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 |
|---|---|---|---|---|
| Microsatellite instability CPT 81301 | not published | not published | $341.59 – $1,292.09 | 4 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $173.40 – $1,996.97 | 3 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $593.00 – $22,743.00 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $123.89 | $242.92 | $0.26 – $1.12 | 3 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | $150.72 | $295.52 | $0.34 – $0.52 | 3 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $140.89 – $373.71 | 4 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $99.81 – $99.81 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $145.35 | $285.00 | $3.14 – $41.66 | 3 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $0.69 – $5.57 | 4 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $2.58 – $2.58 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $85.95 – $171.13 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $69.71 – $146.35 | 4 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $2.40 – $2.40 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,257.52 – $16,829.15 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $27.89 – $158.97 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $316.71 – $672.95 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $37.84 – $310.77 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Mlh1 gene CPT 81288 | not published | not published | $188.47 – $1,045.28 | 4 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $198.35 – $2,115.24 | 4 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $661.89 – $3,971.47 | 4 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $238.30 – $662.00 | 4 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.81 – $593.00 | 3 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.03 – $593.00 | 3 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $3,632.00 – $17,654.63 | 4 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $108.10 – $127.70 | 4 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Mnpj elbow under anes CPT 24300 | $2,904.45 | $5,695.00 | $1,921.00 – $4,657.00 | 4 |
| Mnpj of tmj w/anesth CPT 21073 | $2,826.42 | $5,542.00 | $1,921.00 – $4,657.00 | 4 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $22.33 – $22.79 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Modification of contact lens CPT 92325 | not published | not published | $179.30 – $182.96 | 2 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $24.10 – $37.73 | 4 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $5.84 – $102.10 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.12 – $24.40 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $14,777.25 | $28,975.00 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $642.23 – $1,426.83 | 4 |
| Mopath procedure level 1 CPT 81400 | $178.50 | $350.00 | $62.68 – $247.31 | 4 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $147.32 – $581.34 | 4 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $269.33 – $1,405.09 | 4 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $295.32 – $1,841.94 | 4 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $277.22 – $1,878.87 | 4 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $829.34 – $15,146.26 | 4 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,960.00 – $17,700.55 | 4 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $119.52 | $234.36 | $0.86 – $9.95 | 3 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | $85.68 | $168.00 | $4.05 – $14.28 | 3 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $42.94 – $42.94 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $653.25 | $1,280.88 | $15.53 – $21.11 | 3 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $43.35 | $85.00 | $229.59 – $1,218.18 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $409.02 | $802.00 | $483.05 – $566.82 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $394.23 | $773.00 | $229.59 – $304.13 | 4 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $641.45 – $1,378.06 | 3 |
| Motion analysis video/3d CPT 96000 | not published | not published | $116.56 – $513.13 | 3 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $138.88 – $1,180.86 | 3 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $411.63 – $614.30 | 3 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $94.56 – $299.35 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | not published | not published | $229.59 – $1,133.43 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $165.30 – $370.58 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $189.77 – $287.00 | 4 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $147.32 – $416.41 | 4 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $19.65 – $158.39 | 4 |
| M.pneumon dna quant CPT 87582 | not published | not published | $211.20 – $605.24 | 4 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $97.12 – $178.73 | 2 |
| MRA abdomen post contrast CPT 74185 | $1,455.54 | $2,854.00 | $483.89 – $2,589.90 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $477.54 – $2,589.30 | 3 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $470.15 – $3,904.75 | 4 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $321.54 – $3,450.70 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | not published | not published | $470.15 – $3,501.86 | 4 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $481.01 – $2,589.96 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $481.58 – $2,589.90 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $470.15 – $3,499.66 | 4 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $321.54 – $3,796.43 | 4 |
| MRA spinal canal CPT 72159 | not published | not published | $500.06 – $2,872.33 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $500.06 – $2,588.58 | 3 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $470.15 – $3,904.75 | 4 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $470.15 – $3,487.02 | 4 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $470.15 – $610.96 | 3 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $470.15 – $610.96 | 3 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $321.54 – $3,499.66 | 4 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $321.54 – $3,222.90 | 4 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $321.54 – $372.86 | 3 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $321.54 – $372.86 | 3 |
| MRA without fol w/cont, abd HCPCS C8902 | not published | not published | $470.15 – $3,499.66 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $470.15 – $3,487.02 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $470.15 – $3,499.66 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $470.15 – $610.96 | 3 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $470.15 – $610.96 | 3 |
| Mr elastography CPT 76391 | not published | not published | $321.54 – $1,544.68 | 4 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $1,921.00 – $20,143.00 | 4 |
| MRI brain w/dye CPT 70558 | not published | not published | $236.37 – $3,096.77 | 4 |
| MRI brain without dye CPT 70557 | not published | not published | $736.35 – $2,585.29 | 4 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $236.37 – $5,091.33 | 4 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $321.54 – $1,357.00 | 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.