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 |
|---|---|---|---|---|
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $420.00 | $750.00 | not published | 0 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $151.20 | $270.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $105.84 | $189.00 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $122.08 | $218.00 | not published | 0 |
| Acoustic refl threshold tst CPT 92568 | $154.00 | $275.00 | not published | 0 |
| Acromp/acromionectomy prtl CPT 23130 | $9,564.80 | $17,080.00 | not published | 0 |
| Acth stimulation panel CPT 80402 | $834.40 | $1,490.00 | $80.00 – $80.00 | 1 |
| Acth stimulation panel CPT 80406 | $750.40 | $1,340.00 | $72.00 – $72.00 | 1 |
| Actigraphy testing CPT 95803 | $261.52 | $467.00 | not published | 0 |
| Actinotherapy uv light CPT 96900 | $156.80 | $280.00 | not published | 0 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $78.96 | $141.00 | not published | 0 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $70.56 | $126.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $28.00 | $50.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $76.16 | $136.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $272.16 | $486.00 | $45.00 – $45.00 | 1 |
| Acute venous thrombus image CPT 78456 | $4,390.40 | $7,840.00 | $1,742.00 – $1,742.00 | 1 |
| Acyclovir 400 mg tablet HCPCS J8499 | $1,264.04 | $2,257.22 | not published | 0 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $82.77 | $147.80 | $0.03 – $0.03 | 1 |
| #acylcarnitineprfl CPT 82017 | $223.44 | $399.00 | $16.00 – $16.00 | 1 |
| Acylcarnitines qual CPT 82016 | $141.12 | $252.00 | $16.00 – $16.00 | 1 |
| Adapt behavior tx phys/qhp CPT 97155 | $336.00 | $600.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $48,300.00 | $86,250.00 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | $235.20 | $420.00 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $683.20 | $1,220.00 | not published | 0 |
| Additional switch, ext power HCPCS L6611 | $490.00 | $875.00 | not published | 0 |
| Add le poly knee custom kafo HCPCS L2387 | $235.20 | $420.00 | not published | 0 |
| Add ue prost a/e acrylic HCPCS L7404 | $616.00 | $1,100.00 | not published | 0 |
| Add ue prost a/e ultlite mat HCPCS L7401 | $380.80 | $680.00 | not published | 0 |
| Add ue prost b/e acrylic HCPCS L7403 | $408.80 | $730.00 | not published | 0 |
| Add ue prost be/wd, ultlite HCPCS L7400 | $338.80 | $605.00 | not published | 0 |
| Add ue prost s/d acrylic HCPCS L7405 | $803.60 | $1,435.00 | not published | 0 |
| Add ue prost s/d ultlite mat HCPCS L7402 | $411.60 | $735.00 | not published | 0 |
| Add up-ex prosthes lock mech HCPCS L6698 | $747.60 | $1,335.00 | not published | 0 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $293.54 | $524.17 | $0.46 – $0.46 | 1 |
| Adenovirus ag ia CPT 87301 | $104.72 | $187.00 | $11.00 – $11.00 | 1 |
| Adenovirus antibody,serum - quest CPT 86603 | $33.60 | $60.00 | $11.00 – $11.00 | 1 |
| Adenovirus assay w/optic CPT 87809 | $94.08 | $168.00 | $21.00 – $21.00 | 1 |
| Adenovirus vaccine type 4 CPT 90476 | $107.52 | $192.00 | not published | 0 |
| Adhesive, liquid or equal HCPCS A4364 | $3.92 | $7.00 | not published | 0 |
| Adh-sendout CPT 84588 | $92.40 | $165.00 | $32.00 – $32.00 | 1 |
| Adj gastric band via subq port CPT 43999 | $19,600.00 | $35,000.00 | not published | 0 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $13,490.40 | $24,090.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $7,403.20 | $13,220.00 | not published | 0 |
| Adjustment gastric band HCPCS S2083 | $89.04 | $159.00 | not published | 0 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $2,600.89 | $4,644.44 | not published | 0 |
| Admin ecg contrast agent CPT 93352 | $111.44 | $199.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $403.20 | $720.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $504.00 | $900.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,103.20 | $1,970.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $845.60 | $1,510.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $347.20 | $620.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $543.20 | $970.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $122.64 | $219.00 | not published | 0 |
| Administration immunization each additional component CPT 90461 | $202.16 | $361.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $98.56 | $176.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $202.16 | $361.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $63.84 | $114.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $189.84 | $339.00 | not published | 0 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $44.80 | $80.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $122.64 | $219.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $122.64 | $219.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $122.64 | $219.00 | not published | 0 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $64.96 | $116.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $11,178.28 | $19,961.21 | $42.00 – $42.00 | 1 |
| Adrenal cortex & medulla img CPT 78075 | $4,300.80 | $7,680.00 | $1,742.00 – $1,742.00 | 1 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | $64.96 | $116.00 | not published | 0 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | $64.96 | $116.00 | not published | 0 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | $202.16 | $361.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | $672.00 | $1,200.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $845.60 | $1,510.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $845.60 | $1,510.00 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | $81,302.70 | $145,183.40 | $2,943.00 – $2,943.00 | 1 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $792,430.00 – $792,430.00 | 1 |
| _afb id by dna probe rflx ast CPT 87149 | $93.52 | $167.00 | $19.00 – $19.00 | 1 |
| #afb mycobacteria suscep. #1 CPT 87190 | $22.96 | $41.00 | $6.00 – $6.00 | 1 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $599.20 | $1,070.00 | $107.00 – $107.00 | 1 |
| Aff2 gen aly detc abnl allel CPT 81171 | $313.60 | $560.00 | $61.00 – $61.00 | 1 |
| Aff2 gen alys charac alleles CPT 81172 | $627.20 | $1,120.00 | $120.00 – $120.00 | 1 |
| Aflibercept injection HCPCS J0178 | $3,396.44 | $6,065.07 | $957.00 – $957.00 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | $663.60 | $1,185.00 | not published | 0 |
| Afo molded plas rig ant tib HCPCS L1945 | $1,304.80 | $2,330.00 | not published | 0 |
| Afo molded to patient plasti HCPCS L1940 | $697.20 | $1,245.00 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $985.60 | $1,760.00 | not published | 0 |
| Afo sing bar clasp attach sh HCPCS L1910 | $378.00 | $675.00 | not published | 0 |
| Afo sing solid stirrup calf HCPCS L1980 | $518.00 | $925.00 | not published | 0 |
| Afo sing upright with adjust s HCPCS L1920 | $386.40 | $690.00 | not published | 0 |
| Afo spiral molded to pt plas HCPCS L1950 | $1,050.00 | $1,875.00 | not published | 0 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | $324.80 | $580.00 | not published | 0 |
| Afo supramalleolar custom HCPCS L1907 | $621.60 | $1,110.00 | not published | 0 |
| Afo tib fx cast molded to pt HCPCS L2108 | $1,391.60 | $2,485.00 | not published | 0 |
| Afo tib fx cast plaster mold HCPCS L2106 | $957.60 | $1,710.00 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $817.60 | $1,460.00 | not published | 0 |
| Afo tibial fracture rigid HCPCS L2116 | $1,821.16 | $3,252.08 | not published | 0 |
| Afo tibial fracture soft HCPCS L2112 | $4,620.00 | $8,250.00 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $2,233.28 | $3,988.00 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $518.00 | $925.00 | not published | 0 |
| After cataract laser surgery CPT 66821 | $2,704.80 | $4,830.00 | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $13,678.96 | $24,426.71 | $230.00 – $230.00 | 1 |
| Air conduction bilat CPT 92552 | $176.40 | $315.00 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $386.40 | $690.00 | 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.