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 |
|---|---|---|---|---|
| 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 |
| Drug assay voriconazole CPT 80285 | $81.09 | $159.00 | $26.57 – $75.07 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $18.27 – $41.00 | 4 |
| Drug of abuse screen urine CPT 80305 | not published | not published | $12.35 – $90.29 | 4 |
| Drug screening tapentadol CPT 80372 | $5.56 | $10.91 | $0.06 – $151.74 | 2 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $26.57 – $84.85 | 4 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $0.06 – $148.60 | 2 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $194.77 – $1,318.36 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $112.14 – $634.75 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $241.98 – $1,709.22 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $153.46 – $976.75 | 4 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $60.90 – $481.64 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $16.80 – $120.41 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $623.22 | $1,222.00 | $60.90 – $481.59 | 4 |
| Drvvt confirm - quest CPT 85597 | $3.51 | $6.89 | $17.62 – $124.64 | 4 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | not published | not published | $593.00 – $6,619.00 | 4 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $547.82 – $1,921.00 | 4 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $547.82 – $1,921.00 | 4 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $995.98 – $1,921.00 | 4 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $995.98 – $1,921.00 | 4 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $741.18 – $2,695.00 | 3 |
| Ductogram sgl duct CPT 77053 | not published | not published | $273.55 – $614.75 | 4 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Duodenal motility study CPT 91022 | not published | not published | $155.80 – $1,687.00 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | not published | not published | $321.54 – $1,364.53 | 3 |
| Duplex scan unilateral study 93986 CPT 93986 | not published | not published | $140.89 – $776.32 | 3 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $475.32 | $932.00 | $140.89 – $838.26 | 3 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | not published | not published | $290.98 – $707.08 | 3 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,512.66 | $2,966.00 | $321.54 – $1,163.33 | 3 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $23,223.63 | $45,536.52 | $25.28 – $25.28 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $84.42 – $180.32 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $437.07 | $857.00 | $140.89 – $460.76 | 4 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $173.40 – $593.00 | 3 |
| Dx aly aud oi snd prcsr each CPT 92623 | not published | not published | $593.00 – $593.00 | 1 |
| Dx bronchoscope/brush 31623 CPT 31623 | not published | not published | $2,398.61 – $4,657.00 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $4,554.30 | $8,930.00 | $2,398.61 – $4,657.00 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,706.68 | $7,268.00 | $1,921.00 – $4,657.00 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $44.24 – $614.30 | 3 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $593.00 – $4,657.00 | 4 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $593.00 – $4,657.00 | 4 |
| Dx gastr intub w/asp spec CPT 43754 | $567.12 | $1,112.00 | $290.98 – $1,687.00 | 4 |
| Dx gastr intub w/asp specs CPT 43755 | $294.78 | $578.00 | $173.40 – $1,687.00 | 4 |
| Dx intraop epcar Ultrasound chd i&r CPT 76989 | not published | not published | $174.25 – $184.77 | 2 |
| Dx intraop epicar car Ultrasound chd CPT 76987 | not published | not published | $469.00 – $496.37 | 2 |
| Dx intraop thoracic aorta Ultrasound CPT 76984 | not published | not published | $151.61 – $160.25 | 2 |
| Dx laryngoscopy newborn CPT 31520 | $874.65 | $1,715.00 | $527.08 – $1,921.00 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | $3,706.68 | $7,268.00 | $2,398.61 – $4,657.00 | 4 |
| Dx ntrop epcr Ultrasound chd img acq CPT 76988 | not published | not published | $297.62 – $315.34 | 2 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $336.70 – $4,657.00 | 4 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $123.87 – $123.87 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $133.88 – $296.92 | 3 |
| Ear and throat examination CPT 92502 | not published | not published | $726.80 – $1,687.00 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $2,090.93 – $4,657.00 | 4 |
| Ear cartilage graft CPT 21235 | not published | not published | $4,657.00 – $8,140.43 | 4 |
| Ear irrigation 69209 CPT 69209 | $122.40 | $240.00 | $79.50 – $1,687.00 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $352.69 – $1,213.98 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $397.29 | $779.00 | $64.52 – $126.18 | 3 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $42.26 – $121.18 | 2 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $197.88 | $388.00 | $33.78 – $79.50 | 3 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $128.12 – $1,462.63 | 3 |
| Ecg external < 48 hours recording CPT 93225 | $1,811.52 | $3,552.00 | $179.30 – $348.54 | 3 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $79.50 – $614.75 | 3 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $50.33 – $118.49 | 3 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $50.33 – $118.49 | 3 |
| Ecg record/review CPT 93268 | not published | not published | $1,501.51 – $2,039.67 | 2 |
| Ecg/review interpret only CPT 93272 | not published | not published | $148.44 – $230.82 | 2 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,472.48 | $4,848.00 | $736.35 – $1,818.47 | 3 |
| Echocardiography doppler color flow mapping CPT 93325 | $980.22 | $1,922.00 | $191.39 – $719.77 | 2 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $2,876.40 | $5,640.00 | $1,056.42 – $2,417.83 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $724.20 | $1,420.00 | $321.54 – $554.35 | 3 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $781.32 | $1,532.00 | $470.15 – $479.74 | 2 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | not published | not published | $127.95 – $274.68 | 2 |
| Echo exam of eye CPT 76516 | not published | not published | $140.89 – $293.03 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $140.89 – $293.03 | 4 |
| Echo exam of eye CPT 76529 | not published | not published | $117.28 – $319.90 | 4 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $15.44 – $38.98 | 4 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $448.83 – $770.53 | 4 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $142.50 – $372.86 | 4 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $140.89 – $194.44 | 4 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $115.93 – $227.74 | 4 |
| Echo exam uterus 76831- CPT 76831 | not published | not published | $321.54 – $372.86 | 4 |
| Echograp trans r pros study CPT 76873 | not published | not published | $140.89 – $488.73 | 4 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $273.55 – $1,300.89 | 2 |
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.