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 |
|---|---|---|---|---|
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | $10,870.14 | $21,314.00 | $5,734.00 – $11,185.00 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $562.31 – $573.78 | 2 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $299.65 – $514.62 | 2 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $79.50 – $81.12 | 2 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $79.50 – $81.12 | 2 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $102.50 – $303.69 | 3 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | $13,391.07 | $26,257.00 | $2,937.00 – $15,313.00 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Optx lunate dislocation CPT 25695 | $13,391.07 | $26,257.00 | $2,570.00 – $9,978.11 | 4 |
| Optx medial ankle fx CPT 27766 | $13,391.07 | $26,257.00 | $2,937.00 – $15,313.00 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $4,129.00 – $8,140.43 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | $10,870.14 | $21,314.00 | $3,632.00 – $11,185.00 | 4 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $4,129.00 – $17,654.63 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | $26,561.82 | $52,082.00 | $3,632.00 – $17,654.63 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $3,632.00 – $23,628.76 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $2,570.00 – $9,978.11 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $2,937.00 – $9,978.11 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $2,937.00 – $17,301.54 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $3,632.00 – $9,978.11 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Optx thigh fx CPT 27269 | not published | not published | $4,129.00 – $9,978.11 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $2,937.00 – $9,978.11 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | $13,391.07 | $26,257.00 | $2,937.00 – $15,313.00 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $4,745.00 – $15,313.00 | 4 |
| Oral aprepitant HCPCS J8501 | $271.60 | $532.55 | $6.08 – $7.07 | 3 |
| Oral busulfan HCPCS J8510 | not published | not published | $9.92 – $181.05 | 4 |
| Oral everolimus HCPCS J7527 | not published | not published | $4.04 – $7.94 | 3 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.74 – $57.70 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.34 – $40.79 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $21.85 – $44.53 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $389.84 – $879.37 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $4,129.00 – $6,619.00 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $4,129.00 – $6,619.00 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | $7,210.38 | $14,138.00 | $3,632.00 – $11,185.00 | 4 |
| Organic acids total quant ea spec CPT 83918 | not published | not published | $23.13 – $130.03 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.84 – $91.96 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.00 – $61.34 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $2,090.93 – $2,695.00 | 4 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $96.11 | $188.46 | $21.82 – $26.51 | 3 |
| Orthopantogram CPT 70355 | not published | not published | $60.29 – $133.16 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $79.50 – $593.00 | 3 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $1,419.84 | $2,784.00 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $106.91 – $289.81 | 4 |
| Oscillation chest wall mechanical per session CPT 94669 | $295.29 | $579.00 | $229.67 – $301.12 | 3 |
| Osmolality blood CPT 83930 | $267.75 | $525.00 | $6.48 – $73.48 | 4 |
| Osmolality urine CPT 83935 | $267.75 | $525.00 | $6.68 – $55.67 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $7,716.00 – $17,301.54 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $2,937.00 – $17,654.63 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $522.24 | $1,024.00 | $103.82 – $105.94 | 2 |
| Ot evaluation low complexity patient/family CPT 97165 | $262.14 | $514.00 | $103.82 – $105.94 | 2 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $392.70 | $770.00 | $125.00 – $127.55 | 2 |
| Other bone graft microvasc CPT 20962 | not published | not published | $4,745.00 – $11,185.00 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $22.67 – $182.51 | 4 |
| Oth resp proc, group HCPCS G0239 | $1,577.43 | $3,093.00 | not published | 0 |
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.