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 |
|---|---|---|---|---|
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $73.92 | $132.00 | not published | 0 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 3 dose im CPT 90634 | $145.60 | $260.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $146.87 | $262.27 | not published | 0 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $127.68 | $228.00 | not published | 0 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $274.93 | $490.94 | not published | 0 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $57.68 | $103.00 | not published | 0 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $576.48 | $1,029.42 | not published | 0 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $291.20 | $520.00 | not published | 0 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $152.15 | $271.70 | not published | 0 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $152.15 | $271.70 | not published | 0 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $24.20 | $43.22 | not published | 0 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $52.33 | $93.45 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $31.36 | $56.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $16.80 | $30.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $39.20 | $70.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $20.72 | $37.00 | not published | 0 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $31.36 | $56.00 | not published | 0 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $50.96 | $91.00 | not published | 0 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $44.80 | $80.00 | not published | 0 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $89.07 | $159.05 | not published | 0 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $31.36 | $56.00 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $239.12 | $427.00 | not published | 0 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $201.60 | $360.00 | not published | 0 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $310.93 | $555.24 | not published | 0 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $495.60 | $885.00 | not published | 0 |
| Vaccine mmr live subcutaneous CPT 90707 | $170.08 | $303.71 | not published | 0 |
| Vaccine mmrv live subcutaneous CPT 90710 | $502.80 | $897.85 | not published | 0 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $207.36 | $370.29 | not published | 0 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $397.11 | $709.12 | not published | 0 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $414.46 | $740.10 | not published | 0 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $540.73 | $965.59 | not published | 0 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $97.68 | $174.42 | not published | 0 |
| Vaccine rabies im CPT 90675 | $762.15 | $1,360.98 | not published | 0 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $538.84 | $962.22 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,042.49 | $1,861.59 | not published | 0 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $1,042.49 | $1,861.59 | not published | 0 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $538.05 | $960.81 | not published | 0 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $256.68 | $458.36 | not published | 0 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $225.12 | $402.00 | not published | 0 |
| Vaccine tdap >=7 years im CPT 90715 | $59.92 | $107.00 | not published | 0 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $40.32 | $72.00 | not published | 0 |
| Vaccine typhoid vicps im CPT 90691 | $285.15 | $509.19 | not published | 0 |
| Vaccine varicella live subcutaneous CPT 90716 | $337.15 | $602.06 | not published | 0 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $450.65 | $804.74 | not published | 0 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | $44.80 | $80.00 | not published | 0 |
| Vacuum drain bottle/tube kit HCPCS A7048 | $43.68 | $78.00 | not published | 0 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $2,156.00 | $3,850.00 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $218.96 | $391.00 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $4,971.12 | $8,877.00 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $13,311.20 | $23,770.00 | not published | 0 |
| Vag hyst incl t/o complex CPT 58291 | $12,527.20 | $22,370.00 | not published | 0 |
| Vag hyst including t/o CPT 58262 | $3,589.60 | $6,410.00 | not published | 0 |
| Vag hyst t/o & repair compl CPT 58292 | $16,374.40 | $29,240.00 | not published | 0 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | $11,183.20 | $19,970.00 | not published | 0 |
| Vag hyst w/enterocele repair CPT 58270 | $13,311.20 | $23,770.00 | not published | 0 |
| Vaginal bx CPT 58999 | $498.40 | $890.00 | not published | 0 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $8,002.40 | $14,290.00 | not published | 0 |
| Vaginal hysterectomy CPT 58260 | $14,952.00 | $26,700.00 | not published | 0 |
| Vaginectomy partial w/nodes CPT 57109 | $7,145.60 | $12,760.00 | not published | 0 |
| Vag inser rectal control sys HCPCS A4563 | $16.80 | $30.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $194.88 | $348.00 | $13.00 – $13.00 | 1 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,377.00 – $1,377.00 | 1 |
| Valvuloplasty aortic CPT 92986 | $14,980.00 | $26,750.00 | not published | 0 |
| Valvuloplasty aortic valve CPT 33390 | $5,068.00 | $9,050.00 | not published | 0 |
| Valvuloplasty aortic valve CPT 33391 | $6,624.80 | $11,830.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $16,335.20 | $29,170.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $16,335.20 | $29,170.00 | not published | 0 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $374.08 | $668.00 | $0.03 – $0.03 | 1 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $89.09 | $159.09 | $0.12 – $0.12 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $260.96 | $466.00 | $13.00 – $13.00 | 1 |
| Vanomycin dna amp probe CPT 87500 | $352.80 | $630.00 | $32.00 – $32.00 | 1 |
| Vantas implant HCPCS J9225 | not published | not published | $5,951.00 – $5,951.00 | 1 |
| Varicella zoster antibody igg CPT 86787 | $86.80 | $155.00 | $11.00 – $11.00 | 1 |
| Varicella-zoster immue globin im CPT 90396 | $3,816.19 | $6,814.62 | not published | 0 |
| Varus/valgus strap padded/li HCPCS L2270 | $75.60 | $135.00 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $11,569.60 | $20,660.00 | not published | 0 |
| Vasc graft into carpal bone CPT 25430 | $7,968.80 | $14,230.00 | not published | 0 |
| Vasectomy CPT 55250 | $8,377.60 | $14,960.00 | not published | 0 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $682.24 | $1,218.28 | $1.26 – $1.26 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $15,098.46 | $26,961.54 | $22.00 – $22.00 | 1 |
| Veeg cont 2-12 hrs CPT 95713 | $1,540.00 | $2,750.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $3,225.60 | $5,760.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $1,932.00 | $3,450.00 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,772.00 | $4,950.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $3,018.40 | $5,390.00 | not published | 0 |
| Vein x-ray adrenal gland CPT 75840 | $12,796.00 | $22,850.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray eye socket CPT 75880 | $5,829.60 | $10,410.00 | $826.00 – $826.00 | 1 |
| Vein x-ray kidney CPT 75831 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray liver CPT 75891 | $10,326.40 | $18,440.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray liver w/hemodynam CPT 75885 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray liver w/hemodynam CPT 75889 | $8,198.40 | $14,640.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray liver without hemodyn CPT 75887 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray skull CPT 75870 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Vein x-ray skull epidural CPT 75872 | $5,829.60 | $10,410.00 | $826.00 – $826.00 | 1 |
| Vein x-ray spleen/liver CPT 75810 | $8,853.60 | $15,810.00 | $4,200.00 – $4,200.00 | 1 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | $2,632.35 | $4,700.63 | $376.00 – $376.00 | 1 |
| Vemp test i&r cervical CPT 92517 | $448.00 | $800.00 | not published | 0 |
| Vemp test i&r ocular CPT 92518 | $448.00 | $800.00 | not published | 0 |
| Vemp tst i&r cervical&ocular CPT 92519 | $1,198.40 | $2,140.00 | not published | 0 |
| Ven-artl shunt det mbubb njx CPT 93898 | $47.60 | $85.00 | 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.