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 |
|---|---|---|---|---|
| Ligation major artery neck CPT 37615 | $6,031.26 | $11,826.00 | $2,695.00 – $4,745.00 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $4,745.00 – $15,313.00 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $4,255.05 – $11,185.00 | 4 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,632.00 – $6,619.00 | 4 |
| Ligation of shunt CPT 49428 | not published | not published | $1,921.00 – $4,657.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $831.75 – $2,403.87 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $117.33 – $176.94 | 3 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,687.00 – $11,153.00 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $207.16 – $519.38 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $184.06 – $461.31 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $79.50 – $81.12 | 2 |
| Lincomycin injection HCPCS J2010 | not published | not published | $6.30 – $13.42 | 3 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $262.55 | $514.80 | $6.94 – $47.01 | 3 |
| Lipase CPT 83690 | $232.56 | $456.00 | $6.75 – $56.17 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.18 – $198.23 | 4 |
| Lipoprotein blood quant CPT 83704 | $32.02 | $62.79 | $33.51 – $251.92 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $143.31 | $281.00 | $8.03 – $66.77 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $168.30 | $330.00 | $10.29 – $76.99 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $33.51 – $170.31 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $319.18 – $2,570.00 | 4 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $551,015.62 – $1,110,350.92 | 3 |
| Listeria monocytogenes CPT 86723 | not published | not published | $12.93 – $107.66 | 4 |
| Lithium therapeutic drug level CPT 80178 | $97.92 | $192.00 | $6.48 – $53.91 | 4 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | not published | $593.00 – $10,997.00 | 2 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $172.67 – $387.34 | 4 |
| Liver elastography 91200 CPT 91200 | not published | not published | $156.73 – $239.28 | 4 |
| Liver Function Test CPT 80076 | $335.58 | $658.00 | $8.01 – $66.72 | 4 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $1,360.74 – $1,360.74 | 1 |
| Liver imaging CPT 78201 | not published | not published | $548.14 – $2,035.50 | 4 |
| Liver imaging (3d) CPT 78205 | not published | not published | $1,362.60 – $1,362.60 | 1 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $666.63 – $2,035.50 | 4 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $538.74 – $678.00 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $538.74 – $805.83 | 4 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $3,203.92 – $6,619.00 | 3 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | not published | not published | $0.43 – $2.00 | 2 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $22.03 – $22.03 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $217.06 – $455.80 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $85.68 | $168.00 | $3.13 – $14.84 | 3 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $541.88 | $1,062.50 | not published | 0 |
| Loudness balance test CPT 92562 | not published | not published | $290.98 – $296.92 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Low cost skin substitute app HCPCS C5271 | $1,176.57 | $2,307.00 | $593.00 – $11,153.00 | 4 |
| Low cost skin substitute app HCPCS C5273 | $3,494.52 | $6,852.00 | $593.00 – $11,153.00 | 4 |
| Low cost skin substitute app HCPCS C5275 | $1,176.57 | $2,307.00 | $593.00 – $11,153.00 | 4 |
| Low cost skin substitute app HCPCS C5277 | $1,176.57 | $2,307.00 | $593.00 – $11,153.00 | 4 |
| Low cost skin substitute app HCPCS C5272 | $1,041.93 | $2,043.00 | $1,687.00 – $10,997.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | $690.03 | $1,353.00 | $1,687.00 – $10,997.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | $1,476.45 | $2,895.00 | $1,687.00 – $10,997.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | $1,266.33 | $2,483.00 | $1,687.00 – $10,997.00 | 2 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $261.63 | $513.00 | $236.37 – $2,039.84 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $6,076.14 | $11,914.00 | $470.15 – $1,637.00 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $5,523.81 | $10,831.00 | $140.89 – $1,369.25 | 4 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $7,675.50 | $15,050.00 | $470.15 – $5,091.33 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $6,185.79 | $12,129.00 | $470.15 – $3,102.10 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $5,534.52 | $10,852.00 | $321.54 – $2,866.28 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $1,443.30 | $2,830.00 | $140.89 – $179.33 | 4 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | $402.39 | $789.00 | $270.38 – $275.89 | 2 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $19.92 – $38.70 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | $3,133.33 | $6,143.79 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.55 – $179.38 | 4 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $481.27 – $2,750.96 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,734.00 – $23,628.76 | 4 |
| Lumizyme injection HCPCS J0221 | not published | not published | $186.31 – $433.38 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $72.71 – $81.12 | 3 |
| Lung Function Test (Spirometry) CPT 94010 | $621.69 | $1,219.00 | $120.03 – $296.92 | 3 |
| Lung perfusion imaging CPT 78580 | $3,520.02 | $6,902.00 | $538.74 – $717.24 | 4 |
| Lung transplant double CPT 32853 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $4,129.00 – $6,619.00 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,734.00 – $6,619.00 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.86 – $440.84 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.90 – $88.67 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $313.55 – $636.94 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $254.40 – $516.43 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | $1,586.30 | $3,110.40 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $38.98 – $1,687.00 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $19.65 – $158.39 | 4 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $2,774.91 | $5,441.00 | $731.71 – $951.97 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $35.83 – $445.98 | 4 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $48.05 – $400.14 | 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.