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 |
|---|---|---|---|---|
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $840.48 | $1,648.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $763.47 | $1,497.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $2,309.28 | $4,528.00 | $2,166.95 – $2,937.00 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $1,117.41 | $2,191.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,309.28 | $4,528.00 | $1,687.00 – $2,570.00 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $401.88 | $788.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,165.46 | $4,246.00 | $376.92 – $1,921.00 | 4 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $925.14 | $1,814.00 | $726.80 – $2,937.00 | 4 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $701.76 | $1,376.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $840.48 | $1,648.00 | $332.41 – $2,570.00 | 4 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $6,026.16 | $11,816.00 | $2,570.00 – $4,657.00 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,774.51 | $7,401.00 | $2,570.00 – $4,657.00 | 4 |
| Clsd tx nose fx without manip 21310 CPT 21310 | not published | not published | $1,333.00 – $1,333.00 | 1 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $2,267.46 | $4,446.00 | $2,166.95 – $4,657.00 | 4 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $2,165.46 | $4,246.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx pelvic ring fx CPT 27197 | $847.11 | $1,661.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx pelvic ring fx CPT 27198 | $419.73 | $823.00 | $332.41 – $2,570.00 | 4 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $2,904.45 | $5,695.00 | $1,921.00 – $2,695.00 | 4 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,904.45 | $5,695.00 | $1,687.00 – $2,211.17 | 4 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,165.46 | $4,246.00 | $2,166.95 – $2,695.00 | 4 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $2,904.45 | $5,695.00 | $1,687.00 – $2,570.00 | 4 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,170.16 | $6,216.00 | $1,921.00 – $4,657.00 | 4 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $6,026.16 | $11,816.00 | $1,921.00 – $4,657.00 | 4 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $2,165.46 | $4,246.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $426.87 | $837.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $2,060.40 | $4,040.00 | $1,921.00 – $2,695.00 | 4 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $422.28 | $828.00 | $332.41 – $1,921.00 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $419.73 | $823.00 | $332.41 – $2,570.00 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $1,015.92 | $1,992.00 | $332.41 – $1,687.00 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $419.73 | $823.00 | $332.41 – $2,570.00 | 4 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,099.67 | $4,117.00 | $2,166.95 – $2,695.00 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $2,904.45 | $5,695.00 | $2,166.95 – $4,657.00 | 4 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $2,904.45 | $5,695.00 | $1,687.00 – $2,211.17 | 4 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $419.73 | $823.00 | $332.41 – $1,921.00 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | $5,724.24 | $11,224.00 | $1,921.00 – $4,657.00 | 4 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $10,809.96 | $21,196.00 | $2,937.00 – $11,185.00 | 4 |
| Cltx mndblr fx w/mnpj CPT 21451 | $2,810.61 | $5,511.00 | $2,090.93 – $4,657.00 | 4 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $5,792.07 | $11,357.00 | $2,937.00 – $6,619.00 | 4 |
| Cltx palatal/max fx wire fix CPT 21421 | $5,792.07 | $11,357.00 | $3,632.00 – $6,619.00 | 4 |
| Cltx post ankle fx CPT 27767 | $419.73 | $823.00 | $332.41 – $2,570.00 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | $2,904.45 | $5,695.00 | $1,687.00 – $2,570.00 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $2,904.45 | $5,695.00 | $1,687.00 – $2,211.17 | 4 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $454.41 | $891.00 | $332.41 – $1,921.00 | 4 |
| Cltx thigh fx CPT 27267 | $6,059.82 | $11,882.00 | $2,570.00 – $4,657.00 | 4 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $2,090.93 – $4,657.00 | 4 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| C motor evoked lwr limbs CPT 95929 | not published | not published | $502.87 – $748.62 | 3 |
| C motor evoked uppr limbs CPT 95928 | not published | not published | $690.53 – $1,180.86 | 3 |
| C motor evoked upr&lwr limbs CPT 95939 | not published | not published | $1,157.25 – $2,008.13 | 3 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $79.50 – $593.00 | 3 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $79.50 – $593.00 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $13.79 – $48.91 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $8.62 – $67.49 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $137.41 | $269.44 | $19.17 – $39.90 | 4 |
| Cmv pcr-sendout CPT 87496 | $147.90 | $290.00 | $34.39 – $277.20 | 4 |
| Co2 monitor per day CPT 94681 | not published | not published | $345.08 – $513.13 | 3 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $1.73 – $5.44 | 4 |
| Coagulation time activated teg CPT 85347 | $216.75 | $425.00 | $4.19 – $34.73 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.40 – $29.40 | 4 |
| Cocaine 4 % nasal solution HCPCS C9046 | $858.19 | $1,682.73 | $1.84 – $1.84 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $173.40 – $176.94 | 2 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $173.40 – $176.94 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $1.12 – $2.09 | 2 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $7.91 – $54.24 | 4 |
| Cold agglutinin titer CPT 86157 | $12.48 | $24.47 | $7.90 – $65.84 | 4 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $23.88 – $63.22 | 3 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $48.04 – $157.77 | 4 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $143.97 | $282.30 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $46.61 | $91.40 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $529.82 | $1,038.87 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $251.02 | $492.20 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $273.11 | $535.50 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $235.11 | $461.00 | $167.07 – $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.