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 |
|---|---|---|---|---|
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.52 – $1.23 | 3 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.29 – $3.89 | 3 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $5.61 | $11.00 | $0.39 – $5.09 | 3 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $146.80 – $548.38 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $223.89 | $439.00 | $13.46 – $121.13 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.88 – $29.95 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,937.00 – $6,619.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,921.00 – $22,743.00 | 3 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $58.57 – $151.32 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $73.38 – $150.50 | 4 |
| Talymed HCPCS Q4127 | not published | not published | $41.78 – $171.13 | 4 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $3.77 – $3.77 | 1 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $1,687.00 – $11,153.00 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $1,687.00 – $11,153.00 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $744.34 – $16,829.15 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,861.21 – $16,829.15 | 4 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $585.95 – $16,829.15 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,536.36 – $3,377.16 | 4 |
| Tas congenital car anomal CPT 33741 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $593.00 – $1,687.00 | 4 |
| Tavr perq femoral CPT 33361 | not published | not published | $4,745.00 – $6,619.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.24 – $1.12 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $134.26 – $665.58 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $66.45 – $235.22 | 3 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.61 – $55.67 | 3 |
| Tbs techl calculation only CPT 77091 | not published | not published | $117.28 – $166.19 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $12.27 – $132.18 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $98.00 – $384.09 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $621.69 | $1,219.00 | $60.74 – $494.89 | 4 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $554.49 – $1,094.63 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,740.45 – $1,740.45 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $471.60 – $1,470.17 | 4 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $936.47 – $1,667.00 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $66.54 – $128.66 | 2 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $915.45 – $2,236.69 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $1,039.67 – $1,725.03 | 2 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $322.03 – $706.49 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $140.47 – $226.72 | 2 |
| Tc-99m maa HCPCS A9540 | not published | not published | $26.53 – $63.30 | 2 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $73.37 – $243.94 | 2 |
| Tc-99m medronate HCPCS A9503 | not published | not published | $127.26 – $180.06 | 2 |
| Tc-99m mertiatide HCPCS A9562 | not published | not published | $548.96 – $1,651.69 | 2 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $12.90 – $12.90 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $40.45 – $108.49 | 2 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $20.02 – $59.81 | 2 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $43.82 – $43.82 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $2.13 – $22.94 | 2 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $30.44 – $87.63 | 2 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $142.06 – $968.75 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $156.03 – $1,431.23 | 4 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $65.55 – $1,615.51 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $139.73 – $339.38 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $301.31 – $301.31 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $593.00 – $1,687.00 | 4 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $140.89 – $1,454.16 | 3 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $140.89 – $1,494.94 | 3 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $1,438.39 – $1,438.39 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $594.53 – $1,921.00 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $159.96 | $313.65 | $46.04 – $322.10 | 4 |
| T cells absolute cd 4 count CPT 86361 | $65.10 | $127.65 | $26.24 – $219.83 | 4 |
| T cells total count CPT 86359 | $47.89 | $93.91 | $36.98 – $308.47 | 4 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $290.98 – $8,202.55 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $290.98 – $16,990.23 | 4 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $290.98 – $1,921.00 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,921.00 – $6,619.00 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $218.04 – $461.73 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $1,056.42 – $1,615.74 | 3 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $1,056.42 – $1,077.98 | 2 |
| Telavancin injection HCPCS J3095 | not published | not published | $2.76 – $15.24 | 4 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $504.59 – $1,034.24 | 3 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $504.59 – $564.63 | 3 |
| Temozolomide HCPCS J8700 | not published | not published | $0.77 – $3.97 | 3 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $6.30 – $22.38 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $37.32 – $176.94 | 3 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $89,248.00 – $89,248.00 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.48 – $65.19 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,632.00 – $11,185.00 | 4 |
| Tendon shortening CPT 26477 | not published | not published | $1,921.00 – $4,657.00 | 4 |
| Tendon transfer with graft CPT 26492 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,531.64 | $32,414.98 | $66.67 – $349.29 | 4 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $280.93 – $6,439.55 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,937.00 – $4,657.00 | 4 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $2,937.00 – $11,185.00 | 4 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $2,166.95 – $4,657.00 | 4 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $1,921.00 – $15,313.00 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | $6,026.16 | $11,816.00 | $2,570.00 – $6,619.00 | 4 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $2,166.95 – $6,619.00 | 4 |
| Tension based scoliosis orth HCPCS L1005 | $3,843.36 | $7,536.00 | not published | 0 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $84.15 | $165.00 | $2.83 – $6.56 | 3 |
| Teriparatide injection HCPCS J3110 | not published | not published | $9.75 – $159.72 | 2 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $181.50 – $899.76 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.89 – $49.02 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.70 – $34.95 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $9.36 – $66.66 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $538.74 – $741.86 | 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.