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 |
|---|---|---|---|---|
| Antinuclear antibodies titer CPT 86039 | $13.63 | $25.00 | $6.94 – $10.35 | 14 |
| Antistreptolysin o titer CPT 86060 | $4.91 | $9.00 | $6.03 – $9.00 | 14 |
| Antithrombin iii activity CPT 85300 | $5.71 | $10.47 | $7.02 – $10.47 | 14 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $1,017.53 – $6,486.99 | 8 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $754.47 – $2,687.86 | 4 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $862.62 – $1,949.52 | 4 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $2,105.00 – $8,435.52 | 8 |
| Apheresis plasma CPT 36514 | $1,985.98 | $3,644.00 | $1,121.46 – $3,571.12 | 13 |
| Apheresis platelets CPT 36513 | not published | not published | $343.91 – $854.17 | 8 |
| Apheresis rbc CPT 36512 | not published | not published | $1,121.46 – $2,785.31 | 8 |
| Apheresis wbc CPT 36511 | not published | not published | $1,121.46 – $2,785.31 | 8 |
| Apl(pml-rara) quant - sendout CPT 81315 | $152.60 | $280.00 | $63.01 – $94.03 | 14 |
| Appendectomy CPT 44950 | not published | not published | $459.69 – $8,199.66 | 8 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $160.59 – $160.59 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $580.60 – $2,068.40 | 4 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $313.58 – $7,666.93 | 8 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | not published | not published | $203.28 – $2,403.79 | 8 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | not published | not published | $51.94 – $129.45 | 4 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | not published | not published | $23.25 – $58.35 | 4 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | not published | not published | $197.34 – $4,810.88 | 8 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | not published | not published | $42.05 – $103.98 | 4 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $344.44 | $632.00 | $16.42 – $619.36 | 10 |
| Appl bdy cst sho to hip 1thi CPT 29044 | not published | not published | $207.35 – $1,246.53 | 8 |
| Appl bdy cst sho to hip b th CPT 29046 | not published | not published | $349.00 – $1,267.81 | 8 |
| Appl bdy cst sho to hip head CPT 29040 | not published | not published | $220.45 – $785.35 | 8 |
| Appl body cast sho to hips CPT 29035 | not published | not published | $281.11 – $1,001.47 | 8 |
| Appl cast figure-of-eight CPT 29049 | not published | not published | $138.85 – $494.67 | 8 |
| Appl cast plaster velpeau CPT 29058 | not published | not published | $158.50 – $564.64 | 8 |
| Appl cast shoulder spica CPT 29055 | not published | not published | $231.56 – $824.92 | 8 |
| Appl halo type body cast CPT 29000 | not published | not published | $248.64 – $885.81 | 8 |
| Appl hip spica cast1&1/2 CPT 29325 | not published | not published | $235.40 – $838.60 | 8 |
| Appl hip spica cast 1 leg CPT 29305 | not published | not published | $284.10 – $1,012.14 | 8 |
| Application clubfoot cast CPT 29450 | not published | not published | $78.61 – $280.06 | 8 |
| Application finger splntstatic 29130 CPT 29130 | $245.80 | $451.00 | $25.64 – $441.98 | 13 |
| Application halo femoral CPT 20663 | not published | not published | $193.53 – $4,263.74 | 8 |
| Application halo pelvic CPT 20662 | not published | not published | $222.58 – $2,103.10 | 8 |
| Application long leg splint 29505 CPT 29505 | $503.58 | $924.00 | $79.04 – $905.52 | 13 |
| Application lower leg splint 29515 CPT 29515 | $259.42 | $476.00 | $64.94 – $466.48 | 13 |
| Application multi layer compression below knee (both sides) CPT 29581 | $365.70 | $671.00 | $89.29 – $434.14 | 13 |
| Application of body cast CPT 29010 | not published | not published | $244.80 – $872.09 | 8 |
| Application of body cast CPT 29015 | not published | not published | $231.12 – $823.41 | 8 |
| Application of cylinder cast 29365 CPT 29365 | $592.96 | $1,088.00 | $118.34 – $853.58 | 13 |
| Application of forearm cast 29075 CPT 29075 | $455.62 | $836.00 | $94.84 – $242.00 | 13 |
| Application of long arm cast 29065 CPT 29065 | $414.20 | $760.00 | $106.38 – $744.80 | 13 |
| Application of long leg cast CPT 29355 | not published | not published | $146.96 – $523.57 | 8 |
| Application of long leg cast 29345 CPT 29345 | $536.28 | $984.00 | $139.27 – $964.32 | 13 |
| Application of paste boot 29580 CPT 29580 | $210.92 | $387.00 | $31.19 – $379.26 | 13 |
| Application short leg cast 29405 CPT 29405 | $469.79 | $862.00 | $97.84 – $844.76 | 13 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,641.00 | $3,011.00 | $95.35 – $2,950.78 | 13 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,641.00 | $3,011.00 | $82.85 – $2,950.78 | 13 |
| Appl long leg cast brace CPT 29358 | not published | not published | $158.07 – $563.15 | 8 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $305.03 – $16,908.29 | 8 |
| Appl multlay comprs arm/hand CPT 29584 | not published | not published | $14.72 – $207.35 | 8 |
| Appl patllr tdn bearing cast CPT 29435 | not published | not published | $149.96 – $534.20 | 8 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $193.53 – $9,387.58 | 8 |
| Apply finger cast 29086 CPT 29086 | $204.92 | $376.00 | $37.23 – $368.48 | 13 |
| Apply forearm splintdynamic 29126 CPT 29126 | not published | not published | $73.91 – $263.29 | 8 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $226.85 – $808.18 | 4 |
| Apply hand/wrist cast 29085 CPT 29085 | not published | not published | $95.70 – $340.94 | 8 |
| Apply of finger splint 29131 CPT 29131 | not published | not published | $38.45 – $137.00 | 8 |
| Apply rem fixation device CPT 20660 | not published | not published | $145.25 – $2,103.10 | 8 |
| Apply rigid leg cast 29445 CPT 29445 | $403.30 | $740.00 | $156.79 – $725.20 | 13 |
| Apply short leg castambul type 29425 CPT 29425 | $408.75 | $750.00 | $96.13 – $735.00 | 13 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $739.02 – $24,166.36 | 8 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,065.15 – $2,407.24 | 8 |
| Aquaporin-4 antibody cba each CPT 86052 | $109.00 | $200.00 | $67.00 – $98.00 | 7 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $1,281.67 – $6,780.37 | 8 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $1,116.96 – $6,780.37 | 6 |
| Argatroban nonesrd use 1mg HCPCS J0883 | $2,897.77 | $5,317.00 | $0.78 – $491.96 | 13 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | $1,913.50 | $3,511.00 | $6.21 – $670.32 | 13 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $1,489.72 – $3,699.96 | 4 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $1,518.24 – $3,431.22 | 4 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $1,437.18 – $5,120.01 | 4 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $1,542.44 – $3,485.91 | 4 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $1,708.89 – $6,087.99 | 4 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $1,049.68 – $3,739.55 | 4 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $1,345.21 – $3,040.17 | 4 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $1,006.54 – $3,585.83 | 4 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $815.99 – $2,907.04 | 4 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $924.07 – $3,292.10 | 4 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $1,510.08 – $1,510.08 | 1 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $894.61 – $3,187.05 | 4 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $2,229.33 – $5,038.29 | 4 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $2,128.44 – $4,810.27 | 4 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $1,216.30 – $4,333.14 | 4 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $1,025.33 – $3,652.79 | 4 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Arterial blood draw/perc 36620 CPT 36620 | $522.66 | $959.00 | $48.28 – $642.53 | 11 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Artery to vein shunt CPT 36835 | not published | not published | $709.19 – $4,136.13 | 8 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $800.61 – $1,988.44 | 4 |
| Artery-vein nonautograft CPT 36830 | not published | not published | $667.74 – $7,103.63 | 8 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $142.59 – $322.25 | 4 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $1,243.21 – $16,908.29 | 8 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $1,388.04 – $4,944.99 | 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.