CMS Price Transparency Data

Blood test, hemoglobin

Facility: Petaluma Valley Hospital

Billing Code: 85018 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$8
about 4.0× the $2 Medicare rate · typically $3–$11
modeled estimate · not a bill or quote
Medicare pays $2 Fair price $8 Cash price $12 Hospital's list price $24

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $5 211%
Blue Cross Blue Shieldmajor $19 - $28 802%
Aetnamajor $2 - $16 84%
Health Net $2 84%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 400 N McDowell Blvd, Petaluma, CA 94954
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals