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 |
|---|---|---|---|---|
| Unlisted px casting/strpg CPT 29799 | $397.60 | $710.00 | not published | 0 |
| Unlisted px conjunctiva CPT 68399 | $991.20 | $1,770.00 | not published | 0 |
| Unlisted px diaphragm CPT 39599 | $397.60 | $710.00 | not published | 0 |
| Unlisted px exc pressure ulc CPT 15999 | $1,736.00 | $3,100.00 | not published | 0 |
| Unlisted px external ear CPT 69399 | $582.40 | $1,040.00 | not published | 0 |
| Unlisted px extraocular musc CPT 67399 | $739.20 | $1,320.00 | not published | 0 |
| Unlisted px foot/toes CPT 28899 | $1,120.00 | $2,000.00 | not published | 0 |
| Unlisted px forearm/wrist CPT 25999 | $593.60 | $1,060.00 | not published | 0 |
| Unlisted px hands/fingers CPT 26989 | $593.60 | $1,060.00 | not published | 0 |
| Unlisted px inner ear CPT 69949 | $571.20 | $1,020.00 | not published | 0 |
| Unlisted px lacrimal system CPT 68899 | $6,871.20 | $12,270.00 | not published | 0 |
| Unlisted px leg/ankle CPT 27899 | $1,271.20 | $2,270.00 | not published | 0 |
| Unlisted px male genital sys CPT 55899 | $896.00 | $1,600.00 | not published | 0 |
| Unlisted px mediastinum CPT 39499 | $397.60 | $710.00 | not published | 0 |
| Unlisted px med radj physics CPT 77399 | $526.40 | $940.00 | not published | 0 |
| Unlisted px middle ear CPT 69799 | $929.60 | $1,660.00 | not published | 0 |
| Unlisted px neck/thorax CPT 21899 | $571.20 | $1,020.00 | not published | 0 |
| Unlisted px palate uvula CPT 42299 | $571.20 | $1,020.00 | not published | 0 |
| Unlisted px pelvis/hip joint CPT 27299 | $5,023.20 | $8,970.00 | not published | 0 |
| Unlisted px posterior segmnt CPT 67299 | $1,405.60 | $2,510.00 | not published | 0 |
| Unlisted px salivry glnd/dux CPT 42699 | $8,008.00 | $14,300.00 | not published | 0 |
| Unlisted px small intestine CPT 44799 | $4,519.20 | $8,070.00 | not published | 0 |
| Unlisted px temporal bone CPT 69979 | $571.20 | $1,020.00 | not published | 0 |
| Unlisted px ther rad tx plng CPT 77299 | $182.00 | $325.00 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $1,344.00 | $2,400.00 | not published | 0 |
| Unlisted px vestibule mouth CPT 40899 | $571.20 | $1,020.00 | not published | 0 |
| Unlisted reprod med lab proc CPT 89398 | $209.44 | $374.00 | not published | 0 |
| Unlisted resp px dx nuc med CPT 78599 | $2,133.60 | $3,810.00 | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | $448.00 | $800.00 | not published | 0 |
| Unlisted special svc px/rprt CPT 99199 | $40.88 | $73.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | $250.88 | $448.00 | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $198.24 | $354.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $532.00 | $950.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | $19.04 | $34.00 | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | $1,523.20 | $2,720.00 | not published | 0 |
| Unlstd hematop ret/endo lymp CPT 78199 | $182.00 | $325.00 | not published | 0 |
| Unlstd laps px mat care&dlvr CPT 59898 | $3,600.80 | $6,430.00 | not published | 0 |
| Unlstd laps px sprmatic cord CPT 55559 | $3,600.80 | $6,430.00 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,741.60 | $3,110.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $15,192.80 | $27,130.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $6,837.60 | $12,210.00 | $476.00 – $476.00 | 1 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $4,995.20 | $8,920.00 | $476.00 – $476.00 | 1 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $3,645.60 | $6,510.00 | $323.00 – $323.00 | 1 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $3,707.20 | $6,620.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $3,354.40 | $5,990.00 | not published | 0 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $515.20 | $920.00 | not published | 0 |
| Uppr gi scope w/submuc inj CPT 43236 | $3,068.80 | $5,480.00 | not published | 0 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $14,341.60 | $25,610.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $19.04 | $34.00 | $3.00 – $3.00 | 1 |
| Urea nitrogen 24 hour urine CPT 84540 | $67.20 | $120.00 | $5.00 – $5.00 | 1 |
| Urea nitrogen clearance CPT 84545 | $80.08 | $143.00 | $6.00 – $6.00 | 1 |
| Urea nitrogen semi-quant CPT 84525 | $45.92 | $82.00 | $5.00 – $5.00 | 1 |
| Ureteral embolization/occl CPT 50705 | $5,958.40 | $10,640.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $2,727.20 | $4,870.00 | $537.00 – $537.00 | 1 |
| Ureter endoscopy CPT 50970 | $3,326.40 | $5,940.00 | not published | 0 |
| Ureter endoscopy & biopsy CPT 50955 | $6,445.60 | $11,510.00 | not published | 0 |
| Ureter endoscopy & biopsy CPT 50974 | $7,683.20 | $13,720.00 | not published | 0 |
| Ureter endoscopy & catheter CPT 50972 | $3,326.40 | $5,940.00 | not published | 0 |
| Ureter endoscopy & treatment CPT 50957 | $10,718.40 | $19,140.00 | not published | 0 |
| Ureter endoscopy & treatment CPT 50961 | $8,176.00 | $14,600.00 | not published | 0 |
| Ureter endoscopy & treatment CPT 50976 | $7,683.20 | $13,720.00 | not published | 0 |
| Ureter endoscopy & treatment CPT 50980 | $10,550.40 | $18,840.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $856.80 | $1,530.00 | $323.00 – $323.00 | 1 |
| Urethrlys transvag with scope CPT 53500 | $9,856.00 | $17,600.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $2,021.60 | $3,610.00 | $323.00 – $323.00 | 1 |
| Uric acid blood CPT 84550 | $67.20 | $120.00 | $5.00 – $5.00 | 1 |
| Uric acid urine CPT 84560 | $18.48 | $33.00 | $5.00 – $5.00 | 1 |
| Urinalysis glass test CPT 81020 | $38.08 | $68.00 | $5.00 – $5.00 | 1 |
| Urinalysis microscopic only CPT 81015 | $56.00 | $100.00 | $3.00 – $3.00 | 1 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $30.80 | $55.00 | $2.00 – $2.00 | 1 |
| Urinalysis (with microscopy) CPT 81001 | $82.88 | $148.00 | $3.00 – $3.00 | 1 |
| Urinalysis (without microscopy) CPT 81003 | $56.00 | $100.00 | $2.00 – $2.00 | 1 |
| Urinary bldr retent nuc study CPT 78730 | $666.40 | $1,190.00 | not published | 0 |
| Urinary reflex study CPT 51792 | $515.20 | $920.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $157.92 | $282.00 | $8.00 – $8.00 | 1 |
| Urine flow measurement 51736 CPT 51736 | $319.20 | $570.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $87.92 | $157.00 | $8.00 – $8.00 | 1 |
| Urine screen for bacteria CPT 81007 | $80.08 | $143.00 | $27.00 – $27.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | $16.80 | $30.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $1,372.00 | $2,450.00 | $476.00 – $476.00 | 1 |
| Urography inf drip &/or bolus CPT 74410 | $1,920.80 | $3,430.00 | $238.00 – $238.00 | 1 |
| Use 1st target lesion CPT 76982 | $341.60 | $610.00 | $142.00 – $142.00 | 1 |
| User adjustable heel height HCPCS L5990 | $2,004.80 | $3,580.00 | not published | 0 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,706.25 | $6,618.31 | $243.00 – $243.00 | 1 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $47,018.27 | $83,961.20 | $178.00 – $178.00 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | not published | 0 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $250.56 | $447.42 | not published | 0 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $228.19 | $407.48 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $299.55 | $534.91 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $170.45 | $304.38 | not published | 0 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $64.96 | $116.00 | not published | 0 |
| Vaccine dtap < 7 years im CPT 90700 | $52.08 | $93.00 | not published | 0 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $177.29 | $316.59 | not published | 0 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $166.32 | $297.00 | not published | 0 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | $174.72 | $312.00 | not published | 0 |
| Vaccine dtap-ipv/hib im CPT 90698 | $224.31 | $400.55 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $73.00 | $130.35 | not published | 0 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $43.12 | $77.00 | not published | 0 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $170.09 | $303.74 | not published | 0 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $231.56 | $413.50 | 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.