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 |
|---|---|---|---|---|
| Shoe post-op mens m HCPCS L3260 | $31.88 | $62.50 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Shortening of thigh bone CPT 27465 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $2,570.00 – $21,870.00 | 3 |
| Shorten radius or ulna CPT 25390 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Shorten radius & ulna CPT 25392 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $4,129.00 – $15,313.00 | 4 |
| Shoulder MRI (with and without contrast) CPT 73223 | $6,093.48 | $11,948.00 | $470.15 – $5,833.69 | 4 |
| Shoulder MRI (with contrast) CPT 73222 | $5,896.62 | $11,562.00 | $1,056.42 – $3,151.45 | 4 |
| Shoulder MRI (without contrast) CPT 73221 | $5,078.07 | $9,957.00 | $321.54 – $2,575.89 | 4 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,734.00 – $9,978.11 | 4 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $593.00 – $9,978.11 | 4 |
| Shoulder X-ray CPT 73030 | $895.56 | $1,756.00 | $114.08 – $133.22 | 4 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $7,249.14 | $14,214.00 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $140.89 – $183.39 | 4 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $6,619.00 – $6,619.00 | 1 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $11.98 – $95.24 | 4 |
| Sialography s&i CPT 70390 | not published | not published | $321.54 – $415.09 | 4 |
| Sialolithotomy 42330 CPT 42330 | $5,759.94 | $11,294.00 | $2,570.00 – $4,657.00 | 4 |
| Sickling rbc CPT 85660 | $53.55 | $105.00 | $5.40 – $45.17 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,253.22 – $2,695.00 | 4 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,253.22 – $4,657.00 | 4 |
| Sigmoidoscopy for bleeding CPT 45334 | $1,993.08 | $3,908.00 | $1,612.61 – $4,657.00 | 4 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,253.22 – $2,695.00 | 4 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,921.00 – $8,348.17 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $1,253.22 – $4,657.00 | 4 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,253.22 – $2,695.00 | 4 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $79.50 – $528.19 | 3 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,612.61 – $4,657.00 | 4 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $34.66 – $34.66 | 1 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $336.70 – $1,921.00 | 4 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $71.59 – $308.01 | 3 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $128.61 – $666.63 | 4 |
| Single transfer toe-hand CPT 26553 | not published | not published | $5,734.00 – $11,185.00 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $4,112.64 | $8,064.00 | $236.37 – $1,639.64 | 4 |
| Sinus CT scan (with contrast) CPT 70487 | $3,956.07 | $7,757.00 | $236.37 – $1,315.29 | 4 |
| Sinus CT scan (without contrast) CPT 70486 | $3,842.85 | $7,535.00 | $140.89 – $1,097.49 | 4 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $846.62 – $4,434.05 | 4 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $41,254.08 – $122,586.77 | 4 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $2.29 – $23.35 | 3 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $85.37 – $252.90 | 4 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.06 – $132.12 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | $5.56 | $10.91 | $0.06 – $145.31 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Skin Biopsy CPT 11102 | $365.67 | $717.00 | $547.82 – $2,570.00 | 4 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $2,780.50 – $6,619.00 | 4 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,687.00 – $14,372.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,687.00 – $14,372.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $26.35 – $78.59 | 4 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $3,632.00 – $6,619.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $865.39 – $2,609.37 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $171.31 – $1,021.21 | 4 |
| Sleep study attended CPT 95807 | not published | not published | $502.87 – $1,488.40 | 3 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $1,157.25 – $1,508.79 | 3 |
| Sleep study unattended CPT 95806 | not published | not published | $290.98 – $1,242.19 | 3 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $22.95 | $45.00 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $153.00 | $300.00 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $21,928.08 | $42,996.24 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Slitting of prepuce CPT 54001 | $3,755.13 | $7,363.00 | $2,570.00 – $6,619.00 | 4 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $79.50 – $315.84 | 3 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,096.60 – $9,277.06 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $16.50 – $137.39 | 4 |
| Small bowel endoscopy CPT 44360 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44364 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44366 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44369 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44376 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44378 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,222.26 – $4,657.00 | 4 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,222.26 – $4,657.00 | 4 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,585.94 – $4,657.00 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $7,716.00 – $11,185.00 | 4 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.09 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $313.65 | $615.00 | $5.28 – $43.86 | 4 |
| Smear gram stain CPT 87205 | $301.92 | $592.00 | $4.18 – $34.84 | 4 |
| Smear nasal eosinophil CPT 89190 | $94.35 | $185.00 | $5.67 – $38.74 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $57.63 | $113.00 | $5.87 – $48.91 | 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.