17/100
#2,256 nationally
Sonoma Valley Hospital
347 Andrieux St, Sonoma, CA 95476 · (707) 935-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Sonoma Valley Hospital billed $7.84 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
- 7.8x
- volume-weighted across all its priced work
- Procedures priced
- 10
- inpatient and outpatient combined
- Rank in CA
- #185
- lower markup ranks higher
- CMS quality stars
- 2/5
- 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 24% of U.S. hospitals.
Better than 17% of U.S. hospitals.
Better than 8% of U.S. hospitals.
Better than 15% 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 |
128 | $31,206 | $3,111 | +165% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
101 | $44,408 | $3,654 | +129% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
50 | $92,129 | $18,417 | +41% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
29 | $15,613 | $2,164 | +55% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
24 | $45,973 | $4,321 | +126% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
21 | $66,194 | $12,380 | +52% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
18 | $96,374 | $9,543 | +142% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
17 | $103,101 | $11,286 | +146% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
15 | $165,141 | $17,529 | +164% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
13 | $77,400 | $14,756 | +41% |
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 |
|---|---|---|---|
|
Level 1 Intraocular Procedures
APC 5491 · Hospital outpatient visit |
$31,206 | $3,111 | +165% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
$165,141 | $17,529 | +164% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$103,101 | $11,286 | +146% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$96,374 | $9,543 | +142% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$44,408 | $3,654 | +129% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$45,973 | $4,321 | +126% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,613 | $2,164 | +55% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$66,194 | $12,380 | +52% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
$77,400 | $14,756 | +41% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
$92,129 | $18,417 | +41% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
$66,194 | $12,380 | +52% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$15,613 | $2,164 | +55% |
|
Level 3 Musculoskeletal Procedures
APC 5113 · Hospital outpatient visit |
$45,973 | $4,321 | +126% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$44,408 | $3,654 | +129% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$96,374 | $9,543 | +142% |
|
COPD (severe)
MS-DRG 190 · Inpatient stay |
$103,101 | $11,286 | +146% |
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.