Petaluma, CA 94954 · CMS Certification Number 050136. 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.
| Operation | Inpatient paid | List price | List ÷ paid | Outpatient allowed |
|---|---|---|---|---|
| Hip or knee replacement | $20,040 | $160,560 | 8.0× | $17,529 |
| Shoulder replacement | — | — | — | — |
Complications after hip or knee replacement: 6.1% (no different from the national rate). Readmissions: 6%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 99 beds
California has no certificate-of-need law.
Open the interactive price tagBuild a reportAll California hospitals
In 2024 Medicare paid Petaluma Valley Hospital an average of $20,040 per inpatient hip or knee replacement stay (MS-DRG 470, 12 stays) and $17,529 per outpatient case (APC 5115, 16 cases).
The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $160,560, 8.0× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.
Yes for Medicare facility payments. North Bay Regional Surgery Center, LLC, an orthopedic surgery center 7.8 mi away, is paid about $12,874 by Medicare for a knee replacement (CPT 27447), $7,166 less than an inpatient stay at Petaluma Valley Hospital. Not every patient is a surgery-center candidate.
Medicare paid Petaluma Valley Hospital less than 55% of the 119 California hospitals that report inpatient hip or knee replacement.