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Short Term Acute Care HospitalGovernment - Hospital District Or Authority

Sonoma Valley Hospital

University of California Health · Sonoma, CA

347 Andrieux Street, Sonoma, CA 95476(707) 935-5000

2 of 5

CMS star rating

51

Beds

822

Inpatient discharges a year

$64.3M

Net patient revenue a year

36

In-network payers

About this hospital

Sonoma Valley Hospital is a 51-bed government - hospital district or authority hospital in Sonoma, CA, affiliated with University of California Health. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 220 disclosed rate categories.

  • Disproportionate share hospital
CCN
050090
NPI
1710063870
Health system
University of California Health
Teaching
No Medicare-funded residents
County
Sonoma County
Metro area
Santa Rosa-Petaluma, CA MSA
Medicare contractor
Jurisdiction E, Noridian Healthcare Solutions (01011)
In Medicare since
1966
Last CMS survey
2026

Prices for common services

The 24 services Sonoma Valley Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$5,595 - $13,700

from 3 insurers · median $9,965

Aetna$5,595
Insurer A*$9,965
Insurer B*$13,700
Medicare $3,320Nearby hospitals $3,179214% above nearby hospitals

128 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$10,893

negotiated rate

UnitedHealthcare$10,893

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports obstetrics / child birth services to CMS

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$2,326 - $6,245

from 3 insurers · median $4,273

Anthem / Blue Shield$2,326
Insurer A*$4,273
Insurer B*$6,245
Medicare $1,305Nearby hospitals $1,349217% above nearby hospitals

Common here, based on CMS Medicare volume

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$934 - $5,026

from 4 insurers · median $2,621

Cigna$5,026
Insurer A*$934
Insurer B*$1,673
Insurer C*$3,568
Medicare $786Nearby hospitals $769241% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sonoma Valley Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*11
1143%
82
Insurer B*22
531%
193
Insurer C*24
474%
77
Insurer D*20
124%
911

How we chose these services: 2 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sonoma Valley Hospital, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    2 of 5 stars

    • 119 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.03%)
    See quality ratings
  • Doctors and services

    Accredited by CIHQ

    • No Medicare-funded residents
    • 32 services
    • 382 affiliated clinicians
    See doctors and services
  • Finances

    $64.3M net patient revenue

    • Operating margin on patient care -15.5%
    • $1M unreimbursed and uncompensated care
    • $2.2M net income
    See finances
  • Ownership and leadership

    Owned by Sonoma Valley Health Care District

    • Hospital district or authority
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Sonoma Valley Hospital in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
94-6001317Sonoma Valley Hospital57Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Aspirus Health Plan and 52 more1710063870 Sonoma Valley Health Care District1407938574 Sonoma Valley Health Care District1790101681 American Health Mw LLCand 1 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

347 Andrieux Street, Sonoma, CA 95476

(707) 935-5000

Get directions

Frequently asked questions

About Sonoma Valley Hospital's rates and hospital price transparency.

How much does an MRI cost at Sonoma Valley Hospital?

For MRI of the brain, without contrast (CPT 70551), published negotiated rates at Sonoma Valley Hospital range from $209 to $4,325 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,071. The median at nearby comparable hospitals is $1,509. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sonoma Valley Hospital?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sonoma Valley Hospital range from $288 to $5,952 across 3 insurers. UnitedHealthcare's rate is $768. The median at nearby comparable hospitals is $3,281. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sonoma Valley Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Sonoma Valley Hospital range from $3,037 to $6,245 across 3 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,037. The median at nearby comparable hospitals is $1,602. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Sonoma Valley Hospital?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sonoma Valley Hospital range from $10,893 to $10,893 across 1 insurers. UnitedHealthcare's rate is $10,893. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sonoma Valley Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sonoma Valley Hospital range from $104 to $529 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $375. The median at nearby comparable hospitals is $258. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Sonoma Valley Hospital?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sonoma Valley Hospital range from $23,401 to $61,568 across 4 insurers. Aetna's rate is $38,766. The median at nearby comparable hospitals is $82,321. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is Sonoma Valley Hospital's CMS star rating?

Sonoma Valley Hospital has a CMS overall hospital star rating of 2 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 73% of US hospitals.

Is Sonoma Valley Hospital a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sonoma Valley Hospital for fiscal year 2027.

Does Medicare penalize Sonoma Valley Hospital for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sonoma Valley Hospital's base inpatient payments by an estimated 0.03% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sonoma Valley Hospital?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (50 discharges), heart failure and shock with mcc (21 discharges), chronic obstructive pulmonary disease with mcc (17 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
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