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 |
|---|---|---|---|---|
| H pylori (c-13) blood CPT 83009 | not published | not published | $66.01 – $538.58 | 4 |
| H pylori (c-13) breath CPT 83013 | $403.41 | $791.00 | $66.01 – $522.20 | 4 |
| H pylori drug admin CPT 83014 | not published | not published | $7.70 – $63.86 | 4 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,277.87 – $3,351.22 | 4 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $2,166.19 – $2,166.19 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $573.20 – $3,827.32 | 4 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $573.20 – $4,218.44 | 4 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $593.00 – $4,657.00 | 4 |
| Hsv dna dir probe CPT 87528 | not published | not published | $19.65 – $158.39 | 4 |
| Htt gene charac alleles CPT 81274 | not published | not published | $269.33 – $1,335.18 | 4 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $134.26 – $665.58 | 4 |
| Human epididymis protein 4 (he4) CPT 86305 | $130.56 | $256.00 | $20.39 – $207.57 | 4 |
| Human ig IV CPT 90283 | not published | not published | $114.29 – $199.31 | 2 |
| Human ig sc CPT 90284 | not published | not published | $18.46 – $49.77 | 2 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $4,160.07 | $8,157.00 | $1.68 – $4.23 | 4 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $24.06 – $69.17 | 3 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.17 – $1.08 | 3 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.60 – $0.77 | 3 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $84.15 | $165.00 | $8.80 – $9.49 | 3 |
| Hydration IV infusion each additional hour CPT 96361 | $642.60 | $1,260.00 | $63.10 – $99.20 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $1,412.19 | $2,769.00 | $286.64 – $452.98 | 3 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $16.17 | $31.70 | not published | 0 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $11.73 – $11.73 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $128.14 | $251.26 | $4.05 – $44.25 | 3 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $11.73 – $11.73 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $107.27 | $210.34 | $0.27 – $0.52 | 3 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $285.09 | $559.00 | not published | 0 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $90.33 – $90.33 | 1 |
| Hydromorphone injection HCPCS J1170 | not published | not published | $1.98 – $1.98 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.02 – $0.09 | 3 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $2.56 – $2.56 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $14.06 – $38.18 | 3 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.26 – $4.17 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $17.54 – $138.38 | 4 |
| Hymenotomy CPT 56442 | $5,755.86 | $11,286.00 | $1,921.00 – $6,619.00 | 4 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.77 – $37.63 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $1,921.00 – $8,140.43 | 4 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $9.66 – $19.48 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $9.98 – $83.04 | 4 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $938.58 – $957.73 | 3 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $519.77 – $611.34 | 3 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $711.75 – $759.81 | 3 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $713.89 – $759.81 | 3 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $744.61 – $951.03 | 3 |
| Hypothermia ill neonate CPT 99184 | $2,716.26 | $5,326.00 | $593.00 – $593.00 | 1 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.43 – $37.78 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $1,921.00 – $22,743.00 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $2,570.00 – $2,570.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $1,882.41 | $3,691.00 | $302.70 – $372.86 | 4 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $2,570.00 – $6,878.93 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,734.00 – $6,878.93 | 4 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $186.31 – $186.31 | 1 |
| I-123 iobenguane diag HCPCS A9582 | not published | not published | $2,271.15 – $4,504.17 | 4 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $1,359.99 – $3,003.56 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | not published | not published | $75.92 – $239.94 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $46.58 – $649.64 | 4 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $20.85 – $469.06 | 4 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | not published | not published | $578.59 – $2,215.70 | 4 |
| I131 iodide cap, rx HCPCS A9517 | not published | not published | $23.59 – $192.40 | 4 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $20.35 – $44.89 | 3 |
| I131 max 100uci HCPCS A9531 | not published | not published | $9.05 – $9.05 | 1 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $60.33 – $774.73 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | $24.54 | $48.11 | $13.15 – $73.37 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $34.39 – $277.20 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $17.73 – $105.68 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $44.37 – $248.57 | 4 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $44.44 – $186.57 | 3 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,399.59 – $12,084.00 | 4 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $5.95 – $17.85 | 3 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $214.83 – $401.56 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $250.63 – $301.63 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $69,309.00 | $135,900.00 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $46,206.00 | $90,600.00 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $18,604.80 | $36,480.00 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,267.72 | $18,172.00 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $290.98 – $296.92 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $50.33 – $55.78 | 3 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $36.16 – $81.12 | 3 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $36.16 – $39.77 | 3 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $9,778.55 – $15,313.00 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $5,759.94 | $11,294.00 | $1,921.00 – $4,657.00 | 4 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $87.01 – $544.69 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $548,585.46 – $1,134,388.29 | 3 |
| Identify sperm tissue CPT 89264 | not published | not published | $70.23 – $472.63 | 4 |
| Idet 1 or more levels CPT 22527 | not published | not published | $11,185.00 – $14,372.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $11,185.00 – $14,372.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $6,026.16 | $11,816.00 | $1,921.00 – $6,619.00 | 4 |
| Idh1 common variants CPT 81120 | $135.47 | $265.62 | $189.38 – $1,226.64 | 4 |
| Idh2 common variants CPT 81121 | $135.47 | $265.63 | $289.87 – $1,877.55 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $5,202.00 | $10,200.00 | $2,570.00 – $6,619.00 | 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.