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 |
|---|---|---|---|---|
| Injection for ureter x-ray CPT 50690 | not published | not published | $308.45 – $1,098.88 | 4 |
| Injection, fulvestrant HCPCS J9395 | $4,337.11 | $7,958.00 | $7.40 – $726.18 | 13 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $7,439.25 | $13,650.00 | $6,688.50 – $13,377.00 | 7 |
| Injection into brain canal CPT 61026 | not published | not published | $149.53 – $910.04 | 8 |
| Injection into brain canal CPT 61055 | not published | not published | $162.34 – $578.36 | 8 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $1,198.08 | 8 |
| Injection into spinal artery CPT 62294 | not published | not published | $707.91 – $2,521.96 | 8 |
| Injection into vocal cord CPT 31513 | not published | not published | $150.81 – $537.25 | 8 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $353.08 | 4 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $157.22 – $560.12 | 4 |
| Injection of sinus tract CPT 20500 | not published | not published | $121.76 – $1,946.55 | 8 |
| Injection,onabotulinumtoxina HCPCS J0585 | $1,325.44 | $2,432.00 | $6.89 – $2,166.78 | 13 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $319.60 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $759.73 | $1,394.00 | $370.19 – $758.52 | 12 |
| Injection, renflexis HCPCS Q5104 | $1,872.62 | $3,436.00 | $26.56 – $3,367.28 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,222.98 | $2,244.00 | $56.39 – $2,199.12 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | not published | not published | $56.39 – $910.04 | 8 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | not published | not published | $164.49 – $1,169.93 | 8 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | not published | not published | $91.42 – $227.06 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | not published | not published | $184.56 – $1,169.93 | 8 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | not published | not published | $83.73 – $207.97 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | not published | not published | $165.76 – $1,169.93 | 8 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $223.38 – $910.04 | 8 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | not published | not published | $220.03 – $910.04 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $535.74 | $983.00 | $52.54 – $963.34 | 13 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $496.50 | $911.00 | $52.49 – $892.78 | 13 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $56.22 – $387.91 | 8 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $281.77 | $517.00 | $24.43 – $231.00 | 14 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $264.87 | $486.00 | $263.90 – $486.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $328.09 | $602.00 | $57.17 – $460.60 | 14 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $281.77 | $517.00 | $21.52 – $160.00 | 14 |
| Injection treatment of eye CPT 66020 | not published | not published | $96.98 – $2,997.11 | 8 |
| Injection treatment of eye CPT 66030 | not published | not published | $65.79 – $2,997.11 | 8 |
| Injection treatment of nerve CPT 64605 | not published | not published | $182.42 – $2,566.14 | 8 |
| Injection treatment of nerve CPT 64610 | not published | not published | $235.40 – $2,566.14 | 8 |
| Injection treatment of nerve CPT 64681 | not published | not published | $454.03 – $1,169.93 | 8 |
| Injection treatment of nose CPT 30200 | not published | not published | $36.32 – $669.21 | 8 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $337.07 – $1,200.87 | 4 |
| Inject/treat eye socket CPT 67500 | not published | not published | $171.31 – $610.31 | 8 |
| Inject/treat eye socket CPT 67505 | not published | not published | $138.43 – $493.13 | 8 |
| Inject/treat eye socket CPT 67515 | not published | not published | $131.16 – $467.26 | 8 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | $36,104.62 | $66,247.00 | $32,461.03 – $64,922.06 | 7 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $147.80 – $910.04 | 8 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $138.50 – $1,169.93 | 8 |
| Inj for ext venography CPT 36005 | not published | not published | $329.82 – $1,174.97 | 4 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $222.16 – $791.43 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | $26,075.53 | $47,845.00 | $79.35 – $46,888.10 | 13 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | $2,284.64 | $4,192.00 | $1,336.72 – $2,673.44 | 7 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $154.23 – $1,169.93 | 8 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $24.35 – $261.11 | 8 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $35.03 – $261.11 | 8 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $37.06 | $68.00 | $31.85 – $63.70 | 7 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $35.43 | $65.00 | $3.75 – $63.70 | 12 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | $9,419.24 | $17,283.00 | $263.41 – $16,937.34 | 13 |
| Inj multihance HCPCS A9577 | $240.89 | $442.00 | $1.84 – $433.16 | 11 |
| Inj. mycophenolate mofetil HCPCS J7519 | $247.43 | $454.00 | $79.87 – $159.74 | 7 |
| Inj naloxone hydrochloride HCPCS J2310 | $285.58 | $524.00 | $0.01 – $65.00 | 10 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $4,259.18 | $7,815.00 | $147.06 – $4,728.50 | 13 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $1,543.56 – $3,488.45 | 8 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $1,480.64 – $3,346.25 | 8 |
| Inj ogivri 10 mg HCPCS Q5114 | $3,292.35 | $6,041.00 | $47.27 – $282.24 | 12 |
| Inj, olaratumab, 10 mg HCPCS J9285 | $5,865.29 | $10,762.00 | $58.94 – $10,546.76 | 11 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | $8,985.96 | $16,488.00 | $29.67 – $16,158.24 | 12 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $46.99 – $167.44 | 4 |
| Inj proc ankle arthr CPT 27648 | not published | not published | $183.71 – $654.47 | 4 |
| Inj proc elbow arthro CPT 24220 | not published | not published | $234.54 – $835.59 | 4 |
| Inj proc for lymphang CPT 38790 | not published | not published | $519.07 – $1,849.22 | 4 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $146.54 – $522.06 | 4 |
| Inj proc myelogram lumbar CPT 62284 | $323.19 | $593.00 | $101.68 – $337.00 | 10 |
| Inj proc sialogram CPT 42550 | not published | not published | $250.78 – $893.42 | 4 |
| Inj progesterone per 50 mg HCPCS J2675 | $95.92 | $176.00 | $0.66 – $109.76 | 12 |
| Inj prohance multipack HCPCS A9576 | $35.43 | $65.00 | $1.42 – $63.70 | 11 |
| Inj, releuko 1 mcg HCPCS Q5125 | $582.61 | $1,069.00 | $327.32 – $654.64 | 7 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | $252.88 | $464.00 | $0.80 – $3.92 | 12 |
| Inj retro urethrocysto CPT 51610 | $182.58 | $335.00 | $121.27 – $315.72 | 10 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $95.70 – $525.02 | 8 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $77.33 – $525.02 | 8 |
| Inj secretin synthetic human HCPCS J2850 | $620.21 | $1,138.00 | $39.38 – $1,115.24 | 13 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | not published | not published | $525.02 – $525.02 | 6 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | $37,029.48 | $67,944.00 | $380.63 – $66,585.12 | 13 |
| Inj testosterone cypionate HCPCS J1071 | $55.05 | $101.00 | $0.03 – $63.70 | 12 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | $30,343.42 | $55,676.00 | $133.81 – $54,562.48 | 13 |
| Inj, tofidence, 1 mg HCPCS Q5133 | $5,081.58 | $9,324.00 | $4,568.76 – $9,137.52 | 7 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $953.75 | $1,750.00 | $31.85 – $63.70 | 7 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $149.33 | $274.00 | $50.47 – $100.94 | 7 |
| Inj w/fluor eval cv device CPT 36598 | $527.56 | $968.00 | $126.88 – $528.22 | 13 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $1,935.32 – $6,894.67 | 4 |
| Ins cath ren art 1st bi CPT 36252 | not published | not published | $296.72 – $4,136.13 | 8 |
| Ins cath ren art 1st uni CPT 36251 | not published | not published | $227.85 – $4,136.13 | 8 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $341.03 – $4,136.13 | 8 |
| Ins cath ren art 2nd+ uni CPT 36253 | not published | not published | $316.46 – $7,103.63 | 8 |
| Ins cerv dilator (sep proc) CPT 59200 | $422.92 | $776.00 | $399.74 – $760.48 | 11 |
| Ins device for right guide open CPT 49412 | not published | not published | $67.39 – $152.30 | 4 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $677.58 – $2,413.91 | 4 |
| Insert and remove bone pin CPT 20650 | not published | not published | $119.62 – $4,263.74 | 8 |
| Insert ant drainage device CPT 66183 | not published | not published | $5,286.44 – $5,286.44 | 6 |
| Insert balloon device CPT 33973 | not published | not published | $527.62 – $1,879.66 | 4 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $241.81 – $8,415.59 | 8 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $256.33 – $7,103.63 | 8 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $145.25 – $7,103.63 | 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.