Vallejo Medical Center
975 SERENO DRIVE, VALLEJO, CA · Kaiserpermanente · · NPI 1366513509
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 |
|---|---|---|---|---|
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,355.20 | $2,420.00 | $238.00 – $238.00 | 1 |
| X-ray consultation CPT 76140 | $40.88 | $73.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $532.00 | $950.00 | $118.00 – $118.00 | 1 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $616.00 | $1,100.00 | $118.00 – $118.00 | 1 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $1,047.20 | $1,870.00 | $238.00 – $238.00 | 1 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $733.60 | $1,310.00 | $142.00 – $142.00 | 1 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,092.00 | $1,950.00 | $142.00 – $142.00 | 1 |
| X-ray exam of arm infant CPT 73092 | $716.80 | $1,280.00 | $142.00 – $142.00 | 1 |
| X-ray exam of eye sockets CPT 70200 | $784.00 | $1,400.00 | $142.00 – $142.00 | 1 |
| X-ray exam of femur 1 CPT 73551 | $464.80 | $830.00 | $118.00 – $118.00 | 1 |
| X-ray exam of jaw joint CPT 70328 | $380.80 | $680.00 | $118.00 – $118.00 | 1 |
| X-ray exam of jaw joint CPT 70332 | $1,758.40 | $3,140.00 | $323.00 – $323.00 | 1 |
| X-ray exam of mastoids CPT 70120 | $739.20 | $1,320.00 | $142.00 – $142.00 | 1 |
| X-ray exam of middle ear CPT 70134 | $1,495.20 | $2,670.00 | $731.00 – $731.00 | 1 |
| X-ray exam of penis CPT 74445 | $1,629.60 | $2,910.00 | $142.00 – $142.00 | 1 |
| X-ray exam of perineum CPT 74775 | $1,758.40 | $3,140.00 | $323.00 – $323.00 | 1 |
| X-ray exam of salivary gland CPT 70380 | $319.20 | $570.00 | $118.00 – $118.00 | 1 |
| X-ray exam of sinuses CPT 70210 | $257.04 | $459.00 | $118.00 – $118.00 | 1 |
| X-ray exam of tear duct CPT 70170 | $2,161.60 | $3,860.00 | $323.00 – $323.00 | 1 |
| X-ray exam of teeth CPT 70300 | $616.00 | $1,100.00 | $118.00 – $118.00 | 1 |
| X-ray exam of teeth CPT 70310 | $1,232.00 | $2,200.00 | $323.00 – $323.00 | 1 |
| X-ray exam si joints CPT 72200 | $347.20 | $620.00 | $142.00 – $142.00 | 1 |
| X-ray exam thorac spine4/>vw CPT 72074 | $677.60 | $1,210.00 | $142.00 – $142.00 | 1 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $257.04 | $459.00 | $118.00 – $118.00 | 1 |
| X-ray facial bones complete > 3 views CPT 70150 | $492.80 | $880.00 | $142.00 – $142.00 | 1 |
| X-ray fallopian tube CPT 74742 | $2,223.20 | $3,970.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $492.80 | $880.00 | $118.00 – $118.00 | 1 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $492.80 | $880.00 | $118.00 – $118.00 | 1 |
| X-ray foot 2 views (both sides) CPT 73620 | $470.40 | $840.00 | $118.00 – $118.00 | 1 |
| X-ray forearm 2 views (both sides) CPT 73090 | $588.00 | $1,050.00 | $118.00 – $118.00 | 1 |
| X-ray hand 2 views (both sides) CPT 73120 | $431.20 | $770.00 | $142.00 – $142.00 | 1 |
| X-ray head for orthodontia CPT 70350 | $554.40 | $990.00 | $118.00 – $118.00 | 1 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $532.00 | $950.00 | $118.00 – $118.00 | 1 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $492.80 | $880.00 | $142.00 – $142.00 | 1 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $526.40 | $940.00 | $142.00 – $142.00 | 1 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $571.20 | $1,020.00 | $142.00 – $142.00 | 1 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $739.20 | $1,320.00 | $142.00 – $142.00 | 1 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $352.80 | $630.00 | $118.00 – $118.00 | 1 |
| X-ray humerus >= 2 views left CPT 73060 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray joint survey 1 view CPT 77077 | $375.20 | $670.00 | $142.00 – $142.00 | 1 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $403.20 | $720.00 | $118.00 – $118.00 | 1 |
| X-ray knee 3 views (both sides) CPT 73562 | $459.20 | $820.00 | $118.00 – $118.00 | 1 |
| X-ray knee ap standing bilateral CPT 73565 | $238.56 | $426.00 | $118.00 – $118.00 | 1 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $996.80 | $1,780.00 | $142.00 – $142.00 | 1 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $588.00 | $1,050.00 | $142.00 – $142.00 | 1 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $677.60 | $1,210.00 | $142.00 – $142.00 | 1 |
| X-ray male genital tract CPT 74440 | $2,083.20 | $3,720.00 | $323.00 – $323.00 | 1 |
| X-ray mandible complete > 4 views CPT 70110 | $968.80 | $1,730.00 | $142.00 – $142.00 | 1 |
| X-ray mandible ltd <4 views CPT 70100 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray neck soft tissue CPT 70360 | $464.80 | $830.00 | $118.00 – $118.00 | 1 |
| X-ray nose to rectum for foreign body child CPT 76010 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray of mammary ducts CPT 77054 | $694.40 | $1,240.00 | $323.00 – $323.00 | 1 |
| X-ray optic foramina CPT 70190 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray pelvis 1-2 views CPT 72170 | $526.40 | $940.00 | $142.00 – $142.00 | 1 |
| X-ray pelvis complete > 3 views CPT 72190 | $554.40 | $990.00 | $142.00 – $142.00 | 1 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $1,052.80 | $1,880.00 | $476.00 – $476.00 | 1 |
| X-ray ribs 2 views left CPT 71100 | $431.20 | $770.00 | $118.00 – $118.00 | 1 |
| X-ray ribs 3 views bilateral CPT 71110 | $616.00 | $1,100.00 | $142.00 – $142.00 | 1 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $616.00 | $1,100.00 | $142.00 – $142.00 | 1 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $739.20 | $1,320.00 | $142.00 – $142.00 | 1 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $728.00 | $1,300.00 | $142.00 – $142.00 | 1 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $515.20 | $920.00 | $118.00 – $118.00 | 1 |
| X-ray scapula complete (both sides) CPT 73010 | $879.20 | $1,570.00 | $142.00 – $142.00 | 1 |
| X-ray sella turcica CPT 70240 | $604.80 | $1,080.00 | $118.00 – $118.00 | 1 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $599.20 | $1,070.00 | $118.00 – $118.00 | 1 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $308.00 | $550.00 | $118.00 – $118.00 | 1 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $1,383.20 | $2,470.00 | $731.00 – $731.00 | 1 |
| X-ray skull < 4 views CPT 70250 | $683.20 | $1,220.00 | $142.00 – $142.00 | 1 |
| X-ray skull > 4 views complete CPT 70260 | $1,002.40 | $1,790.00 | $142.00 – $142.00 | 1 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $974.40 | $1,740.00 | $142.00 – $142.00 | 1 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $481.60 | $860.00 | $238.00 – $238.00 | 1 |
| X-ray small intestine follow-through study CPT 74248 | $1,540.00 | $2,750.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $498.40 | $890.00 | $118.00 – $118.00 | 1 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $644.00 | $1,150.00 | $118.00 – $118.00 | 1 |
| X-ray sternum > 2 views CPT 71120 | $560.00 | $1,000.00 | $118.00 – $118.00 | 1 |
| X-ray surgical specimen CPT 76098 | $1,383.20 | $2,470.00 | $731.00 – $731.00 | 1 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,170.40 | $2,090.00 | $238.00 – $238.00 | 1 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $565.60 | $1,010.00 | $118.00 – $118.00 | 1 |
| X-ray thoracic spine 2 views CPT 72070 | $554.40 | $990.00 | $142.00 – $142.00 | 1 |
| X-ray thoracic spine 3 views CPT 72072 | $588.00 | $1,050.00 | $142.00 – $142.00 | 1 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $352.80 | $630.00 | $118.00 – $118.00 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $257.04 | $459.00 | $118.00 – $118.00 | 1 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $341.60 | $610.00 | $142.00 – $142.00 | 1 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $576.80 | $1,030.00 | $118.00 – $118.00 | 1 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $330.40 | $590.00 | $118.00 – $118.00 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $739.20 | $1,320.00 | $238.00 – $238.00 | 1 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $616.00 | $1,100.00 | $238.00 – $238.00 | 1 |
| X-ray wrist 2 views (both sides) CPT 73100 | $509.60 | $910.00 | $118.00 – $118.00 | 1 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $968.80 | $1,730.00 | $238.00 – $238.00 | 1 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $789.60 | $1,410.00 | not published | 0 |
| Xwrap 1 sq cm HCPCS Q4204 | $16.80 | $30.00 | not published | 0 |
| Xylose absorption test blood &/or urine CPT 84620 | $120.96 | $216.00 | $11.00 – $11.00 | 1 |
| Xyntha inj HCPCS J7185 | $7.16 | $12.79 | $1.54 – $1.54 | 1 |
| Yersinia antibody CPT 86793 | $33.60 | $60.00 | $13.00 – $13.00 | 1 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $109,383.86 | $195,328.32 | $93,567.00 – $93,567.00 | 1 |
| Ziconotide injection HCPCS J2278 | $10,414.45 | $18,597.24 | $10.00 – $10.00 | 1 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $69.48 | $124.07 | $1.51 – $1.51 | 1 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.69 – $1.69 | 1 |
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.