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 |
|---|---|---|---|---|
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $185.72 – $379.02 | 4 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $46.64 – $293.80 | 4 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $845.36 – $1,265.60 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,265.60 – $2,609.81 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $1,424.76 – $4,255.05 | 4 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $1,417.23 – $4,434.05 | 4 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $726.80 – $2,570.00 | 4 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $18.29 – $32.96 | 3 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $14.44 – $47.76 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.18 – $34.84 | 4 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.22 – $34.84 | 4 |
| Magnesium CPT 83735 | $154.02 | $302.00 | $6.57 – $54.35 | 4 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $145.35 | $285.00 | $0.52 – $1.05 | 3 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $321.54 – $2,586.66 | 4 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $29.71 – $40.71 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $12.93 – $107.66 | 4 |
| Male sling procedure CPT 53440 | not published | not published | $2,570.00 – $20,143.00 | 4 |
| Mammosite ced HCPCS C1728 | $8,639.40 | $16,940.00 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $3,632.00 – $6,619.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $593.00 – $2,211.17 | 4 |
| Manipulate wrist w/anesthes CPT 25259 | $2,904.45 | $5,695.00 | $1,921.00 – $4,657.00 | 4 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $439.62 | $862.00 | $101.56 – $182.96 | 3 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $534.48 | $1,048.00 | $164.65 – $182.96 | 3 |
| Manipulation of hip joint CPT 27275 | not published | not published | $2,166.95 – $4,657.00 | 4 |
| Manipulation of spine CPT 22505 | not published | not published | $2,166.95 – $4,657.00 | 4 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $332.41 – $1,687.00 | 4 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.53 – $5.61 | 3 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $2.54 – $6.21 | 2 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.97 – $30.34 | 4 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $322.38 – $322.38 | 1 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,687.00 – $22,743.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.21 – $104.34 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $8,285.84 | $16,246.75 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | $2,986.07 | $5,855.04 | $1,228.92 – $2,446.61 | 3 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Mastectomy partial CPT 19301 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Mast mod rad CPT 19307 | not published | not published | $8,948.36 – $11,185.00 | 3 |
| Mastoidectomy CPT 69501 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,734.00 – $8,140.43 | 4 |
| Mastoids complete CPT 70130 | not published | not published | $140.89 – $184.44 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Mastopexy CPT 19316 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Mast radical CPT 19305 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Mast rad urban type CPT 19306 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Mast simple complete CPT 19303 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $167.70 – $593.00 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $5,518.34 – $5,518.34 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $14,292.65 | $28,024.80 | $27.52 – $171.13 | 4 |
| M.avium-intra dna amp prob CPT 87561 | $191.76 | $376.00 | $34.39 – $277.20 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $26.74 – $158.39 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $41.98 – $211.20 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $61.58 | $120.75 | $14.17 – $117.99 | 4 |
| Mayo aathr protein s free CPT 85306 | $97.46 | $191.10 | $15.01 – $125.14 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | $53.30 | $104.50 | $15.01 – $125.03 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $37.80 – $106.84 | 4 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $30.60 | $60.00 | $0.06 – $81.01 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $623.22 | $1,222.00 | $0.06 – $81.01 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $18.48 | $36.23 | $14.48 – $120.74 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $39.78 | $78.00 | $0.06 – $225.05 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $124.44 | $244.00 | $13.17 – $109.58 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $55.85 | $109.50 | $14.78 – $123.05 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.06 – $128.16 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $5.56 | $10.91 | $0.06 – $116.51 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $175.95 | $345.00 | $119.20 – $1,009.78 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $249.90 | $490.00 | $89.83 – $377.99 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $134.26 – $665.58 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,224.00 | $2,400.00 | $92.16 – $2,320.00 | 4 |
| Mayo androstenedione CPT 82157 | $92.13 | $180.65 | $28.69 – $238.90 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $49.55 | $97.15 | $14.31 – $119.15 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $100.22 | $196.50 | $10.59 – $88.26 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $20.00 | $39.22 | $14.75 – $122.88 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $130.05 | $255.00 | $30.24 – $178.83 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $34.39 – $173.17 | 4 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $55.45 | $108.73 | $0.06 – $85.84 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $19.97 | $39.15 | $9.98 – $82.99 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $43.35 | $85.00 | $141.94 – $315.67 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $210.33 – $914.65 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $10.71 | $21.00 | $12.64 – $107.66 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $5.56 | $10.91 | $0.06 – $138.66 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $12.93 – $107.66 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $46.41 | $91.00 | $8.75 – $65.84 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $20.91 | $41.00 | $13.33 – $111.12 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $30.60 | $60.00 | $0.06 – $177.57 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $85.17 | $167.00 | $16.53 – $137.06 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $26.24 – $218.56 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $26.14 | $51.25 | $119.78 – $591.06 | 4 |
| Mayo ceruloplasmin CPT 82390 | $90.27 | $177.00 | $10.53 – $87.66 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $32.13 | $63.00 | $13.84 – $115.35 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $46.80 | $91.76 | $12.62 – $105.19 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $10.24 | $20.07 | $11.58 – $105.35 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $10.23 | $20.06 | $12.43 – $105.35 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $161.93 | $317.50 | $114.16 – $807.37 | 4 |
| Mayo chromium CPT 82495 | $23.97 | $47.00 | $19.87 – $165.53 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $30.60 | $60.00 | $0.06 – $113.65 | 2 |
| Mayo coccidioides antibody CPT 86635 | $38.91 | $76.30 | $11.24 – $94.97 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $84.15 | $165.00 | $23.61 – $146.79 | 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.