Vacaville Medical Center
1 QUALITY DRIVE, VACAVILLE, CA · Kaiserpermanente · · NPI 1710116116
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 |
|---|---|---|---|---|
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $9,673.48 | $17,274.08 | $376.00 – $376.00 | 1 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $38,630.91 | $68,983.76 | $225.00 – $225.00 | 1 |
| Rb82 rubidium HCPCS A9555 | $866.88 | $1,548.00 | $676.00 – $676.00 | 1 |
| Rbc count only automated CPT 85041 | $11.20 | $20.00 | $3.00 – $3.00 | 1 |
| Rbc deglycerolized each unit HCPCS P9039 | $362.32 | $647.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | $2,475.20 | $4,420.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | $89.04 | $159.00 | $8.00 – $8.00 | 1 |
| Rbc osmotic fragility CPT 85555 | $75.04 | $134.00 | $6.00 – $6.00 | 1 |
| Rbc serum pretx incubj drugs CPT 86975 | $918.40 | $1,640.00 | $426.00 – $426.00 | 1 |
| Rcm img acquisj&i&r 1st les CPT 96931 | $487.20 | $870.00 | not published | 0 |
| Rcm img acquisj&i&r ea addl CPT 96934 | $296.80 | $530.00 | not published | 0 |
| Rcm img acquisj only 1st les CPT 96932 | $336.00 | $600.00 | not published | 0 |
| Rcm img acquisj only ea addl CPT 96935 | $204.40 | $365.00 | not published | 0 |
| Rcm i&r only 1st lesion CPT 96933 | $117.60 | $210.00 | not published | 0 |
| Rcm i&r only ea addl lesion CPT 96936 | $112.56 | $201.00 | not published | 0 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | $11,933.60 | $21,310.00 | not published | 0 |
| Rdctj forehead cntrg only CPT 21137 | $7,498.40 | $13,390.00 | not published | 0 |
| Rdctj forehead cntrg&prostc CPT 21138 | $11,933.60 | $21,310.00 | not published | 0 |
| Rdctj forehead cntrg&setback CPT 21139 | $11,933.60 | $21,310.00 | not published | 0 |
| Realignment of tendons CPT 26437 | $6,759.20 | $12,070.00 | not published | 0 |
| Rebuild eardrum structures CPT 69632 | $13,350.40 | $23,840.00 | not published | 0 |
| Rebuild eardrum structures CPT 69633 | $14,319.20 | $25,570.00 | not published | 0 |
| Rebuild eardrum structures CPT 69636 | $14,319.20 | $25,570.00 | not published | 0 |
| Rebuild outer ear canal CPT 69310 | $14,319.20 | $25,570.00 | not published | 0 |
| Rebuild outer ear canal CPT 69320 | $11,933.60 | $21,310.00 | not published | 0 |
| Recon, cta for surg plan HCPCS G0288 | $1,472.80 | $2,630.00 | not published | 0 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | not published | 0 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | not published | 0 |
| Reconst lwr jaw without fixation CPT 21195 | $9,413.60 | $16,810.00 | not published | 0 |
| Reconst lwr jaw without graft CPT 21193 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstr lwr jaw segment CPT 21198 | $9,307.20 | $16,620.00 | not published | 0 |
| Reconstr lwr jaw w/advance CPT 21199 | $3,651.20 | $6,520.00 | not published | 0 |
| Reconstruct ankle joint CPT 27702 | not published | not published | not published | 0 |
| Reconstruct cleft foot CPT 28360 | $14,481.60 | $25,860.00 | not published | 0 |
| Reconstruct cleft palate CPT 42200 | $12,168.80 | $21,730.00 | not published | 0 |
| Reconstruct cleft palate CPT 42205 | $8,181.60 | $14,610.00 | not published | 0 |
| Reconstruct cleft palate CPT 42210 | $13,361.60 | $23,860.00 | not published | 0 |
| Reconstruct cleft palate CPT 42215 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruct cleft palate CPT 42220 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruct cleft palate CPT 42225 | $9,413.60 | $16,810.00 | not published | 0 |
| Reconstruct elbow joint CPT 24360 | $12,555.20 | $22,420.00 | not published | 0 |
| Reconstruct elbow joint CPT 24361 | $34,412.00 | $61,450.00 | not published | 0 |
| Reconstruct elbow joint CPT 24362 | $16,251.20 | $29,020.00 | not published | 0 |
| Reconstruct elbow lat ligmnt CPT 24344 | $16,990.40 | $30,340.00 | not published | 0 |
| Reconstruct elbow med ligmnt CPT 24346 | $14,162.40 | $25,290.00 | not published | 0 |
| Reconstruct extra finger CPT 26587 | $7,431.20 | $13,270.00 | not published | 0 |
| Reconstruct finger joint CPT 26545 | $9,564.80 | $17,080.00 | not published | 0 |
| Reconstruct finger joint CPT 26548 | $9,564.80 | $17,080.00 | not published | 0 |
| Reconstruct head of radius CPT 24365 | $15,366.40 | $27,440.00 | not published | 0 |
| Reconstruct head of radius CPT 24366 | $9,878.40 | $17,640.00 | not published | 0 |
| Reconstruction knee CPT 27427 | $14,772.80 | $26,380.00 | not published | 0 |
| Reconstruction knee CPT 27428 | $11,250.40 | $20,090.00 | not published | 0 |
| Reconstruction knee CPT 27429 | $20,641.60 | $36,860.00 | not published | 0 |
| Reconstruction of anus CPT 46753 | $8,803.20 | $15,720.00 | not published | 0 |
| Reconstruction of eyelid CPT 67971 | $6,871.20 | $12,270.00 | not published | 0 |
| Reconstruction of eyelid CPT 67973 | $4,194.40 | $7,490.00 | not published | 0 |
| Reconstruction of eyelid CPT 67974 | $2,654.40 | $4,740.00 | not published | 0 |
| Reconstruction of eyelid CPT 67975 | $3,584.00 | $6,400.00 | not published | 0 |
| Reconstruction of jaw CPT 21245 | $14,604.80 | $26,080.00 | not published | 0 |
| Reconstruction of jaw CPT 21246 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of jaw CPT 21248 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of jaw CPT 21249 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of jaw joint CPT 21240 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruction of jaw joint CPT 21242 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruction of jaw joint CPT 21243 | $15,372.00 | $27,450.00 | not published | 0 |
| Reconstruction of lower jaw CPT 21244 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of mouth CPT 40840 | $9,307.20 | $16,620.00 | not published | 0 |
| Reconstruction of mouth CPT 40842 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruction of mouth CPT 40843 | $7,756.00 | $13,850.00 | not published | 0 |
| Reconstruction of mouth CPT 40844 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruction of mouth CPT 40845 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of nail bed CPT 11762 | $6,725.60 | $12,010.00 | not published | 0 |
| Reconstruction of nose CPT 30410 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of nose CPT 30420 | $16,357.60 | $29,210.00 | not published | 0 |
| Reconstruction of orbit CPT 21256 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruction of throat CPT 42950 | $14,319.20 | $25,570.00 | not published | 0 |
| Reconstruction of urethra CPT 53410 | $11,480.00 | $20,500.00 | not published | 0 |
| Reconstruction of urethra CPT 53430 | $11,480.00 | $20,500.00 | not published | 0 |
| Reconstruction of urethra CPT 54308 | $10,416.00 | $18,600.00 | not published | 0 |
| Reconstruction of urethra CPT 54312 | $8,215.20 | $14,670.00 | not published | 0 |
| Reconstruction of urethra CPT 54316 | $10,248.00 | $18,300.00 | not published | 0 |
| Reconstruction of urethra CPT 54318 | $8,215.20 | $14,670.00 | not published | 0 |
| Reconstruction of urethra CPT 54322 | $6,848.80 | $12,230.00 | not published | 0 |
| Reconstruction of urethra CPT 54324 | $9,592.80 | $17,130.00 | not published | 0 |
| Reconstruction of urethra CPT 54326 | $10,248.00 | $18,300.00 | not published | 0 |
| Reconstruction tongue fold CPT 41520 | $2,240.00 | $4,000.00 | not published | 0 |
| Reconstruct lip with flap CPT 40527 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruct lip w/local flap 40525 CPT 40525 | $8,820.00 | $15,750.00 | not published | 0 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | not published | 0 |
| Reconstruct orbit/forehead CPT 21172 | $11,933.60 | $21,310.00 | not published | 0 |
| Reconstruct shoulder joint CPT 23470 | $19,544.00 | $34,900.00 | not published | 0 |
| Reconstruct shoulder joint CPT 23472 | $11,340.00 | $20,250.00 | not published | 0 |
| Reconstruct ulna/radioulnar CPT 25337 | $12,045.60 | $21,510.00 | not published | 0 |
| Reconstruct upper jaw bone CPT 21206 | $16,038.40 | $28,640.00 | not published | 0 |
| Reconstruct urethra/bladder CPT 53431 | $11,480.00 | $20,500.00 | not published | 0 |
| Reconstruct urethra stage 1 CPT 53420 | $11,480.00 | $20,500.00 | not published | 0 |
| Reconstruct urethra stage 2 CPT 53425 | $11,480.00 | $20,500.00 | not published | 0 |
| Red blood cells each unit HCPCS P9021 | $124.32 | $222.00 | not published | 0 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $362.28 | $646.92 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $214.48 | $383.00 | not published | 0 |
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.