Price AtlasInteractive atlas · All states · techysurgeon.comSonoma Valley Hospital: what a joint replacement costs
Sonoma, CA 95476 · CMS Certification Number 050090. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Sonoma Valley Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $17,529 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $23,925 | — | $12,229–$52,134 | 12 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| UnitedHealthcare | $52,134 | — | 1 |
| Vnpn - All Plans | $34,453 | — | 1 |
| Canopy Health Solutions-All Other Plans | $29,381 | — | 1 |
| Bright Hlth/Brand New Day - All Other Plands | $27,753 | — | 1 |
| Wellpath - All Plans | $26,796 | — | 1 |
| Creative Legal Services-All Plans | $24,882 | — | 1 |
| Correct Care Integ Health-All Plans | $22,968 | — | 1 |
| Employer Direct Healthcare-All Plans | $22,968 | — | 1 |
| Three Rivers (Trpn)-All Plans | $22,968 | — | 1 |
| Scan Mcare-All Plans | $19,262 | — | 1 |
| Champus-All Plans | $16,269 | — | 1 |
| St Joseph Heritage Hltcare Comm-All Other Plans | $12,229 | — | 1 |
From the hospital's price-transparency file (2026-05-22); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-05-22); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 2 of 5 stars. Government · Acute · 83 beds
California has no certificate-of-need law.
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Questions
How much does Medicare pay Sonoma Valley Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $17,529 per outpatient hip or knee replacement case (APC 5115, 15 cases) in 2024. Inpatient stays were too few to report.
Is a knee replacement cheaper at a surgery center near Sonoma Valley Hospital?
Yes for Medicare facility payments. North Bay Regional Surgery Center, LLC, an orthopedic surgery center 10.5 mi away, is paid about $12,874 by Medicare for a knee replacement (CPT 27447). Not every patient is a surgery-center candidate.
What do commercial insurers pay Sonoma Valley Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $23,925 across 12 insurers, ranging from $12,229 to $52,134.