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 |
|---|---|---|---|---|
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $459.63 – $2,234.66 | 3 |
| MRI breast without cont bi CPT 77047 | not published | not published | $321.54 – $1,348.81 | 4 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $457.90 – $2,223.56 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $321.54 – $2,340.84 | 4 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $470.15 – $3,417.56 | 4 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $1,056.42 – $4,271.42 | 4 |
| MRI chest without contrast CPT 71550 | not published | not published | $321.54 – $2,586.61 | 4 |
| MRI chest without & w/contrast CPT 71552 | not published | not published | $470.15 – $5,808.74 | 4 |
| MRI chest w IV cont CPT 71551 | not published | not published | $1,056.42 – $3,158.65 | 4 |
| MRI compatible system HCPCS L0859 | $3,990.75 | $7,825.00 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $1,935.70 – $1,995.63 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $321.54 – $4,517.58 | 4 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $1,995.63 – $2,653.38 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $1,995.63 – $2,653.16 | 2 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,649.46 – $2,000.80 | 3 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $470.15 – $3,151.45 | 4 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $4,025.94 | $7,894.00 | $321.54 – $2,628.48 | 4 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $4,833.27 | $9,477.00 | $470.15 – $2,585.29 | 4 |
| MRI orbit/face/neck without contrast CPT 70540 | $5,864.49 | $11,499.00 | $321.54 – $2,585.29 | 4 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $9,118.80 | $17,880.00 | $470.15 – $5,833.69 | 4 |
| MRI orbit fac&nck w IV cont CPT 70542 | $7,289.43 | $14,293.00 | $470.15 – $3,151.45 | 4 |
| MRI tmj CPT 70336 | $4,502.79 | $8,829.00 | $321.54 – $2,293.58 | 4 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $3,964.74 | $7,774.00 | $321.54 – $2,628.48 | 4 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $4,776.15 | $9,365.00 | $470.15 – $2,585.29 | 4 |
| MRI upper extremity w/dye CPT 73219 | $4,077.45 | $7,995.00 | $470.15 – $3,167.94 | 4 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $470.15 – $5,634.91 | 4 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $236.37 – $5,634.91 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | not published | not published | $470.15 – $3,904.75 | 4 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $470.15 – $5,634.91 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $117.28 – $283.41 | 4 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $128.12 – $503.02 | 4 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $280.28 – $328.70 | 2 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $79.50 – $770.11 | 4 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $38.98 – $68.26 | 4 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $321.54 – $1,193.78 | 4 |
| Mr spectroscopy CPT 76390 | not published | not published | $117.28 – $2,617.44 | 4 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $209.03 – $1,875.79 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $374.07 – $3,568.08 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $238.30 – $675.46 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $233.24 – $1,358.87 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $629.01 – $5,024.88 | 4 |
| Msh6 gene known variants CPT 81299 | not published | not published | $238.30 – $616.00 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Mthfr gene analy common variants CPT 81291 | $158.10 | $310.00 | $64.03 – $357.33 | 4 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $26.34 – $158.39 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $41.98 – $211.20 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.74 – $47.87 | 4 |
| Mucopolysaccharides CPT 83864 | not published | not published | $27.93 – $157.23 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $14.70 – $107.66 | 4 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $50.49 – $593.00 | 3 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $173.40 – $332.76 | 3 |
| Multiple sleep latency test CPT 95805 | not published | not published | $1,005.90 – $1,260.66 | 3 |
| Mumps antibody igg CPT 86735 | $143.31 | $281.00 | $12.79 – $107.66 | 4 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Muscle-skin graft leg CPT 15738 | $6,622.86 | $12,986.00 | $2,937.00 – $11,185.00 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Muscle test cran nerv unilat CPT 95867 | not published | not published | $167.34 – $296.92 | 3 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $54.63 – $176.94 | 3 |
| Muscle test larynx CPT 95865 | not published | not published | $168.88 – $182.96 | 3 |
| Muscle test one fiber CPT 95872 | not published | not published | $196.58 – $296.92 | 3 |
| Muscle transfers CPT 23397 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $47.28 – $277.20 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $19.65 – $158.39 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $41.98 – $211.20 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $5.61 | $11.00 | $0.31 – $0.60 | 3 |
| Mycophenolic acid HCPCS J7518 | $10.03 | $19.67 | $0.76 – $3.80 | 3 |
| Mycoplasma antibody igm CPT 86738 | $26.24 | $51.45 | $12.98 – $107.66 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | not published | not published | $171.89 – $852.11 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $815.11 – $1,417.29 | 4 |
| Myelography l-s spine CPT 72265 | not published | not published | $529.53 – $1,089.31 | 4 |
| Myelography neck spine CPT 72240 | not published | not published | $544.36 – $1,102.99 | 4 |
| Myelography thoracic spine CPT 72255 | not published | not published | $499.80 – $1,089.31 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | not published | not published | $1,056.42 – $2,695.00 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,533.06 | $3,006.00 | $1,056.42 – $2,695.00 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | not published | not published | $1,056.42 – $2,695.00 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $1,056.42 – $2,695.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $255.00 | $500.00 | $11.30 – $190.98 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,927.01 – $3,409.75 | 4 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $459.99 – $2,308.94 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $540.12 – $4,400.80 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | not published | not published | $590.57 – $4,400.80 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,927.01 – $3,995.81 | 4 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $507.47 – $3,600.80 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $436.25 – $2,308.94 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $4,129.00 – $11,185.00 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $4,129.00 – $22,743.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $4,129.00 – $6,619.00 | 4 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $1,596.91 – $1,596.91 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Nabilone oral HCPCS J8650 | not published | not published | $22.25 – $32.68 | 2 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $84.15 | $165.00 | $0.26 – $0.60 | 2 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $6.16 – $21.05 | 3 |
| Naloxone 0.4 mg/ml injection (wrapper) HCPCS J2312 | $84.15 | $165.00 | not published | 0 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $2.59 – $8.86 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $8.19 – $8.34 | 2 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $415.14 | $814.00 | $268.99 – $1,687.00 | 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.