F

Petaluma Valley Hospital

400 N Mcdowell Blvd · Petaluma, CA 94954

🤖AI Overview

⚠️ This hospital charges 7.0x what Medicare pays — significantly above the national average of 5.5x.

Total Charges
$74.5M
Medicare Payments
$10.6M
Discharges
711
Avg Length of Stay
4.3 days
Markup Ratio
7.0x
Risk Score
2.19

Fairness Grade: F

Failing — charges more than 5x what Medicare pays

Petaluma Valley Hospital charges an average of $104,822 per discharge, but Medicare only pays $14,902 — a markup of 7.0x. Grades are based on this ratio: A (under 2x), B (2–3x), C (3–4x), D (4–5x), F (over 5x).

How This Hospital Compares

Markup Ratio
This Hospital
7.0x
State Avg
7.2x
National Avg
5.3x
Avg Charge per Discharge
This Hospital
$104,822
State Avg
$146,116
National Avg
$69,838
Avg Length of Stay
This Hospital
4.3 days
State Avg
5.5 days
National Avg
4.8 days

Patient Demographics

Age Distribution

Under 65
9.2%
65–74
29.1%
75–84
30.7%
85+
31.1%

Gender

56.2%
Female
43.8%
Male

Dual Eligibility

39.5%
Dual Eligible
60.5%
Non-Dual

Race & Ethnicity

White
85.6%
Hispanic
7.0%
Asian
2.5%
Other
2.7%

Chronic Condition Profile

Prevalence of chronic conditions among this hospital's Medicare patients

Hypertension
75.0%
High Cholesterol
74.2%
Arthritis
52.4%
Heart Failure
46.3%
Mood Disorders
45.4%
Chronic Kidney Disease
44.3%
Ischemic Heart Disease
44.0%
COPD
42.4%
Depression
40.4%
Atrial Fibrillation
38.8%
Anxiety
38.8%
Diabetes
37.3%
Alzheimer's/Dementia
31.4%
Substance Use
26.9%
Stroke/TIA
22.8%
Osteoporosis
22.1%
Cancer
21.4%
Tobacco Use
17.4%
Asthma
14.7%
Schizophrenia/Psychosis
8.4%
Bipolar Disorder
7.9%
PTSD
5.2%
Parkinson's
4.0%
Personality Disorders
2.3%
ADHD/Conduct Disorders
1.8%
Related from TheDataProject.ai

🔍 See Medicare provider data on OpenMedicare

⚠️ Important: Data reflects Medicare inpatient claims. Charges represent what hospitals bill — not what patients typically pay. Medicare payment amounts reflect negotiated rates. Individual patient costs depend on insurance coverage and specific services.