CMS Price Transparency Data

Total hip replacement

Facility: Petaluma Valley Hospital

Billing Code: 27130 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$20,223
about 1.5× the $13,117 Medicare rate · typically $11,839–$20,223
modeled estimate · not a bill or quote
What this hospital charges insurers
$18,199
Below the fair price — a good deal
about $2,024 under the fair price · 1.4× Medicare
Medicare pays $13,117 Fair price $20,223 This hospital $18,199

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 $2,295 Priciest $18,199

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

A fair price for a Total hip replacement is about $20,223 (about 1.5× the $13,117 Medicare rate). Petaluma Valley Hospital charges insurers about $18,199 — 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.

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 $20,143 - $22,527 154%
Blue Cross Blue Shieldmajor $2,937 - $3,583 22%
Aetnamajor $17,655 - $18,744 135%
Health Net $17,302 - $62,607 132%

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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