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Long-Term Care Hospital

Sonoma West Medical Center

Sebastopol, CA

501 Petaluma Avenue, Sebastopol, CA 95472(707) 823-8511

37

Beds

About this hospital

Sonoma West Medical Center is a 37-bed hospital in Sebastopol, CA.

CCN
050781
NPI
1396205050

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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No contract information available for this hospital.

Contract data may be available through direct hospital inquiry.

Insurance Accepted

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

Medicare

More about this hospital

Tax IDs and NPIs insurers list

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

Tax ID (EIN)Plans and networks listing itOrganization NPIs
83-1534467Sonoma Specialty Hospital26Aetna, Allied Benefit Systems, Aspirus Health Plan, Asuris Northwest Health, BCBS and 21 more1396205050 Sonoma Specialty Hospital LLC1053634725 Palm Drive Health Care District1508891649 Palm Drive Health Care District

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

501 Petaluma Avenue, Sebastopol, CA 95472

(707) 823-8511

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Frequently asked questions

About Sonoma West Medical Center's rates and hospital price transparency.

What is Sonoma West Medical Center's tax ID (EIN)?

Insurers' price transparency files list Sonoma West Medical Center under employer identification number 83-1534467 (Sonoma Specialty Hospital). 26 health plans and networks list 83-1534467 for it.

What services does Sonoma West Medical Center offer?

CMS lists 21 services at Sonoma West Medical Center, including Anesthesia, Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care, Emergency Department.

How many beds does Sonoma West Medical Center have?

Sonoma West Medical Center has 37 beds. Facility type: Long-Term Care Hospital.

Where is Sonoma West Medical Center and what is its phone number?

Sonoma West Medical Center is located at 501 Petaluma Avenue, Sebastopol, CA 95472. Its main phone number is (707) 823-8511.

What is Sonoma West Medical Center's CCN (Medicare provider number)?

Sonoma West Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050781.

What is Sonoma West Medical Center's NPI number?

The National Provider Identifier (NPI) on file for Sonoma West Medical Center is 1396205050.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

What is a chargemaster review?

A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • 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
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster