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 |
|---|---|---|---|---|
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,015.51 – $3,617.79 | 4 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $774.13 – $2,757.86 | 4 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,083.01 – $3,858.25 | 4 |
| Fuse/graft added joint CPT 26863 | not published | not published | $145.25 – $517.47 | 4 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,151.79 – $1,972.44 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,330.79 – $4,741.03 | 4 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,300.44 – $2,938.99 | 4 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $919.38 – $3,275.33 | 4 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $788.22 – $2,808.10 | 4 |
| Fuse upper gi structures CPT 47721 | not published | not published | $885.63 – $3,155.10 | 4 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $405.01 – $4,263.74 | 8 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $484.05 – $9,387.58 | 8 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $822.40 – $16,908.29 | 8 |
| Fusion of big toe joint CPT 28750 | not published | not published | $343.49 – $9,387.58 | 8 |
| Fusion of big toe joint CPT 28755 | not published | not published | $235.83 – $9,387.58 | 8 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $106.81 – $380.52 | 4 |
| Fusion of finger joint CPT 26860 | not published | not published | $304.61 – $4,263.74 | 8 |
| Fusion of finger tendons CPT 26471 | not published | not published | $338.78 – $4,263.74 | 8 |
| Fusion of finger tendons CPT 26474 | not published | not published | $328.96 – $2,103.10 | 8 |
| Fusion of foot bones CPT 28730 | not published | not published | $532.32 – $16,908.29 | 8 |
| Fusion of foot bones CPT 28735 | not published | not published | $677.58 – $16,908.29 | 8 |
| Fusion of foot bones CPT 28740 | not published | not published | $435.33 – $9,387.58 | 8 |
| Fusion of hand joint CPT 26843 | not published | not published | $413.55 – $9,387.58 | 8 |
| Fusion of knee CPT 27580 | not published | not published | $967.66 – $3,447.34 | 4 |
| Fusion of knuckle CPT 26850 | not published | not published | $377.66 – $9,387.58 | 8 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $381.50 – $4,263.74 | 8 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $507.96 – $4,263.74 | 8 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $604.95 – $9,387.58 | 8 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $433.20 – $9,387.58 | 8 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,848.59 – $6,585.71 | 4 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,691.95 – $2,691.95 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $4,532.29 – $4,532.29 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $387.06 – $4,263.74 | 8 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $387.06 – $4,263.74 | 8 |
| Fusion of thumb CPT 26841 | not published | not published | $388.34 – $9,387.58 | 8 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $713.03 – $16,908.29 | 8 |
| Fusion of toes CPT 28280 | not published | not published | $236.25 – $4,263.74 | 8 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,024.48 – $3,649.74 | 4 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,064.63 – $3,792.80 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $116.09 | $213.00 | $36.30 – $213.00 | 10 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $2,000.15 | $3,670.00 | $67.14 – $3,596.60 | 12 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $1,341.25 | $2,461.00 | $1.56 – $3.92 | 11 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $2,303.17 | $4,226.00 | $0.12 – $136.22 | 10 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $312.83 | $574.00 | $14.75 – $301.84 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $534.88 – $7,666.93 | 8 |
| Gammaglobulin iga CPT 82784 | $11.22 | $20.57 | $4.02 – $6.00 | 14 |
| Gammaglobulin ige CPT 82785 | $8.11 | $14.88 | $4.02 – $6.00 | 14 |
| Gamma glutamyltransferase CPT 82977 | $79.57 | $146.00 | $7.20 – $26.07 | 14 |
| Gamunex-c/gammaked HCPCS J1561 | $4,425.40 | $8,120.00 | $50.91 – $1,989.40 | 13 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $272.50 | $500.00 | $42.00 – $218.00 | 11 |
| Gastroduodenostomy CPT 43810 | not published | not published | $631.86 – $2,251.03 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,855.43 – $6,610.05 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,149.78 – $7,658.69 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $663.47 – $2,363.64 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $813.86 – $2,899.42 | 4 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,714.91 – $1,714.91 | 1 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $387.06 – $1,378.94 | 8 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $1,759.26 | $3,228.00 | $3.14 – $61.74 | 12 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $18,268.95 | $33,521.00 | $250.81 – $32,850.58 | 13 |
| General health panel CPT 80050 | $1,523.82 | $2,796.00 | $54.43 – $430.22 | 9 |
| Generator barostim neo2 2014 HCPCS C1767 | $65,546.06 | $120,268.00 | $11,817.75 – $46,325.58 | 11 |
| Generator emblem MRI sicd subq HCPCS C1722 | $49,246.20 | $90,360.00 | $18,669.25 – $73,183.46 | 11 |
| Genioplasty augmentation CPT 21120 | not published | not published | $854.44 – $7,773.77 | 8 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $854.44 – $4,261.72 | 8 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $769.00 – $4,261.72 | 8 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $854.44 – $7,773.77 | 8 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $35.43 | $65.00 | $2.77 – $63.70 | 12 |
| Gentamicin peak therapeutic drug level CPT 80170 | $190.75 | $350.00 | $16.38 – $245.00 | 14 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $155.25 – $350.86 | 4 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $91.42 – $1,198.08 | 8 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,949.62 | $7,247.00 | $135.01 – $7,102.06 | 13 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $8.17 | $14.99 | $9.81 – $14.99 | 14 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $9.69 | $17.77 | $10.18 – $15.18 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $8.88 | $16.28 | $5.36 – $8.00 | 14 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.81 – $319.60 | 8 |
| Ghs bladder cath - complex-foley CPT 51703 | $273.05 | $501.00 | $124.06 – $490.98 | 13 |
| Ghs bleeding time (ivy) CPT 85002 | $126.99 | $233.00 | $4.82 – $228.34 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $79.04 – $910.04 | 8 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $99.26 – $4,136.13 | 8 |
| Ghs change cysto/gastrost CPT 43762 | $423.47 | $777.00 | $205.14 – $761.46 | 13 |
| Ghs chemo >8 hrs CPT 96416 | $506.31 | $929.00 | $53.00 – $910.42 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $379.87 | $697.00 | $20.61 – $252.84 | 14 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $40.88 | $75.00 | $35.09 – $75.00 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $143.12 – $509.86 | 8 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $195.45 – $441.72 | 8 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $287.52 – $2,103.10 | 8 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $192.68 – $686.41 | 8 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $312.72 – $2,103.10 | 8 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $629.30 – $2,403.79 | 8 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $203.03 – $458.85 | 8 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $289.23 – $2,103.10 | 8 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $378.95 – $2,103.10 | 8 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $295.34 – $667.47 | 8 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $159.78 – $569.23 | 8 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $134.57 – $524.38 | 8 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $127.74 – $455.07 | 8 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $165.33 – $589.02 | 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.