Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA · CommonSpirit Health · · NPI 1659361392
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $477.63 – $1,701.60 | 4 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $522.06 – $4,261.72 | 8 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | not published | not published | $176.87 – $630.09 | 8 |
| Control of nosebleed ant comp 30903 CPT 30903 | not published | not published | $75.62 – $269.39 | 8 |
| Control of nosebleedantersmpl 30901 CPT 30901 | not published | not published | $62.80 – $223.74 | 8 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | not published | not published | $85.02 – $669.21 | 8 |
| Control throat bleeding CPT 42961 | not published | not published | $385.35 – $1,372.84 | 4 |
| Control throat bleeding CPT 42962 | not published | not published | $473.36 – $4,261.72 | 8 |
| Conversion ext bil drg cath CPT 47535 | not published | not published | $1,014.52 – $4,637.54 | 8 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $826.13 – $2,691.95 | 8 |
| Conv gtube to jtube CPT 44373 | not published | not published | $243.09 – $2,492.83 | 8 |
| Coombs direct CPT 86880 | $120.45 | $221.00 | $6.47 – $24.00 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $174.95 | $321.00 | $6.86 – $314.58 | 14 |
| Coombs indirect titer reference CPT 86886 | $143.34 | $263.00 | $6.05 – $161.00 | 14 |
| Core ndl bx lng/med perq CPT 32408 | $2,823.10 | $5,180.00 | $878.63 – $4,771.62 | 13 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $633.99 – $9,387.58 | 8 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $459.69 – $4,263.74 | 8 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $338.78 – $9,387.58 | 8 |
| Corneal smear CPT 65430 | not published | not published | $158.07 – $563.15 | 8 |
| Corneal transplant CPT 65710 | not published | not published | $1,281.67 – $6,780.37 | 8 |
| Corneal transplant CPT 65730 | not published | not published | $1,602.08 – $5,286.44 | 8 |
| Corneal transplant CPT 65750 | not published | not published | $1,281.67 – $6,780.37 | 8 |
| Corneal transplant CPT 65755 | not published | not published | $1,281.67 – $5,286.44 | 8 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $747.21 – $5,286.44 | 8 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $393.49 | $722.00 | $286.23 – $722.00 | 13 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $338.78 – $4,263.74 | 8 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $221.30 – $4,263.74 | 8 |
| Correct finger deformity CPT 26567 | not published | not published | $370.83 – $4,263.74 | 8 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $5,032.06 – $5,032.06 | 6 |
| Correction claw finger other CPT 26499 | not published | not published | $484.05 – $4,263.74 | 8 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $967.92 – $3,065.74 | 8 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $856.66 – $4,263.74 | 8 |
| Correction of astigmatism CPT 65772 | not published | not published | $1,272.76 – $1,272.76 | 6 |
| Correction of astigmatism CPT 65775 | not published | not published | $3,065.74 – $3,065.74 | 6 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $171.74 – $611.85 | 8 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | not published | not published | $48.70 – $173.50 | 8 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | not published | not published | $351.60 – $1,272.76 | 8 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $731.83 – $2,607.18 | 4 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $387.06 – $4,263.74 | 8 |
| Correct rectal prolapse CPT 45541 | not published | not published | $769.00 – $3,603.77 | 8 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $769.00 – $2,739.59 | 4 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $176.21 – $804.40 | 6 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $661.20 – $9,387.58 | 8 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $366.55 – $4,263.74 | 8 |
| Cortisol total am CPT 82533 | $131.89 | $242.00 | $16.30 – $35.00 | 14 |
| Costotransversectomy CPT 21610 | not published | not published | $512.24 – $4,263.74 | 8 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $244.16 | $448.00 | $29.70 – $304.78 | 12 |
| Counseling smoke cess interm >10mins CPT 99407 | $384.23 | $705.00 | $19.93 – $690.90 | 13 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $6,935.67 | $12,726.00 | $1,881.50 – $7,375.48 | 11 |
| Cover eye w/membrane CPT 65778 | not published | not published | $63.29 – $1,272.76 | 8 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $249.44 – $4,955.47 | 8 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $184.76 | $339.00 | $227.13 – $332.22 | 6 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $562.44 | $1,032.00 | $691.44 – $1,011.36 | 6 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $562.44 | $1,032.00 | $691.44 – $1,011.36 | 6 |
| Covid-19 lab test non-cdc HCPCS U0002 | $136.25 | $250.00 | $51.31 – $85.50 | 14 |
| #covid19rsv-rsv CPT 87634 | $207.10 | $380.00 | $62.39 – $372.40 | 14 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $20.99 | $38.50 | $9.51 – $14.18 | 14 |
| C-peptide CPT 84681 | $4.36 | $8.00 | $5.36 – $8.00 | 14 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $1,203.06 – $2,987.97 | 4 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,452.55 – $5,174.79 | 4 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,623.44 – $5,783.59 | 4 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $1,935.32 – $6,894.67 | 4 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $1,935.32 – $6,894.67 | 4 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,354.72 – $4,826.25 | 4 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,354.72 – $4,826.25 | 4 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,354.72 – $4,826.25 | 4 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $1,000.12 – $3,563.00 | 4 |
| C-reactive protein CPT 86140 | $4.36 | $8.00 | $5.18 – $8.00 | 14 |
| C-reactive protein high sensitivity CPT 86141 | $115.00 | $211.00 | $11.06 – $25.68 | 14 |
| C-reactive protein, quantitative CPT 86406 | $72.49 | $133.00 | $10.64 – $130.34 | 14 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $709.19 – $7,103.63 | 8 |
| Create eardrum opening CPT 69436 | not published | not published | $138.43 – $1,946.55 | 8 |
| Create passage to kidney CPT 52334 | not published | not published | $193.53 – $4,532.29 | 8 |
| Create tear duct drain CPT 68745 | not published | not published | $640.83 – $4,955.47 | 8 |
| Create tear duct drain CPT 68750 | not published | not published | $640.83 – $4,955.47 | 8 |
| Create tear sac drain CPT 68720 | not published | not published | $600.67 – $4,955.47 | 8 |
| Creatine kinase CPT 82550 | $130.26 | $239.00 | $3.96 – $5.90 | 14 |
| Creatine kinase isoenzymes CPT 82552 | $4.90 | $8.98 | $6.02 – $8.98 | 14 |
| Creatine kinase mb CPT 82553 | $712.32 | $1,307.00 | $11.55 – $106.82 | 14 |
| Creatine - sendout CPT 82540 | $28.84 | $52.91 | $3.07 – $4.57 | 14 |
| Creatinine CPT 82565 | $60.50 | $111.00 | $5.12 – $104.86 | 14 |
| Creatinine 24 hour urine CPT 82570 | $249.61 | $458.00 | $3.15 – $4.69 | 14 |
| Creatinine clearance urine CPT 82575 | $109.00 | $200.00 | $9.46 – $68.60 | 14 |
| #creutz-prot.,western blot CPT 84182 | $27.49 | $50.44 | $16.75 – $25.00 | 14 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $598.11 – $7,773.77 | 8 |
| Cricotracheal resection CPT 31592 | not published | not published | $1,467.61 – $7,773.77 | 8 |
| Critical care 30-74 minutes CPT 99291 | $4,733.33 | $8,685.00 | $216.64 – $8,511.30 | 13 |
| Critical care each additional 30 minutes CPT 99292 | $2,366.39 | $4,342.00 | $104.93 – $4,255.16 | 11 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $970.47 – $2,193.26 | 4 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $962.95 – $3,430.57 | 4 |
| Cross-over vein graft CPT 34520 | not published | not published | $854.44 – $7,103.63 | 8 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $889.05 – $3,167.28 | 4 |
| Cryoablate prostate CPT 55873 | not published | not published | $12,151.68 – $12,151.68 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $82.56 – $399.74 | 8 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $5.10 | $9.34 | $6.26 – $9.34 | 14 |
| Cryoprecipitate each unit HCPCS P9012 | $280.68 | $515.00 | $41.24 – $504.70 | 13 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $80.56 – $574.50 | 6 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $5,032.06 – $5,032.06 | 6 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $79.89 – $284.62 | 8 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $42.72 – $152.21 | 8 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.