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 |
|---|---|---|---|---|
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $2,754.51 | $5,401.00 | $995.98 – $2,570.00 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $2,754.51 | $5,401.00 | $547.82 – $2,570.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $2,754.51 | $5,401.00 | $995.98 – $2,695.00 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $2,754.51 | $5,401.00 | $547.82 – $2,570.00 | 4 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $3,494.52 | $6,852.00 | $2,570.00 – $4,657.00 | 4 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $2,754.51 | $5,401.00 | $547.82 – $2,570.00 | 4 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.43 – $70.18 | 4 |
| Ghs mbp CPT 83873 | $60.51 | $118.65 | $16.86 – $135.91 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $514.59 | $1,009.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $514.59 | $1,009.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $514.59 | $1,009.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $86.70 | $170.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $86.70 | $170.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $231.20 – $231.20 | 1 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $219.28 – $219.28 | 1 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $235.05 – $235.05 | 1 |
| Ghs myocardial strain img spckl track CPT 93356 | not published | not published | $84.47 – $310.84 | 2 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,727.88 | $3,388.00 | $995.98 – $1,921.00 | 4 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,360.68 | $2,668.00 | $951.25 – $2,695.00 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve block celiac plexus CPT 64530 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve block interscaline CPT 64510 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,360.68 | $2,668.00 | $593.00 – $2,695.00 | 4 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $951.25 – $2,695.00 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,069.98 | $2,098.00 | $593.00 – $1,687.00 | 4 |
| Ghs o2 saturation CPT 82810 | not published | not published | $9.57 – $71.22 | 4 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $156.19 – $176.94 | 3 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $79.50 – $255.06 | 3 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $86.19 | $169.00 | $63.10 – $64.39 | 2 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,171.47 | $2,297.00 | $845.36 – $2,695.00 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $1,921.00 – $2,695.00 | 4 |
| Ghs optokenetic CPT 92544 | not published | not published | $173.40 – $176.94 | 2 |
| Ghs oscillating trac CPT 92545 | not published | not published | $290.98 – $296.92 | 2 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.58 – $146.57 | 3 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $9.90 – $593.00 | 3 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $45.17 – $46.09 | 2 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $130.56 | $256.00 | $63.87 – $65.17 | 2 |
| Ghs pacing - transcutaneous CPT 92953 | $4,208.52 | $8,252.00 | $890.70 – $2,695.00 | 3 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $3,615.90 | $7,090.00 | $1,687.00 – $10,997.00 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $52.70 – $151.19 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $664.02 | $1,302.00 | $319.18 – $1,921.00 | 4 |
| Ghs phenylketonurid CPT 84030 | not published | not published | $5.39 – $44.95 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $3,012.57 | $5,907.00 | $1,921.00 – $2,695.00 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $840.48 | $1,648.00 | $332.41 – $1,687.00 | 4 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $4.22 – $35.17 | 4 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $1,157.25 – $6,340.22 | 3 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $179.30 – $182.96 | 2 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $38.98 – $58.09 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $9.47 – $78.97 | 4 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.50 – $42.21 | 4 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $14.06 – $117.17 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $532.95 | $1,045.00 | $79.50 – $81.12 | 2 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $12.00 – $99.97 | 4 |
| Ghs quinidine CPT 80194 | not published | not published | $14.31 – $119.15 | 4 |
| Ghs refill of implantable pump CPT 95990 | not published | not published | $445.12 – $1,687.00 | 3 |
| Ghs removal intranasal foreign body CPT 30300 | $225.93 | $443.00 | $179.30 – $1,687.00 | 4 |
| Ghs removal pharyngeal foreign body CPT 42809 | $621.18 | $1,218.00 | $593.00 – $1,687.00 | 4 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $4,843.47 | $9,497.00 | $2,166.95 – $4,657.00 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $6,026.16 | $11,816.00 | $3,632.00 – $11,185.00 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $15.57 – $105.08 | 4 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.22 – $35.12 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $30.09 | $59.00 | $13.63 – $73.37 | 4 |
| Ghs sedimentation rate CPT 85651 | $87.72 | $172.00 | $4.18 – $28.96 | 4 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.06 – $122.28 | 4 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.64 – $70.24 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.33 – $56.22 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $1,727.88 | $3,388.00 | $547.82 – $2,570.00 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $1,727.88 | $3,388.00 | $547.82 – $2,570.00 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,727.88 | $3,388.00 | $547.82 – $2,570.00 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,727.88 | $3,388.00 | $547.82 – $2,570.00 | 4 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $1,727.88 | $3,388.00 | $270.38 – $1,687.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $1,727.88 | $3,388.00 | $270.38 – $1,687.00 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $1,727.88 | $3,388.00 | $270.38 – $1,687.00 | 4 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,727.88 | $3,388.00 | $270.38 – $2,570.00 | 4 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,727.88 | $3,388.00 | $270.38 – $2,570.00 | 4 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $290.98 – $1,025.99 | 3 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $277.37 – $296.92 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | not published | not published | $1,157.25 – $1,454.55 | 3 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $49.49 – $50.50 | 2 |
| Ghs sphenopalatine ganglion block CPT 64505 | $550.80 | $1,080.00 | $413.65 – $1,921.00 | 4 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $179.30 – $182.96 | 2 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $346.29 | $679.00 | $106.08 – $108.24 | 2 |
| Ghs strapping shoulder - 29240 CPT 29240 | $1,384.14 | $2,714.00 | $179.30 – $1,687.00 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $72.86 – $74.35 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $86.19 | $169.00 | $63.10 – $64.39 | 2 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $419.22 | $822.00 | $286.64 – $292.49 | 2 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,889.55 | $3,705.00 | $995.98 – $1,921.00 | 4 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $755.82 | $1,482.00 | $547.82 – $1,921.00 | 4 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,826.42 | $5,542.00 | $1,921.00 – $4,657.00 | 4 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $7.15 – $59.57 | 4 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $840.48 | $1,648.00 | $332.41 – $1,687.00 | 4 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | $812.94 | $1,594.00 | $332.41 – $1,687.00 | 4 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $23.81 – $198.45 | 4 |
| Ghs urine, porphyrins quant CPT 84120 | $66.94 | $131.25 | $14.42 – $120.08 | 4 |
| Ghs vaginal delivery only CPT 59409 | $10,898.19 | $21,369.00 | $2,570.00 – $6,619.00 | 4 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $1,402.50 | $2,750.00 | $502.87 – $8,109.84 | 3 |
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.