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 |
|---|---|---|---|---|
| Body jacket mold to patient HCPCS L1300 | $2,352.00 | $4,200.00 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | not published | not published | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $504.00 | $900.00 | $142.00 – $142.00 | 1 |
| Bone filler cerament 10cc HCPCS C1602 | $44.80 | $80.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $1,696.80 | $3,030.00 | $537.00 – $537.00 | 1 |
| Bone/joint imaging ltd area CPT 78300 | $1,540.00 | $2,750.00 | $537.00 – $537.00 | 1 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,654.40 | $4,740.00 | not published | 0 |
| Bone marrow aspir bone grfg CPT 20939 | $1,758.40 | $3,140.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,021.60 | $3,610.00 | not published | 0 |
| Bone marrow harvest allogen CPT 38230 | $7,112.00 | $12,700.00 | not published | 0 |
| Bone marrow harvest autolog CPT 38232 | $12,952.80 | $23,130.00 | not published | 0 |
| Bone marrow imaging body CPT 78104 | $1,243.20 | $2,220.00 | $537.00 – $537.00 | 1 |
| Bone marrow imaging ltd CPT 78102 | $1,243.20 | $2,220.00 | $537.00 – $537.00 | 1 |
| Bone marrow imaging mult CPT 78103 | $1,243.20 | $2,220.00 | $537.00 – $537.00 | 1 |
| Bone marrow interpretation CPT 85097 | $1,758.40 | $3,140.00 | $872.00 – $872.00 | 1 |
| Bone mineral dual photon CPT 78351 | $974.40 | $1,740.00 | $13.00 – $13.00 | 1 |
| Bone mineral single photon CPT 78350 | $442.40 | $790.00 | $30.00 – $30.00 | 1 |
| Bone/skin graft great toe CPT 20973 | $14,481.60 | $25,860.00 | not published | 0 |
| Bone/skin graft metatarsal CPT 20972 | $14,481.60 | $25,860.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $1,024.80 | $1,830.00 | $142.00 – $142.00 | 1 |
| Bone tendon board add on HCPCS C9356 | $5,009.76 | $8,946.00 | not published | 0 |
| Bone void filler nanoss 10cc HCPCS C9362 | $5,593.00 | $9,987.50 | not published | 0 |
| Boot heel care softcare one sz HCPCS E0191 | $12.32 | $22.00 | not published | 0 |
| Boot j walker l HCPCS L4386 | $176.40 | $315.00 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $182.00 | $325.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $341.60 | $610.00 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $74.68 | $133.36 | not published | 0 |
| Borrelia antibody CPT 86619 | $77.84 | $139.00 | $13.00 – $13.00 | 1 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $30.80 | $55.00 | $16.00 – $16.00 | 1 |
| Borrelia miyamotoi amp prb CPT 87478 | $68.88 | $123.00 | $32.00 – $32.00 | 1 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,825.96 | $5,046.36 | $1.59 – $1.59 | 1 |
| (both sides) donor search management CPT 38204 | $576.80 | $1,030.00 | not published | 0 |
| (both sides) smear without diff wbc count CPT 85008 | $17.36 | $31.00 | $3.00 – $3.00 | 1 |
| Botulism ig IV CPT 90288 | $77,014.00 | $137,525.00 | not published | 0 |
| Bowel imaging CPT 78290 | $2,727.20 | $4,870.00 | $537.00 – $537.00 | 1 |
| Brace adj motion lerman type HCPCS L2186 | $159.60 | $285.00 | not published | 0 |
| Brace afo dbl upright cust HCPCS L1990 | $627.20 | $1,120.00 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $333.20 | $595.00 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $781.20 | $1,395.00 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $926.80 | $1,655.00 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $170.80 | $305.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $126.00 | $225.00 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $95.20 | $170.00 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $96.88 | $173.00 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $453.60 | $810.00 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,093.01 | $3,737.52 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $2,374.40 | $4,240.00 | not published | 0 |
| Brace back vista 464 tlso HCPCS L0648 | $287.50 | $513.40 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $1,131.20 | $2,020.00 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $428.40 | $765.00 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $134.40 | $240.00 | not published | 0 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,340.80 | $4,180.00 | not published | 0 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | $698.32 | $1,247.00 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $767.20 | $1,370.00 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $168.00 | $300.00 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $166.01 | $296.44 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $865.20 | $1,545.00 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $137.20 | $245.00 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,332.80 | $2,380.00 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,833.93 | $3,274.88 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $250.88 | $448.00 | not published | 0 |
| Brace tlso flex cust HCPCS L0450 | $246.40 | $440.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $89.04 | $159.00 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | $6,148.80 | $10,980.00 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $2,223.20 | $3,970.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,923.20 | $5,220.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $6,160.00 | $11,000.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $868.00 | $1,550.00 | not published | 0 |
| Brachy linear, non-str,p-103 HCPCS C2636 | $124.32 | $222.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $212.80 | $380.00 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $94.64 | $169.00 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $193.20 | $345.00 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $151.76 | $271.00 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $16,214.24 | $28,954.00 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $188.72 | $337.00 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $861.84 | $1,539.00 | not published | 0 |
| Brachy src stranded c-131 HCPCS C2642 | $287.28 | $513.00 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $3,920.00 | $7,000.00 | $489.00 – $489.00 | 1 |
| Brachytx isodose intermed CPT 77317 | $2,167.20 | $3,870.00 | $489.00 – $489.00 | 1 |
| Brachytx isodose plan simple CPT 77316 | $1,058.40 | $1,890.00 | $489.00 – $489.00 | 1 |
| Brachytx, non-str, gold-198 HCPCS C1716 | $123.76 | $221.00 | not published | 0 |
| Brachytx, non-str, ha, i-125 HCPCS C2634 | $91.28 | $163.00 | not published | 0 |
| Brachytx, non-str, ha, p-103 HCPCS C2635 | $122.08 | $218.00 | not published | 0 |
| Brachytx, ns, non-hdrir-192 HCPCS C1719 | $142.80 | $255.00 | not published | 0 |
| Braf gene CPT 81210 | $795.20 | $1,420.00 | $77.00 – $77.00 | 1 |
| Brain biopsy w/ct/mr guide CPT 61751 | $2,828.00 | $5,050.00 | not published | 0 |
| Brain flow imaging only CPT 78610 | $3,253.60 | $5,810.00 | $719.00 – $719.00 | 1 |
| Brain image < 4 views CPT 78600 | $2,268.00 | $4,050.00 | $537.00 – $537.00 | 1 |
| Brain image 4+ views CPT 78605 | $3,124.80 | $5,580.00 | $719.00 – $719.00 | 1 |
| Brain image w/flow < 4 views CPT 78601 | $3,550.40 | $6,340.00 | $537.00 – $537.00 | 1 |
| Brain image w/flow 4 + views CPT 78606 | $4,373.60 | $7,810.00 | $719.00 – $719.00 | 1 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $7,072.80 | $12,630.00 | $568.00 – $568.00 | 1 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $6,238.40 | $11,140.00 | $476.00 – $476.00 | 1 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $3,768.80 | $6,730.00 | $348.00 – $348.00 | 1 |
| Brain MRI (with and without contrast) CPT 70553 | $5,499.20 | $9,820.00 | $476.00 – $476.00 | 1 |
| Brain MRI (with contrast) CPT 70552 | $5,056.80 | $9,030.00 | $476.00 – $476.00 | 1 |
| Brain MRI (without contrast) CPT 70551 | $3,628.80 | $6,480.00 | $323.00 – $323.00 | 1 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $78.40 | $140.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | $3,908.80 | $6,980.00 | $204.00 – $204.00 | 1 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $3,908.80 | $6,980.00 | $255.00 – $255.00 | 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.