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 |
|---|---|---|---|---|
| Injection treatment of nose CPT 30200 | not published | not published | $726.80 – $2,570.00 | 4 |
| Inject sacroiliac joint CPT 27096 | $3,232.89 | $6,339.00 | $368.33 – $1,921.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $427.74 – $1,687.00 | 4 |
| Inject/treat eye socket CPT 67505 | not published | not published | $427.74 – $1,687.00 | 4 |
| Inject/treat eye socket CPT 67515 | not published | not published | $427.74 – $1,687.00 | 4 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.29 – $78.54 | 3 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $40.95 – $100.99 | 3 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $33.64 – $71.75 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $38.18 – $48.61 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $376.45 – $820.23 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $54.53 – $111.76 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,305.09 | $2,559.00 | $951.25 – $2,695.00 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $1.47 – $4.84 | 3 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.26 – $2.60 | 4 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.20 – $36.87 | 3 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.31 – $10.64 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $164.16 – $412.80 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $193.68 – $400.57 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.04 – $53.23 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $2,285,360.00 – $5,013,800.00 | 3 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.75 – $20.49 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $32.21 – $74.65 | 4 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $35.80 – $86.68 | 2 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $21.49 – $44.78 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $137.89 – $288.66 | 4 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.04 – $0.04 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.21 – $2.37 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $12.77 – $15.37 | 3 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.50 – $6.49 | 4 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $98.29 – $98.29 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $217.04 – $217.04 | 1 |
| Inj for ext venography CPT 36005 | $2,861.10 | $5,610.00 | $1,687.00 – $10,997.00 | 2 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.04 – $2.67 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $513.69 – $1,360.69 | 4 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.75 – $8.71 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $6.64 – $66.50 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $26.65 – $99.35 | 4 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $7.46 – $14.70 | 2 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $66.50 – $129.00 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $244.14 – $244.14 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $14.75 – $18.60 | 3 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $118.56 – $250.41 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,783.86 – $5,961.52 | 4 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.32 – $3.57 | 3 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $2.16 – $4.21 | 2 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $212.92 – $412.80 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.80 – $11.37 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $66.46 – $151.42 | 4 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.51 – $31.07 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $3,617,621.00 – $7,923,323.34 | 3 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $0.43 – $6.32 | 3 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $58.71 – $135.28 | 4 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $37.11 – $227.58 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $54.90 – $158.91 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.21 – $3.18 | 4 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.33 – $11.14 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $20.53 – $73.38 | 2 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $75.56 – $165.44 | 4 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $20.79 – $29.93 | 2 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.94 – $5.38 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $77.85 – $166.20 | 4 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | $84.15 | $165.00 | $0.26 – $0.30 | 3 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $485.63 – $1,041.46 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $1,191.92 – $2,695.00 | 4 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $50.57 – $50.57 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.90 – $4.13 | 2 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $365.67 | $717.00 | $270.38 – $1,687.00 | 4 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $270.38 – $1,687.00 | 4 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $12.69 – $27.24 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $48.54 – $105.74 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.93 – $4.13 | 4 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.60 – $5.27 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.53 – $3.20 | 4 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.76 – $3.97 | 3 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $85.11 – $182.32 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $31.55 – $98.59 | 4 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.31 – $2.86 | 4 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.91 – $1.76 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.85 – $47.36 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $47.35 – $52.42 | 3 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.03 – $1.73 | 3 |
| Inj, levothyroxine, freskabi HCPCS J0651 | $250.28 | $490.75 | $6.82 – $14.75 | 4 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $10.01 – $11.05 | 3 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $84.15 | $165.00 | $0.09 – $0.09 | 2 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $12.68 – $28.12 | 3 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $3,180,473.76 – $7,064,900.00 | 3 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $321.16 – $685.53 | 4 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.93 – $50.29 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $3,008.69 – $6,764.46 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $593.00 – $1,687.00 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $4.16 – $8.08 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $118.25 – $510.88 | 4 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $63.48 – $157.51 | 3 |
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.