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 |
|---|---|---|---|---|
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $226.34 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $523.35 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $512.67 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $598.11 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $587.00 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $790.35 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $640.83 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $669.45 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $662.20 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $574.61 – $4,263.74 | 8 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $709.19 – $9,387.58 | 8 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $774.13 – $9,387.58 | 8 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $774.13 – $16,908.29 | 8 |
| Kras gene variants exon 2 CPT 81275 | $259.42 | $476.00 | $127.30 – $190.00 | 14 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $1,973.77 – $7,031.63 | 4 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $2,213.44 – $7,885.48 | 4 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | not published | not published | $19.22 – $68.50 | 4 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | not published | not published | $20.51 – $73.07 | 4 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $119.36 | $219.00 | $31.85 – $63.70 | 7 |
| Labioplasty 56800 CPT 56800 | not published | not published | $348.87 – $4,178.22 | 8 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $686.70 | $1,260.00 | $0.24 – $63.70 | 8 |
| Lactate dehydrogenase (ldh) CPT 83615 | $366.24 | $672.00 | $3.63 – $5.41 | 14 |
| Lactated ringers intravenous solution HCPCS J7120 | $42.51 | $78.00 | $2.61 – $63.70 | 12 |
| Lactic acid CPT 83605 | $237.62 | $436.00 | $6.46 – $9.63 | 14 |
| Lactoferrin fecal qualitative CPT 83630 | $13.63 | $25.00 | $16.75 – $25.00 | 14 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $1,100.95 – $9,387.58 | 8 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $1,047.55 – $9,387.58 | 8 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $1,141.54 – $9,387.58 | 8 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $1,651.64 – $5,884.07 | 4 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,743.50 – $6,211.27 | 4 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $1,523.47 – $9,387.58 | 8 |
| Laminotomy single cervical CPT 63040 | not published | not published | $1,230.83 – $9,387.58 | 8 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $1,727.58 – $9,387.58 | 6 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $296.92 – $737.44 | 4 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $21,887.75 | $40,161.00 | $38.86 – $36,603.00 | 13 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | $27.25 | $50.00 | $4.90 – $9.80 | 7 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $792.63 – $13,681.38 | 8 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $665.61 – $13,681.38 | 8 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $724.70 – $13,681.38 | 8 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $838.74 – $7,666.93 | 8 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $754.47 – $13,681.38 | 8 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $615.62 – $7,666.93 | 8 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $602.38 – $2,146.03 | 4 |
| Laparo drng lymphocele 49323 CPT 49323 | not published | not published | $491.74 – $7,666.93 | 8 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $287.10 – $7,666.93 | 8 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $380.03 – $13,681.38 | 8 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $1,400.86 – $13,681.38 | 8 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $1,280.38 – $13,681.38 | 8 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $1,158.23 – $2,617.60 | 4 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $735.85 – $13,681.38 | 8 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,294.48 – $3,215.05 | 4 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,091.98 – $3,890.23 | 4 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $997.14 – $3,552.34 | 4 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $472.24 – $7,666.93 | 8 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $849.74 – $3,027.27 | 4 |
| Laparoscopic proc CPT 45400 | not published | not published | $845.12 – $1,909.97 | 4 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $13,681.38 – $13,681.38 | 6 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $1,009.96 – $3,598.01 | 4 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $297.77 – $7,666.93 | 8 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $286.24 – $7,666.93 | 8 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $350.75 – $7,666.93 | 8 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $919.38 – $13,681.38 | 8 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $440.04 – $7,666.93 | 8 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $552.83 – $13,681.38 | 8 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $689.53 – $13,681.38 | 8 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $439.61 – $7,666.93 | 8 |
| Laparoscopy lysis CPT 58660 | not published | not published | $322.12 – $7,666.93 | 8 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $552.83 – $7,666.93 | 8 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $545.57 – $7,666.93 | 8 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $916.39 – $13,681.38 | 8 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $701.38 – $7,666.93 | 8 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $619.48 – $13,681.38 | 8 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $510.75 – $13,681.38 | 8 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $639.63 – $7,666.93 | 8 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $703.64 – $7,666.93 | 8 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $413.12 – $7,666.93 | 8 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $496.00 – $7,666.93 | 8 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $595.12 – $7,666.93 | 8 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $576.76 – $2,054.72 | 4 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,179.03 – $2,928.55 | 4 |
| Laparo urethral suspension CPT 51990 | not published | not published | $546.84 – $7,666.93 | 8 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $616.65 – $13,681.38 | 8 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $776.26 – $13,681.38 | 8 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $746.83 – $13,681.38 | 8 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,401.72 – $3,481.37 | 4 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,450.84 – $3,603.39 | 4 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,160.19 – $2,881.86 | 4 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,004.84 – $2,270.94 | 4 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,103.87 – $2,494.75 | 4 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $998.85 – $2,480.78 | 4 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $1,102.66 – $3,928.29 | 4 |
| Lap enterolysis CPT 44180 | not published | not published | $780.11 – $7,666.93 | 8 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $133.66 – $302.07 | 4 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $1,175.59 – $2,920.06 | 4 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,088.27 – $2,702.55 | 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.