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 |
|---|---|---|---|---|
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $65.33 | $128.10 | $1.29 – $13.01 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $65.33 | $128.10 | $3.64 – $12.33 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $65.33 | $128.10 | $7.28 – $13.28 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $76.50 | $150.00 | $21.79 – $181.47 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $257.04 | $504.00 | $9.52 – $79.25 | 4 |
| Diab manage trn ind/group HCPCS G0109 | not published | not published | $16.95 – $17.30 | 2 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $2,398.61 – $4,657.00 | 4 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Diagnostic anoscopy CPT 46601 | $269.28 | $528.00 | $593.00 – $1,687.00 | 4 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $182.58 | $358.00 | $179.30 – $1,687.00 | 4 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $55.59 | $109.00 | $192.86 – $514.87 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $55.59 | $109.00 | $151.28 – $656.06 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $415.14 | $814.00 | $268.99 – $1,921.00 | 4 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $386.58 | $758.00 | $268.99 – $1,687.00 | 4 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $1,454.01 | $2,851.00 | $118.38 – $762.69 | 4 |
| Diagnostic Mammogram (one breast) CPT 77065 | $914.94 | $1,794.00 | $111.04 – $595.79 | 4 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $117.28 – $127.70 | 3 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Dialysis one evaluation CPT 90945 | $1,165.35 | $2,285.00 | $562.31 – $573.78 | 2 |
| Diathermy eg microwave CPT 97024 | not published | not published | $7.56 – $7.71 | 2 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $112.61 | $220.80 | $0.15 – $0.17 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $85.68 | $168.00 | $4.40 – $12.45 | 3 |
| Dicyclomine injection HCPCS J0500 | $287.41 | $563.55 | $18.63 – $27.65 | 3 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.19 – $0.35 | 2 |
| Diffusing capacity CPT 94729 | $1,177.08 | $2,308.00 | $258.52 – $258.52 | 1 |
| Digital analysis of eeg CPT 95957 | not published | not published | $1,514.18 – $1,514.18 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $444.22 | $871.02 | $2.33 – $10.49 | 3 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $11,090.02 | $21,745.13 | $840.89 – $10,682.45 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $215.22 | $422.00 | $13.01 – $108.38 | 4 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $425.66 | $834.63 | $36.92 – $184.36 | 3 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $1,222.26 – $4,657.00 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $602.01 – $1,921.00 | 4 |
| Dilate urethra stricture CPT 53600 | $909.84 | $1,784.00 | $336.70 – $1,921.00 | 4 |
| Dilate urethra stricture CPT 53601 | not published | not published | $179.30 – $1,921.00 | 4 |
| Dilate urethra stricture CPT 53605 | not published | not published | $2,570.00 – $4,847.25 | 4 |
| Dilate urethra stricture CPT 53621 | not published | not published | $336.70 – $1,687.00 | 4 |
| Dilation/female urethra/initial 53660 CPT 53660 | $294.78 | $578.00 | $173.40 – $1,687.00 | 4 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Dilation of salivary duct CPT 42660 | not published | not published | $726.80 – $1,921.00 | 4 |
| Dilation of urethra CPT 53661 | not published | not published | $179.30 – $1,687.00 | 4 |
| Dilation of urethra CPT 53665 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Dilation of vagina CPT 57400 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,266.33 | $2,483.00 | $939.68 – $2,695.00 | 4 |
| Dilator fascial 10fx20cm HCPCS C2627 | $652.85 | $1,280.10 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $4,750.30 – $11,185.00 | 4 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $32.52 – $32.52 | 1 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $3.36 – $17.95 | 3 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $74.01 – $1,536.65 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.55 | $5.00 | $0.09 – $2.80 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $84.15 | $165.00 | $1.32 – $1.90 | 3 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $16.82 – $36.16 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $50.33 – $55.01 | 3 |
| Disability dlco CPT 94727 | not published | not published | $170.81 – $296.92 | 3 |
| Disaccharidases CPT 82657 | $41.95 | $82.25 | $21.73 – $146.79 | 4 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Discography cerv/thor spine CPT 72285 | not published | not published | $488.72 – $2,750.96 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $593.00 – $2,447.56 | 4 |
| Dissolve clot heart vessel CPT 92975 | $1,271.43 | $2,493.00 | $6,619.00 – $6,619.00 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $1,921.00 – $11,153.00 | 3 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.06 – $135.08 | 2 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $1,921.00 – $10,997.00 | 3 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $273.42 – $1,376.89 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $134.26 – $665.58 | 4 |
| Dna antibody native/double stranded CPT 86225 | $3.88 | $7.60 | $13.47 – $112.17 | 4 |
| Dna gardnerella CPT 87510 | not published | not published | $19.65 – $158.39 | 4 |
| Dna probe chlamydia CPT 87490 | not published | not published | $22.30 – $158.39 | 4 |
| Dna probe gc CPT 87590 | not published | not published | $26.34 – $158.39 | 4 |
| Dna trichomonas CPT 87660 | not published | not published | $19.65 – $164.27 | 4 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $145.35 | $285.00 | $14.84 – $17.52 | 3 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $1.22 – $25.79 | 3 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $1.04 – $110.98 | 4 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $7.65 – $19.23 | 2 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $81.86 – $309.11 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $145.35 | $285.00 | $0.43 – $1.53 | 3 |
| Doppler echo complete CPT 93320 | $641.58 | $1,258.00 | $258.94 – $489.34 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | not published | not published | $1,261.48 – $1,687.00 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $700.23 | $1,373.00 | $290.98 – $648.99 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | not published | not published | $179.30 – $343.92 | 3 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $1.12 – $1.40 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $16.99 – $115.22 | 3 |
| Dornhoffer fixed part w/window HCPCS L8614 | $43,731.99 | $85,749.00 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $242.14 – $516.30 | 4 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $6.31 – $66.16 | 3 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $70.42 – $644.75 | 4 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $126.66 | $248.36 | $0.24 – $0.26 | 2 |
| Dpyd gene common variants CPT 81232 | not published | not published | $171.31 – $1,021.21 | 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.