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 |
|---|---|---|---|---|
| Assay of thiocyanate CPT 84430 | not published | not published | $11.40 – $94.97 | 4 |
| Assay of troponin qual CPT 84512 | not published | not published | $9.89 – $120.91 | 4 |
| Assay of tyrosine CPT 84510 | not published | not published | $10.42 – $84.91 | 4 |
| Assay of urine sulfate CPT 84392 | $17.85 | $35.00 | $5.38 – $38.91 | 4 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $9.36 – $57.92 | 4 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $5.93 – $41.00 | 4 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $16.19 – $130.52 | 4 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $10.52 – $84.25 | 4 |
| Assay rbc glutathione CPT 82979 | not published | not published | $9.25 – $56.17 | 4 |
| Assay toxin or antitoxin CPT 87230 | $138.21 | $271.00 | $19.35 – $161.19 | 4 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | not published | not published | $99.19 – $450.87 | 3 |
| Assess cyst contrast inject CPT 49424 | not published | not published | $225.95 – $1,687.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $129.03 | $253.00 | $4.18 – $34.84 | 4 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $173.40 – $368.93 | 3 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $1,687.00 – $21,870.00 | 3 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $38.75 – $39.54 | 2 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $1,085.74 – $4,232.35 | 4 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $229.59 – $4,671.35 | 4 |
| Ast/sgot CPT 84450 | $194.31 | $381.00 | $5.08 – $42.21 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $92.12 – $192.19 | 4 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | not published | not published | $3,632.00 – $62,607.00 | 4 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | not published | not published | $3,632.00 – $89,248.00 | 4 |
| Atomic absorption CPT 82190 | not published | not published | $15.58 – $117.72 | 4 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $84.15 | $165.00 | $0.22 – $0.35 | 3 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $1,921.00 – $22,743.00 | 3 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,921.00 – $6,878.93 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $173.40 – $176.94 | 2 |
| Audiometry air + bone CPT 92553 | not published | not published | $173.40 – $176.94 | 2 |
| Auditory function 60 min CPT 92620 | not published | not published | $173.40 – $375.47 | 3 |
| Augmentation cheek bone CPT 21270 | not published | not published | $4,129.00 – $11,185.00 | 4 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $3,632.00 – $8,140.43 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $7,716.00 – $11,185.00 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Augment injectable kit 3.0cc HCPCS C1734 | $9,769.97 | $19,156.80 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,716.00 – $15,313.00 | 4 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $823.84 – $4,148.70 | 4 |
| Autologous blood op salvage CPT 86891 | not published | not published | $367.28 – $1,256.40 | 4 |
| Autologous blood process CPT 86890 | not published | not published | $229.59 – $367.28 | 4 |
| Autolog prp diab wound ulcer HCPCS G0465 | not published | not published | $2,780.50 – $2,837.24 | 2 |
| Autolog prp not diab ulcer HCPCS G0460 | not published | not published | $2,780.50 – $2,837.24 | 2 |
| Automated diff wbc count CPT 85004 | not published | not published | $6.34 – $52.76 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $98.48 – $182.96 | 3 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $96.56 – $176.94 | 3 |
| Autonomic nrv syst funj test CPT 95923 | not published | not published | $96.56 – $182.96 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $101.61 – $208.85 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Avul nail plate addl CPT 11732 | $763.47 | $1,497.00 | $1,687.00 – $10,997.00 | 3 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $763.47 | $1,497.00 | $270.38 – $1,687.00 | 4 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $54.54 – $135.45 | 3 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $521,212.14 – $1,081,107.57 | 3 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.63 – $5.00 | 3 |
| Azathioprine 50 mg tablet HCPCS J7500 | $5.61 | $11.00 | $2.03 – $134.04 | 3 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $104.54 – $483.69 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $84.15 | $165.00 | $4.44 – $29.24 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $257.36 | $504.63 | $3.97 – $5.33 | 3 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $174.49 – $375.82 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $96.17 – $115.71 | 3 |
| Baclofen eval charges CPT 97750 | not published | not published | $42.44 – $43.31 | 2 |
| Bacterial meningitis antigen CPT 86403 | $47.46 | $93.05 | $11.31 – $80.79 | 4 |
| Bacterial vaginosis pcr CPT 87801 | $151.98 | $298.00 | $68.80 – $286.33 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $14.72 – $95.52 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | $83.39 | $163.50 | $34.39 – $277.20 | 4 |
| Balloon dilate urtrl strix CPT 50706 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $4,969.44 | $9,744.00 | $2,570.00 – $6,619.00 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $34.39 – $277.20 | 4 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $290.98 – $296.92 | 2 |
| Basiliximab HCPCS J0480 | not published | not published | $1,870.76 – $10,078.47 | 4 |
| Bausch health Ultrasound surg HCPCS V2788 | $3,410.98 | $6,688.20 | not published | 0 |
| B cells total count CPT 86355 | $47.89 | $93.91 | $36.98 – $301.22 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.32 – $6.75 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $93.09 – $771.60 | 4 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $48.29 – $48.29 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.82 – $8.36 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $49.16 – $118.19 | 4 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.12 – $25.01 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $13.66 – $34.60 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.64 – $30.97 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $31.10 – $58.57 | 4 |
| Benign lesion paring 2-4 CPT 11056 | $365.67 | $717.00 | $270.38 – $1,687.00 | 4 |
| Benign lesion paring 4+ CPT 11057 | $365.67 | $717.00 | $270.38 – $1,687.00 | 4 |
| #_benzodiazconfur CPT 80346 | $11.22 | $22.00 | $0.06 – $138.66 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $125.82 | $246.71 | $7.50 – $36.06 | 3 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $44.80 | $87.85 | $24.94 – $207.57 | 4 |
| Beta-2 microglobulin CPT 82232 | $149.43 | $293.00 | $15.86 – $132.12 | 4 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $126.34 – $150.91 | 3 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $126.34 – $150.91 | 3 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $84.15 | $165.00 | $5.87 – $14.73 | 3 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.87 – $156.37 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $23.26 – $100.05 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $25.34 – $81.63 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.82 – $61.61 | 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.