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 |
|---|---|---|---|---|
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,921.00 – $4,847.25 | 4 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $321.54 – $372.86 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Urethrocystography void s&i CPT 74455 | $822.63 | $1,613.00 | $321.54 – $372.86 | 4 |
| Uric acid blood CPT 84550 | $166.26 | $326.00 | $4.43 – $36.93 | 4 |
| Uric acid urine CPT 84560 | $17.85 | $35.00 | $4.98 – $38.74 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.61 – $30.12 | 4 |
| Urinalysis microscopic only CPT 81015 | $76.50 | $150.00 | $2.99 – $24.79 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.13 – $17.64 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $111.69 | $219.00 | $3.11 – $24.95 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $122.91 | $241.00 | $2.20 – $18.36 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $362.61 – $380.91 | 2 |
| Urinary reflex study CPT 51792 | not published | not published | $79.50 – $1,687.00 | 4 |
| Urine Culture Test CPT 87086 | $288.66 | $566.00 | $7.91 – $64.96 | 4 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $179.30 – $1,687.00 | 4 |
| Urine pregnancy test CPT 81025 | $28.05 | $55.00 | $8.44 – $41.66 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $17.92 – $59.96 | 4 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $6.00 – $10,997.00 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $105.49 – $127.26 | 2 |
| Urography, antegrade CPT 74425 | not published | not published | $302.65 – $610.96 | 4 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $236.37 – $454.16 | 4 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $604.64 – $604.64 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $73.49 – $73.49 | 1 |
| Use 1st target lesion CPT 76982 | not published | not published | $140.89 – $567.60 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.39 – $27.54 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $144.65 – $327.64 | 2 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $17,301.54 – $17,654.63 | 2 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $148.84 | $291.84 | $179.84 – $347.55 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $148.84 | $291.84 | $179.84 – $316.18 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $133.72 | $262.20 | $161.55 – $335.19 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $89.54 | $175.56 | $108.16 – $188.73 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $66.67 | $130.72 | $80.56 – $140.93 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | $148.55 | $291.28 | $25.44 – $76.76 | 2 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $85.56 – $265.72 | 2 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $65.73 – $329.32 | 2 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $175.69 – $804.51 | 2 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $63.40 – $290.23 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $65.98 – $78.56 | 2 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $31.22 – $33.95 | 2 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $80.73 – $155.14 | 2 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $121.01 – $286.10 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $38.56 – $90.99 | 2 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $152.16 | $298.36 | $38.56 – $62.59 | 2 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $91.77 – $161.57 | 2 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $261.94 | $513.60 | $69.69 – $151.32 | 2 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $444.65 | $871.87 | $168.34 – $381.75 | 2 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $116.86 | $229.14 | $37.35 – $68.09 | 2 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $216.84 – $793.31 | 2 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $166.38 – $226.03 | 2 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $35.97 – $179.50 | 2 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $244.43 | $479.27 | $69.50 – $179.50 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $10.78 – $47.00 | 2 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $18.89 – $48.05 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $19.67 – $19.67 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $24.67 – $24.67 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $28.38 – $28.38 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $23.37 – $23.37 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $11.19 – $11.19 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $28.72 – $65.34 | 2 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $46.84 – $46.84 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $142.45 | $279.31 | $43.04 – $79.23 | 2 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $5.43 – $23.50 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $255.00 – $552.94 | 2 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $534.55 – $1,077.14 | 2 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $188.05 – $443.35 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $99.02 – $398.93 | 2 |
| Vaccine mmr live subcutaneous CPT 90707 | $314.81 | $617.28 | $54.00 – $244.65 | 2 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $144.99 – $716.36 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $383.88 | $752.70 | $22.68 – $286.96 | 2 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $152.58 – $554.68 | 2 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $287.40 – $561.47 | 2 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $720.50 | $1,412.75 | $309.91 – $672.74 | 2 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $35.97 – $115.09 | 2 |
| Vaccine rabies im CPT 90675 | $950.54 | $1,863.81 | $190.28 – $682.99 | 4 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $392.54 – $791.54 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $658.72 – $2,869.65 | 2 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $658.72 – $1,434.82 | 2 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $372.62 – $758.52 | 2 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $141.89 – $252.67 | 2 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $87.55 – $254.62 | 2 |
| Vaccine tdap >=7 years im CPT 90715 | $212.65 | $416.97 | $53.65 – $84.00 | 2 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $195.37 | $383.08 | $26.57 – $73.01 | 2 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $57.10 – $254.02 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | $569.81 | $1,117.27 | $84.27 – $471.82 | 2 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $93.15 – $379.65 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.09 | 4 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,917.61 | $3,760.02 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $24,032.51 | $47,122.56 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $1,921.00 – $11,185.00 | 4 |
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.