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 |
|---|---|---|---|---|
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $2,570.00 – $5,126.90 | 4 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $53.81 – $54.91 | 2 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $4,319.70 | $8,470.00 | $1,921.00 – $4,657.00 | 4 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $527.08 – $1,921.00 | 4 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $2,937.00 – $5,126.90 | 4 |
| Laryngoscopy w/fb removal CPT 31530 | $3,497.07 | $6,857.00 | $2,398.61 – $4,657.00 | 4 |
| Laryngoscopy with biopsy CPT 31576 | $3,706.68 | $7,268.00 | $2,398.61 – $4,657.00 | 4 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $2,570.00 – $5,126.90 | 4 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | $874.65 | $1,715.00 | $527.08 – $1,921.00 | 4 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $4,129.00 – $9,704.80 | 4 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $3,632.00 – $6,619.00 | 4 |
| Laser surgery eye strands CPT 67031 | not published | not published | $741.18 – $2,695.00 | 4 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Laser surgery of prostate CPT 52647 | not published | not published | $7,716.00 – $27,307.00 | 4 |
| Laser surgery of prostate CPT 52648 | not published | not published | $7,225.61 – $11,185.00 | 4 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Laser treatment of retina CPT 67039 | not published | not published | $5,570.24 – $11,185.00 | 4 |
| Laser treatment of retina CPT 67040 | not published | not published | $5,570.24 – $11,185.00 | 4 |
| Lateral canthopexy CPT 21282 | $5,792.07 | $11,357.00 | $4,129.00 – $4,657.00 | 4 |
| Lat retinacular release open CPT 27425 | not published | not published | $4,409.38 – $11,185.00 | 4 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $319.18 – $1,921.00 | 4 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Lb with mastopexy 15839 CPT 15839 | $5,259.12 | $10,312.00 | $1,921.00 – $4,657.00 | 4 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $5,362.34 | $10,514.40 | not published | 0 |
| Lead capillary CPT 83655 | $52.02 | $102.00 | $11.87 – $98.81 | 4 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $6,701.70 | $13,140.59 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,168.16 | $16,016.00 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $19.65 – $158.39 | 4 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $40.92 – $211.20 | 4 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $4,255.05 – $11,185.00 | 4 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,355.07 | $2,657.00 | $321.54 – $1,039.84 | 3 |
| Leishmania antibody CPT 86717 | not published | not published | $12.00 – $100.13 | 4 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Lengthening of palate CPT 42227 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,937.00 – $17,654.63 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $3,632.00 – $17,654.63 | 4 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Lens, intraocular (new tech) HCPCS C1780 | $1,213.80 | $2,380.00 | not published | 0 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $3,202.80 | $6,280.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $3,202.80 | $6,280.00 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $368.48 | $722.50 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $161.47 – $312.27 | 2 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $7.03 – $26.74 | 3 |
| Leukacyte transfusion CPT 86950 | not published | not published | $229.59 – $390.80 | 4 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.18 – $63.09 | 4 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $172.68 – $713.92 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $597.83 – $3,591.15 | 4 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $6,303.44 – $6,303.44 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $114.63 – $325.73 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $441.49 – $679.69 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $39.15 – $123.60 | 4 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $2.93 – $4.17 | 2 |
| Levalbuterol non-comp con HCPCS J7612 | $469.35 | $920.30 | $0.57 – $1.64 | 3 |
| Levalbuterol non-comp unit HCPCS J7614 | $5.61 | $11.00 | $0.17 – $1.64 | 3 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $147.08 | $288.40 | $0.10 – $0.95 | 3 |
| Levetiracetam therapeutic drug level CPT 80177 | $33.28 | $65.25 | $12.98 – $62.32 | 4 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $145.35 | $285.00 | $2.05 – $24.41 | 3 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $83.41 – $808.12 | 2 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $14.06 – $15.61 | 3 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $4,368.86 – $11,185.00 | 3 |
| Liberta rc ipg HCPCS C1820 | $69,293.60 | $135,869.80 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.95 – $0.95 | 1 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $84.15 | $165.00 | $0.09 – $0.13 | 2 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $65.33 | $128.10 | $0.01 – $0.09 | 3 |
| Lidocaine therapeutic drug level CPT 80176 | $50.97 | $99.95 | $14.40 – $119.86 | 4 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,921.00 – $15,313.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $2,695.00 – $4,341.89 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $1,921.00 – $10,997.00 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $4,129.00 – $6,619.00 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $3,036.03 | $5,953.00 | $2,225.71 – $4,657.00 | 4 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $4,255.05 – $11,185.00 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $2,695.00 – $4,341.89 | 4 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $5,563.59 | $10,909.00 | $1,921.00 – $6,619.00 | 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.