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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $311.61 | $611.00 | $34.39 – $280.28 | 4 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $458.49 | $899.00 | $40.85 – $277.20 | 4 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $399.33 | $783.00 | $34.39 – $277.20 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $105.06 | $206.00 | $50.28 – $281.98 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $672.18 | $1,318.00 | $139.78 – $348.15 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $191.25 | $375.00 | $139.78 – $348.15 | 4 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $183.09 | $359.00 | $34.39 – $277.20 | 4 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $83.39 | $163.50 | $34.39 – $164.93 | 4 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | $104.04 | $204.00 | $68.78 – $70.18 | 2 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $75.23 – $153.54 | 4 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $666.17 – $679.77 | 2 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $408.44 – $2,443.77 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $125.72 – $752.20 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $1,219.41 | $2,391.00 | $257.73 – $1,251.43 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $190.74 | $374.00 | $41.98 – $211.20 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $165.75 | $325.00 | $41.98 – $211.20 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $215.22 | $422.00 | $41.98 – $211.20 | 4 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $150.45 | $295.00 | $83.40 – $211.20 | 4 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $806.31 | $1,581.00 | $139.78 – $793.69 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $30.42 – $79.09 | 4 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $27.48 – $66.54 | 4 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $25.51 – $125.93 | 4 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $28.64 – $128.65 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $43.39 – $179.50 | 2 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $62.07 – $70.90 | 2 |
| Inf lwr xtr fscl pln blk uni w/wo image CPT 64474 | not published | not published | $593.00 – $1,687.00 | 2 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Inf thrc fascial pln blk bi w/wo image CPT 64469 | not published | not published | $593.00 – $1,687.00 | 2 |
| Inf thrc fascial pln blk uni w/wo image CPT 64467 | not published | not published | $593.00 – $1,687.00 | 2 |
| Infuse radioactive materials CPT 77750 | not published | not published | $311.33 – $530.38 | 3 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $513.96 – $513.96 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $502.87 – $750.55 | 3 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $295.10 – $313.53 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $3,532.77 | $6,927.00 | $295.10 – $415.86 | 3 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $5.90 – $12.62 | 4 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $4.83 – $15.11 | 4 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.09 – $0.47 | 4 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.10 – $0.17 | 3 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.10 – $0.17 | 3 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.05 – $0.17 | 3 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $4,012.37 – $8,370.87 | 4 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $197.22 – $197.22 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $17.25 – $22.60 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $62,996.65 – $135,956.56 | 4 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $11.96 – $14.92 | 3 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $34.86 – $74.22 | 4 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $804.97 – $1,711.10 | 3 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $295.15 – $690.54 | 4 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.54 – $3.25 | 4 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.73 – $9.57 | 4 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $120.66 – $296.94 | 4 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $50.56 – $99.01 | 4 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $9.37 – $19.59 | 4 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $128.54 – $365.96 | 4 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $17.94 – $38.23 | 4 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $3,499.92 – $7,408.00 | 4 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $2.40 – $4.00 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $3.19 – $6.75 | 4 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $50.79 – $111.43 | 4 |
| Inj. asceniv HCPCS J1554 | not published | not published | $490.91 – $1,067.86 | 4 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $55.16 – $116.92 | 4 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $31.31 – $66.39 | 3 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $101.33 – $231.00 | 4 |
| Inj aval alfa-nqpt 4mg HCPCS J0219 | not published | not published | $79.58 – $167.31 | 4 |
| Inj belantamab mafodot blmf HCPCS J9037 | not published | not published | $55.07 – $55.07 | 1 |
| Inj., benralizumab, 1 mg HCPCS J0517 | not published | not published | $160.09 – $351.10 | 4 |
| Inj beta interferon sq 1 mcg HCPCS Q3028 | not published | not published | $20.96 – $100.75 | 2 |
| Inj, betibeglogene autotemce HCPCS J3393 | not published | not published | $2,879,553.60 – $6,338,658.66 | 3 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | not published | not published | $39.03 – $85.72 | 4 |
| Inj bimatoprost itc imp1mcg HCPCS J7351 | not published | not published | $209.74 – $451.31 | 4 |
| Inj, biorphen, 20 micrograms HCPCS J2372 | not published | not published | $0.26 – $0.39 | 3 |
| Inj bortezomib boruzu 0.1 mg HCPCS J9054 | not published | not published | $24.90 – $56.48 | 3 |
| Inj, bortezomib, dr. reddy's HCPCS J9046 | not published | not published | $3.39 – $60.98 | 4 |
| Inj, bortezomib freseniuskab HCPCS J9048 | not published | not published | $6.83 – $60.98 | 4 |
| Inj, bortezomib, hospira HCPCS J9049 | not published | not published | $2.87 – $10.78 | 3 |
| Inj., brexanolone, 1 mg HCPCS J1632 | not published | not published | $99.14 – $99.14 | 1 |
| Inj, brixadi, 7 days or less HCPCS J0577 | not published | not published | $408.87 – $914.61 | 4 |
| Inj brixadi, more than 7 day HCPCS J0578 | not published | not published | $1,635.46 – $3,658.48 | 4 |
| Inj, brolucizumab-dbll, 1 mg HCPCS J0179 | not published | not published | $346.01 – $730.98 | 4 |
| Inj bulking agent anal canal HCPCS L8605 | not published | not published | $2,214.80 – $2,214.80 | 1 |
| Inj, bupivacaine liposome HCPCS J0666 | not published | not published | $1.38 – $3.05 | 4 |
| Inj, bupivacaine (posimir) HCPCS C9144 | not published | not published | $0.64 – $1.08 | 2 |
| Inj. byooviz, 0.1 mg HCPCS Q5124 | not published | not published | $69.49 – $300.77 | 4 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $84.15 | $165.00 | $1.38 – $2.56 | 2 |
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $326.04 – $558.36 | 2 |
| Inj cefazolin sodium, baxter HCPCS J0689 | not published | not published | $2.49 – $3.28 | 3 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $84.15 | $165.00 | $1.96 – $2.11 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $84.15 | $165.00 | $1.64 – $2.09 | 3 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | not published | not published | $11.61 – $16.04 | 3 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | not published | not published | $9.75 – $10.84 | 3 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.37 – $4.90 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $5.52 – $17.29 | 4 |
| Inj., cerliponase alfa 1 mg HCPCS J0567 | not published | not published | $118.75 – $295.90 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $16.58 – $33.58 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $81.81 – $362.01 | 4 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $90.55 – $193.18 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $5.91 – $8.05 | 2 |
| Inj, clindamycin (baxter) HCPCS J0737 | $145.35 | $285.00 | $5.05 – $5.78 | 3 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $278.46 | $546.00 | $1,687.00 – $10,997.00 | 2 |
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.