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 |
|---|---|---|---|---|
| Smear wet mount CPT 87210 | $275.91 | $541.00 | $5.70 – $34.84 | 4 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $295.32 – $1,464.00 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $181.50 – $899.76 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $46.06 – $604.91 | 4 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $50.05 – $314.90 | 4 |
| Sodium 24 hour urine CPT 84300 | $120.36 | $236.00 | $4.96 – $39.68 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $65.33 | $128.10 | $4.94 – $12.33 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $65.33 | $128.10 | $2.47 – $14.15 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $65.33 | $128.10 | $1.24 – $11.04 | 3 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $65.33 | $128.10 | $0.09 – $0.22 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $3.87 – $9.57 | 3 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $147.92 – $160.78 | 3 |
| Sodium serum/plasma/whole blood CPT 84295 | $143.82 | $282.00 | $4.71 – $39.13 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.86 – $2.00 | 4 |
| Soft interface below knee se HCPCS L2820 | $339.26 | $665.21 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $117.28 – $119.67 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,314.35 – $2,690.62 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,171.91 – $2,391.66 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $1,314.35 – $6,577.02 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,025.42 – $2,092.70 | 4 |
| Somatosensory testing CPT 95927 | not published | not published | $277.37 – $296.92 | 3 |
| Somatropin injection HCPCS J2941 | not published | not published | $54.34 – $105.18 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $1,314.35 – $5,979.10 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $878.93 – $1,793.74 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.07 – $48.98 | 2 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $1,921.00 – $11,185.00 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $1,921.00 – $11,185.00 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Special physics consult CPT 77370 | not published | not published | $181.13 – $739.23 | 3 |
| Special radiation dosimetry CPT 77331 | not published | not published | $120.52 – $184.83 | 3 |
| Special radiation treatment CPT 77470 | not published | not published | $744.61 – $2,267.03 | 3 |
| Special teletx port plan CPT 77321 | not published | not published | $504.59 – $1,074.19 | 3 |
| Specific gravity body fluid CPT 84315 | $55.59 | $109.00 | $3.21 – $20.50 | 4 |
| Specimen fat stain CPT 89125 | not published | not published | $5.76 – $35.23 | 4 |
| Speech audiometry complete CPT 92556 | not published | not published | $79.50 – $81.12 | 2 |
| Speech evaluation complex CPT 70371 | not published | not published | $292.14 – $484.12 | 4 |
| Speech recep thresh CPT 92555 | not published | not published | $79.50 – $81.12 | 2 |
| Sperm antibody test CPT 89325 | not published | not published | $10.46 – $87.11 | 4 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.20 – $171.14 | 4 |
| Sperm identification CPT 89257 | not published | not published | $70.23 – $153.88 | 4 |
| Sperm isolation complex CPT 89261 | not published | not published | $70.23 – $472.63 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $70.23 – $263.79 | 4 |
| Sperm washing 58323 CPT 58323 | not published | not published | $65.65 – $1,687.00 | 4 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $1,687.00 – $10,997.00 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $1,921.00 – $11,185.00 | 3 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,391.79 | $2,729.00 | $951.25 – $2,695.00 | 4 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $593.00 – $17,654.63 | 4 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $290.98 – $1,080.62 | 3 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $1,549.38 | $3,038.00 | $265.44 – $513.13 | 3 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $173.40 – $520.50 | 3 |
| Spleen imaging CPT 78185 | not published | not published | $538.74 – $589.01 | 4 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $99.04 | $194.20 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $6,622.86 | $12,986.00 | $2,570.00 – $11,185.00 | 4 |
| Split blood or products CPT 86985 | $290.19 | $569.00 | $92.60 – $287.00 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,687.00 – $14,372.00 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $445.12 – $1,687.00 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $84.47 – $287.00 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $1,124.64 – $8,914.63 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $15,313.00 – $15,313.00 | 1 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $15,313.00 – $15,313.00 | 1 |
| Srs cran les complex addl CPT 61799 | not published | not published | $4,657.00 – $4,657.00 | 1 |
| Srs cran les simple addl CPT 61797 | not published | not published | $4,657.00 – $4,657.00 | 1 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $171.89 – $485.82 | 4 |
| Srs linear based CPT 77372 | not published | not published | $5,169.75 – $10,128.11 | 3 |
| Srs multisource CPT 77371 | not published | not published | $6,812.58 – $10,128.11 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $15,313.00 – $15,313.00 | 1 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $4,657.00 – $4,657.00 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $173.40 – $176.94 | 2 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $515.10 | $1,010.00 | $130.61 – $133.28 | 2 |
| Staph a dna amp probe CPT 87640 | not published | not published | $34.39 – $280.28 | 4 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $352.41 | $691.00 | $105.37 – $107.52 | 2 |
| Stem cells total count CPT 86367 | not published | not published | $76.22 – $301.22 | 4 |
| Stenger test pure tone CPT 92565 | not published | not published | $79.50 – $81.12 | 2 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $3,632.00 – $89,248.00 | 4 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $107,100.00 | $210,000.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $55,444.12 | $108,713.96 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $51,738.40 | $101,447.84 | not published | 0 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $11,011.59 | $21,591.36 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $3,632.00 – $62,607.00 | 4 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $3,632.00 – $15,313.00 | 3 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $593.00 – $14,372.00 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $3,632.00 – $89,248.00 | 4 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $299.23 – $613.59 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $2,421.46 – $2,421.46 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $2,570.00 – $15,313.00 | 4 |
| St evaluate speech sound production CPT 92522 | $464.10 | $910.00 | $114.96 – $117.31 | 2 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $464.10 | $910.00 | $260.19 – $265.50 | 2 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $716.55 | $1,405.00 | $93.99 – $95.91 | 2 |
| St evaluation swallow function CPT 92610 | $921.06 | $1,806.00 | $66.13 – $67.48 | 2 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.06 – $116.51 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $229.59 – $1,099.14 | 4 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $229.59 – $1,099.14 | 4 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $229.59 – $1,099.14 | 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.