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 windowing of cast CPT 29730 | $295.29 | $579.00 | $218.99 – $1,687.00 | 4 |
| Giardia ag if CPT 87269 | not published | not published | $13.34 – $76.12 | 4 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.43 – $118.71 | 4 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $321.54 – $372.86 | 4 |
| Gi inhouse confirmation CPT 87045 | $192.27 | $377.00 | $9.25 – $76.99 | 4 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Gi protein loss CPT 78282 | not published | not published | $538.74 – $652.67 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $1,222.26 – $5,865.89 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $1,253.22 – $4,065.50 | 3 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $1,222.26 – $4,736.03 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,222.26 – $7,140.40 | 5 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $96.06 – $202.24 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $60.29 – $123.04 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $34.30 – $70.00 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.55 – $11.72 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $38.98 – $39.77 | 2 |
| Glaucoma surgery CPT 66150 | not published | not published | $3,632.00 – $6,619.00 | 4 |
| Glaucoma surgery CPT 66155 | not published | not published | $3,632.00 – $6,619.00 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $3,110.05 – $6,619.00 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $871.85 | $1,709.50 | $53.48 – $410.13 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $132.30 – $323.45 | 4 |
| Glucagon plasma - sendout CPT 82943 | $69.32 | $135.92 | $14.00 – $99.03 | 4 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $45.15 – $319.41 | 4 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $49.49 – $350.02 | 4 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.41 – $104.47 | 4 |
| Glucose 1 hr post dose CPT 82950 | $256.02 | $502.00 | $4.66 – $38.74 | 4 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.93 – $49.52 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $169.32 | $332.00 | $3.21 – $6.56 | 3 |
| Glucose blood quantitative CPT 82947 | $254.49 | $499.00 | $3.85 – $32.09 | 4 |
| Glucose body fluid CPT 82945 | $179.52 | $352.00 | $3.85 – $31.98 | 4 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $79.50 – $362.00 | 3 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $256.02 | $502.00 | $12.61 – $105.08 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $46.92 | $92.00 | $3.84 – $32.04 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $84.15 | $165.00 | $1.02 – $1.81 | 3 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $13.11 – $28.51 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.06 – $30.62 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $340.68 | $668.00 | $18.21 – $151.68 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $145.44 – $296.82 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $329.46 | $646.00 | $18.15 – $151.19 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $179.30 – $182.96 | 2 |
| Goniotomy CPT 65820 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $579.20 – $1,516.05 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,070.57 | $7,981.50 | $45.71 – $171.13 | 4 |
| Graft axiofill 1000mg HCPCS J3590 | $11,046.00 | $21,658.82 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $167.70 – $2,270.34 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $33,868.77 | $66,409.35 | $136.78 – $204.37 | 4 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $57,852.99 | $113,437.24 | not published | 0 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $995.37 – $4,294.63 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $76,755.00 | $150,500.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $67,861.21 | $133,061.20 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $58,721.35 | $115,139.91 | $46.58 – $171.13 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $15,907.10 | $31,190.40 | $167.70 – $593.00 | 4 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $27,815.40 | $54,540.00 | $167.70 – $293.20 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $111.35 – $171.13 | 3 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $72,183.01 | $141,535.32 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $8,482.32 | $16,632.00 | $80.63 – $195.71 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $100,184.40 | $196,440.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $5,410.08 | $10,608.00 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $60.81 – $110.94 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.52 – $22.94 | 3 |
| Great toe-hand transfer CPT 26551 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Great toe with reduction 28495 CPT 28495 | $419.73 | $823.00 | $332.41 – $1,687.00 | 4 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $4,775.56 – $11,185.00 | 4 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $4,775.56 – $11,185.00 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.45 – $12.70 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $38.98 – $39.77 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.43 – $128.43 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $65.37 – $461.91 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $126.74 – $543.58 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $74.09 – $151.20 | 4 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $50.49 – $593.00 | 3 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $50.49 – $593.00 | 3 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| G-tube reposition CPT 43761 | $435.54 | $854.00 | $336.70 – $1,687.00 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $457.15 – $2,834.48 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,313.76 | $2,576.00 | $954.29 – $2,695.00 | 4 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $13,679.07 | $26,821.70 | not published | 0 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $8,007.94 | $15,701.84 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $23,952.15 | $46,965.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $370.25 – $370.25 | 1 |
| Gum graft CPT 41870 | not published | not published | $2,090.93 – $4,657.00 | 4 |
| Gw stiffened micro access kit HCPCS C1894 | $27,660.87 | $54,237.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,632.00 – $6,619.00 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $9.90 – $494.53 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $593.00 – $1,687.00 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $547.82 – $2,937.00 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $547.82 – $2,937.00 | 4 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $94.33 | $184.97 | $9.22 – $40.02 | 3 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $84.15 | $165.00 | $1.55 – $9.32 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $11.54 – $11.54 | 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.