CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Petaluma Valley Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$23,448
about 1.7× the $14,044 Medicare rate · typically $18,824–$28,123
modeled estimate · not a bill or quote
What this hospital charges insurers
$20,663
Below the fair price — a good deal
about $2,785 under the fair price · 1.5× Medicare
Medicare pays $14,044 Fair price $23,448 This hospital $20,663

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $9,517 Priciest $20,663

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $23,448 (about 1.7× the $14,044 Medicare rate). Petaluma Valley Hospital charges insurers about $20,663 — below the fair price — a good deal. Located in Petaluma, CA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser 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 $20,663 - $44,026 147%
Blue Cross Blue Shieldmajor $18,822 - $22,734 134%
Aetnamajor $20,663 - $44,826 147%
Cignamajor $20,663 147%
Humanamajor $20,663 147%
Kaiser Permanentemajor $20,663 147%
Health Net $20,250 - $35,964 144%
+ 3 smaller / regional plans $20,663

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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