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 |
|---|---|---|---|---|
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $135.01 – $480.95 | 8 |
| Ghs cricothyroidotomy CPT 31605 | $409.84 | $752.00 | $230.70 – $752.00 | 13 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $68.78 – $524.38 | 8 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $48.28 – $171.96 | 8 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $254.44 – $575.03 | 8 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,627.92 | $2,987.00 | $93.43 – $2,927.26 | 13 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $26.06 – $349.00 | 8 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $995.72 | $1,827.00 | $294.12 – $1,790.46 | 13 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $514.48 | $944.00 | $205.60 – $925.12 | 13 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $594.05 | $1,090.00 | $53.83 – $1,068.20 | 13 |
| Ghs excision ingrown nail CPT 11765 | $924.32 | $1,696.00 | $60.67 – $1,662.08 | 13 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $313.58 – $1,117.14 | 8 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $420.82 – $2,129.16 | 8 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $332.80 – $3,761.02 | 8 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $134.70 – $2,129.16 | 8 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $129.02 – $2,129.16 | 8 |
| Ghs fish cytogen CPT 88271 | $119.09 | $218.50 | $21.42 – $44.70 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $251.66 | $461.76 | $45.44 – $88.96 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $19.84 – $409.21 | 8 |
| Ghs hcv amplificaiton CPT 87521 | $21.15 | $38.80 | $26.00 – $38.80 | 14 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $9.34 | $17.12 | $11.48 – $17.12 | 14 |
| Ghs histoplasma antigen CPT 87385 | $5.51 | $10.10 | $6.77 – $10.10 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $227.71 – $2,691.95 | 8 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,135.86 | $3,919.00 | $205.06 – $3,840.62 | 13 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $165.72 – $924.59 | 8 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $63.23 – $924.59 | 8 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $219.16 – $780.78 | 8 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $95.27 – $339.41 | 8 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $96.98 – $345.51 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $36.74 – $261.11 | 8 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $114.06 – $1,169.93 | 8 |
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $143.98 – $1,169.93 | 8 |
| Ghs inj tendon origin/insertion CPT 20551 | $496.50 | $911.00 | $52.49 – $892.78 | 13 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $161.07 – $573.79 | 4 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $177.29 – $1,169.93 | 8 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $59.81 – $524.38 | 8 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $129.88 – $525.02 | 8 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $181.57 – $804.40 | 8 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $342.40 – $2,403.79 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $29.90 – $106.56 | 4 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $155.08 – $552.48 | 8 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $171.68 | $315.00 | $21.99 – $308.70 | 12 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $655.64 | $1,203.00 | $284.95 – $1,178.94 | 13 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $85.87 – $524.38 | 8 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $96.98 – $525.02 | 8 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $107.66 – $525.02 | 8 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $108.08 – $525.02 | 8 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $113.64 – $525.02 | 8 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $114.50 – $525.02 | 8 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $123.46 – $525.02 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $119.19 – $525.02 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $124.32 – $804.40 | 8 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $179.00 – $637.73 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $140.98 – $804.40 | 8 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $266.16 – $948.21 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $185.42 – $804.40 | 8 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $408.43 – $1,455.03 | 8 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $394.76 – $2,403.79 | 8 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $431.49 – $1,537.23 | 8 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $5.18 | $9.50 | $6.37 – $9.50 | 14 |
| Ghs mbp CPT 83873 | $12.81 | $23.50 | $15.75 – $23.50 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $79.57 | $146.00 | $69.63 – $146.00 | 10 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $79.57 | $146.00 | $63.61 – $143.76 | 10 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $470.34 | $863.00 | $10.09 – $114.66 | 10 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $75.76 | $139.00 | $48.19 – $136.22 | 10 |
| Ghs myocardial strain img spckl track CPT 93356 | $74.12 | $136.00 | $36.69 – $133.28 | 10 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $115.35 – $804.40 | 8 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $96.98 – $1,169.93 | 8 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $68.36 – $910.04 | 8 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $74.76 – $1,169.93 | 8 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $82.89 – $1,169.93 | 8 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $161.07 – $1,169.93 | 8 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $69.63 – $1,169.93 | 8 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $96.13 – $1,169.93 | 8 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $90.15 – $910.04 | 8 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $69.63 – $910.04 | 8 |
| Ghs ng placement w fluoro guidance CPT 43752 | $438.73 | $805.00 | $149.10 – $623.28 | 13 |
| Ghs o2 saturation CPT 82810 | $323.73 | $594.00 | $9.77 – $582.12 | 14 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $52.37 – $812.46 | 8 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $131.83 – $2,041.38 | 8 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | not published | not published | $92.71 – $230.25 | 4 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | not published | not published | $85.02 – $211.15 | 4 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $305.16 | 8 |
| Ghs picc line insert < 5 CPT 36568 | $2,933.74 | $5,383.00 | $78.67 – $5,275.34 | 13 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $155.51 – $554.02 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $277.41 | $509.00 | $4.82 – $65.66 | 14 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $5.74 | $10.52 | $7.05 – $10.52 | 14 |
| Ghs protein, misc fluid CPT 84160 | $8.13 | $14.90 | $3.57 – $5.32 | 14 |
| Ghs protoporphyrins fract CPT 84202 | $8.72 | $16.00 | $10.47 – $15.62 | 14 |
| Ghs pr without cont pulse ox CPT 94625 | $172.77 | $317.00 | $172.00 – $310.66 | 6 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $5.98 | $10.96 | $7.35 – $10.96 | 14 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $64.51 – $229.80 | 8 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $170.46 – $607.28 | 8 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $342.63 – $2,103.10 | 8 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $373.39 – $4,263.74 | 8 |
| Ghs reticulocyte count CPT 85044 | $90.47 | $166.00 | $3.79 – $162.68 | 14 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $163.50 | $300.00 | $4.19 – $294.00 | 14 |
| Ghs sedimentation rate CPT 85651 | $129.71 | $238.00 | $3.40 – $194.04 | 14 |
| Ghs semen analysis fert CPT 89320 | $210.92 | $387.00 | $12.31 – $379.26 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $51.23 | $94.00 | $4.03 – $6.01 | 14 |
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.