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 |
|---|---|---|---|---|
| Cryptococcus abs qn - sendout CPT 86641 | $5.51 | $10.10 | $6.77 – $10.10 | 14 |
| Crystal identification light microscopy CPT 89060 | $84.48 | $155.00 | $7.33 – $135.24 | 14 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,995.21 – $4,509.17 | 4 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $83.31 – $394.11 | 8 |
| CT 3d report other modality w/workstation CPT 76377 | $2,223.06 | $4,079.00 | $279.09 – $1,096.62 | 8 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,540.32 | $6,496.00 | $233.94 – $1,822.80 | 13 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,176.81 | $5,829.00 | $233.94 – $1,822.80 | 13 |
| Cta neck without &/or w/contrast CPT 70498 | $3,529.97 | $6,477.00 | $233.94 – $1,822.80 | 13 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $4,658.12 | $8,547.00 | $351.78 – $2,404.92 | 13 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $3,793.75 | $6,961.00 | $233.94 – $1,822.80 | 13 |
| CT Angiogram of the Head CPT 70496 | $3,529.97 | $6,477.00 | $233.94 – $1,822.80 | 13 |
| CT angio pelvis CPT 72191 | $3,563.76 | $6,539.00 | $233.94 – $2,319.66 | 13 |
| CT guidance for needle placement CPT 77012 | $2,227.42 | $4,087.00 | $111.05 – $1,107.40 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,529.27 | $2,806.00 | $149.92 – $1,015.28 | 11 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $315.23 – $315.23 | 6 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,364.68 | $2,504.00 | $81.33 – $2,453.92 | 13 |
| CT neck soft tissue w/contrast CPT 70491 | $3,529.97 | $6,477.00 | $233.94 – $1,822.80 | 13 |
| CT neck soft tissue without contrast CPT 70490 | $2,365.30 | $4,340.00 | $139.74 – $1,215.20 | 13 |
| CT neck soft tissue without & w/contrast CPT 70492 | $3,529.97 | $6,477.00 | $233.94 – $1,822.80 | 13 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $4,085.87 | $7,497.00 | $233.94 – $1,657.18 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $4,085.87 | $7,497.00 | $233.94 – $1,822.80 | 13 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $2,742.44 | $5,032.00 | $139.74 – $1,215.20 | 13 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $136.28 – $485.52 | 8 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,408.58 | $9,924.00 | $319.24 – $2,404.92 | 13 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $5,408.58 | $9,924.00 | $281.80 – $2,404.92 | 13 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,623.71 | $6,649.00 | $174.31 – $1,612.10 | 13 |
| CT thoracic spine w/contrast CPT 72129 | $3,423.69 | $6,282.00 | $233.94 – $1,657.18 | 13 |
| CT thoracic spine without contrast CPT 72128 | $2,282.46 | $4,188.00 | $139.74 – $1,215.20 | 13 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $1,302.01 | $2,389.00 | $131.79 – $2,341.22 | 13 |
| CT t-spine w /wo contrast CPT 72130 | $3,423.69 | $6,282.00 | $233.94 – $1,657.18 | 13 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $632.72 – $4,810.88 | 8 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $633.57 – $2,403.79 | 8 |
| Culture aerobic additional method definitive id each CPT 87077 | $80.66 | $148.00 | $4.94 – $7.37 | 14 |
| Culture afb any source CPT 87116 | $51.78 | $95.00 | $10.80 – $17.00 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $104.64 | $192.00 | $4.94 – $7.37 | 14 |
| Culture anaerobic except blood CPT 87075 | $231.63 | $425.00 | $5.81 – $8.66 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $328.09 | $602.00 | $2.61 – $59.78 | 14 |
| Culture body fluid CPT 87070 | $173.86 | $319.00 | $8.62 – $34.61 | 14 |
| Culture fungi definitive id mold CPT 87107 | $89.93 | $165.00 | $7.54 – $11.24 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $34.34 | $63.00 | $10.32 – $61.74 | 14 |
| Culture fungi other (except blood) CPT 87102 | $57.77 | $106.00 | $5.15 – $7.68 | 14 |
| Culture fungi skin/hair/nail CPT 87101 | $55.05 | $101.00 | $7.71 – $98.98 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $123.72 | $227.00 | $14.61 – $222.46 | 14 |
| Culture mycoplasma any source CPT 87109 | $19.62 | $36.00 | $15.39 – $24.00 | 14 |
| Culture quantitative aerobic other source CPT 87071 | $446.90 | $820.00 | $5.22 – $57.82 | 14 |
| Culture screening strep group a CPT 87081 | $112.82 | $207.00 | $3.93 – $5.86 | 14 |
| Culture typing added method CPT 87158 | $3.11 | $5.70 | $3.82 – $5.70 | 14 |
| Culture typing immunologic CPT 87147 | $121.54 | $223.00 | $5.18 – $154.84 | 14 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $730.30 | $1,340.00 | $15.45 – $23.05 | 14 |
| Culture urine each isolate CPT 87088 | $193.48 | $355.00 | $8.09 – $37.24 | 14 |
| Curette/treat cornea CPT 65435 | not published | not published | $48.28 – $1,272.76 | 8 |
| Curette/treat cornea CPT 65436 | not published | not published | $187.55 – $3,065.74 | 8 |
| Cutter lead HCPCS C1773 | $3,154.46 | $5,788.00 | $259.50 – $1,017.24 | 11 |
| Cv line/pic reposition CPT 36597 | not published | not published | $51.27 – $2,041.38 | 8 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $572.25 | $1,050.00 | $1.00 – $63.70 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $13.63 | $25.00 | $4.02 – $6.00 | 14 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $37.06 | $68.00 | $1.39 – $51.94 | 11 |
| Cyclosporine 2 hour CPT 80158 | $8.18 | $15.00 | $10.05 – $15.00 | 14 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $4.36 | $8.00 | $0.82 – $7.84 | 11 |
| Cyclosporine oral 100 mg HCPCS J7502 | $13.08 | $24.00 | $2.19 – $23.52 | 11 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $36,998.96 | $67,888.00 | $199.00 – $780.08 | 11 |
| Cyp2c19 gene com variants CPT 81225 | $159.91 | $293.40 | $196.58 – $293.40 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $95.94 | $176.03 | $117.95 – $176.03 | 14 |
| Cystine urine quantitative CPT 82131 | $10.01 | $18.36 | $12.31 – $18.36 | 14 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $578.45 – $4,532.29 | 8 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $537.92 | $987.00 | $47.56 – $358.00 | 13 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $209.68 – $877.12 | 8 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $862.13 – $3,071.39 | 4 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $701.50 – $12,151.68 | 8 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $567.35 – $4,532.29 | 8 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $256.33 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $190.55 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $176.44 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $290.51 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $512.67 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $769.00 – $6,680.39 | 8 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $145.25 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $126.03 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $437.48 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $280.68 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $196.10 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $197.80 – $877.12 | 8 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $193.53 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $261.04 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $269.15 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.60 – $6,680.39 | 8 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $338.36 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $526.96 – $2,691.95 | 8 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $299.06 – $4,532.29 | 8 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $481.48 – $4,532.29 | 8 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,232.79 | $2,262.00 | $99.55 – $2,216.76 | 13 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $137.38 – $2,691.95 | 8 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $174.31 – $877.12 | 8 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $377.24 – $4,532.29 | 8 |
| Cystoscopy inject material CPT 52327 | not published | not published | $220.77 – $6,680.39 | 8 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $110.57 – $4,532.29 | 8 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $193.53 – $2,691.95 | 8 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $227.28 – $2,691.95 | 8 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $598.11 – $6,680.39 | 8 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $174.31 – $2,691.95 | 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.