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 |
|---|---|---|---|---|
| Exchange nephrostomy cath CPT 50435 | $6,871.91 | $12,609.00 | $434.47 – $5,907.44 | 13 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $129.88 – $3,761.02 | 8 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $199.94 – $3,761.02 | 8 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $155.51 – $3,761.02 | 8 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $503.27 – $3,761.02 | 8 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $611.69 – $3,761.02 | 8 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $636.13 – $3,761.02 | 8 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $382.76 – $3,761.02 | 6 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $568.50 – $3,761.02 | 8 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,136.11 – $7,609.98 | 4 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,137.26 – $4,051.57 | 8 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $566.07 – $3,761.02 | 8 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $801.46 – $3,761.02 | 8 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $734.83 – $4,810.88 | 8 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $814.28 – $2,900.94 | 8 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $57.25 – $1,549.43 | 8 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $844.18 – $4,263.74 | 8 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $338.78 – $4,263.74 | 8 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $266.16 – $4,263.74 | 8 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,280.34 – $2,893.57 | 4 |
| Excise inferior turbinate CPT 30130 | not published | not published | $137.56 – $4,261.72 | 8 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $683.55 – $2,435.20 | 4 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,556.79 – $9,387.58 | 8 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,675.99 – $5,970.81 | 4 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,292.77 – $9,387.58 | 8 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,576.45 – $5,616.19 | 4 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,356.43 – $9,387.58 | 8 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,523.90 – $5,428.97 | 4 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,814.41 – $6,463.94 | 4 |
| Excise lesion testis CPT 54512 | not published | not published | $518.22 – $4,532.29 | 8 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $209.34 – $1,946.55 | 8 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $686.48 – $7,773.77 | 8 |
| Excise mandible lesion CPT 21040 | not published | not published | $213.61 – $4,261.72 | 8 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $231.12 – $7,773.77 | 8 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $510.53 – $7,773.77 | 8 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $231.56 – $824.92 | 8 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $333.66 – $7,773.77 | 8 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $701.50 – $7,773.77 | 8 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $871.11 – $7,773.77 | 8 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $580.60 – $7,773.77 | 8 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,332.08 – $4,745.59 | 4 |
| Excise pharynx lesion CPT 42808 | not published | not published | $226.43 – $4,261.72 | 8 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $98.69 – $1,946.55 | 8 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $678.85 – $2,418.47 | 4 |
| Excise sublingual gland CPT 42450 | not published | not published | $266.16 – $7,773.77 | 8 |
| Excise submaxillary gland CPT 42440 | not published | not published | $466.10 – $7,773.77 | 8 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $410.14 – $2,129.16 | 8 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $422.19 – $4,263.74 | 8 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $427.22 – $2,103.10 | 8 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $138.43 – $493.13 | 4 |
| Excision aural polyp CPT 69540 | not published | not published | $59.81 – $1,946.55 | 8 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $85.44 – $924.59 | 8 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $85.02 – $2,129.16 | 8 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $82.45 – $924.59 | 8 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $221.72 – $2,129.16 | 8 |
| Excision breast lesion CPT 19125 | not published | not published | $275.99 – $5,032.06 | 8 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,606.36 – $5,722.73 | 4 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $205.06 – $4,261.72 | 8 |
| Excision graft abdomen CPT 35907 | not published | not published | $843.76 – $3,005.94 | 4 |
| Excision graft extremity CPT 35903 | not published | not published | $569.49 – $4,136.13 | 8 |
| Excision graft neck CPT 35901 | not published | not published | $526.77 – $1,876.61 | 4 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $819.83 – $2,920.71 | 4 |
| Excision gum each quadrant CPT 41820 | not published | not published | $370.53 – $4,261.72 | 6 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $813.01 – $4,263.74 | 8 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $170.89 – $4,261.72 | 8 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $317.00 – $7,773.77 | 8 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $78.18 – $1,946.55 | 8 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $109.37 – $3,603.77 | 8 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $930.49 – $3,314.90 | 4 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,101.80 – $3,925.24 | 4 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,392.75 – $4,961.72 | 4 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $703.64 – $2,506.75 | 4 |
| Excision of brain tumor CPT 61545 | not published | not published | $1,462.38 – $5,209.80 | 4 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $811.72 – $2,891.81 | 4 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $919.38 – $3,275.33 | 4 |
| Excision of gum flap CPT 41821 | not published | not published | $296.13 – $1,946.55 | 6 |
| Excision of gum lesion CPT 41822 | not published | not published | $183.28 – $1,946.55 | 8 |
| Excision of gum lesion CPT 41823 | not published | not published | $249.07 – $7,773.77 | 8 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.86 – $4,261.72 | 8 |
| Excision of gum lesion CPT 41827 | not published | not published | $256.33 – $7,773.77 | 8 |
| Excision of gum lesion CPT 41828 | not published | not published | $226.85 – $1,946.55 | 8 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $128.17 – $4,261.72 | 8 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $637.41 – $2,270.80 | 4 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $232.41 – $7,773.77 | 8 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $484.05 – $1,724.40 | 4 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $290.51 – $4,261.72 | 8 |
| Excision of neck cyst CPT 42815 | not published | not published | $484.05 – $7,773.77 | 8 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $193.53 – $4,261.72 | 8 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $138.43 – $2,403.79 | 8 |
| Excision of rectal lesion CPT 45160 | not published | not published | $795.06 – $3,603.77 | 8 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Excision of rectal stricture CPT 45150 | not published | not published | $419.96 – $1,549.43 | 8 |
| Excision of salivary cyst CPT 42408 | not published | not published | $312.72 – $4,261.72 | 8 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,031.44 – $7,237.08 | 4 |
| Excision of skull tumor CPT 61563 | not published | not published | $931.77 – $3,319.49 | 4 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,446.58 – $5,153.50 | 4 |
| Excision of stomach lesion CPT 43610 | not published | not published | $634.43 – $2,260.18 | 4 |
| Excision of stomach lesion CPT 43611 | not published | not published | $764.73 – $2,724.38 | 4 |
| Excision of tongue lesion CPT 41112 | not published | not published | $219.59 – $4,261.72 | 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.