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 |
|---|---|---|---|---|
| I&d lacrimal gland CPT 68400 | $1,687.08 | $3,308.00 | $593.00 – $4,657.00 | 4 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,570.00 – $3,269.31 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $4,902.63 | $9,613.00 | $1,921.00 – $6,619.00 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $547.06 – $1,166.53 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $5,230.05 | $10,255.00 | $1,921.00 – $6,619.00 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | $5,230.05 | $10,255.00 | $1,921.00 – $4,657.00 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $71.90 – $440.70 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $49.24 – $175.61 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $203.16 – $574.19 | 4 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $67.18 – $328.20 | 4 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $194.03 – $658.22 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $288.63 – $936.25 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $169.28 – $1,981.09 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $264.18 | $518.00 | $129.20 – $348.65 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $443.19 | $869.00 | $412.03 – $586.56 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $314.67 | $617.00 | $77.82 – $287.00 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $18.46 – $27.69 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $38.52 – $468.23 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $4,745.00 – $15,313.00 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $72.80 – $76.77 | 2 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $3,632.00 – $15,313.00 | 3 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $82.55 – $319.83 | 2 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $83.56 – $83.56 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $57.01 – $119.35 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $58.47 – $81.12 | 3 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $50.33 – $63.86 | 3 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $79.50 – $81.12 | 2 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $418.76 | $821.10 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $247.86 | $486.00 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $196.15 | $384.60 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Immune complex assay CPT 86332 | not published | not published | $23.88 – $198.94 | 4 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $48.10 – $97.03 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $49.34 – $174.17 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $46.09 – $103.33 | 4 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $22.86 – $128.44 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $198.90 | $390.00 | $20.39 – $169.76 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $198.90 | $390.00 | $20.39 – $169.76 | 4 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.06 – $135.19 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $14.36 | $28.15 | $11.74 – $97.82 | 4 |
| Immunodiffusion nes CPT 86329 | $8.67 | $17.00 | $13.77 – $104.69 | 4 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $179.16 – $179.16 | 1 |
| Immunofixation electrophoresis serum CPT 86334 | $79.05 | $155.00 | $21.89 – $182.35 | 4 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $90.27 | $177.00 | $127.76 – $435.59 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $600.27 | $1,177.00 | $61.61 – $566.82 | 4 |
| Immunoglobulin assay CPT 86023 | $94.35 | $185.00 | $12.21 – $87.66 | 4 |
| Impedence cardiogram CPT 93701 | not published | not published | $161.96 – $182.96 | 3 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $2,570.00 – $24,110.98 | 4 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $593.00 – $14,372.00 | 3 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $8,017.36 | $15,720.32 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $2,175.66 | $4,266.00 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $1,921.00 – $22,635.49 | 4 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,921.00 – $4,657.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,570.00 – $4,657.00 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $10,924.20 | $21,420.00 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $5,734.00 – $44,433.58 | 4 |
| Implant cochlear osia osi300 HCPCS L8690 | $32,360.40 | $63,451.77 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $3,632.00 – $19,186.89 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $593.00 – $1,687.00 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $1,687.00 – $11,153.00 | 3 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $7,716.00 – $26,143.80 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $2,937.00 – $41,584.16 | 4 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $3,632.00 – $14,372.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,570.00 – $24,289.13 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,570.00 – $24,289.13 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $593.00 – $6,619.00 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $3,362.94 | $6,594.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $2,570.00 – $11,826.43 | 4 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $593.00 – $17,654.63 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $1,921.00 – $17,654.63 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,716.00 – $20,143.00 | 4 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $5,570.24 – $11,185.00 | 4 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $292.77 – $1,137.05 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $4,467.95 – $11,185.00 | 4 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $4,467.95 – $11,185.00 | 4 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $4,467.95 – $11,185.00 | 4 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $4,467.95 – $11,185.00 | 4 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,734.00 – $11,185.00 | 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.