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 |
|---|---|---|---|---|
| Drainage of mouth lesion CPT 41009 | $1,971.20 | $3,520.00 | not published | 0 |
| Drainage of mouth lesion CPT 41015 | $1,904.00 | $3,400.00 | not published | 0 |
| Drainage of mouth lesion CPT 41016 | $7,912.80 | $14,130.00 | not published | 0 |
| Drainage of mouth lesion CPT 41017 | $7,352.80 | $13,130.00 | not published | 0 |
| Drainage of mouth lesion CPT 41018 | $3,914.40 | $6,990.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $683.20 | $1,220.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,640.80 | $2,930.00 | not published | 0 |
| Drainage of pelvis bursa CPT 26991 | $6,675.20 | $11,920.00 | not published | 0 |
| Drainage of pelvis lesion 26990 CPT 26990 | $8,170.40 | $14,590.00 | not published | 0 |
| Drainage of prostate abscess CPT 52700 | $11,508.00 | $20,550.00 | not published | 0 |
| Drainage of prostate abscess CPT 55720 | $6,232.80 | $11,130.00 | not published | 0 |
| Drainage of prostate abscess CPT 55725 | $6,115.20 | $10,920.00 | not published | 0 |
| Drainage of rectal abscess CPT 45005 | $6,384.00 | $11,400.00 | not published | 0 |
| Drainage of rectal abscess 45020 CPT 45020 | $9,979.20 | $17,820.00 | not published | 0 |
| Drainage of salivary gland CPT 42305 | $10,080.00 | $18,000.00 | not published | 0 |
| Drainage of salivary gland CPT 42320 | $1,864.80 | $3,330.00 | not published | 0 |
| Drainage of throat abscess CPT 42725 | $16,038.40 | $28,640.00 | not published | 0 |
| Drainage of urethra abscess CPT 53040 | $11,586.40 | $20,690.00 | not published | 0 |
| Drainage of urethra abscess 53060 CPT 53060 | $6,115.20 | $10,920.00 | not published | 0 |
| Drainage of urinary leakage CPT 53080 | $6,115.20 | $10,920.00 | not published | 0 |
| Drainage of urinary leakage CPT 53085 | $6,115.20 | $10,920.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | $2,760.80 | $4,930.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $403.20 | $720.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $7,072.80 | $12,630.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $4,737.60 | $8,460.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $2,710.40 | $4,840.00 | not published | 0 |
| Drain chest lesion CPT 21502 | $6,412.00 | $11,450.00 | not published | 0 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $197.61 | $352.88 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $784.00 | $1,400.00 | not published | 0 |
| Drain lower leg bursa CPT 27604 | $10,595.20 | $18,920.00 | not published | 0 |
| Drain lower leg lesion 27603 CPT 27603 | $7,655.20 | $13,670.00 | not published | 0 |
| Drain neck/chest lesion 21501 CPT 21501 | $8,573.60 | $15,310.00 | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | $7,285.60 | $13,010.00 | not published | 0 |
| Drain ovary abscess open CPT 58820 | $7,145.60 | $12,760.00 | not published | 0 |
| Drain penis lesion CPT 54015 | $6,932.80 | $12,380.00 | not published | 0 |
| Drain shoulder bone lesion CPT 23035 | $5,112.80 | $9,130.00 | not published | 0 |
| Drain shoulder bursa 23031 CPT 23031 | $5,118.40 | $9,140.00 | not published | 0 |
| Drain shoulder lesion CPT 23030 | $8,573.60 | $15,310.00 | not published | 0 |
| Drain thigh/knee lesion 27301 CPT 27301 | $8,573.60 | $15,310.00 | not published | 0 |
| Drain thyroid/tongue cyst CPT 60000 | $3,914.40 | $6,990.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $649.60 | $1,160.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $627.20 | $1,120.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $1,092.00 | $1,950.00 | not published | 0 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $543.20 | $970.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $8,756.68 | $15,636.92 | not published | 0 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $666.40 | $1,190.00 | not published | 0 |
| Driver pneumatic vad, rep HCPCS Q0480 | $107,185.12 | $191,402.00 | not published | 0 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | $3,808.00 | $6,800.00 | not published | 0 |
| Drm agrft t/a/l ea addl CPT 15131 | $3,808.00 | $6,800.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $7,694.40 | $13,740.00 | not published | 0 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,702.40 | $3,040.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $6,395.20 | $11,420.00 | not published | 0 |
| Drng of hydrocele 55000 CPT 55000 | $3,298.40 | $5,890.00 | not published | 0 |
| Drng of mouth lesion 40801 CPT 40801 | $3,382.40 | $6,040.00 | not published | 0 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $8,002.40 | $14,290.00 | not published | 0 |
| Drng of palm multi bursas 26030 CPT 26030 | $6,412.00 | $11,450.00 | not published | 0 |
| Drng of palm single bursa 26025 CPT 26025 | $6,412.00 | $11,450.00 | not published | 0 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $6,434.40 | $11,490.00 | not published | 0 |
| Drng of salivary cyst 42409 CPT 42409 | $8,820.00 | $15,750.00 | not published | 0 |
| Drng of scrotum abscess 55100 CPT 55100 | $6,305.60 | $11,260.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $4,138.40 | $7,390.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $4,788.00 | $8,550.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $2,559.20 | $4,570.00 | not published | 0 |
| Dronabinol 2.5mg oral HCPCS Q0167 | $3.92 | $7.00 | $1.67 – $1.67 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $5.84 | $10.42 | $5.36 – $5.36 | 1 |
| Drop lock knee HCPCS L2182 | $114.80 | $205.00 | not published | 0 |
| Drop lock retainer each HCPCS L2785 | $44.80 | $80.00 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $48,300.00 | $86,250.00 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $14.00 | $25.00 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $16,459.80 | $29,392.50 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $3,396.98 | $6,066.03 | not published | 0 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $616.00 | $1,100.00 | not published | 0 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | $44.80 | $80.00 | not published | 0 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $146.16 | $261.00 | not published | 0 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $8,040.27 | $14,357.63 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $44.80 | $80.00 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $1,512.00 | $2,700.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $187.60 | $335.00 | $35.00 – $35.00 | 1 |
| Drug assay posaconazole CPT 80187 | $46.48 | $83.00 | $26.00 – $26.00 | 1 |
| Drug assay rufinamide CPT 80210 | $63.84 | $114.00 | $26.00 – $26.00 | 1 |
| Drug assay vedolizumab CPT 80280 | $136.08 | $243.00 | $35.00 – $35.00 | 1 |
| Drug assay voriconazole CPT 80285 | $46.48 | $83.00 | $26.00 – $26.00 | 1 |
| Drug asy hydroxychloroquine CPT 80220 | $43.68 | $78.00 | $18.00 – $18.00 | 1 |
| Drug of abuse screen urine CPT 80305 | $85.68 | $153.00 | $11.00 – $11.00 | 1 |
| Drug screening tapentadol CPT 80372 | $80.08 | $143.00 | $29.00 – $29.00 | 1 |
| Drug screen quant tiagabine CPT 80199 | $219.52 | $392.00 | $26.00 – $26.00 | 1 |
| Drug/substance nos 4-6 CPT 80376 | $80.08 | $143.00 | $29.00 – $29.00 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $1,383.20 | $2,470.00 | $184.00 – $184.00 | 1 |
| Drug test def 1-7 classes HCPCS G0480 | $364.00 | $650.00 | $105.00 – $105.00 | 1 |
| Drug test def 22+ classes HCPCS G0483 | $1,780.80 | $3,180.00 | $228.00 – $228.00 | 1 |
| Drug test def 8-14 classes HCPCS G0481 | $403.20 | $720.00 | $145.00 – $145.00 | 1 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $57.00 – $57.00 | 1 |
| Drug test prsmv instrmnt CPT 80306 | $481.60 | $860.00 | $16.00 – $16.00 | 1 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $515.20 | $920.00 | $57.00 – $57.00 | 1 |
| Drvvt confirm - quest CPT 85597 | $109.20 | $195.00 | $16.00 – $16.00 | 1 |
| Dry needling (97799) CPT 97799 | $20.72 | $37.00 | not published | 0 |
| Dstrj extensive retinopathy CPT 67227 | $4,877.60 | $8,710.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $6,227.20 | $11,120.00 | not published | 0 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $1,713.60 | $3,060.00 | not published | 0 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $1,108.80 | $1,980.00 | 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.