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 |
|---|---|---|---|---|
| Storage/year sperm/semen CPT 89343 | not published | not published | $229.59 – $1,099.14 | 4 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $1,921.00 – $1,921.00 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $302.43 | $593.00 | $218.99 – $1,687.00 | 4 |
| Strapping of chest CPT 29200 | $295.29 | $579.00 | $218.99 – $1,687.00 | 4 |
| Strapping of elbow or wrist 29260 CPT 29260 | $116.79 | $229.00 | $79.50 – $1,687.00 | 4 |
| Strapping of hand or finger CPT 29280 | $116.79 | $229.00 | $79.50 – $1,687.00 | 4 |
| Strapping of hip CPT 29520 | $235.11 | $461.00 | $179.30 – $1,687.00 | 4 |
| Strapping of knee CPT 29530 | $235.11 | $461.00 | $179.30 – $1,687.00 | 4 |
| Strapping of toes 29550 CPT 29550 | $116.79 | $229.00 | $79.50 – $1,687.00 | 4 |
| Strep a ag ia CPT 87430 | not published | not published | $16.47 – $73.37 | 4 |
| Strep a dna dir probe CPT 87650 | not published | not published | $19.65 – $158.39 | 4 |
| Strep a dna quant CPT 87652 | not published | not published | $40.92 – $211.20 | 4 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.48 – $73.37 | 4 |
| Strep b dna amp probe CPT 87653 | not published | not published | $34.39 – $280.28 | 4 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $152.99 – $152.99 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.41 – $90.02 | 4 |
| Streptomycin injection HCPCS J3000 | not published | not published | $7.16 – $55.02 | 3 |
| Streptozocin injection HCPCS J9320 | not published | not published | $148.10 – $365.11 | 2 |
| Stress test pulmonary CPT 94618 | $272.34 | $534.00 | $73.86 – $182.96 | 3 |
| Stress tte complete CPT 93351 | not published | not published | $736.35 – $1,659.21 | 3 |
| Str markers spec anal addl CPT 81266 | not published | not published | $298.71 – $1,864.25 | 4 |
| Str markers specimen anal CPT 81265 | not published | not published | $228.41 – $1,864.25 | 4 |
| St treatment speech individual CPT 92507 | $403.92 | $792.00 | $82.20 – $83.88 | 2 |
| St treatment swallow dysfunction/oral CPT 92526 | $517.65 | $1,015.00 | $86.76 – $88.53 | 2 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $951.25 – $2,695.00 | 4 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $270.38 – $1,687.00 | 4 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $593.00 – $1,687.00 | 4 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,687.00 – $11,153.00 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $3,632.00 – $17,301.54 | 4 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $84.15 | $165.00 | $3.40 – $4.05 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,780.50 – $4,657.00 | 4 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.30 – $93.59 | 4 |
| Sugars single quant CPT 84378 | not published | not published | $11.30 – $93.59 | 4 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $92.29 | $180.96 | $0.11 – $0.13 | 2 |
| Sulfonylurea screen qn-sendout CPT 80377 | $5.56 | $10.91 | $0.06 – $162.12 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $84.15 | $165.00 | $32.78 – $352.08 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $63.10 – $64.39 | 2 |
| Support clav 29.6-40.5in med HCPCS L3650 | $68.54 | $134.40 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $19,407.15 – $97,205.89 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $5,734.00 – $14,372.00 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $5,734.00 – $20,618.00 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $2,570.00 – $11,185.00 | 4 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $1,921.00 – $11,185.00 | 4 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,570.00 – $7,373.07 | 4 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,222.26 – $4,657.00 | 4 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $2,090.93 – $4,657.00 | 4 |
| Surgical pathology level 1 gross examination only CPT 88300 | $119.85 | $235.00 | $23.14 – $45.98 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $246.33 | $483.00 | $45.98 – $57.05 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $316.71 | $621.00 | $70.23 – $98.94 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $504.39 | $989.00 | $70.23 – $110.13 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $653.82 | $1,282.00 | $163.66 – $566.82 | 4 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,276.02 | $2,502.00 | $223.35 – $1,256.40 | 4 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $167.70 – $593.00 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,921.00 – $6,619.00 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $105.06 | $206.00 | $4.66 – $18.41 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $340.68 | $668.00 | $4.66 – $23.52 | 4 |
| Susceptibility mic per plate CPT 87186 | $449.31 | $881.00 | $8.48 – $70.56 | 4 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.51 – $54.13 | 4 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $2,937.00 – $6,619.00 | 4 |
| Suspension of uterus CPT 58410 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $1,921.00 – $21,870.00 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Svc venogram s&i CPT 75827 | not published | not published | $835.48 – $2,926.74 | 4 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $15.47 – $102.82 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $2,570.00 – $4,657.00 | 4 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $2,570.00 – $6,619.00 | 4 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $2,570.00 – $6,619.00 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $16.86 – $30.97 | 3 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.82 – $19.89 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $1.49 | $2.92 | $4.31 – $35.94 | 4 |
| System cardiomems hosp electronics HCPCS C2624 | $72,374.00 | $141,909.80 | not published | 0 |
| System pacing micra av HCPCS C1786 | $43,113.87 | $84,537.00 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $18,604.80 | $36,480.00 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $1,199.52 | $2,352.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $329.46 | $646.00 | $16.60 – $138.33 | 4 |
| T3 (triiodothyronine) total CPT 84480 | $63.50 | $124.50 | $13.90 – $115.68 | 4 |
| T4 (thyroxine) free CPT 84439 | $374.85 | $735.00 | $8.84 – $73.59 | 4 |
| T4 (thyroxine) total CPT 84436 | $216.24 | $424.00 | $6.73 – $56.11 | 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.