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 |
|---|---|---|---|---|
| Obstetrics panel CPT 80055 | not published | not published | $46.85 – $134.42 | 4 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $38.98 – $244.61 | 4 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $140.89 – $413.72 | 4 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $177.10 – $214.00 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $58.40 – $124.29 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $84.15 | $165.00 | $1.18 – $5.95 | 3 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $108.25 – $439.87 | 4 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $577.05 – $577.05 | 1 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $741.18 – $2,695.00 | 4 |
| Ocular reconst transplant CPT 65780 | not published | not published | $5,297.99 – $11,185.00 | 4 |
| Ocular reconst transplant CPT 65781 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Ocular reconst transplant CPT 65782 | not published | not published | $5,297.99 – $11,185.00 | 4 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $58.57 – $133.79 | 4 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,649.37 | $3,234.06 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $92.41 | $181.20 | $1.86 – $2.16 | 3 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $3.54 – $6.28 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $21.05 – $86.26 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,795.54 – $10,727.55 | 4 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,460.01 – $18,104.26 | 4 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,795.54 – $22,625.80 | 4 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,795.54 – $18,815.79 | 4 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,795.54 – $8,513.94 | 4 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,049.14 – $19,923.40 | 4 |
| Oncology colon mrna CPT 81525 | not published | not published | $1,915.20 – $15,377.90 | 4 |
| Oncology colorectal scr CPT 81528 | not published | not published | $498.69 – $3,101.44 | 4 |
| Oncology gynecologic CPT 81535 | not published | not published | $567.87 – $3,531.65 | 4 |
| Oncology gynecologic CPT 81536 | not published | not published | $174.01 – $1,082.16 | 4 |
| Oncology lung CPT 81538 | not published | not published | $2,813.58 – $14,168.79 | 4 |
| Oncology prostate prob score CPT 81539 | not published | not published | $744.80 – $2,872.16 | 4 |
| Oncology tissue of origin CPT 81504 | not published | not published | $509.60 – $1,099.14 | 4 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,675.00 – $18,506.77 | 4 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $879.06 – $4,426.84 | 4 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $255.29 – $1,285.61 | 4 |
| Oncoprotein dcp CPT 83951 | $99.45 | $195.00 | $63.12 – $501.70 | 4 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $63.12 – $525.88 | 4 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $1,989.40 – $4,176.73 | 4 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,795.54 – $21,284.85 | 4 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,795.54 – $22,625.80 | 4 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,528.00 – $9,971.40 | 4 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,620.48 – $38,375.65 | 4 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $25.65 – $25.65 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | $35.24 | $69.10 | $0.02 – $6.64 | 3 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $84.15 | $165.00 | $0.17 – $7.50 | 3 |
| Oocyte identification CPT 89254 | not published | not published | $229.59 – $549.57 | 4 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,921.00 – $11,185.00 | 2 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,921.00 – $21,870.00 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,921.00 – $21,870.00 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $4,129.00 – $8,140.43 | 4 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $3,632.00 – $8,140.43 | 4 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $2,166.95 – $6,619.00 | 4 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $7,498.76 – $15,313.00 | 4 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $9,778.55 – $15,313.00 | 3 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $4,129.00 – $8,140.43 | 4 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $4,467.95 – $6,619.00 | 4 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $4,409.38 – $15,313.00 | 3 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $2,937.00 – $9,978.11 | 4 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $2,937.00 – $9,978.11 | 4 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $2,166.95 – $6,619.00 | 4 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Ophthalmic biometry CPT 92136 | not published | not published | $179.30 – $313.91 | 3 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | $1,269.22 | $2,488.66 | $162.93 – $162.93 | 1 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $174.45 – $489.17 | 4 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $140.89 – $358.32 | 4 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $140.89 – $297.04 | 4 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.06 – $160.42 | 2 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $6,619.00 – $22,743.00 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $593.00 – $11,185.00 | 2 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $593.00 – $6,619.00 | 2 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $593.00 – $11,185.00 | 2 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $593.00 – $6,619.00 | 2 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $593.00 – $6,619.00 | 2 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $6,619.00 – $23,742.00 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $2,570.00 – $59,357.50 | 4 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,921.00 – $26,143.80 | 4 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,921.00 – $20,143.00 | 4 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $7,716.00 – $20,143.00 | 4 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $1,921.00 – $41,584.16 | 4 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $1,921.00 – $8,140.43 | 4 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $1,921.00 – $8,140.43 | 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.