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 |
|---|---|---|---|---|
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $84.15 | $165.00 | $0.33 – $11.21 | 4 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,921.00 – $4,847.25 | 4 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,921.00 – $12,757.10 | 4 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,921.00 – $4,847.25 | 4 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,921.00 – $12,757.10 | 4 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,921.00 – $12,757.10 | 4 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,921.00 – $7,373.07 | 4 |
| Kidney function study CPT 78725 | $1,291.32 | $2,532.00 | $386.95 – $589.01 | 4 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $1,380.85 – $1,380.85 | 1 |
| Kidney imaging morphology CPT 78700 | not published | not published | $538.74 – $663.99 | 4 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $731.71 – $1,044.46 | 4 |
| Kidney img w/bldflw sgl without rx CPT 78707 | not published | not published | $731.71 – $1,036.27 | 4 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,837.64 | $5,564.00 | $140.89 – $461.53 | 4 |
| Kit case 4.2mm spinejack HCPCS C1062 | not published | not published | $593.00 – $593.00 | 1 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | $11.53 | $22.60 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $14,621.70 | $28,670.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $122.37 – $761.04 | 4 |
| Kit hfx iq ipg bundle HCPCS C1822 | $46,206.00 | $90,600.00 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $79,825.20 | $156,520.00 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $57,757.50 | $113,250.00 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,369.05 | $4,645.20 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $8,207.02 | $16,092.19 | $16.65 – $171.13 | 4 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $17,525.72 | $34,364.16 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $3,212.95 | $6,299.90 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $2,166.95 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $2,166.95 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $2,937.00 – $17,301.54 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $6,702.42 | $13,142.00 | $470.15 – $5,833.69 | 4 |
| Knee MRI (with contrast) CPT 73722 | $6,093.48 | $11,948.00 | $1,056.42 – $3,151.45 | 4 |
| Knee MRI (without contrast) CPT 73721 | $5,896.62 | $11,562.00 | $321.54 – $2,575.89 | 4 |
| Knee X-ray CPT 73564 | $1,159.74 | $2,274.00 | $140.89 – $179.33 | 4 |
| Kras gene addl variants CPT 81276 | not published | not published | $189.38 – $1,201.80 | 4 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $189.38 – $881.46 | 4 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,142.26 – $3,133.75 | 2 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $4,129.00 – $23,628.76 | 4 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $4,129.00 – $23,628.76 | 4 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $166.26 | $326.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $73.44 | $144.00 | not published | 0 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $84.15 | $165.00 | $0.35 – $0.90 | 3 |
| Labioplasty 56800 CPT 56800 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Lab pathology consultation CPT 80500 | not published | not published | $128.05 – $128.05 | 1 |
| Lab pathology consultation CPT 80502 | not published | not published | $305.78 – $305.78 | 1 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $132.74 | $260.27 | $0.23 – $0.23 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $202.98 | $398.00 | $5.92 – $49.13 | 4 |
| Lactated ringers intravenous solution HCPCS J7120 | $65.33 | $128.10 | $4.61 – $14.49 | 3 |
| Lactic acid CPT 83605 | $122.40 | $240.00 | $11.34 – $87.16 | 4 |
| Lactoferrin fecal qualitative CPT 83630 | $87.21 | $171.00 | $19.31 – $74.30 | 4 |
| Lactoferrin fecal quant CPT 83631 | $133.11 | $261.00 | $19.24 – $156.74 | 4 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $593.00 – $10,997.00 | 3 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $593.00 – $10,997.00 | 3 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $2,937.00 – $20,143.00 | 2 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Laminotomy single cervical CPT 63040 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $1,921.00 – $11,185.00 | 3 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $34.85 – $85.03 | 4 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.09 – $0.19 | 2 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $5,734.00 – $20,143.00 | 4 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $4,745.00 – $14,617.22 | 4 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $5,734.00 – $20,143.00 | 4 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Laparo cholecystectomy/graph CPT 47563 | $10,610.55 | $20,805.00 | $5,734.00 – $15,313.00 | 4 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $1,921.00 – $22,743.00 | 3 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,921.00 – $21,870.00 | 3 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,921.00 – $21,870.00 | 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.