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 |
|---|---|---|---|---|
| Inj., copanlisib, 1 mg HCPCS J9057 | not published | not published | $101.43 – $191.69 | 2 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $2,859.84 | $5,607.53 | $1,623.56 – $2,243.63 | 3 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $540.48 – $1,185.75 | 4 |
| Inj cutaquig 100 mg HCPCS J1551 | not published | not published | $13.65 – $30.83 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.23 – $35.86 | 4 |
| Inj, cyclophos (baxter) 5mg HCPCS J9076 | not published | not published | $3.65 – $12.49 | 4 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $4.83 – $19.46 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.51 – $4.83 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.49 – $3.78 | 3 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.58 – $9.33 | 4 |
| Inj, daptomycin (baxter) HCPCS J0874 | not published | not published | $0.09 – $0.15 | 3 |
| Inj, daptomycin (hospira) HCPCS J0877 | not published | not published | $0.11 – $0.17 | 3 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.06 – $0.17 | 3 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.03 – $6.43 | 4 |
| Inj, decitabine (sun pharma) HCPCS J0893 | not published | not published | $1.55 – $6.64 | 3 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $3,254,948.85 – $7,143,317.60 | 3 |
| Inj diclofenac sodium 0.5mg HCPCS J1130 | not published | not published | $0.26 – $0.26 | 1 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $881.47 – $1,687.00 | 2 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.06 – $8.99 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $413.65 – $1,687.00 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.60 – $21.65 | 4 |
| Inj dx for sinogram CPT 20501 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Inject for sacroiliac joint HCPCS G0259 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,305.09 | $2,559.00 | $593.00 – $2,695.00 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $756.84 | $1,484.00 | $365.65 – $1,687.00 | 2 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $41.06 – $109.48 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $452.49 – $1,009.94 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $19.62 – $40.23 | 4 |
| Injection, caplacizumab-yhdp HCPCS C9047 | not published | not published | $785.24 – $883.14 | 3 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $550.80 | $1,080.00 | $413.65 – $1,687.00 | 4 |
| Injection, casimersen, 10 mg HCPCS J1426 | not published | not published | $162.88 – $412.80 | 4 |
| Injection, cimetidine hydroc HCPCS S0023 | not published | not published | $3.97 – $3.97 | 1 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $61.59 – $145.40 | 4 |
| Injection, delafloxacin HCPCS C9462 | not published | not published | $0.59 – $0.59 | 1 |
| Injection, doxercalciferol HCPCS J1270 | not published | not published | $0.75 – $6.90 | 3 |
| Injection during cath supravalvular aortography CPT 93567 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $14.87 – $43.88 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $2,916.18 | $5,718.00 | $951.25 – $2,695.00 | 4 |
| Injection estrone per 1 mg HCPCS J1435 | not published | not published | $0.69 – $1.21 | 2 |
| Injection eye drug CPT 67028 | $643.11 | $1,261.00 | $445.12 – $1,921.00 | 4 |
| Injection, famotidine, 20 mg HCPCS S0028 | not published | not published | $1.23 – $1.23 | 1 |
| Injection for arthrography wrist (both sides) CPT 25246 | $991.95 | $1,945.00 | $390.55 – $1,687.00 | 2 |
| Injection for bladder x-ray CPT 51600 | $563.55 | $1,105.00 | $264.55 – $1,687.00 | 2 |
| Injection for hip x-ray CPT 27095 | not published | not published | $424.26 – $1,687.00 | 2 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $497.76 | $976.00 | $268.25 – $1,687.00 | 2 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $755.00 – $1,687.00 | 2 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $280.34 – $1,687.00 | 2 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $303.04 – $1,687.00 | 2 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $422.00 – $1,687.00 | 2 |
| Injection, fosphenytoin sodi HCPCS S0078 | not published | not published | $69.03 – $69.03 | 1 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $13.79 – $109.11 | 3 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $42.01 – $348.69 | 2 |
| Injection, glucarpidase HCPCS C9293 | not published | not published | $299.42 – $449.10 | 3 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.36 – $26.38 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $951.25 – $2,695.00 | 4 |
| Injection into brain canal CPT 61055 | not published | not published | $413.65 – $1,921.00 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | $1,682.49 | $3,299.00 | $1,253.22 – $2,695.00 | 4 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,191.92 – $2,937.00 | 4 |
| Injection into vocal cord CPT 31513 | not published | not published | $527.08 – $2,570.00 | 4 |
| Injection intraop add-on CPT 48400 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $0.86 – $2.13 | 4 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $216.18 – $1,687.00 | 2 |
| Injection jugular CPT 36299 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Injection, khapzory, 0.5 mg HCPCS J0642 | not published | not published | $2.35 – $2.69 | 3 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.62 – $12.32 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $97.03 – $99.01 | 2 |
| Injection of sinus tract CPT 20500 | not published | not published | $593.00 – $4,657.00 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,771.49 | $3,473.50 | $5.87 – $13.93 | 4 |
| Injection, pentamidine iseth HCPCS S0080 | not published | not published | $56.56 – $56.56 | 1 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.64 – $3.61 | 4 |
| Injection, piperacillin sodi HCPCS S0081 | not published | not published | $5.20 – $5.20 | 1 |
| Injection px peyronie ds CPT 54200 | not published | not published | $336.70 – $1,687.00 | 4 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | not published | not published | $212.73 – $1,687.00 | 3 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $26.27 – $100.23 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $34.59 – $74.71 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | not published | not published | $593.00 – $2,695.00 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,362.21 | $2,671.00 | $951.25 – $2,695.00 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,084.77 | $2,127.00 | $951.25 – $2,695.00 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,363.96 | $6,596.00 | $1,191.92 – $2,695.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $3,615.90 | $7,090.00 | $1,687.00 – $10,997.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,615.90 | $7,090.00 | $1,191.92 – $2,695.00 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,305.09 | $2,559.00 | $951.25 – $2,695.00 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,305.09 | $2,559.00 | $951.25 – $2,695.00 | 4 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $114.20 – $351.25 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $559.98 | $1,098.00 | $413.65 – $1,687.00 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $818.04 | $1,604.00 | $413.65 – $1,687.00 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,256.13 | $2,463.00 | $413.65 – $1,687.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $157.59 | $309.00 | $63.10 – $64.39 | 2 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $148.41 | $291.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $442.68 | $868.00 | $286.64 – $292.49 | 2 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $87.72 | $172.00 | $97.03 – $99.01 | 2 |
| Injection, ticarcillin disod HCPCS S0040 | not published | not published | $18.68 – $18.68 | 1 |
| Injection torsemide 10 mg/ml HCPCS J3265 | not published | not published | $4.40 – $4.40 | 1 |
| Injection treatment of eye CPT 66020 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Injection treatment of eye CPT 66030 | $4,173.33 | $8,183.00 | $1,921.00 – $4,657.00 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $1,191.92 – $2,695.00 | 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.