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 |
|---|---|---|---|---|
| Mayo repu protein electrophoresis urine CPT 84166 | $103.02 | $202.00 | $17.47 – $142.61 | 4 |
| Mayo selenium CPT 84255 | $56.61 | $111.00 | $25.02 – $208.45 | 4 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $15.19 – $126.46 | 4 |
| Mayo serotonin CPT 84260 | $79.25 | $155.40 | $30.36 – $252.86 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $38.25 | $75.00 | $18.96 – $157.89 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $65.87 | $129.15 | $13.46 – $109.58 | 4 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $21.82 – $92.03 | 3 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $22.26 | $43.65 | $4.18 – $34.84 | 4 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $126.34 – $150.91 | 3 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $204.74 – $867.39 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $52.38 | $102.71 | $24.96 – $212.30 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $329.46 | $646.00 | $25.29 – $210.71 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $21.73 – $109.42 | 4 |
| Mayo thyroglobulin CPT 84432 | $16.96 | $33.25 | $15.74 – $133.71 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $9.98 – $82.99 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $95.37 | $187.00 | $12.14 – $100.13 | 4 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | $5.56 | $10.91 | $0.06 – $145.86 | 2 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $50.25 – $346.06 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $13.88 – $84.91 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $20.99 | $41.15 | $13.27 – $79.47 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $15.30 | $30.00 | $34.62 – $95.57 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $71.76 | $140.70 | $19.84 – $140.25 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | $87.72 | $172.00 | $16.72 – $94.58 | 4 |
| Mayo vitamin k CPT 84597 | $112.46 | $220.50 | $13.45 – $108.27 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $52.75 | $103.44 | $12.98 – $62.32 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $38.52 – $451.31 | 4 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $2,166.95 – $11,185.00 | 4 |
| Mcrscp xm hair pluck/clipped CPT 96902 | not published | not published | $145.05 – $145.05 | 1 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $179.27 – $513.13 | 3 |
| Measure kidney pressure CPT 50396 | not published | not published | $939.68 – $2,695.00 | 4 |
| Measurement post void urine by ultrasound CPT 51798 | $276.42 | $542.00 | $79.50 – $1,687.00 | 4 |
| Measure ureter pressure CPT 50686 | not published | not published | $173.40 – $1,687.00 | 4 |
| Mecasermin injection HCPCS J2170 | not published | not published | $15.61 – $948.47 | 2 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $14.06 – $272.62 | 2 |
| #mec-opiates CPT 80356 | $5.56 | $10.91 | $0.06 – $145.86 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $147.00 – $328.20 | 4 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $517.31 – $1,803.74 | 4 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $48.97 – $240.00 | 4 |
| Medial canthopexy CPT 21280 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $202.99 – $513.13 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $148.69 | $291.54 | $0.26 – $1.16 | 2 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $1.32 – $1.32 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $1,633.82 – $1,633.82 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $1,157.25 – $1,604.19 | 3 |
| Meg spontaneous CPT 95965 | not published | not published | $1,157.25 – $3,178.38 | 3 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $5.78 – $27.74 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,683.22 | $7,222.00 | $167.70 – $809.15 | 4 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | $22,135.74 | $43,403.41 | $167.70 – $293.43 | 3 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $4,118.45 | $8,075.40 | $56.57 – $56.57 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $167.70 – $391.69 | 3 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $69,535.73 – $169,820.76 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $167.70 – $363.18 | 3 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $154.41 – $171.13 | 3 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $50,691.06 | $99,394.24 | $108.13 – $171.13 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $306.12 – $593.40 | 2 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $85.68 | $168.00 | $0.78 – $21.80 | 3 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $10.18 – $16.00 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.19 – $65.66 | 4 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $8.17 – $8.17 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $84.15 | $165.00 | $0.86 – $6.38 | 3 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $1,687.00 – $22,743.00 | 3 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $17,488.51 | $34,291.20 | $23.99 – $23.99 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $245.66 | $481.69 | $2.72 – $46.75 | 3 |
| Metabolic Blood Panel (Basic) CPT 80048 | $465.12 | $912.00 | $8.29 – $69.08 | 4 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $540.60 | $1,060.00 | $10.35 – $86.39 | 4 |
| Metabolic panel ionized ca CPT 80047 | $164.22 | $322.00 | $13.46 – $178.23 | 4 |
| Metered dose inhaler drug HCPCS J3535 | not published | not published | $129.38 – $129.38 | 1 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $0.60 – $3.50 | 3 |
| Methadone injection HCPCS J1230 | not published | not published | $0.69 – $44.96 | 3 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.41 – $0.41 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $5.87 – $13.67 | 3 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $8.20 | $16.07 | $0.40 – $3.71 | 3 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $1,122.00 | $2,200.00 | $5.17 – $19.75 | 3 |
| Methotrexate therapeutic drug level CPT 80204 | $99.45 | $195.00 | $37.80 – $106.84 | 4 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $91.17 – $91.17 | 1 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $13.89 – $107.50 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $962.69 | $1,887.63 | $0.35 – $16.30 | 4 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $122.78 | $240.75 | $4.57 – $45.77 | 3 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $372.89 | $731.16 | $0.52 – $4.11 | 2 |
| Methylphenidate CPT 80360 | $5.56 | $10.91 | $0.06 – $116.51 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $5.61 | $11.00 | $0.49 – $0.52 | 3 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $84.15 | $165.00 | $0.22 – $0.26 | 3 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $201.03 | $394.17 | $0.26 – $0.54 | 3 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $84.15 | $165.00 | $2.25 – $3.54 | 3 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $145.35 | $285.00 | $0.05 – $0.09 | 3 |
| Metyrapone panel CPT 80436 | not published | not published | $89.34 – $631.79 | 4 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $122.15 – $985.10 | 4 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $315.08 | $617.81 | $0.56 – $2.67 | 3 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.11 – $36.11 | 4 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $39.37 – $80.34 | 4 |
| Microdissection laser CPT 88380 | not published | not published | $160.24 – $547.58 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $313.98 – $987.19 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.03 – $103.81 | 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.