Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA · Providence · · NPI 1235162645
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 |
|---|---|---|---|---|
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $2,377.62 | $4,662.00 | $1,687.00 – $10,997.00 | 3 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $3,513.90 | $6,890.00 | $2,780.50 – $4,657.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $3,513.90 | $6,890.00 | $2,780.50 – $4,657.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $627.92 – $1,281.46 | 3 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,175.20 – $6,480.00 | 4 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Troponin quantitative CPT 84484 | $489.60 | $960.00 | $12.22 – $155.75 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $741.18 – $4,745.00 | 4 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $70.21 – $260.19 | 4 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $1,056.42 – $1,921.00 | 4 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $1,056.42 – $1,605.73 | 3 |
| Tte w or without fol w/cont, com HCPCS C8921 | not published | not published | $1,056.42 – $1,077.98 | 2 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | not published | not published | $1,056.42 – $1,077.98 | 2 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $774.69 | $1,519.00 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $594.53 – $1,921.00 | 4 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $5,734.00 – $35,223.65 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $332.41 – $1,921.00 | 4 |
| Tx closed hip disl traumatic without anes CPT 27250 | $1,629.96 | $3,196.00 | $332.41 – $1,921.00 | 4 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $4,502.79 | $8,829.00 | $1,921.00 – $4,657.00 | 4 |
| Tx closed tib shaft fx without manip CPT 27750 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $593.00 – $2,695.00 | 4 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $593.00 – $1,687.00 | 4 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $6,026.16 | $11,816.00 | $4,129.00 – $6,619.00 | 4 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $6,026.16 | $11,816.00 | $3,632.00 – $6,619.00 | 4 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $6,026.16 | $11,816.00 | $2,570.00 – $6,619.00 | 4 |
| Tx open nsl fx uncomp CPT 21325 | $5,759.94 | $11,294.00 | $3,632.00 – $6,619.00 | 4 |
| Tx open nsl sptl fx CPT 21336 | $6,059.82 | $11,882.00 | $3,632.00 – $6,619.00 | 4 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $6,026.16 | $11,816.00 | $3,632.00 – $6,619.00 | 4 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $2,570.00 – $11,153.00 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Tympanic membrane repair CPT 69610 | not published | not published | $2,090.93 – $6,619.00 | 4 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $290.98 – $296.92 | 2 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $726.80 – $1,921.00 | 4 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Tyms gene com variants CPT 81346 | not published | not published | $171.31 – $1,021.21 | 4 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $11.90 – $194.04 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $189.38 – $535.28 | 4 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.94 – $25.77 | 4 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $67.37 – $147.62 | 4 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $229.32 – $468.00 | 4 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,466.76 | $2,876.00 | $140.89 – $563.14 | 4 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $41.76 – $195.15 | 4 |
| Ultrasound breast complete CPT 76641 | $1,310.19 | $2,569.00 | $140.89 – $550.50 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $1,310.19 | $2,569.00 | $117.28 – $421.41 | 4 |
| Ultrasound chest CPT 76604 | $1,969.62 | $3,862.00 | $140.89 – $305.01 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | not published | not published | $121.47 – $373.65 | 4 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $140.89 – $358.26 | 4 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $186.22 – $289.35 | 2 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $140.89 – $664.76 | 4 |
| Ultrasound encephalogram CPT 76506 | $3,201.78 | $6,278.00 | $140.89 – $286.38 | 4 |
| Ultrasound exam follow-up CPT 76970 | not published | not published | $244.39 – $244.39 | 1 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $946.56 | $1,856.00 | $140.89 – $437.51 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $2,175.15 | $4,265.00 | $140.89 – $383.87 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | $1,909.95 | $3,745.00 | $104.64 – $106.63 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $2,919.24 | $5,724.00 | $355.30 – $896.72 | 2 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $321.33 – $530.06 | 2 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $345.09 – $395.64 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | not published | not published | $117.28 – $356.84 | 4 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $117.28 – $331.67 | 4 |
| Ultrasound joint complete left CPT 76881 | $2,047.65 | $4,015.00 | $140.89 – $533.47 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $2,047.65 | $4,015.00 | $54.75 – $179.33 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $80.60 – $171.01 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $3,655.68 | $7,168.00 | $271.70 – $633.98 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $799.68 | $1,568.00 | $158.58 – $181.03 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $2,837.64 | $5,564.00 | $321.54 – $869.20 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $4,427.82 | $8,682.00 | $140.89 – $224.39 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $2,037.45 | $3,995.00 | $140.89 – $317.65 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $2,894.25 | $5,675.00 | $140.89 – $365.68 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $140.89 – $318.31 | 4 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,771.74 | $3,474.00 | $140.89 – $332.27 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $2,313.87 | $4,537.00 | $140.89 – $321.00 | 4 |
| Ultrasound spinal canal and contents CPT 76800 | $1,429.02 | $2,802.00 | $140.89 – $336.34 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $302.10 – $340.33 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,781.43 | $3,493.00 | $140.89 – $358.26 | 4 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $291.55 – $2,092.21 | 4 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $983.87 – $1,527.64 | 2 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.95 – $9.13 | 2 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $410.66 – $1,921.00 | 4 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $1,687.00 – $14,372.00 | 3 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $38.98 – $39.77 | 2 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $38.98 – $39.77 | 2 |
| Unlisted chemotherapy px CPT 96549 | $54.57 | $107.00 | $63.10 – $64.39 | 2 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $319.18 – $2,570.00 | 4 |
| Unlisted CT procedure CPT 76497 | not published | not published | $117.28 – $127.70 | 3 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $538.74 – $589.01 | 3 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $70.23 – $98.94 | 3 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $70.23 – $98.94 | 3 |
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.