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 |
|---|---|---|---|---|
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $73.36 | $131.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $666.40 | $1,190.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $616.00 | $1,100.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $10,746.40 | $19,190.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $616.00 | $1,100.00 | not published | 0 |
| Prealbumin CPT 84134 | $114.24 | $204.00 | $13.00 – $13.00 | 1 |
| Pr ecg 12 lead report only CPT 93010 | $52.64 | $94.00 | not published | 0 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $1,465.60 | $2,617.15 | $0.27 – $0.27 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | $228.26 | $407.60 | $0.01 – $0.01 | 1 |
| Prefab glove for term device HCPCS L6890 | $257.60 | $460.00 | not published | 0 |
| Prefab stnlss steel crown pe HCPCS D2931 | $1,685.60 | $3,010.00 | not published | 0 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $845.60 | $1,510.00 | not published | 0 |
| Pregabalin - sendout CPT 80366 | $80.08 | $143.00 | $29.00 – $29.00 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $7,168.00 | $12,800.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | $152.88 | $273.00 | $14.00 – $14.00 | 1 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $946.40 | $1,690.00 | $142.00 – $142.00 | 1 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,299.20 | $2,320.00 | $142.00 – $142.00 | 1 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $1,568.00 | $2,800.00 | not published | 0 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $1,579.20 | $2,820.00 | not published | 0 |
| Pre-op service lvrs complete HCPCS G0302 | $4,127.20 | $7,370.00 | not published | 0 |
| Prep ak ischial direct form HCPCS L5570 | $2,898.00 | $5,175.00 | not published | 0 |
| Prep ak ischial laminated HCPCS L5590 | $3,603.60 | $6,435.00 | not published | 0 |
| Prep ak ischial plast molded HCPCS L5560 | $2,643.20 | $4,720.00 | not published | 0 |
| Prep ak ischial thermo mold HCPCS L5580 | $3,516.80 | $6,280.00 | not published | 0 |
| Preparation for bladder xray CPT 51605 | $1,366.40 | $2,440.00 | not published | 0 |
| Preparation palate mold CPT 42280 | $1,864.80 | $3,330.00 | not published | 0 |
| Prepare embryo for transfer CPT 89255 | $273.28 | $488.00 | not published | 0 |
| Prepare fecal microbiota CPT 44705 | $425.60 | $760.00 | not published | 0 |
| Prepare penis study CPT 54230 | $275.52 | $492.00 | not published | 0 |
| Prepare sperm duct x-ray CPT 55300 | $504.00 | $900.00 | not published | 0 |
| Prep bk ptb laminated socket HCPCS L5540 | $2,713.20 | $4,845.00 | not published | 0 |
| Prep bk ptb open end socket HCPCS L5535 | $2,542.40 | $4,540.00 | not published | 0 |
| Prep bk ptb plaster molded HCPCS L5510 | $1,979.60 | $3,535.00 | not published | 0 |
| Prep bk ptb thermopls molded HCPCS L5530 | $2,590.00 | $4,625.00 | not published | 0 |
| Prep corneal endo allograft CPT 65757 | $1,484.00 | $2,650.00 | not published | 0 |
| Prepj skn cll ssp agrft 1st CPT 15013 | $17,886.40 | $31,940.00 | not published | 0 |
| Prepj tum cav iort prtl mast CPT 19294 | $980.00 | $1,750.00 | not published | 0 |
| Pre-plan 3d model w/ccta HCPCS C9793 | $2,508.80 | $4,480.00 | not published | 0 |
| Prep skin cell susp, automtd HCPCS C8002 | $13,652.80 | $24,380.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $4,468.80 | $7,980.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $5,107.20 | $9,120.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $1,848.00 | $3,300.00 | not published | 0 |
| Pressure max expiratory/inspiratory CPT 94799 | $263.20 | $470.00 | not published | 0 |
| Pressure treatment esophagus CPT 43460 | $621.60 | $1,110.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $1,786.40 | $3,190.00 | not published | 0 |
| Pre-tibial shell molded to p HCPCS L2340 | $630.00 | $1,125.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $470.40 | $840.00 | $184.00 – $184.00 | 1 |
| Pretreat rbc absorption reference CPT 86978 | $199.92 | $357.00 | $64.00 – $64.00 | 1 |
| Pretreat rbc density gradient separation reference CPT 86972 | $403.20 | $720.00 | $184.00 – $184.00 | 1 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $162.40 | $290.00 | $64.00 – $64.00 | 1 |
| Pretreat rbc w enzyme reference CPT 86971 | $828.80 | $1,480.00 | $184.00 – $184.00 | 1 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $2,178.40 | $3,890.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $392.00 | $700.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $3,796.80 | $6,780.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $6,316.80 | $11,280.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,657.60 | $2,960.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $208.88 | $373.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $249.20 | $445.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $230.16 | $411.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $548.80 | $980.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $548.80 | $980.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $364.00 | $650.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $5,314.40 | $9,490.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $11,933.60 | $21,310.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $9,066.40 | $16,190.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $1,108.80 | $1,980.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $996.80 | $1,780.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,226.40 | $2,190.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $2,223.20 | $3,970.00 | not published | 0 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $319.20 | $570.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $319.20 | $570.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $291.20 | $520.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $7,089.60 | $12,660.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $48,300.00 | $86,250.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $1,159.20 | $2,070.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68811 | $6,988.80 | $12,480.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $6,652.80 | $11,880.00 | not published | 0 |
| Probe nl duct w/balloon CPT 68816 | $6,871.20 | $12,270.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $1,051.12 | $1,877.00 | $194.00 – $194.00 | 1 |
| Procalcitonin CPT 84145 | $201.60 | $360.00 | $26.00 – $26.00 | 1 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | $116.48 | $208.00 | $49.00 – $49.00 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $23.93 | $42.74 | $2.52 – $2.52 | 1 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.42 – $0.42 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | $8,164.80 | $14,580.00 | not published | 0 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | $4,648.00 | $8,300.00 | not published | 0 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | $4,648.00 | $8,300.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $2,536.80 | $4,530.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45308 | $5,129.60 | $9,160.00 | not published | 0 |
| Proctosigmoidoscopy removal CPT 45309 | $4,200.00 | $7,500.00 | not published | 0 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | $4,200.00 | $7,500.00 | not published | 0 |
| Proctosigmoidoscopy volvul CPT 45321 | $8,164.80 | $14,580.00 | not published | 0 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | $4,704.00 | $8,400.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $7,728.00 | $13,800.00 | not published | 0 |
| Proctosigmoidoscopy w/stent CPT 45327 | $11,552.80 | $20,630.00 | not published | 0 |
| Progesterone CPT 84144 | $206.08 | $368.00 | $19.00 – $19.00 | 1 |
| Prolactin CPT 84146 | $133.28 | $238.00 | $18.00 – $18.00 | 1 |
| Prolng clin staff svc 1st hr CPT 99415 | $48.72 | $87.00 | not published | 0 |
| Prolng clin staff svc ea add CPT 99416 | $24.08 | $43.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $1,282.40 | $2,290.00 | not published | 0 |
| Prolong home eval add 15m HCPCS G0318 | $63.28 | $113.00 | 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.