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 |
|---|---|---|---|---|
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $911.69 – $2,264.32 | 4 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $16,387.23 – $16,387.23 | 6 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $379.70 – $7,666.93 | 8 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $463.00 – $7,666.93 | 8 |
| Lap ins device for right CPT 49327 | not published | not published | $107.97 – $244.01 | 4 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $311.62 – $7,666.93 | 8 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $550.26 – $7,666.93 | 8 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $178.15 – $442.46 | 4 |
| Lap myotomy heller CPT 43279 | not published | not published | $860.76 – $1,945.32 | 4 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,272.52 – $13,681.38 | 8 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,430.00 – $13,681.38 | 8 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,192.18 – $2,961.44 | 4 |
| Lap place gastr adj device CPT 43770 | not published | not published | $923.65 – $13,681.38 | 8 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,311.99 – $3,258.54 | 4 |
| Lap radical hyst CPT 58548 | not published | not published | $1,513.51 – $3,420.53 | 4 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,661.04 – $4,125.45 | 4 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $1,804.15 – $4,480.90 | 4 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,062.50 – $7,666.93 | 8 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $195.83 – $442.58 | 4 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,062.08 – $2,637.83 | 4 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $13,681.38 – $13,681.38 | 6 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $335.07 – $7,666.93 | 8 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $812.15 – $4,999.53 | 8 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $809.16 – $4,999.53 | 8 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $698.81 – $13,681.38 | 8 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $554.35 – $13,681.38 | 8 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,073.34 – $2,425.75 | 4 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $994.04 – $13,681.38 | 8 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,093.88 – $13,681.38 | 8 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,593.06 – $3,600.32 | 4 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,018.63 – $2,529.60 | 4 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,040.07 – $2,350.56 | 4 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $152.27 – $344.13 | 4 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $451.23 – $4,845.02 | 8 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $949.37 – $2,266.13 | 8 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $270.53 – $4,845.02 | 6 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $174.31 – $620.98 | 8 |
| Largsc w/ther injection CPT 31573 | not published | not published | $235.67 – $2,266.13 | 8 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,115.48 – $7,773.77 | 8 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,382.06 – $7,773.77 | 8 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,236.04 – $7,773.77 | 8 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,255.77 – $7,773.77 | 8 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,370.81 – $7,773.77 | 8 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,449.36 – $7,773.77 | 8 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $980.90 – $7,773.77 | 8 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $916.23 – $7,773.77 | 8 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $288.37 – $4,845.02 | 8 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $640.83 – $9,096.82 | 8 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $253.77 – $4,845.02 | 8 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $256.33 – $4,845.02 | 8 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $213.61 – $4,845.02 | 8 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $193.53 – $2,266.13 | 8 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $299.06 – $4,845.02 | 8 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $180.29 – $642.29 | 8 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $256.33 – $4,845.02 | 8 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $307.60 – $4,845.02 | 8 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $256.33 – $4,845.02 | 8 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $212.76 – $4,845.02 | 8 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $256.33 – $2,266.13 | 8 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $187.79 – $2,266.13 | 6 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $86.29 – $4,845.02 | 8 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $80.74 – $510.28 | 8 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $930.49 – $9,096.82 | 8 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $307.60 – $4,845.02 | 8 |
| Laser surgery eye strands CPT 67031 | not published | not published | $278.55 – $992.32 | 8 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $315.44 – $4,178.22 | 8 |
| Laser surgery of prostate CPT 52647 | not published | not published | $567.78 – $6,680.39 | 8 |
| Laser surgery of prostate CPT 52648 | not published | not published | $671.16 – $6,680.39 | 8 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $75.62 – $2,403.79 | 8 |
| Laser treatment of retina CPT 67039 | not published | not published | $1,452.55 – $5,286.44 | 8 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,054.81 – $5,286.44 | 8 |
| Lateral canthopexy CPT 21282 | not published | not published | $442.60 – $4,261.72 | 8 |
| Lat retinacular release open CPT 27425 | not published | not published | $387.06 – $4,263.74 | 8 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $63.23 – $305.16 | 8 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $710.39 – $13,681.38 | 8 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $3,761.02 – $3,761.02 | 6 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $11,724.59 | $21,513.00 | $2,446.00 – $9,588.32 | 9 |
| Lead capillary CPT 83655 | $5.86 | $10.75 | $3.35 – $5.00 | 14 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $3,154.46 | $5,788.00 | $743.00 – $2,912.56 | 9 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $15,243.11 | $27,969.00 | $5,378.25 – $21,082.74 | 11 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,192.80 – $7,773.77 | 8 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,236.81 – $7,773.77 | 8 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,285.93 – $7,773.77 | 8 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,412.39 – $7,773.77 | 8 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $725.85 – $4,136.13 | 8 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,472.05 | $2,701.00 | $193.06 – $761.46 | 13 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $387.06 – $4,263.74 | 8 |
| Lengthening of palate CPT 42227 | not published | not published | $726.28 – $7,773.77 | 8 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $726.28 – $7,773.77 | 8 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,180.41 – $4,205.30 | 4 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $290.51 – $9,387.58 | 8 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $387.06 – $9,387.58 | 8 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $4,263.74 | 8 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $3,684.77 | 4 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $9,387.58 | 8 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $16,908.29 | 8 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $9,387.58 | 8 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $2,746.80 | $5,040.00 | $290.64 – $1,017.24 | 11 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $565.71 | $1,038.00 | $290.64 – $1,017.24 | 11 |
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.