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 |
|---|---|---|---|---|
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,012.57 | $5,907.00 | $1,921.00 – $2,695.00 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $5,718.12 | $11,212.00 | $1,921.00 – $6,619.00 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $4,129.00 – $6,619.00 | 4 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $79.50 – $81.12 | 2 |
| Peri-proc device eval icd CPT 93287 | not published | not published | $76.77 – $90.40 | 2 |
| Peri-proc device eval pm CPT 93286 | not published | not published | $70.64 – $81.17 | 2 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $7,498.76 – $15,313.00 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $302.70 – $770.53 | 4 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $538.74 – $715.16 | 4 |
| Permanent tear duct plug HCPCS A4263 | $498.53 | $977.50 | not published | 0 |
| Perphenazine 4mg oral HCPCS Q0175 | not published | not published | $1.12 – $1.40 | 2 |
| Perphenazine injeciton HCPCS J3310 | not published | not published | $8.37 – $8.37 | 1 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $6,619.00 – $18,744.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $5,587.00 – $11,185.00 | 2 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $954.29 – $2,695.00 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | $4,794.51 | $9,401.00 | $954.29 – $2,695.00 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $5,734.00 – $13,017.45 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $5,734.00 – $13,017.45 | 4 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $1,921.00 – $20,143.00 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $1,921.00 – $24,703.91 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $1,921.00 – $20,143.00 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $1,921.00 – $20,143.00 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $593.00 – $10,997.00 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $435.54 | $854.00 | $336.70 – $1,921.00 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $4,409.38 – $6,619.00 | 4 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $9,858.00 – $9,858.00 | 1 |
| Perq transcath closure each CPT 93592 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Perq transcath closure pda CPT 93582 | not published | not published | $20,143.00 – $24,703.91 | 3 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $7,225.80 – $24,703.91 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $8,704.58 – $24,703.91 | 4 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $6,619.00 – $23,742.00 | 2 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $6,026.16 | $11,816.00 | $2,570.00 – $6,619.00 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,570.00 – $8,140.43 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $11.74 – $73.37 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $12.94 – $34.89 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $59.02 – $135.43 | 4 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $245.77 | $481.90 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,927.01 – $5,841.93 | 4 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,927.01 – $6,952.06 | 4 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,927.01 – $4,994.77 | 4 |
| Pet image full body CPT 78813 | not published | not published | $1,927.01 – $6,402.49 | 4 |
| Pet image ltd area CPT 78811 | not published | not published | $1,744.68 – $4,808.74 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,927.01 – $5,292.36 | 4 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,927.01 – $5,358.31 | 4 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $538.74 – $7,409.69 | 4 |
| Pet scan brain perf study CPT 78609 | not published | not published | $5,727.34 – $12,569.48 | 2 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $81,583.93 | $159,968.49 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Ph body fluid CPT 83986 | $111.69 | $219.00 | $3.51 – $29.18 | 4 |
| Phencyclidine (pcp) CPT 83992 | $51.00 | $100.00 | $0.06 – $105.35 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $129.01 | $252.96 | $4.14 – $63.30 | 3 |
| Phenobarbital therapeutic drug level CPT 80184 | $236.13 | $463.00 | $14.99 – $93.32 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | $1,402.21 | $2,749.43 | $38.81 – $966.00 | 4 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $94.39 | $185.07 | $0.02 – $0.09 | 2 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $94.68 – $210.85 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $84.15 | $165.00 | $1.04 – $2.07 | 3 |
| Phenytoin total therapeutic drug level CPT 80185 | $266.73 | $523.00 | $12.98 – $108.21 | 4 |
| Phlebotomy therapeutic CPT 99195 | $235.11 | $461.00 | $179.30 – $182.96 | 2 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $4,255.05 – $11,185.00 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $4,255.05 – $11,185.00 | 4 |
| Phosphorus CPT 84100 | $130.56 | $256.00 | $4.65 – $38.63 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $17.85 | $35.00 | $5.66 – $42.21 | 4 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | not published | not published | $79.50 – $81.12 | 2 |
| Photochemotherapy puva CPT 96912 | not published | not published | $79.50 – $81.12 | 2 |
| Photochemotherapy uv-a or b CPT 96913 | not published | not published | $547.82 – $559.00 | 2 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $1,687.00 – $1,687.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $60.78 – $81.12 | 3 |
| Photopheresis CPT 36522 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $49.63 – $182.96 | 3 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $70.23 – $242.80 | 4 |
| Phys blood bank serv reactj CPT 86078 | not published | not published | $229.59 – $287.00 | 4 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $38.98 – $152.62 | 4 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $128.32 | $251.61 | $4.89 – $5.78 | 3 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $593.00 – $6,619.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $339.56 – $714.75 | 4 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $269.33 – $761.21 | 4 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Pin caspar distraction 12mm HCPCS C1821 | $15,798.58 | $30,977.60 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $1,176.57 | $2,307.00 | $995.98 – $2,570.00 | 4 |
| Pin finger dislocation CPT 26776 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Pin finger fracture each CPT 26756 | $6,026.16 | $11,816.00 | $2,570.00 – $6,619.00 | 4 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Pinworm exam CPT 87172 | not published | not published | $4.18 – $34.84 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $4.18 – $44.35 | 4 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $84.15 | $165.00 | $2.24 – $6.73 | 3 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $567.89 – $4,016.31 | 4 |
| Place breast cath for rad CPT 19297 | not published | not published | $7,716.00 – $32,991.00 | 3 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $7,716.00 – $18,744.00 | 4 |
| Place cath intracranial art CPT 36228 | not published | not published | $1,198.45 – $1,921.00 | 3 |
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.