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 |
|---|---|---|---|---|
| Enlarge breast CPT 19324 | not published | not published | $769.00 – $769.00 | 1 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $284.49 | $522.00 | $0.60 – $63.70 | 12 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $201.79 – $456.05 | 4 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $230.27 – $820.36 | 4 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $801.90 – $2,856.80 | 4 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,655.99 – $3,742.54 | 4 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $1,903.57 – $4,302.07 | 4 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $691.67 – $2,464.12 | 4 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $602.38 – $2,146.03 | 4 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $777.55 – $2,770.04 | 4 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $411.41 – $1,465.70 | 4 |
| Enzyme histochemistry CPT 88319 | $379.32 | $696.00 | $77.32 – $126.72 | 13 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $716.45 – $2,403.79 | 8 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $154.23 – $383.05 | 4 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $764.73 – $2,403.79 | 8 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $119.19 – $296.04 | 4 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | not published | not published | $152.94 – $544.86 | 4 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $326.40 – $1,169.93 | 8 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $219.16 – $1,169.93 | 8 |
| Epiglottidectomy CPT 31420 | not published | not published | $774.13 – $7,773.77 | 8 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $412.69 – $4,263.74 | 8 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $394.76 – $4,263.74 | 8 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $149.33 | $274.00 | $1.68 – $250.88 | 12 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $5,527.94 | $10,143.00 | $32.58 – $9,940.14 | 13 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $122.63 | $225.00 | $0.81 – $58.80 | 11 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,010.43 | $1,854.00 | $8.02 – $39.20 | 12 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $122.63 | $225.00 | $8.14 – $58.80 | 13 |
| Epstein barr early antigen antibody CPT 86663 | $3.68 | $6.75 | $4.53 – $6.75 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $3.68 | $6.75 | $4.53 – $6.75 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $4.36 | $8.00 | $4.36 – $6.50 | 14 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $4,038.45 | $7,410.00 | $12.75 – $123.48 | 10 |
| Ercp biliary & pancreas CPT 74330 | $1,380.49 | $2,533.00 | $165.14 – $898.66 | 11 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $414.74 – $7,822.59 | 8 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $344.01 – $4,999.53 | 8 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $391.29 – $4,999.53 | 8 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $7,822.59 – $7,822.59 | 6 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $440.46 – $4,999.53 | 8 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $342.14 – $2,492.83 | 8 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $306.32 – $2,492.83 | 8 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $431.50 – $7,822.59 | 8 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $354.60 – $4,999.53 | 8 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $3,504.35 | $6,430.00 | $110.86 – $3,798.48 | 13 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $317.74 | $583.00 | $9.56 – $224.42 | 12 |
| ER Visit (level 1, minor) CPT 99281 | $324.82 | $596.00 | $21.77 – $584.08 | 13 |
| ER Visit (level 2) CPT 99282 | $671.44 | $1,232.00 | $34.97 – $1,207.36 | 13 |
| ER Visit (level 3) CPT 99283 | $1,104.17 | $2,026.00 | $63.97 – $1,985.48 | 13 |
| ER Visit (level 4) CPT 99284 | $2,165.29 | $3,973.00 | $98.04 – $3,893.54 | 13 |
| ER Visit (level 5, high severity) CPT 99285 | $3,334.31 | $6,118.00 | $155.03 – $5,995.64 | 13 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $457.80 | $840.00 | $7.78 – $79.56 | 12 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $85.02 – $211.15 | 4 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $4,467,147.00 | $8,196,600.00 | $31.85 – $63.70 | 7 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $112.06 – $253.26 | 4 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $3,275.33 | 4 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $3,275.33 | 4 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,200.29 – $4,972.66 | 4 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $169.77 – $2,492.83 | 8 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $1,232.05 | 8 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $2,492.83 | 8 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $165.30 – $7,822.59 | 8 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $228.14 – $2,492.83 | 8 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $205.06 – $2,492.83 | 8 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $197.80 – $2,492.83 | 8 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $208.06 – $2,492.83 | 8 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $193.53 – $1,232.05 | 8 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $1,232.05 | 8 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $256.33 – $2,492.83 | 8 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $179.08 – $4,999.53 | 8 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $227.28 – $2,492.83 | 8 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $2,492.83 | 8 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $4,999.53 | 8 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $2,492.83 | 8 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $7,773.77 | 8 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $163.20 – $2,492.83 | 8 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $265.31 – $2,492.83 | 8 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $2,492.83 | 8 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $2,492.83 | 8 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $2,492.83 | 8 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $2,492.83 | 8 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $919.38 – $3,275.33 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $203.35 – $2,492.83 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $255.91 – $2,492.83 | 8 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $205.06 – $2,492.83 | 8 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $1,541.43 | 4 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $2,233.92 | 4 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $2,492.83 – $2,492.83 | 6 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $320.42 – $2,492.83 | 8 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $240.31 – $2,492.83 | 8 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $6,875.06 | 4 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $7,192.27 | 4 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,672.00 – $6,038.72 | 4 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,995.12 – $7,107.75 | 4 |
| Essure 58565 CPT 58565 | not published | not published | $737.76 – $6,486.99 | 8 |
| Establish access to aorta CPT 36160 | not published | not published | $128.17 – $456.61 | 4 |
| Establish access to artery CPT 36100 | not published | not published | $213.61 – $761.01 | 4 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,110.78 – $3,957.19 | 4 |
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.