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 |
|---|---|---|---|---|
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $580.60 – $12,574.69 | 8 |
| Delay flap arms/legs CPT 15610 | not published | not published | $213.61 – $2,403.79 | 8 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $290.51 – $2,403.79 | 8 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $290.51 – $2,403.79 | 8 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $193.53 – $4,810.88 | 8 |
| Delivery of placenta 59414 CPT 59414 | $1,309.09 | $2,402.00 | $127.53 – $2,402.00 | 13 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $781.35 – $1,765.85 | 4 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $582.28 – $1,315.95 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $204.38 | $375.00 | $15.32 – $417.00 | 14 |
| Denervation of hip joint CPT 27035 | not published | not published | $822.40 – $4,263.74 | 8 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,227.64 | $9,592.00 | $30.99 – $5,018.58 | 13 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $57.25 – $203.94 | 8 |
| Dermabrasion other than face CPT 15782 | not published | not published | $193.53 – $3,761.02 | 8 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $193.53 – $924.59 | 8 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $173.02 – $616.42 | 8 |
| Dermabrasion total face CPT 15780 | not published | not published | $520.78 – $3,761.02 | 8 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $512.67 – $4,810.88 | 8 |
| Dermagraft HCPCS Q4106 | $4,101.67 | $7,526.00 | $16.25 – $93.10 | 12 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $766.86 – $4,810.88 | 8 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $639.55 – $2,403.79 | 8 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,714.87 – $4,259.13 | 4 |
| Design custom breast implant CPT 19396 | not published | not published | $246.93 – $5,032.06 | 8 |
| Design mlc device for imrt CPT 77338 | $816.96 | $1,499.00 | $410.00 – $1,469.02 | 13 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,623.01 | $2,978.00 | $4.13 – $63.70 | 12 |
| Desoxycorticosterone CPT 82633 | $18.39 | $33.73 | $22.60 – $33.73 | 14 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $401.59 – $997.41 | 4 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,474.77 – $3,662.80 | 4 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,089.85 – $2,706.78 | 4 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $50.41 – $261.11 | 8 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $75.62 – $269.39 | 8 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $90.57 – $322.66 | 8 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $55.12 – $261.11 | 8 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $65.36 – $261.11 | 8 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $77.76 – $277.01 | 8 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $43.15 – $261.11 | 8 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $50.41 – $261.11 | 8 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $69.63 – $261.11 | 8 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $79.04 – $281.57 | 8 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $228.79 – $2,566.14 | 8 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $67.65 – $167.65 | 4 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $120.90 – $1,549.43 | 8 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $80.10 – $284.62 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $140.71 – $2,403.79 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $114.84 – $2,403.79 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $135.43 – $482.46 | 8 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $362.71 – $1,292.20 | 8 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $212.76 – $757.96 | 8 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $787.37 – $2,805.04 | 8 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $6.80 – $48.28 | 4 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $108.08 – $2,403.79 | 8 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $270.86 – $3,603.77 | 8 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $104.67 – $525.02 | 8 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $114.50 – $407.91 | 8 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $112.79 – $1,169.93 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $58.88 – $146.43 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $224.16 – $2,566.14 | 8 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.06 – $2,997.11 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $290.51 – $3,065.74 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $512.67 – $3,065.74 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $363.75 | 8 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $3,603.77 | 8 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $162.34 – $3,065.74 | 8 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $525.02 | 8 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $525.02 | 8 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $525.02 | 8 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $525.02 | 8 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $525.02 | 8 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $263.48 – $2,403.79 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $165.76 – $590.54 | 8 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $3,603.77 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $133.73 – $4,178.22 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $84.31 – $4,178.22 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $145.68 – $2,403.79 | 8 |
| Device ablt adv novasure HCPCS C1886 | $4,101.67 | $7,526.00 | $1,881.50 – $7,375.48 | 11 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $5,332.28 | $9,784.00 | $2,446.00 – $9,588.32 | 11 |
| Device sut capio slim opn HCPCS C2631 | $4,101.67 | $7,526.00 | $571.50 – $2,240.28 | 11 |
| Device tiss remov myosure reach HCPCS C1782 | $3,154.46 | $5,788.00 | $2,592.23 – $3,791.62 | 6 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $256.70 | $471.00 | $25.10 – $461.58 | 13 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $54.50 | $100.00 | $0.02 – $7.84 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $35.43 | $65.00 | $0.13 – $1.00 | 12 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $3,665.67 | $6,726.00 | $34.01 – $1,783.60 | 12 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $35.43 | $65.00 | $1.44 – $63.70 | 12 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $35.43 | $65.00 | $0.75 – $63.70 | 10 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $268.69 | $493.00 | $2.15 – $63.70 | 12 |
| Dextrose 5 % IV bolus HCPCS J7070 | $35.43 | $65.00 | $3.22 – $63.70 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $107.91 | $198.00 | $3.35 – $5.00 | 14 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $206.35 – $2,266.13 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.73 – $7,666.93 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $143.93 – $524.38 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $190.96 – $1,549.43 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $169.39 | 8 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $67.93 – $255.12 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $312.83 | $574.00 | $88.44 – $562.52 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $492.14 | $903.00 | $148.03 – $884.94 | 11 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,806.03 – $4,081.63 | 4 |
| Dialysis one evaluation CPT 90945 | $625.66 | $1,148.00 | $82.81 – $1,125.04 | 13 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $35.43 | $65.00 | $0.08 – $62.72 | 11 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $56.68 | $104.00 | $6.54 – $63.70 | 12 |
| Dicyclomine injection HCPCS J0500 | $192.39 | $353.00 | $12.38 – $63.70 | 12 |
| Diffusing capacity CPT 94729 | $359.70 | $660.00 | $55.31 – $646.80 | 10 |
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.