Petaluma Valley Hospital

Provider Information

Services

• Ankle Repair - Arthroscopic

  SSP MS009

  up to

  $4,762

• Articular Finger Fracture Repair - Surgical

  SSP MS019

  up to

  $4,022

• Breast MRI

  SSP RA011

  up to

  $2,116

• Breast Ultrasound

  SSP RA012

  up to

  $697

• Bronchoscopy

  SSP PU000

  up to

  $4,530

• Carpal Tunnel Repair

  SSP NU002

  up to

  $9,949

• Cataract Removal with Intraocular Lens Insertion

  SSP OP000

  up to

  $8,903

• Clavicle/Scapula Repair - Non-Surgical

  SSP MS028

  up to

  $3,070

• Colonoscopy

  SSP GA002

  up to

  $4,429

• Colonoscopy via Stoma

  SSP GA000

  up to

  $3,074

• CT

  SSP RA001

  up to

  $1,819

• CT of Abdomen and Pelvis

  SSP RA004

  up to

  $2,132

• Delivery - Cesarean

  SSP OB002

  up to

  $19,039

• Delivery - Vaginal

  SSP OB001

  up to

  $15,568

• Esophagogastroduodenoscopy, Simple

  SSP GA007

  up to

  $3,748

• Fetal MRI

  SSP RA006

  up to

  $2,194

• Fine Needle Aspiration Biopsy with Ultrasound Guidance

  SSP DE003

  up to

  $917

• Forearm/Wrist Repair - Non-Surgical

  SSP MS010

  up to

  $3,054

• Hernia Repair - Laparoscopic

  SSP GA010

  up to

  $8,667

• Hernia Repair - Non-Laparoscopic

  SSP GA011

  up to

  $11,554

• Hip Repair - Arthroscopic

  SSP MS008

  up to

  $8,008

• Hysteroscopy with Surgical Procedure

  SSP RE003

  up to

  $8,695

• Knee Repair - Arthroscopic

  SSP MS006

  up to

  $6,413

• Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

  SSP RE004

  up to

  $6,620

• MRI with Contrast

  SSP RA007

  up to

  $1,821

• MRI without Contrast

  SSP RA005

  up to

  $2,340

• Percutaneous Breast Biopsy

  SSP DE000

  up to

  $3,884

• Shoulder Repair, Complex - Arthroscopic

  SSP MS005

  up to

  $10,847

• Tonsil and Adenoid Removal (Child Under 12)

  SSP EN000

  up to

  $4,474

• Tonsil and/or Adenoid Removal

  SSP EN004

  up to

  $6,190

• Ultrasound

  SSP RA008

  up to

  $723

• X-Ray

  SSP RA000

  up to

  $670