PETALUMA VALLEY HOSPITAL
Acute Care Hospitals
Procedure Prices at PETALUMA VALLEY HOSPITAL
HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD
CPT 36415
$53.95
Therapeutic Exercises
CPT 97110
$134.55
Therapeutic Activities
CPT 97530
$198.25
Mechanical Traction
CPT 97012
$235.95
HC CBC WITH DIFF AUTO
CPT 85025
$243.1
EKG Tracing
CPT 93005
$460.2
HC COMPREHEN METABOLIC PANEL
CPT 80053
$625.3
Screening Mammogram (bilateral)
CPT 77067
$852.8
Echocardiogram
CPT 93307
$1,071.85
Diagnostic Mammogram (unilateral)
CPT 77065
$1,099.8
Chest X-Ray (1 view)
CPT 71045
$1,158.3
HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM
CPT 99213
$1,252.55
Chest X-Ray (2 views)
CPT 71046
$1,322.75
Abdominal Ultrasound — Limited
CPT 76705
$1,562.6
Thoracic Spine X-Ray
CPT 72072
$1,701.05
Diagnostic Mammogram (bilateral)
CPT 77066
$1,747.85
Echocardiogram w/ Doppler
CPT 93306
$1,846.65
ER Visit — Low-Moderate Complexity
CPT 99283
$2,000.05
Abdominal Ultrasound
CPT 76700
$2,409.55
Retroperitoneal Ultrasound
CPT 76770
$2,438.8
ER Visit — Moderate Complexity
CPT 99284
$3,385.85
HC INJ FORAMEN EPIDURAL L/S
CPT 64483
$3,711.5
OB Ultrasound
CPT 76805
$4,886.05
ER Visit — High Complexity
CPT 99285
$4,959.5
CT Chest
CPT 71250
$5,406.7
MRI Brain w/o Contrast
CPT 70551
$5,662.8
MRI Joint of Lower Extremity
CPT 73721
$5,664.1
MRI Brain w/ Contrast
CPT 70553
$6,074.9
CT Abdomen & Pelvis
CPT 74177
$11,895.65
Compare Prices Nearby
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.