17/100
#2,249 nationally
Petaluma Valley Hospital
400 N Mcdowell Blvd, Petaluma, CA 94954 · (707) 778-1111
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Petaluma Valley Hospital billed $7.33 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 7.3x
- volume-weighted across all its priced work
- Procedures priced
- 30
- inpatient and outpatient combined
- Rank in CA
- #179
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 15% of U.S. hospitals.
Better than 28% of U.S. hospitals.
Better than 9% of U.S. hospitals.
Better than 21% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
314 | $16,722 | $3,107 | +42% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
155 | $58,745 | $3,654 | +202% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
123 | $121,469 | $19,270 | +86% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
62 | $26,023 | $5,427 | +26% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
55 | $57,693 | $6,907 | +110% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
45 | $97,197 | $13,627 | +124% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
42 | $14,386 | $2,123 | +43% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
32 | $114,641 | $14,120 | +146% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
28 | $92,574 | $12,107 | +136% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
28 | $30,716 | $4,321 | +51% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$58,745 | $3,654 | +202% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$154,778 | $18,790 | +181% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
$114,641 | $14,120 | +146% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
$92,574 | $12,107 | +136% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
$106,542 | $10,708 | +134% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$70,147 | $8,498 | +129% |
|
Level 4 Urology and Related Services
APC 5374 · Hospital outpatient visit |
$46,433 | $4,653 | +125% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$97,197 | $13,627 | +124% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
$14,478 | $2,395 | +23% |
|
Level 2 Intraocular Procedures
APC 5492 · Hospital outpatient visit |
$26,023 | $5,427 | +26% |
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$16,722 | $3,107 | +42% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$14,386 | $2,123 | +43% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$30,716 | $4,321 | +51% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$28,973 | $3,793 | +64% |
|
Fluid and Electrolyte Disorder (severe)
MS-DRG 640 · Inpatient stay |
$80,754 | $13,332 | +66% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$313,579 | $53,306 | +76% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.