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 |
|---|---|---|---|---|
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $593.00 – $6,619.00 | 2 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $593.00 – $6,619.00 | 2 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $593.00 – $6,619.00 | 2 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $593.00 – $6,619.00 | 2 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $35.97 – $78.78 | 4 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $1.72 – $30.02 | 2 |
| Enlarge breast CPT 19324 | not published | not published | $46,622.00 – $46,622.00 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $136.19 | $267.04 | $1.03 – $19.15 | 3 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $60.45 | $118.52 | $11.74 – $75.79 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $15.68 – $75.79 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $3,632.00 – $6,619.00 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $13.15 – $74.19 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $43.15 – $146.79 | 4 |
| Enzyme histochemistry CPT 88319 | $1,351.50 | $2,650.00 | $58.53 – $1,256.40 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $5,734.00 – $35,223.65 | 4 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $5,734.00 – $35,223.65 | 4 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $55.78 – $117.95 | 4 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Epidurography CPT 72275 | not published | not published | $498.08 – $498.08 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Epikeratoplasty CPT 65767 | not published | not published | $5,734.00 – $22,743.00 | 3 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,399.59 – $6,782.08 | 4 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $1,640.77 – $4,657.00 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | $398.64 | $781.65 | not published | 0 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $3.23 – $34.67 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,724.24 | $11,224.00 | $2,570.00 – $6,619.00 | 4 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.42 – $1.73 | 3 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,140.44 | $2,236.15 | $7.73 – $15.20 | 4 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $894.57 | $1,754.06 | $7.16 – $15.22 | 4 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $2.42 – $2.71 | 3 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.42 – $2.71 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $21.13 – $34.57 | 3 |
| Epstein barr early antigen antibody CPT 86663 | $45.90 | $90.00 | $12.86 – $107.66 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $46.23 | $90.65 | $14.98 – $126.73 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $46.23 | $90.65 | $17.78 – $131.62 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $3.20 – $169.40 | 4 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $19.90 – $41.54 | 4 |
| Ercp biliary & pancreas CPT 74330 | not published | not published | $666.00 – $731.59 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $2,570.00 – $8,348.17 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $2,570.00 – $8,348.17 | 4 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $2,570.00 – $8,348.17 | 4 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $5.26 – $5.26 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $75.22 – $255.31 | 4 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $274.74 | $538.71 | $18.36 – $27.77 | 3 |
| ER Visit (level 1, minor) CPT 99281 | $587.01 | $1,151.00 | $113.64 – $115.95 | 2 |
| ER Visit (level 2) CPT 99282 | $1,094.46 | $2,146.00 | $206.92 – $211.14 | 2 |
| ER Visit (level 3) CPT 99283 | $1,925.25 | $3,775.00 | $367.87 – $375.37 | 2 |
| ER Visit (level 4) CPT 99284 | $3,274.71 | $6,421.00 | $562.31 – $573.78 | 2 |
| ER Visit (level 5, high severity) CPT 99285 | $4,458.42 | $8,742.00 | $802.54 – $818.92 | 2 |
| Erwinaze injection HCPCS J9019 | not published | not published | $423.42 – $1,039.96 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $268.63 | $526.73 | $4.31 – $141.81 | 3 |
| Escharotomy ea addl incision CPT 16036 | $796.62 | $1,562.00 | $1,921.00 – $4,657.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $5,195.68 – $6,619.00 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.52 – $0.88 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $504.65 | $989.50 | $0.56 – $0.78 | 3 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $491.64 – $731.53 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $538.74 – $673.55 | 4 |
| Esophageal recording CPT 93615 | not published | not published | $1,640.77 – $4,657.00 | 3 |
| Esophageal recording CPT 93616 | not published | not published | $1,640.77 – $4,657.00 | 3 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $5,195.68 – $6,619.00 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $4,129.00 – $6,619.00 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $1,222.26 – $4,657.00 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $2,570.00 – $4,657.00 | 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.