Visits & medical services prices at Petaluma Valley Hospital
Petaluma, CA · every code in this section with a posted price and a Medicare benchmark.
141 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $40.80 | $80 | 0.7× |
| Airway Inhalation Treatment (94640) | $433.50 | $850 | 1.4× |
| Anogenital Xm Magnify Child/Suspect Trauma W Img (99170) | $413.10 | $810 | 1.5× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $92.31 | $181 | 6.4× |
| Behavral qualit analys voice (92524) | $394.74 | $774 | 3.6× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $1,549.38 | $3,038 | 3.0× |
| Canalith repositioning proc (95992) | $107.10 | $210 | 2.6× |
| Cardiac Stress Tst,Tracing Only (93017) | $821.10 | $1,610 | 2.8× |
| Cardiopulmonary resuscitation (92950) | $2,042.04 | $4,004 | 6.9× |
| Cardioversion (92960) | $4,521.66 | $8,866 | 5.0× |
| Cardioversion elective internal (92961) | $9,451.32 | $18,532 | 10.4× |
| Chemo Anti-Neopl Sq/Im (96401) | $173.91 | $341 | 1.8× |
| Chemo Hormon Antineopl Sq/Im (96402) | $99.45 | $195 | 1.0× |
| Chemotherapy Unspecified (96549) | $54.57 | $107 | 0.8× |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) | $472.26 | $926 | 1.0× |
| Chest Wall Manipulation (94668) | $439.62 | $862 | 2.4× |
| Color/duplex Doppler, complete (93975) | $1,523.37 | $2,987 | 4.6× |
| Color/duplex Doppler, limited (93976) | $1,120.98 | $2,198 | 7.8× |
| Continuous Pulse Ox (94762) | $1,115.88 | $2,188 | 6.3× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) | $3,532.77 | $6,927 | 11.7× |
| Cpt initial (94667) | $534.48 | $1,048 | 2.9× |
| Critical care first hour (99291) | $11,252.64 | $22,064 | 9.9× |
| Debridement Open Wound 20 Sq Cm< (97597) | $1,052.64 | $2,064 | 3.8× |
| Dialysis One Evaluation (90945) | $1,165.35 | $2,285 | 2.0× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $1,474.92 | $2,892 | 4.5× |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $1,090.89 | $2,139 | 7.6× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $1,432.08 | $2,808 | 4.4× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $956.25 | $1,875 | 6.7× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,355.07 | $2,657 | 4.1× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,058.25 | $2,075 | 7.4× |
| Duplex Scan Hemodialysis Access (93990) | $475.32 | $932 | 3.3× |
| Duplex up extrem art bilat (93930) | $1,512.66 | $2,966 | 4.6× |
| Duplex up extrem art unilat/ltd (93931) | $1,006.23 | $1,973 | 7.0× |
| Echo Heart Xthoracic,Limited (93308) range across 2 matching MRF lines |
$603.33–$724.20 | $1,183–$1,420 | varies |
| Echo transesophageal (93312) | $1,816.62 | $3,562 | 2.4× |
| Eeg 41-60 Minutes (95812) | $2,460.75 | $4,825 | 8.3× |
| EEG awake drowsy (95816) | $2,460.75 | $4,825 | 8.3× |
| Eeg W/O Vid 2-12 Hr Unmntr (95705) | $673.20 | $1,320 | 2.3× |
| EEG w/o vid 2-12hr cont mntr (95707) | $673.20 | $1,320 | 2.3× |
| EEG w/o vid ea 12-26hr intmt (95709) | $1,402.50 | $2,750 | 2.7× |
| Eeg W/O Vid Tech Ea Incr 12-26 Hr Cont R-T Mntr (95710) | $1,402.50 | $2,750 | 2.7× |
| EEG w/o video by tech 2-12 hr intermittent mntr (95706) | $673.20 | $1,320 | 2.3× |
| EEG wo vid ea 12-26hr unmntr (95708) | $1,402.50 | $2,750 | 2.7× |
| Electrocardiogram Tracing (93005) | $397.29 | $779 | 4.9× |
| Emergency Dept Visit Level 2 (99282) | $1,094.46 | $2,146 | 5.2× |
| Emergency Dept Visit Level 3 (99283) | $1,925.25 | $3,775 | 5.1× |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$2,831.01–$3,274.71 | $5,551–$6,421 | varies |
| Er level 1 (99281) | $587.01 | $1,151 | 5.1× |
| Er level v (99285) | $4,458.42 | $8,742 | 5.4× |
| Evaluate pt use of inhaler (94664) | $477.36 | $936 | 1.6× |
| Evaluate Speech Production (92522) | $355.47 | $697 | 3.2× |
| Evaluate Swallowing Function (92610) | $921.06 | $1,806 | 10.9× |
| Evaluation of speech fluency (92521) | $355.47 | $697 | 2.7× |
| Extracranial Bilat Study (93880) | $1,428.51 | $2,801 | 4.4× |
| Extracranial Uni/Ltd Study (93882) | $949.62 | $1,862 | 6.6× |
| Flexible endoscopic eval swallow c/v rec (92612) | $321.81 | $631 | 1.6× |
| Group Therapeutic Procedures (97150) | $204 | $400 | 11.3× |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) | $2,294.49 | $4,499 | 2.4× |
| Holter monitor recording (93225) | $1,811.52 | $3,552 | 9.9× |
| Immunization administration (90471) | $105.57 | $207 | 1.1× |
| Irrig Drug Delivery Device (96523) | $123.93 | $243 | 1.5× |
| IV infusion hydration each additional hour (96361) | $642.60 | $1,260 | 10.0× |
| IV infusion hydration initial 31 min-1 hour (96360) | $1,412.19 | $2,769 | 4.8× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $134.64 | $264 | 1.4× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $642.60 | $1,260 | 10.0× |
| IV push initial (96374) | $442.68 | $868 | 1.5× |
| Low frequency non-thermal us (97610) | $402.39 | $789 | 1.5× |
| Mechanical chest wall oscillation per session (94669) | $295.29 | $579 | 1.0× |
| Motion Fluoroscopy/Swallow (92611) | $716.55 | $1,405 | 7.8× |
| Nasopharyngoscopy (92511) range across 2 matching MRF lines |
$278.97–$415.14 | $547–$814 | varies |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $690.03 | $1,353 | 1.2× |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) | $725.22 | $1,422 | 1.3× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) | $365.67 | $717 | 1.3× |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$725.22–$1,087.83 | $1,422–$2,133 | varies |
| Neuromuscular Reeducation (97112) range across 3 matching MRF lines |
$101.49–$121.89 | $199–$239 | varies |
| Newborn resuscitation (99465) | $1,500.42 | $2,942 | 1.7× |
| Ophth Medical Xm&Eval Intermediate New Pt (92002) | $320.79 | $629 | 1.8× |
| Oral Function Therapy (92526) | $517.65 | $1,015 | 6.2× |
| Orthc/Prostc Mgmt Sbsq Enc (97763) | $707.37 | $1,387 | 14.1× |
| Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) | $138.72 | $272 | 3.0× |
| Ot eval high complexity (97167) range across 2 matching MRF lines |
$435.03–$522.24 | $853–$1,024 | varies |
| Ot Eval Low Complex (97165) range across 2 matching MRF lines |
$218.28–$262.14 | $428–$514 | varies |
| Ot Eval Moderate Complexity (97166) | $392.70 | $770 | 3.9× |
| Ot manual therapy 15 min (97140) | $162.69 | $319 | 5.9× |
| Ot paraffin bath (97018) | $141.78 | $278 | 23.6× |
| Ot Re-Eval Est Plan Care (97168) range across 2 matching MRF lines |
$241.74–$290.19 | $474–$569 | varies |
| Phlebotomy therapeutic (99195) | $235.11 | $461 | 1.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $532.95 | $1,045 | 6.6× |
| Plethysmography (94726) | $1,080.69 | $2,119 | 2.1× |
| Pt Eval High Complex (97163) | $281.01 | $551 | 2.9× |
| Pt eval low complex 20 min (97161) | $198.90 | $390 | 2.0× |
| Pt Eval Mod Complex (97162) | $198.90 | $390 | 2.0× |
| Pt gait training 15 min (97116) range across 3 matching MRF lines |
$129.54–$155.55 | $254–$305 | varies |
| Pt mechanical traction (97012) | $239.19 | $469 | 16.7× |
| Pt Re-Eval Est Plan Care (97164) | $116.79 | $229 | 1.7× |
| Pulmonary Stress Testing (94618) | $272.34 | $534 | 1.5× |
| R&L Hrt Cath W/Ventriclgrphy (93453) | $22,596.06 | $44,306 | 5.1× |
| Refill/Maint Pump/Resvr Syst (96522) | $380.46 | $746 | 1.3× |
| Rem ther mntr dev sply data muscskel sys ea 30 d (98977) range across 2 matching MRF lines |
$48.45–$214.20 | $95–$420 | varies |
| Rem ther mntr dev sply resp (98976) | $214.20 | $420 | 4.2× |
| Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) range across 3 matching MRF lines |
$167.28–$269.28 | $328–$528 | varies |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98981) | $243.78 | $478 | 5.9× |
| Remote therapeutic monitoring treatment management services, physician or other qualified health care professional time… (98980) | $249.39 | $489 | 4.6× |
| Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) | $197.88 | $388 | 2.4× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $365.67 | $717 | 1.3× |
| Self Care Mngment Training (97535) range across 2 matching MRF lines |
$130.56–$156.57 | $256–$307 | varies |
| Sensory Integration Ea 15 Min (97533) | $130.56 | $256 | 2.1× |
| Slp caregiver training 1st 30 min (97550) | $52.02 | $102 | 1.0× |
| Speech sound lang comprehen (92523) | $355.47 | $697 | 1.6× |
| Spirometry (94010) | $621.69 | $1,219 | 2.1× |
| Standardized Cognitive Performance Testing (96125) | $319.26 | $626 | 3.1× |
| Subcutaneous Infusion Each Additional Hour (96370) | $86.19 | $169 | 1.3× |
| Subcutaneous infusion initial 1 hr w/pump set-up (96369) | $419.22 | $822 | 1.4× |
| Subq Infusion Additional Pump Infusion Site (96371) | $137.19 | $269 | 1.4× |
| Temp transcutaneous pacing (92953) | $4,208.52 | $8,252 | 4.6× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $193.80 | $380 | 8.7× |
| Ther Ivntj Ea Addl 15 Min (97130) | $263.16 | $516 | 12.5× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $196.86 | $386 | 6.6× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $346.29 | $679 | 3.4× |
| Ther/Prop/Diag Inj/Inf Proc (96379) | $86.19 | $169 | 1.3× |
| Ther/Proph/Diag Inj Ia (96373) | $419.22 | $822 | 1.4× |
| Ther/Proph/Diag Inj Sc/Im (96372) | $87.72 | $172 | 0.9× |
| Ther/Proph/Diag Iv Inf Init (96365) | $1,505.52 | $2,952 | 5.1× |
| Therapeutic Activities (97530) | $193.80 | $380 | 5.5× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $572.73 | $1,123 | 11.1× |
| Tte w/doppler, complete (93306) | $2,472.48 | $4,848 | 3.3× |
| Tte W/O Doppler Complete (93307) | $1,435.65 | $2,815 | 4.4× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) range across 3 matching MRF lines |
$336.60–$403.92 | $660–$792 | varies |
| Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) range across 2 matching MRF lines |
$55.59–$66.81 | $109–$131 | varies |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $157.59 | $309 | 2.4× |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $700.23 | $1,373 | 2.4× |
| Veeg 2-12 Hr Cont Mntr (95713) | $1,402.50 | $2,750 | 2.7× |
| Veeg 2-12 hr intmt mntr (95712) | $673.20 | $1,320 | 1.3× |
| Veeg 2-12 hr unmonitored (95711) | $673.20 | $1,320 | 2.3× |
| Veeg by tech ea incr 12-26 hr intermittent mntr (95715) | $1,402.50 | $2,750 | 2.7× |
| Veeg Ea 12-26 Hr Unmntr (95714) | $1,402.50 | $2,750 | 2.7× |
| Veeg ea 12-26hr cont mntr (95716) | $2,805 | $5,500 | 2.4× |
| Vent Mgmt Inpat Init Day (94002) | $3,967.80 | $7,780 | 4.7× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $2,965.65 | $5,815 | 3.5× |
| Vital capacity, total (94150) | $230.52 | $452 | 1.3× |
| Wheelchair Mgmt Ea 15 Min (97542) | $60.18 | $118 | 1.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.