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 |
|---|---|---|---|---|
| Sargramostim injection HCPCS J2820 | not published | not published | $60.65 – $169.66 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $50.40 – $109.42 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | $151.16 | $296.40 | $0.09 – $347.31 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | not published | not published | $34.62 – $139.04 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $68.88 – $175.59 | 4 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $7,716.00 – $11,185.00 | 4 |
| Sbrt management CPT 77435 | not published | not published | $3,519.50 – $3,519.50 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,523.37 | $2,987.00 | $321.54 – $1,169.87 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $1,120.98 | $2,198.00 | $140.89 – $933.66 | 3 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,474.92 | $2,892.00 | $321.54 – $1,133.71 | 3 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $1,090.89 | $2,139.00 | $140.89 – $754.01 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $949.62 | $1,862.00 | $140.89 – $726.31 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $1,058.25 | $2,075.00 | $140.89 – $811.71 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,432.08 | $2,808.00 | $321.54 – $1,099.47 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $956.25 | $1,875.00 | $140.89 – $734.01 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $1,006.23 | $1,973.00 | $140.89 – $773.63 | 3 |
| Scan proc cranial extra CPT 61782 | not published | not published | $1,017.12 – $1,687.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $1,222.87 – $1,687.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $1,222.87 – $1,687.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,921.00 – $2,695.00 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $4,409.38 – $7,716.00 | 4 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $10,944.24 | $21,459.30 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.17 – $53.20 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $52.70 – $159.74 | 3 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $31.30 – $63.88 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $43.09 – $115.41 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $25.96 – $115.41 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $26.51 – $115.41 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $19.85 – $115.41 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $52.70 – $159.74 | 3 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $593.00 – $2,695.00 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $593.00 – $2,695.00 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $17.69 – $36.10 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $27.70 – $327.38 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $45.42 – $106.56 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $23.60 – $118.87 | 4 |
| Screening Mammogram CPT 77067 | $709.41 | $1,391.00 | $97.76 – $629.92 | 4 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $52.70 – $147.32 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $18.92 – $150.14 | 4 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $18.17 – $53.20 | 4 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $119,168.64 | $233,664.00 | not published | 0 |
| Sc ther infusion reset pump CPT 96371 | $137.19 | $269.00 | $97.03 – $99.01 | 2 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | $6,023.10 | $11,810.00 | $1,921.00 – $6,619.00 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Sedimentation rate erythrocyte automated CPT 85652 | $85.17 | $167.00 | $2.65 – $21.32 | 4 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,781.35 – $6,245.02 | 2 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $79.50 – $81.12 | 2 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $38.98 – $39.77 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $6.37 – $31.93 | 4 |
| Semen analysis presence/motility CPT 89321 | $72.42 | $142.00 | $11.81 – $98.32 | 4 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.44 – $70.18 | 4 |
| Sensorimotor examination CPT 92060 | not published | not published | $79.50 – $81.12 | 2 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $3,203.92 – $6,619.00 | 4 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $188.16 – $399.15 | 4 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Serial tonometry CPT 92100 | $171.36 | $336.00 | $243.90 – $243.90 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $2.77 – $41.06 | 2 |
| Serpina1 gene CPT 81332 | $45.90 | $90.00 | $42.78 – $431.14 | 4 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.06 – $134.20 | 2 |
| Set radiation therapy field CPT 77280 | not published | not published | $181.13 – $706.53 | 3 |
| Set radiation therapy field CPT 77285 | not published | not published | $504.59 – $1,134.81 | 3 |
| Set radiation therapy field CPT 77290 | not published | not published | $504.59 – $1,320.62 | 3 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $413.90 – $1,687.00 | 3 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $138.92 – $138.92 | 1 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.09 – $0.24 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.09 – $0.67 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.62 – $122.83 | 4 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.83 – $65.23 | 4 |
| Sex transformation f to m CPT 55980 | not published | not published | $1,921.00 – $4,847.25 | 3 |
| Sex transformation m to f CPT 55970 | not published | not published | $1,921.00 – $6,878.93 | 3 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $189.38 – $535.28 | 4 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $547.82 – $1,687.00 | 4 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $547.82 – $1,687.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $365.67 | $717.00 | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $365.67 | $717.00 | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $547.82 – $1,687.00 | 4 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $755.82 | $1,482.00 | $547.82 – $1,687.00 | 4 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $270.38 – $1,687.00 | 4 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $270.38 – $1,687.00 | 4 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $19,953.65 | $39,124.80 | not published | 0 |
| Sheath laser cavaclear 14f HCPCS C1603 | $9,754.31 | $19,126.10 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $23.99 – $183.67 | 4 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $2,937.00 – $15,313.00 | 4 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,937.00 – $15,313.00 | 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.