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 |
|---|---|---|---|---|
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $1,422.93 – $16,908.29 | 8 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $1,514.89 – $24,166.36 | 8 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $479.77 – $9,387.58 | 8 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $774.13 – $16,908.29 | 8 |
| Arthrd glenohumeral jt w/grf CPT 23802 | not published | not published | $967.66 – $16,908.29 | 8 |
| Arthrd pst tq 1ntrspc lum CPT 22630 | not published | not published | $1,290.64 – $24,166.36 | 8 |
| Arthrd si jt perq/min nvas CPT 27279 | not published | not published | $558.45 – $24,166.36 | 8 |
| Arthrd wrist complete wo grf CPT 25800 | not published | not published | $580.60 – $9,387.58 | 8 |
| Arthrd wrist lmtd without b1 grf CPT 25820 | not published | not published | $580.60 – $9,387.58 | 8 |
| Arthrd wrist with autograft CPT 25825 | not published | not published | $697.22 – $9,387.58 | 8 |
| Arthrd wrist w/sliding graft CPT 25805 | not published | not published | $827.10 – $9,387.58 | 8 |
| Arthrd wrst iliac/oth agrft CPT 25810 | not published | not published | $772.42 – $16,908.29 | 8 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa without ultrasound guidance right CPT 20605 | $624.57 | $1,146.00 | $43.57 – $667.38 | 13 |
| Arthrocentesis/aspiration/injection intermediate joint/bursa w/ultrasound guidance (both sides) CPT 20606 | not published | not published | $51.70 – $910.04 | 8 |
| Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) CPT 20611 | $1,704.22 | $3,127.00 | $60.67 – $1,624.84 | 13 |
| Arthrocentesis/aspiration/injection small joint/bursa without ultrasound guidance CPT 20600 | $437.09 | $802.00 | $37.17 – $785.96 | 13 |
| Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) CPT 20610 | $624.57 | $1,146.00 | $52.54 – $634.06 | 13 |
| Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 CPT 20604 | not published | not published | $45.28 – $387.91 | 8 |
| Arthrodes/ant/cerv below c2 ea add 22552 CPT 22552 | not published | not published | $328.74 – $742.95 | 4 |
| Arthrodesis big toe joint 28760 CPT 28760 | not published | not published | $299.90 – $9,387.58 | 8 |
| Arthrodesis/cerv/thor/lumb/ea add 22585 CPT 22585 | not published | not published | $324.69 – $1,156.71 | 4 |
| Arthrodesis/combine app/ea add 22634 CPT 22634 | not published | not published | $402.46 – $909.56 | 4 |
| Arthrodesis elbw joint local CPT 24800 | not published | not published | $745.07 – $9,387.58 | 8 |
| Arthrodesis glenohumeral jt CPT 23800 | not published | not published | $967.66 – $9,387.58 | 8 |
| Arthrodesis pantalar CPT 28705 | not published | not published | $883.06 – $24,166.36 | 8 |
| Arthrodesis/post interbdy/ea add 22632 CPT 22632 | not published | not published | $305.46 – $1,088.21 | 4 |
| Arthrodesis presacral intrbod with instr l5-s1 22586 CPT 22586 | not published | not published | $1,224.12 – $2,766.51 | 4 |
| Arthrodesis/sg level/cerv/below c2 22600 CPT 22600 | not published | not published | $1,097.11 – $3,908.51 | 4 |
| Arthrodesis/sng lev/ea add ver seg 22614 CPT 22614 | not published | not published | $375.95 – $1,339.37 | 4 |
| Arthrodesis subtalar CPT 28725 | not published | not published | $484.05 – $16,908.29 | 8 |
| Arthrodesis triple CPT 28715 | not published | not published | $686.11 – $16,908.29 | 8 |
| Arthroplasty finger joint 26535 CPT 26535 | not published | not published | $387.06 – $4,263.74 | 8 |
| Arthro shoulder surgical distal claviculectomy incl/distal art surf left (rest method ii cah) CPT 29824 | not published | not published | $517.50 – $4,263.74 | 8 |
| Arthrotomy carpometacarpal joint 26070 CPT 26070 | not published | not published | $257.62 – $2,103.10 | 8 |
| Arthrotomy/elbow/exp/drain/rmv fb 24000 CPT 24000 | not published | not published | $427.22 – $4,263.74 | 8 |
| Arthrotomy glenhumrl jt w/bx CPT 23100 | not published | not published | $512.24 – $4,263.74 | 8 |
| Arthrotomy glenohumeral jt CPT 23105 | not published | not published | $709.19 – $9,387.58 | 8 |
| Arthrotomy strnclav joint CPT 23106 | not published | not published | $709.19 – $4,263.74 | 8 |
| Arthrp ntrcrp/crp/mtcr ntrps CPT 25447 | not published | not published | $958.05 – $4,263.74 | 8 |
| Arthrp prostc dstl scph crpl CPT 25443 | not published | not published | $464.39 – $9,387.58 | 8 |
| Arthrp w/prostc dstl rds CPT 25441 | not published | not published | $968.94 – $16,908.29 | 8 |
| Arthrp w/prostc dstl ulna CPT 25442 | not published | not published | $442.60 – $24,166.36 | 8 |
| Arthrp w/prostc dst rds&crps CPT 25446 | not published | not published | $1,146.66 – $24,166.36 | 8 |
| Arthrp w/prostc lunate CPT 25444 | not published | not published | $464.39 – $16,908.29 | 8 |
| Arthrp w/prostc trapezium CPT 25445 | not published | not published | $464.39 – $9,387.58 | 8 |
| Arthrs kne srg drlg ost diss CPT 29885 | not published | not published | $709.19 – $9,387.58 | 8 |
| Arthrt acrmclv/strnclav jt CPT 23101 | not published | not published | $495.58 – $4,263.74 | 8 |
| Arthrt ac sc jt exp/rmvl fb CPT 23044 | not published | not published | $532.32 – $4,263.74 | 8 |
| Arthrt elbow w/synovectomy CPT 24102 | not published | not published | $598.11 – $4,263.74 | 8 |
| Arthrt elbw capsl exc rls CPT 24006 | not published | not published | $463.97 – $4,263.74 | 8 |
| Arthrt elbw jt expl bx rmvl CPT 24101 | not published | not published | $460.12 – $4,263.74 | 8 |
| Arthrt elbw synovial bx only CPT 24100 | not published | not published | $427.22 – $4,263.74 | 8 |
| Arthrt gh jt expl/drg/rmv fb CPT 23040 | not published | not published | $532.32 – $4,263.74 | 8 |
| Arthrt glenhumrl jt w/expl CPT 23107 | not published | not published | $532.32 – $9,387.58 | 8 |
| Arthrt hip expl/rmv loose/fb CPT 27033 | not published | not published | $677.58 – $9,387.58 | 8 |
| Arthrt rdcrpl/midcarpl jt CPT 25040 | not published | not published | $302.90 – $4,263.74 | 8 |
| Arth shld srg decompr subacrml sp w/prt acrmplsty w/crccrml sep proc lt(rest method ii cah) CPT 29826 | not published | not published | $605.06 – $1,367.44 | 4 |
| Artificial insemination CPT 58321 | not published | not published | $399.74 – $399.74 | 6 |
| Artific inseminationintrauterine 58322 CPT 58322 | not published | not published | $264.36 – $264.36 | 6 |
| Art trnsposj subclav carotid 35694 CPT 35694 | not published | not published | $951.84 – $3,391.02 | 4 |
| Asc aort gft/cp/root rem/cor recon 33864 CPT 33864 | not published | not published | $2,453.83 – $5,545.66 | 4 |
| Ascend aorta graft oth dissect 33859 CPT 33859 | not published | not published | $2,063.66 – $4,663.87 | 4 |
| Ascend aorta graft w/aortic dissection 33858 CPT 33858 | not published | not published | $2,870.06 – $6,486.34 | 4 |
| Ascenda two piece catheter HCPCS C1772 | $30,577.77 | $56,106.00 | $14,026.50 – $54,983.88 | 11 |
| Asd repair/cp bypass w without patch 33641 CPT 33641 | not published | not published | $1,965.22 – $7,001.19 | 4 |
| Asp core fat pad CPT 17999 | not published | not published | $261.11 – $261.11 | 6 |
| Asp & inj bone cyst CPT 20615 | not published | not published | $193.53 – $924.59 | 8 |
| Asp & inj w/heparin pleurx cath CPT 32999 | not published | not published | $812.46 – $812.46 | 6 |
| Aspirate bladder/sprapubic cath 51102 CPT 51102 | $3,724.53 | $6,834.00 | $316.14 – $3,797.50 | 13 |
| Aspirate/inj ganglion cyst 20612 CPT 20612 | not published | not published | $62.38 – $387.91 | 8 |
| Aspirate pleura without imaging 32554 CPT 32554 | $1,237.70 | $2,271.00 | $85.02 – $2,225.58 | 13 |
| Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion CPT 10005 | $1,235.52 | $2,267.00 | $111.69 – $1,410.22 | 13 |
| Aspiration orbital contents CPT 67415 | not published | not published | $96.13 – $3,065.74 | 8 |
| Aspiration peritonsillar abscess CPT 42999 | not published | not published | $305.16 – $305.16 | 6 |
| Aspir/inj thyroid cyst 60300 CPT 60300 | $1,318.90 | $2,420.00 | $96.55 – $1,405.32 | 13 |
| Asp pq spinal cord cyst/syrinx CPT 62268 | not published | not published | $367.41 – $1,308.92 | 8 |
| Assay acid phosphatase CPT 84060 | $5.78 | $10.60 | $7.11 – $10.60 | 14 |
| Assay dir meas fr estradiol CPT 82681 | $67.04 | $123.00 | $22.35 – $120.54 | 14 |
| Assay of adp & amp CPT 82030 | $15.55 | $28.52 | $19.11 – $28.52 | 14 |
| Assay of feces porphyrins CPT 84126 | $15.12 | $27.73 | $18.58 – $27.73 | 14 |
| Assay of fluoride CPT 82735 | $58.86 | $108.00 | $18.54 – $105.84 | 14 |
| Assay of interleukin-6 (il-6) CPT 83529 | $35.43 | $65.00 | $43.55 – $63.70 | 7 |
| Assay of lap enzyme CPT 83670 | $5.44 | $9.98 | $6.69 – $9.98 | 14 |
| Assay of osteocalcin CPT 83937 | $20.17 | $37.00 | $24.79 – $36.26 | 12 |
| Assay of thiocyanate CPT 84430 | $6.91 | $12.67 | $8.49 – $12.67 | 14 |
| Assess cyst contrast inject CPT 49424 | $323.19 | $593.00 | $41.01 – $330.26 | 10 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $98.65 | $181.00 | $3.80 – $42.14 | 14 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $283.04 – $639.67 | 4 |
| Ast/sgot CPT 84450 | $62.68 | $115.00 | $5.18 – $26.07 | 14 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | $22,070.32 | $40,496.00 | $96.48 – $39,686.08 | 13 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $16,875.93 | $30,965.00 | $523.83 – $30,345.70 | 13 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $19,372.03 | $35,545.00 | $613.18 – $34,834.10 | 13 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $549.36 | $1,008.00 | $0.07 – $63.70 | 12 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $701.50 – $2,499.13 | 4 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $623.32 – $2,220.59 | 4 |
| Attach ocular implant CPT 65140 | not published | not published | $672.87 – $4,955.47 | 8 |
| Audiometry air + bone CPT 92553 | $306.84 | $563.00 | $36.35 – $551.74 | 13 |
| Augmentation cheek bone CPT 21270 | not published | not published | $676.29 – $7,773.77 | 8 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $7,773.77 – $7,773.77 | 6 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $1,093.69 – $7,773.77 | 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.