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 |
|---|---|---|---|---|
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $50.30 – $68.09 | 3 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $38.98 – $111.95 | 3 |
| Interrog device eval heart CPT 93289 | not published | not published | $50.30 – $151.19 | 3 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $50.30 – $125.03 | 3 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $128.12 – $593.00 | 3 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $413.90 – $593.00 | 3 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $117.90 – $593.00 | 3 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $2,937.00 – $17,654.63 | 4 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | $5,202.00 | $10,200.00 | $1,921.00 – $6,619.00 | 4 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Intra-atrial pacing CPT 93610 | not published | not published | $4,657.00 – $10,725.42 | 3 |
| Intra-atrial recording CPT 93602 | not published | not published | $4,657.00 – $10,725.42 | 3 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $532.42 – $1,687.00 | 2 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Intracranial angioplasty CPT 61630 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $321.54 – $1,071.77 | 3 |
| Intracranial limited study CPT 93888 | not published | not published | $140.89 – $706.69 | 3 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $3,632.00 – $6,619.00 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $4,129.00 – $6,619.00 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Intranasal biopsy 30100 CPT 30100 | $2,810.61 | $5,511.00 | $1,921.00 – $4,657.00 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $1,687.00 – $1,921.00 | 2 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $669.63 | $1,313.00 | $726.80 – $2,570.00 | 4 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $117.28 – $119.67 | 2 |
| Intrapul surf admin endo tube CPT 94610 | not published | not published | $295.10 – $301.12 | 2 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $594.53 – $1,921.00 | 4 |
| Intraventricular pacing CPT 93612 | not published | not published | $4,657.00 – $10,725.42 | 3 |
| Intrinsic factor antibody CPT 86340 | $48.20 | $94.50 | $14.78 – $123.05 | 4 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $2,121.35 – $5,734.00 | 4 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $5,734.00 – $20,143.00 | 4 |
| Intro catheter aorta CPT 36200 | not published | not published | $859.79 – $1,687.00 | 2 |
| Intro cath svc/ivc CPT 36010 | not published | not published | $678.57 – $1,687.00 | 2 |
| Intro long gi tube CPT 44500 | $1,671.27 | $3,277.00 | $1,222.26 – $4,657.00 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,105.17 | $2,167.00 | $439.69 – $612.00 | 2 |
| Intro windpipe wire/tube CPT 31730 | $3,254.31 | $6,381.00 | $1,921.00 – $4,657.00 | 4 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $514.99 – $1,687.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $411.16 – $1,687.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $590.07 | $1,157.00 | $319.18 – $1,921.00 | 4 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $216.59 – $216.59 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $79.50 – $85.79 | 3 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $362.34 – $1,862.68 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $388.39 – $448.45 | 3 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $401.89 – $1,900.97 | 2 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $50.30 – $169.27 | 3 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $195.81 – $195.81 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $280.72 – $280.72 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $180.03 | $353.00 | $0.52 – $0.88 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.30 – $0.52 | 2 |
| Io radiation tx management CPT 77469 | not published | not published | $1,661.90 – $1,661.90 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $823.81 – $10,128.11 | 3 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $159.66 – $387.47 | 4 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.09 – $0.09 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $5.61 | $11.00 | $0.72 – $4.40 | 3 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $3.28 – $177.25 | 3 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $50.11 – $140.35 | 4 |
| Iron CPT 83540 | $220.32 | $432.00 | $6.34 – $52.87 | 4 |
| Iron binding capacity CPT 83550 | $217.77 | $427.00 | $8.57 – $55.84 | 4 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $17.74 – $37.04 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.74 – $52.81 | 4 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $100.45 | $196.97 | $0.47 – $0.78 | 3 |
| Irradiation of blood product each unit reference CPT 86945 | not published | not published | $50.33 – $146.90 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $123.93 | $243.00 | $79.50 – $81.12 | 2 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $79.50 – $1,687.00 | 4 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.91 – $169.55 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Ivc venogram s&i CPT 75825 | not published | not published | $818.80 – $4,434.05 | 4 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $75.82 – $75.82 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $134.64 | $264.00 | $97.03 – $99.01 | 2 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $63.75 | $125.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $642.60 | $1,260.00 | $63.10 – $64.39 | 2 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $1,505.52 | $2,952.00 | $286.64 – $292.49 | 2 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $230.90 – $589.01 | 4 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $602.01 – $1,921.00 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $236.37 – $492.14 | 4 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,890.06 | $3,706.00 | $236.37 – $392.89 | 4 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $85.22 – $292.85 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | $199.92 | $392.00 | $181.50 – $512.97 | 4 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| John cunningham antibody CPT 86711 | $770.65 | $1,511.08 | $16.55 – $89.09 | 4 |
| J-tube placement CPT 44015 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Kafo femoral fx cast rigid HCPCS L2136 | $2,469.03 | $4,841.24 | not published | 0 |
| Keratomileusis CPT 65760 | not published | not published | $5,734.00 – $22,743.00 | 3 |
| Keratophakia CPT 65765 | not published | not published | $5,734.00 – $22,743.00 | 3 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,734.00 – $19,947.53 | 4 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $167.70 – $1,517.15 | 3 |
| Ketamine and metabolite screen - quest CPT 80357 | $5.56 | $10.91 | $0.06 – $104.36 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.16 – $115.68 | 4 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $52.02 | $102.00 | $8.01 – $66.33 | 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.