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 |
|---|---|---|---|---|
| Blm gene CPT 81209 | not published | not published | $38.52 – $314.90 | 4 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $14,621.70 | $28,670.00 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $18,294.72 | $35,872.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $1,585.75 | $3,109.31 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $7,564.32 | $14,832.00 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $24,106.68 | $47,268.00 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $9,409.09 | $18,449.20 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,725.84 | $3,384.00 | $1,191.92 – $2,695.00 | 4 |
| Block paracervical nrv CPT 64435 | not published | not published | $951.25 – $2,695.00 | 4 |
| Block plantar digital nerve CPT 64455 | $550.80 | $1,080.00 | $413.65 – $1,921.00 | 4 |
| Block tap inj(s) w/wo img bi CPT 64488 | $828.24 | $1,624.00 | $1,687.00 – $11,153.00 | 3 |
| Block tap inj(s) w/wo img uni CPT 64486 | $828.24 | $1,624.00 | $1,687.00 – $11,153.00 | 3 |
| Blood Clotting (PT/INR) Test CPT 85610 | $118.32 | $232.00 | $4.20 – $32.15 | 4 |
| Blood Clotting (PTT) Test CPT 85730 | $130.56 | $256.00 | $5.89 – $49.02 | 4 |
| Blood Count (CBC) Test CPT 85025 | $200.43 | $393.00 | $7.61 – $63.48 | 4 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $128.01 | $251.00 | $6.34 – $52.81 | 4 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $6.86 – $19.29 | 4 |
| Blood Culture Test CPT 87040 | $417.18 | $818.00 | $10.11 – $84.25 | 4 |
| Blood draw capillary 36416 CPT 36416 | $19.38 | $38.00 | $5.78 – $5.78 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $684.93 | $1,343.00 | $77.19 – $229.50 | 4 |
| Blood gases ph venous CPT 82800 | not published | not published | $10.78 – $69.08 | 4 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $124.44 | $244.00 | $15.60 – $31.84 | 4 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $97.92 | $192.00 | $4.15 – $25.94 | 4 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $111.69 | $219.00 | $4.29 – $20.50 | 4 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $89.25 | $175.00 | $5.21 – $25.94 | 4 |
| Blood smear interpretation CPT 85060 | $17.34 | $34.00 | $50.52 – $128.38 | 3 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.72 – $28.08 | 4 |
| Blood split unit HCPCS P9011 | $115.77 | $227.00 | not published | 0 |
| Blood typing abo CPT 86900 | $248.37 | $487.00 | $5.98 – $179.30 | 4 |
| Blood typing ag donor ea ag CPT 86902 | $641.58 | $1,258.00 | $12.70 – $483.05 | 4 |
| Blood typing patient serum CPT 86904 | not published | not published | $32.68 – $79.50 | 4 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $639.54 | $1,254.00 | $7.66 – $483.05 | 4 |
| Blood typing rh (d) CPT 86901 | $120.36 | $236.00 | $5.98 – $51.44 | 4 |
| Blood typing rh phenotype complete reference CPT 86906 | $73.95 | $145.00 | $15.50 – $63.26 | 4 |
| Blood volume CPT 78122 | not published | not published | $494.26 – $1,076.61 | 4 |
| Blue light cysto imag agent HCPCS C9738 | not published | not published | $1,687.00 – $10,997.00 | 2 |
| Bone biopsy open superficial CPT 20240 | $5,230.05 | $10,255.00 | $2,570.00 – $6,619.00 | 4 |
| Bone Density Scan (DEXA) CPT 77080 | $503.88 | $988.00 | $140.89 – $666.63 | 4 |
| Bone filler cerament 10cc HCPCS C1602 | $23,063.75 | $45,223.04 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $538.74 – $809.79 | 4 |
| Bone/joint imaging ltd area CPT 78300 | $1,815.09 | $3,559.00 | $538.74 – $589.01 | 4 |
| Bone marrow;aspiration only 38220 CPT 38220 | $3,014.10 | $5,910.00 | $593.00 – $2,695.00 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | not published | not published | $593.00 – $2,695.00 | 4 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Bone marrow imaging body CPT 78104 | not published | not published | $538.74 – $951.97 | 4 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $476.70 – $589.01 | 4 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $538.74 – $740.16 | 4 |
| Bone marrow interpretation CPT 85097 | $1,276.02 | $2,502.00 | $236.33 – $1,256.40 | 4 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $5,734.00 – $15,313.00 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $3,632.00 – $15,313.00 | 4 |
| Bone survey-lead poisoning CPT 77074 | $1,387.71 | $2,721.00 | $140.89 – $233.73 | 4 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $107.28 – $107.28 | 1 |
| Boot j walker l HCPCS L4386 | $108.38 | $212.50 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $246.13 | $482.60 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $853.73 | $1,673.98 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $329.07 | $645.23 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $13.11 – $107.66 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $64.90 | $127.25 | $16.69 – $131.51 | 4 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $34.39 – $173.17 | 4 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $5.00 – $37.95 | 3 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $3.36 – $28.08 | 4 |
| Bowel imaging CPT 78290 | $2,253.18 | $4,418.00 | $538.74 – $710.37 | 4 |
| Brace afo lg left 6607 HCPCS L1930 | $775.75 | $1,521.07 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,630.59 | $3,197.24 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $136.58 | $267.80 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $88.64 | $173.80 | not published | 0 |
| Brace back epic lso 637 HCPCS L0650 | $3,055.23 | $5,990.65 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,262.29 | $2,475.07 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,464.56 | $8,754.04 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $5,407.85 | $10,603.63 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $758.63 | $1,487.50 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,155.22 | $2,265.13 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $485.78 | $952.51 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $381.48 | $748.00 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $425.52 | $834.36 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $801.98 | $1,572.50 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $3,011.11 | $5,904.14 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $453.57 | $889.35 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $55.95 | $109.70 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Brach/thor cath 1st CPT 36215 | not published | not published | $1,363.40 – $1,687.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | not published | not published | $1,542.35 – $1,687.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | not published | not published | $1,687.00 – $1,837.59 | 2 |
| Brach/thor cath addl CPT 36218 | not published | not published | $292.43 – $1,687.00 | 2 |
| Brachy source i-125 injection HCPCS C2638 | not published | not published | $34.55 – $35.26 | 2 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | not published | not published | $35.91 – $36.64 | 2 |
| Brachy source palladium HCPCS C2640 | $273.11 | $535.50 | $86.49 – $88.26 | 2 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | not published | not published | $63.19 – $64.48 | 2 |
| Brachy source yttrium-90 HCPCS C2616 | $59,436.32 | $116,541.80 | $17,415.59 – $17,771.01 | 2 |
| Brachy src nonstrand c-131 HCPCS C2643 | $390.15 | $765.00 | $97.80 – $99.80 | 2 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | not published | not published | $350.34 – $357.49 | 2 |
| Brachy src stranded c-131 HCPCS C2642 | $416.16 | $816.00 | $116.73 – $119.11 | 2 |
| Brachytx isodose complex CPT 77318 | not published | not published | $504.59 – $1,555.83 | 3 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $504.59 – $1,146.29 | 3 |
| Brachytx isodose plan simple CPT 77316 | not published | not published | $504.59 – $879.20 | 3 |
| Braf gene CPT 81210 | not published | not published | $171.89 – $379.42 | 4 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,921.00 – $6,619.00 | 2 |
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.