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 |
|---|---|---|---|---|
| Chromosome analysis 100 CPT 88249 | not published | not published | $169.71 – $1,407.28 | 4 |
| Chromosome analysis 15-20 cell count CPT 88262 | $161.93 | $317.50 | $122.98 – $1,017.42 | 4 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $169.71 – $1,175.81 | 4 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $147.28 – $1,186.96 | 4 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $259.05 – $1,224.72 | 4 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $169.71 – $1,367.82 | 4 |
| Chromosome analys placenta CPT 88267 | not published | not published | $184.80 – $1,467.46 | 4 |
| Chromosome banding study CPT 88283 | not published | not published | $64.04 – $137.20 | 4 |
| Chromosome count additional CPT 88285 | not published | not published | $26.37 – $131.73 | 4 |
| Chromosome karyotype study CPT 88280 | not published | not published | $32.80 – $204.88 | 4 |
| Chromosome study additional CPT 88289 | not published | not published | $33.74 – $72.49 | 4 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $12.21 – $98.43 | 4 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $60.27 – $238.07 | 4 |
| Cidofovir injection HCPCS J0740 | not published | not published | $549.57 – $1,121.93 | 4 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $14.67 – $18.89 | 3 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $576,724.91 – $1,189,314.00 | 3 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $1.21 – $2.13 | 2 |
| Cine/video x-rays CPT 76120 | not published | not published | $140.89 – $246.37 | 4 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $173.47 – $183.78 | 2 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $145.35 | $285.00 | $4.20 – $17.77 | 3 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $37.69 – $73.06 | 2 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $939.68 – $6,619.00 | 4 |
| Circumcision (newborn) CPT 54150 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $5.72 – $53.30 | 3 |
| C-kit mutation liquid tumor - sendout CPT 81272 | not published | not published | $322.92 – $2,008.29 | 4 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.55 – $68.74 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $40,177.80 | $78,780.00 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $726.80 – $2,570.00 | 4 |
| Clearance of airways CPT 31720 | $388.11 | $761.00 | $295.10 – $1,921.00 | 4 |
| Clearance of tear duct CPT 68530 | not published | not published | $427.74 – $2,570.00 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $179.30 – $182.96 | 2 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $179.30 – $182.96 | 2 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $179.30 – $182.96 | 2 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $145.35 | $285.00 | $1.55 – $3.46 | 3 |
| Clip ligating vesolock lg HCPCS C1760 | $6,434.67 | $12,617.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Cllr miami j sm HCPCS L0174 | $928.84 | $1,821.26 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $10.72 – $155.95 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $32.40 – $64.43 | 3 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $1,793.16 | $3,516.00 | $332.41 – $1,687.00 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $2,947.29 | $5,779.00 | $1,687.00 – $2,211.17 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $429.93 | $843.00 | $1,921.00 – $4,657.00 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $422.28 | $828.00 | $332.41 – $1,687.00 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $6,053.19 | $11,869.00 | $2,166.95 – $6,619.00 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $2,021.64 | $3,964.00 | $1,687.00 – $2,211.17 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $2,090.93 – $5,734.00 | 4 |
| Closed tx orbit without manipulj CPT 21400 | $925.14 | $1,814.00 | $726.80 – $2,570.00 | 4 |
| Closed tx orbit w/manipulj CPT 21401 | $2,810.10 | $5,510.00 | $2,090.93 – $4,657.00 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,060.40 | $4,040.00 | $2,166.95 – $4,657.00 | 4 |
| Closed tx septal&nose fx CPT 21337 | $5,759.94 | $11,294.00 | $2,570.00 – $4,657.00 | 4 |
| Closed tx sesamoid fx 28530 CPT 28530 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Closed tx vert fx w/manj CPT 22315 | $6,059.82 | $11,882.00 | $2,570.00 – $4,657.00 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $453.90 | $890.00 | $319.18 – $1,687.00 | 4 |
| Close mastoid fistula CPT 69700 | not published | not published | $2,090.93 – $4,657.00 | 4 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $427.74 – $1,921.00 | 4 |
| Close tear duct opening CPT 68761 | not published | not published | $427.74 – $1,687.00 | 4 |
| Close tear system fistula CPT 68770 | not published | not published | $2,695.00 – $3,632.00 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $15.68 – $73.37 | 4 |
| Clos txnose fx without stablz 21315 CPT 21315 | $1,912.50 | $3,750.00 | $2,090.93 – $4,657.00 | 4 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $925.14 | $1,814.00 | $726.80 – $1,921.00 | 4 |
| Closure of eyelid by suture CPT 67875 | $1,767.15 | $3,465.00 | $1,343.40 – $4,657.00 | 4 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $845.36 – $2,695.00 | 4 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $18.55 – $149.59 | 4 |
| Clot factor viii reltd antgn CPT 85244 | $91.80 | $180.00 | $20.01 – $161.30 | 4 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $18.55 – $149.59 | 4 |
| Clot factor xii hageman CPT 85280 | not published | not published | $18.96 – $157.95 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $8.93 – $72.54 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | $59.62 | $116.90 | $16.01 – $133.38 | 4 |
| Clotting assay whole blood CPT 85396 | not published | not published | $41.86 – $130.91 | 3 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $2.58 – $2.58 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $2,165.46 | $4,246.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $638.01 | $1,251.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $2,904.45 | $5,695.00 | $1,921.00 – $4,657.00 | 4 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,904.45 | $5,695.00 | $1,921.00 – $2,695.00 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $426.87 | $837.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $2,116.50 | $4,150.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $2,267.46 | $4,446.00 | $2,166.95 – $4,657.00 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,904.45 | $5,695.00 | $2,166.95 – $4,657.00 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | $419.73 | $823.00 | $332.41 – $1,687.00 | 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.