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 |
|---|---|---|---|---|
| Interscap-thor myoelectronic HCPCS L6975 | $20,890.80 | $37,305.00 | not published | 0 |
| Interscapular-thor switch CT HCPCS L6970 | $17,665.20 | $31,545.00 | not published | 0 |
| Interstitial brachy inter CPT 77799 | $182.00 | $325.00 | not published | 0 |
| Int hrhc lig 1 hroid without img CPT 46945 | $4,648.00 | $8,300.00 | not published | 0 |
| Int hrhc lig 2+hroid without img CPT 46946 | $6,759.20 | $12,070.00 | not published | 0 |
| Intl custm cong/latyp insert HCPCS L5681 | $1,453.20 | $2,595.00 | not published | 0 |
| Intra-atrial pacing CPT 93610 | $6,059.20 | $10,820.00 | not published | 0 |
| Intra-atrial recording CPT 93602 | $6,059.20 | $10,820.00 | not published | 0 |
| Intracard echo interv w/s&i CPT 93662 | $3,304.00 | $5,900.00 | not published | 0 |
| Intracran angioplsty w/stent CPT 61635 | $2,945.60 | $5,260.00 | not published | 0 |
| Intracranial angioplasty CPT 61630 | $2,755.20 | $4,920.00 | not published | 0 |
| Intracranial complete study CPT 93886 | $1,568.00 | $2,800.00 | not published | 0 |
| Intracranial limited study CPT 93888 | $498.40 | $890.00 | not published | 0 |
| Intranasal biopsy 30100 CPT 30100 | $4,788.00 | $8,550.00 | not published | 0 |
| Intranasal reconstruction CPT 30620 | $11,435.20 | $20,420.00 | not published | 0 |
| Intraop colon lavage add-on CPT 44701 | $431.20 | $770.00 | not published | 0 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $3,007.20 | $5,370.00 | not published | 0 |
| Intraop hipec px 1st 60 min CPT 96547 | $49.84 | $89.00 | not published | 0 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | $2,872.80 | $5,130.00 | not published | 0 |
| Intraoral periapical first HCPCS D0220 | $54.88 | $98.00 | not published | 0 |
| Intrapul surf admin endo tube CPT 94610 | $380.80 | $680.00 | not published | 0 |
| Intrauterine transfusion ftl CPT 36460 | $2,408.00 | $4,300.00 | not published | 0 |
| Intraventricular pacing CPT 93612 | $6,059.20 | $10,820.00 | not published | 0 |
| Intrinsic factor antibody CPT 86340 | $28.00 | $50.00 | $14.00 – $14.00 | 1 |
| Intrm oph exam est patient CPT 92012 | $146.72 | $262.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $3,836.00 | $6,850.00 | not published | 0 |
| Intro cath dialysis circuit w/pta CPT 36902 | $15,668.80 | $27,980.00 | not published | 0 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $17,427.20 | $31,120.00 | not published | 0 |
| Intro catheter aorta CPT 36200 | $2,693.60 | $4,810.00 | not published | 0 |
| Intro cath svc/ivc CPT 36010 | $4,256.00 | $7,600.00 | not published | 0 |
| Intro long gi tube CPT 44500 | $3,712.80 | $6,630.00 | not published | 0 |
| Intro long gi tube w/mult fluo CPT 74340 | $884.80 | $1,580.00 | not published | 0 |
| Intro windpipe wire/tube CPT 31730 | $3,287.20 | $5,870.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,561.60 | $6,360.00 | not published | 0 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,444.80 | $2,580.00 | not published | 0 |
| Intubation endotracheal emergency procedure CPT 31500 | $924.00 | $1,650.00 | not published | 0 |
| Io anal gast n-stim init CPT 95980 | $341.60 | $610.00 | not published | 0 |
| Io anal gast n-stim subsq CPT 95981 | $308.00 | $550.00 | not published | 0 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $310.24 | $554.00 | $220.00 – $220.00 | 1 |
| Iodine i-125 sodium iodide HCPCS A9527 | $394.80 | $705.00 | $282.00 – $282.00 | 1 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | $159,864.60 | $285,472.50 | not published | 0 |
| Io ga n-stim subsq w/reprog CPT 95982 | $254.24 | $454.00 | not published | 0 |
| Ionm in operatng room 15 min CPT 95940 | $403.20 | $720.00 | not published | 0 |
| Ionm remote/>1 pt or per hr CPT 95941 | $436.80 | $780.00 | not published | 0 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $256.73 | $458.44 | $0.45 – $0.45 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $446.88 | $798.00 | $0.15 – $0.15 | 1 |
| Io radiation tx management CPT 77469 | $868.00 | $1,550.00 | $398.00 – $398.00 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | $10,500.00 | $18,750.00 | not published | 0 |
| Io rad tx delivery by x-ray CPT 77424 | $6,221.60 | $11,110.00 | not published | 0 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $2.24 | $4.00 | not published | 0 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $58,439.04 | $104,355.43 | $183.00 – $183.00 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | not published | not published | $0.39 – $0.39 | 1 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $306.68 | $547.65 | $1.40 – $1.40 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $5,359.40 | $9,570.36 | $65.00 – $65.00 | 1 |
| Iron CPT 83540 | $80.08 | $143.00 | $6.00 – $6.00 | 1 |
| Iron binding capacity CPT 83550 | $84.00 | $150.00 | $8.00 – $8.00 | 1 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $87.99 | $157.12 | $18.00 – $18.00 | 1 |
| Iron stain peripheral blood CPT 85536 | $105.84 | $189.00 | $6.00 – $6.00 | 1 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $229.73 | $410.24 | $0.23 – $0.23 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $83.44 | $149.00 | $42.00 – $42.00 | 1 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $212.80 | $380.00 | not published | 0 |
| Irrigation sphenoid sinus CPT 31002 | $3,444.00 | $6,150.00 | not published | 0 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $666.40 | $1,190.00 | not published | 0 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | $7,624.79 | $13,615.70 | $83.00 – $83.00 | 1 |
| Island pedicle flap graft CPT 15740 | $4,844.00 | $8,650.00 | not published | 0 |
| IV cipaglucosidase alfa-atga HCPCS G0138 | not published | not published | $222.00 – $222.00 | 1 |
| Ivc venogram s&i CPT 75825 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $369.60 | $660.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $347.20 | $620.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $442.40 | $790.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $840.00 | $1,500.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $1,092.00 | $1,950.00 | $537.00 – $537.00 | 1 |
| IV njx tst vasc flo flap/grf CPT 15860 | $476.00 | $850.00 | not published | 0 |
| Ivp w/nephrotomography CPT 74415 | $1,887.20 | $3,370.00 | $238.00 – $238.00 | 1 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,920.80 | $3,430.00 | $238.00 – $238.00 | 1 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $10,584.72 | $18,901.28 | $139.00 – $139.00 | 1 |
| Jak2 targeted sequence analysis CPT 81279 | $313.60 | $560.00 | $81.00 – $81.00 | 1 |
| Jaw arthroscopy/surgery CPT 29800 | $8,769.60 | $15,660.00 | not published | 0 |
| Jaw arthroscopy/surgery CPT 29804 | $8,769.60 | $15,660.00 | not published | 0 |
| Jejunstmy tube plcmt CPT 44372 | $1,428.00 | $2,550.00 | not published | 0 |
| John cunningham antibody CPT 86711 | $176.40 | $315.00 | $16.00 – $16.00 | 1 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $1,643.60 | $2,935.00 | not published | 0 |
| Kafo dbl solid stirrup without j HCPCS L2030 | $1,428.00 | $2,550.00 | not published | 0 |
| Kafo fem fx cast molded to p HCPCS L2128 | $2,270.80 | $4,055.00 | not published | 0 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | $1,360.80 | $2,430.00 | not published | 0 |
| Kafo fem fx cast thermoplas HCPCS L2126 | $1,447.60 | $2,585.00 | not published | 0 |
| Kafo femoral fx cast rigid HCPCS L2136 | $1,666.00 | $2,975.00 | not published | 0 |
| Kafo femoral fx cast soft HCPCS L2132 | $879.20 | $1,570.00 | not published | 0 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | $2,209.20 | $3,945.00 | not published | 0 |
| Kafo plas sing free knee mol HCPCS L2037 | $2,343.60 | $4,185.00 | not published | 0 |
| Kafo plastic pediatric size HCPCS L2035 | $193.20 | $345.00 | not published | 0 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | $1,428.00 | $2,550.00 | not published | 0 |
| Kafo sng/dbl mechanical act HCPCS L2005 | $4,513.60 | $8,060.00 | not published | 0 |
| Kafo sng solid stirrup without j HCPCS L2010 | $1,302.00 | $2,325.00 | not published | 0 |
| Kafo without joint multi-axis an HCPCS L2038 | $1,724.80 | $3,080.00 | not published | 0 |
| Keratomileusis CPT 65760 | $2,335.20 | $4,170.00 | not published | 0 |
| Keratophakia CPT 65765 | $3,382.40 | $6,040.00 | not published | 0 |
| Keratoprosthesis CPT 65770 | $23,604.00 | $42,150.00 | not published | 0 |
| Kerecis marigen shld sq cm HCPCS A2019 | $44.80 | $80.00 | not published | 0 |
| Ketamine and metabolite screen - quest CPT 80357 | $80.08 | $143.00 | $29.00 – $29.00 | 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.