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 |
|---|---|---|---|---|
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Fat/lipids feces qualitative CPT 82705 | $16.17 | $31.70 | $5.00 – $41.60 | 4 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $18.39 – $108.70 | 4 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $1,145.66 | $2,246.40 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.47 – $35.89 | 4 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.04 – $222.36 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $1,253.22 – $1,278.80 | 2 |
| #fecal-sodium CPT 84302 | $26.86 | $52.66 | $4.76 – $39.51 | 4 |
| Feeding tube reposition CPT 74355 | not published | not published | $567.71 – $612.11 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $79.72 – $81.35 | 2 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $39.45 | $77.36 | $18.27 – $51.60 | 4 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Fem/popl revasc w/stent CPT 37226 | not published | not published | $3,632.00 – $62,607.00 | 4 |
| Feno poc CPT 95012 | not published | not published | $50.33 – $128.49 | 3 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | $127.89 | $250.77 | $1.29 – $1.81 | 3 |
| Fern test HCPCS Q0114 | not published | not published | $9.55 – $58.58 | 4 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.08 – $2.43 | 4 |
| Ferritin CPT 82728 | $329.46 | $646.00 | $13.36 – $111.23 | 4 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.22 – $1.04 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.22 – $1.04 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $779.10 – $2,198.28 | 4 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $2,175.15 | $4,265.00 | $140.89 – $325.68 | 4 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $743.87 – $3,827.32 | 4 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $743.87 – $2,442.51 | 4 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $272.45 – $1,687.00 | 5 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $410.66 – $1,921.00 | 4 |
| Fetal fibronectin CPT 82731 | $820.59 | $1,609.00 | $63.12 – $1,099.14 | 4 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $410.66 – $1,921.00 | 4 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $276.42 | $542.00 | $7.58 – $63.15 | 4 |
| Fetal hemoglobin rosette CPT 85461 | $86.70 | $170.00 | $9.17 – $124.86 | 4 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $18.93 – $38.64 | 4 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $593.00 – $6,619.00 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $593.00 – $1,687.00 | 2 |
| Fetal non stress test CPT 59025 | $1,806.93 | $3,543.00 | $272.45 – $1,687.00 | 5 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $410.66 – $1,921.00 | 4 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $410.66 – $1,921.00 | 4 |
| #_fet/norfentcnfrmur CPT 80354 | $30.60 | $60.00 | $0.06 – $145.86 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $13.34 – $19.23 | 3 |
| Fibrin degradation d dimer quantitative CPT 85379 | $268.26 | $526.00 | $9.98 – $83.04 | 4 |
| Fibrin degradation products CPT 85362 | $41.31 | $81.00 | $6.75 – $56.17 | 4 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.53 – $60.78 | 4 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $9.98 – $86.67 | 4 |
| Fibrinogen activity CPT 85384 | $194.31 | $381.00 | $9.53 – $68.92 | 4 |
| Fibrinogen test CPT 85370 | not published | not published | $12.18 – $92.71 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $15.17 – $42.10 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.56 – $60.95 | 4 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.56 – $69.85 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $58.91 | $115.50 | $16.85 – $140.42 | 4 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $9.98 – $80.40 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $6.40 – $53.42 | 4 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $441.63 | $865.94 | $0.28 – $0.95 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $2.11 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.35 – $1.21 | 4 |
| Filleted finger/toe flap CPT 14350 | $3,494.52 | $6,852.00 | $2,780.50 – $4,657.00 | 4 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $11,080.26 | $21,726.00 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $5,330.52 | $10,452.00 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $1,921.00 – $21,870.00 | 3 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $6.25 – $6.25 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | not published | not published | $593.00 – $2,695.00 | 4 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $444.72 | $872.00 | $1,687.00 – $10,997.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $1,255.11 | $2,461.00 | $1,687.00 – $10,997.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $755.82 | $1,482.00 | $547.82 – $1,687.00 | 4 |
| Finger tendon transfer CPT 26497 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $79.50 – $81.12 | 2 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $79.50 – $81.12 | 2 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $272.45 – $1,687.00 | 4 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Fixation of knee joint CPT 27570 | $2,904.45 | $5,695.00 | $1,921.00 – $4,657.00 | 4 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Fix g/colon tube w/device CPT 49460 | $1,680.45 | $3,295.00 | $1,222.26 – $4,657.00 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | $6,232.20 | $12,220.00 | $2,937.00 – $6,619.00 | 4 |
| Flebogamma injection HCPCS J1572 | not published | not published | $55.89 – $119.88 | 4 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.27 – $51.60 | 4 |
| Fl exam g/colon tube w contrast CPT 49465 | $573.75 | $1,125.00 | $321.54 – $1,921.00 | 4 |
| Flexible Sigmoidoscopy CPT 45330 | $1,529.49 | $2,999.00 | $1,253.22 – $2,695.00 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Floor of mouth biopsy 41108 CPT 41108 | $3,036.03 | $5,953.00 | $1,921.00 – $2,695.00 | 4 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $1,242.06 – $2,738.58 | 4 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | not published | not published | $363.58 – $7,976.50 | 4 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | not published | not published | $657.79 – $1,401.09 | 4 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $177.56 – $666.52 | 3 |
| Flow cytometry marker each additional CPT 88185 | $35.86 | $70.31 | $44.76 – $267.87 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $35.87 | $70.33 | $318.42 – $566.82 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $387.00 – $387.00 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $167.70 – $249.53 | 4 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $132.08 – $505.99 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $151.29 – $8,574.91 | 4 |
| Flt3 gene CPT 81245 | not published | not published | $162.20 – $489.72 | 4 |
| Flt3 gene analysis CPT 81246 | not published | not published | $81.34 – $909.59 | 4 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $145.35 | $285.00 | $7.15 – $108.25 | 3 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $119.06 – $381.42 | 3 |
| Fluidotherapy charges pt CPT 97022 | not published | not published | $16.24 – $16.57 | 2 |
| Fluid pressure muscle 20950 CPT 20950 | $1,313.76 | $2,576.00 | $593.00 – $2,695.00 | 4 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $8.71 – $8.71 | 1 |
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.