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 |
|---|---|---|---|---|
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $962.88 | $1,888.00 | $593.00 – $2,695.00 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $1,369.86 | $2,686.00 | $593.00 – $2,695.00 | 4 |
| Drainage external ear complex 69005 CPT 69005 | $3,036.03 | $5,953.00 | $1,921.00 – $4,657.00 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $962.88 | $1,888.00 | $593.00 – $2,695.00 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | $5,079.60 | $9,960.00 | $1,921.00 – $4,657.00 | 4 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drainage mouth roof lesion CPT 42000 | $562.53 | $1,103.00 | $319.18 – $2,570.00 | 4 |
| Drainage of arm bursa 23931 CPT 23931 | $3,052.86 | $5,986.00 | $2,225.71 – $4,657.00 | 4 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drainage of eye CPT 65800 | $4,173.33 | $8,183.00 | $1,687.00 – $3,173.52 | 4 |
| Drainage of eye CPT 65810 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Drainage of eye CPT 65815 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $2,166.95 – $6,619.00 | 4 |
| Drainage of kidney lesion CPT 50390 | not published | not published | $954.29 – $2,695.00 | 4 |
| Drainage of mouth lesion CPT 41005 | $420.75 | $825.00 | $319.18 – $1,921.00 | 4 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drainage of mouth lesion CPT 41007 | $2,810.61 | $5,511.00 | $1,921.00 – $4,657.00 | 4 |
| Drainage of mouth lesion CPT 41008 | $5,759.94 | $11,294.00 | $1,921.00 – $4,657.00 | 4 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $726.80 – $1,921.00 | 4 |
| Drainage of mouth lesion CPT 41015 | $925.14 | $1,814.00 | $726.80 – $1,921.00 | 4 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $1,921.00 – $8,140.43 | 4 |
| Drainage of mouth lesion CPT 41017 | $5,759.94 | $11,294.00 | $1,921.00 – $4,657.00 | 4 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drainage of nose lesion int 30000 CPT 30000 | $420.75 | $825.00 | $319.18 – $1,921.00 | 4 |
| Drainage of nose lesion sept 30020 CPT 30020 | $925.14 | $1,814.00 | $726.80 – $1,921.00 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | $6,026.16 | $11,816.00 | $1,921.00 – $6,619.00 | 4 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drainage of rectal abscess CPT 45005 | $2,192.49 | $4,299.00 | $1,612.61 – $4,657.00 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Drainage of salivary gland CPT 42305 | $5,759.94 | $11,294.00 | $2,570.00 – $6,619.00 | 4 |
| Drainage of salivary gland CPT 42320 | $925.14 | $1,814.00 | $726.80 – $1,921.00 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,755.13 | $7,363.00 | $2,570.00 – $6,619.00 | 4 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $939.68 – $6,619.00 | 4 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Drain bladder by trocar/cath CPT 51101 | $1,891.59 | $3,709.00 | $1,157.25 – $4,657.00 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $763.47 | $1,497.00 | $179.30 – $1,687.00 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drain cath image guided visceral pq CPT 49405 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,361.19 | $2,669.00 | $951.25 – $2,695.00 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Drain finger abscess;simple 26010 CPT 26010 | $851.19 | $1,669.00 | $270.38 – $1,687.00 | 4 |
| Drain lower leg bursa CPT 27604 | $6,059.82 | $11,882.00 | $2,570.00 – $6,619.00 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | $5,230.05 | $10,255.00 | $2,570.00 – $6,619.00 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | $5,230.05 | $10,255.00 | $2,570.00 – $6,619.00 | 4 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drain penis lesion CPT 54015 | $3,036.03 | $5,953.00 | $2,225.71 – $4,657.00 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $2,166.95 – $6,619.00 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Drain shoulder lesion CPT 23030 | $3,571.53 | $7,003.00 | $1,921.00 – $6,619.00 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | $5,079.60 | $9,960.00 | $2,937.00 – $6,619.00 | 4 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $1,672.80 | $3,280.00 | $270.38 – $2,570.00 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $1,381.59 | $2,709.00 | $270.38 – $1,687.00 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,672.80 | $3,280.00 | $547.82 – $2,570.00 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,176.57 | $2,307.00 | $995.98 – $1,921.00 | 4 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $24,714.20 | $48,459.21 | $16.65 – $171.13 | 4 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $1,065.90 | $2,090.00 | $1,921.00 – $6,619.00 | 2 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,552.95 | $3,045.00 | $1,921.00 – $6,619.00 | 2 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drng hand tendon sheath 26020 CPT 26020 | $6,026.16 | $11,816.00 | $2,570.00 – $4,657.00 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,056.72 | $2,072.00 | $427.74 – $1,687.00 | 4 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,343.67 | $8,517.00 | $1,921.00 – $4,657.00 | 4 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $593.00 – $2,695.00 | 4 |
| Drng of mouth lesion 40801 CPT 40801 | $962.88 | $1,888.00 | $726.80 – $2,570.00 | 4 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $2,192.49 | $4,299.00 | $1,612.61 – $4,657.00 | 4 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,343.67 | $8,517.00 | $1,921.00 – $4,657.00 | 4 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,921.00 – $14,372.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Drng salivary gland simple 42300 CPT 42300 | $2,810.61 | $5,511.00 | $1,921.00 – $4,657.00 | 4 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $925.14 | $1,814.00 | $726.80 – $1,921.00 | 4 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $2.95 – $6.04 | 3 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $6.56 – $18.43 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,796.43 | $5,483.20 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $5,187.53 | $10,171.63 | $3.54 – $171.13 | 4 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $787.65 | $1,544.41 | $3.88 – $171.13 | 4 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $2.67 – $171.13 | 4 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $167.70 – $193.33 | 3 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $11,219.31 | $21,998.64 | $31.24 – $171.13 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $46,276.42 | $90,738.07 | $16.65 – $171.13 | 4 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $167.70 – $173.16 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $37.80 – $77.14 | 4 |
| Drug assay posaconazole CPT 80187 | not published | not published | $26.57 – $75.07 | 4 |
| Drug assay rufinamide CPT 80210 | not published | not published | $26.57 – $75.07 | 4 |
| Drug assay vedolizumab CPT 80280 | not published | not published | $37.80 – $106.84 | 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.