.69 – $3,466.07 | 3 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $975.59 – $7,100.10 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $223.40 – $701.56 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,945.65 | $3,815.00 | $236.33 – $1,119.33 | 3 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,728.39 | $3,389.00 | $236.33 – $904.24 | 3 |
| Pelvic CT scan (without contrast) CPT 72192 | $878.73 | $1,723.00 | $140.86 – $782.37 | 3 |
| Pelvic exenteration CPT 45126 | not published | not published | $4,417.00 – $4,417.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,993.70 | $5,870.00 | $470.05 – $3,341.12 | 3 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $470.05 – $1,478.72 | 3 |
| Pelvic MRI (without contrast) CPT 72195 | $2,680.05 | $5,255.00 | $321.48 – $1,507.75 | 3 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,970.59 – $9,776.62 | 2 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,887.95 – $9,776.62 | 2 |
| Pelvic Ultrasound (complete) CPT 76856 | $467.16 | $916.00 | $140.86 – $285.65 | 3 |
| Pelvic Ultrasound (limited) CPT 76857 | $426.87 | $837.00 | $140.85 – $194.89 | 3 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $60.15 – $146.47 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.04 – $137.89 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $10.78 – $34.74 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $581.06 | $1,139.33 | $13.64 – $53.64 | 4 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $226.04 | $443.22 | $0.52 – $6.82 | 3 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $27.05 – $91.54 | 3 |
| Penile injection CPT 54235 | $264.18 | $518.00 | $336.63 – $721.00 | 2 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $14,405.49 | $28,246.06 | not published | 0 |
| Penile vascular study CPT 93980 | not published | not published | $140.86 – $497.03 | 3 |
| Penile vascular study CPT 93981 | not published | not published | $140.86 – $464.04 | 3 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,572.00 – $5,330.31 | 3 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,572.00 – $5,330.31 | 3 |
| Penis study CPT 54240 | not published | not published | $290.92 – $3,982.87 | 3 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $95.63 – $310.32 | 3 |
| Pentastarch 10% solution HCPCS J2513 | not published | not published | $26.40 – $43.11 | 2 |
| Pentazocine injection HCPCS J3070 | not published | not published | $86.21 – $203.68 | 3 |
| Pentobarbital sodium inj HCPCS J2515 | not published | not published | $7.04 – $105.22 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,626.33 – $5,469.78 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $3,572.00 – $15,700.40 | 3 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $5,021.00 – $5,021.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $5,021.00 – $24,699.02 | 2 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $5,021.00 – $5,021.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $5,021.00 – $15,553.99 | 2 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $5,021.00 – $5,021.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $5,021.00 – $24,699.02 | 2 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $5,021.00 – $5,021.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $5,021.00 – $15,553.99 | 2 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $5,021.00 – $8,145.41 | 3 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,323.17 – $8,145.41 | 3 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | not published | not published | $83.22 – $194.63 | 3 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $3,841.32 | $7,532.00 | $721.00 – $721.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $3,125.00 – $3,125.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,517.76 | $2,976.00 | $2,120.93 – $5,198.77 | 3 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $7,429.17 | $14,567.00 | $2,335.00 – $2,335.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $4,417.00 – $6,323.17 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $4,361.52 – $6,970.59 | 3 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $79.48 – $79.48 | 1 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $31.32 – $51.68 | 2 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $28.82 – $46.40 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,198.77 – $9,383.00 | 3 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $173.05 – $736.21 | 3 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $408.84 – $656.23 | 3 |
| Permanent tear duct plug HCPCS A4263 | $322.58 | $632.50 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $0.48 – $2.86 | 3 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $6.38 – $21.33 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $7,887.95 – $7,887.95 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $6,793.00 – $7,151.31 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $954.10 – $5,330.31 | 2 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $954.10 – $5,198.77 | 2 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $6,970.59 – $12,754.58 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $6,323.17 – $12,754.58 | 3 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $2,335.00 – $15,553.99 | 3 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $2,335.00 – $24,699.02 | 3 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $2,335.00 – $15,553.99 | 3 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $2,335.00 – $15,553.99 | 3 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $721.00 – $3,982.87 | 2 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $3,572.00 – $8,145.41 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $3,572.00 – $8,145.41 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $3,572.00 – $8,145.41 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $264.18 | $518.00 | $336.63 – $3,982.87 | 3 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,335.00 – $4,408.51 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,982.87 – $5,770.00 | 3 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,817.03 – $7,151.31 | 2 |
| Perq transcath closure pda CPT 93582 | not published | not published | $9,048.95 – $24,699.02 | 2 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $4,130.87 – $24,699.02 | 3 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $4,976.27 – $24,699.02 | 3 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $9,048.95 – $9,048.95 | 1 |
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.