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 |
|---|---|---|---|---|
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $315.23 | 8 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $35.43 | $65.00 | $2.37 – $63.70 | 12 |
| Manual diff wbc count b-coat CPT 85009 | $314.47 | $577.00 | $5.07 – $57.82 | 14 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $251.58 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,746.80 | $5,040.00 | $115.25 – $451.78 | 11 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $2,206.91 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $333.58 – $5,032.06 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $919.21 – $8,569.85 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $7,773.77 | 8 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $7,773.77 | 8 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $7,773.77 | 8 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $8,569.85 | 8 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $1,967.19 | 4 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $2,055.54 | 4 |
| Mast simple complete CPT 19303 | not published | not published | $762.84 – $8,569.85 | 8 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $6,935.67 | $12,726.00 | $18.55 – $1,017.24 | 13 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $7,773.77 | 8 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $8.58 | $15.74 | $7.37 – $11.00 | 14 |
| Mayo aathr protein s free CPT 85306 | $23.98 | $44.00 | $11.18 – $16.68 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $11.45 | $21.00 | $13.62 – $21.00 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $16.35 | $30.00 | $14.78 – $30.00 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $7.98 | $14.63 | $6.03 – $9.00 | 14 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $38.15 | $70.00 | $15.08 – $68.60 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $155.33 | $285.00 | $108.11 – $200.00 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $387.50 | $711.00 | $44.43 – $66.30 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $788.89 | $1,447.50 | $202.92 – $800.00 | 12 |
| Mayo androstenedione CPT 82157 | $13.08 | $24.00 | $16.08 – $24.00 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $10.90 | $20.00 | $3.35 – $5.00 | 14 |
| Mayo antithrombin iii antigen CPT 85301 | $10.16 | $18.64 | $10.81 – $18.64 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $18.55 | $34.03 | $3.74 – $5.58 | 14 |
| Mayo avwpr vw factor activity CPT 85397 | $23.44 | $43.00 | $24.68 – $43.00 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $6.04 | $11.08 | $7.43 – $11.08 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $39.41 | $72.30 | $48.45 – $72.30 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $6.58 | $12.06 | $7.29 – $10.87 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $7.83 | $14.36 | $9.63 – $14.36 | 14 |
| Mayo brcmg brucella antibody igm CPT 86622 | $6.75 | $12.38 | $6.44 – $9.61 | 14 |
| Mayo c1 esterase inhibitor CPT 83883 | $14.50 | $26.60 | $8.23 – $12.28 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $8.19 | $15.02 | $10.07 – $15.02 | 14 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $15.89 | $29.15 | $19.15 – $28.57 | 14 |
| Mayo ceruloplasmin CPT 82390 | $3.82 | $7.00 | $4.69 – $7.00 | 14 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $89.04 | $163.36 | $10.84 – $16.17 | 14 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $51.89 | $95.20 | $7.29 – $10.87 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $8.19 | $15.02 | $8.63 – $12.87 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $22.60 | $41.46 | $9.41 – $14.04 | 14 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $109.55 | $201.00 | $63.65 – $95.00 | 14 |
| Mayo chromium CPT 82495 | $7.63 | $14.00 | $9.38 – $14.00 | 14 |
| Mayo coccidioides antibody CPT 86635 | $35.43 | $65.00 | $6.51 – $9.71 | 14 |
| Mayo cocou cortisone urine CPT 82542 | $82.30 | $151.00 | $11.14 – $16.62 | 14 |
| Mayo cortisol free CPT 82530 | $8.87 | $16.26 | $10.90 – $16.26 | 14 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $77.39 | $142.00 | $18.43 – $27.50 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $15.83 | $29.04 | $8.85 – $13.20 | 14 |
| Mayo cyanide CPT 82600 | $46.33 | $85.00 | $19.40 – $83.30 | 14 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $243.62 | $447.00 | $178.99 – $425.00 | 13 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $4.98 | $9.13 | $6.12 – $9.13 | 14 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $6.00 | $11.00 | $7.37 – $11.00 | 14 |
| Mayo efpo chloride stool CPT 82438 | $4.19 | $7.68 | $3.57 – $5.32 | 14 |
| Mayo estriol CPT 82677 | $6.42 | $11.77 | $7.89 – $11.77 | 14 |
| Mayo estrone CPT 82679 | $13.63 | $25.00 | $16.75 – $25.00 | 14 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $8.17 | $14.99 | $10.05 – $14.99 | 14 |
| Mayo everolimus therapeutic drug level CPT 80169 | $10.90 | $20.00 | $12.21 – $20.00 | 14 |
| Mayo factor ii CPT 85210 | $20.68 | $37.93 | $12.98 – $37.40 | 14 |
| Mayo factor v CPT 85220 | $11.54 | $21.16 | $14.18 – $21.16 | 14 |
| Mayo factor vii CPT 85230 | $14.41 | $26.44 | $17.72 – $26.44 | 14 |
| Mayo factor viii vw factor antigen CPT 85246 | $13.08 | $24.00 | $16.08 – $24.00 | 14 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $34.17 | $62.68 | $16.74 – $24.98 | 14 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $14.17 | $26.00 | $17.42 – $26.00 | 14 |
| Mayo factor x CPT 85260 | $13.46 | $24.68 | $16.54 – $24.68 | 14 |
| Mayo factor xi CPT 85270 | $23.09 | $42.35 | $17.90 – $42.35 | 14 |
| Mayo fat/lipids feces quantitative CPT 82710 | $15.47 | $28.38 | $12.27 – $18.30 | 14 |
| Mayo fbl culture fungi blood CPT 87103 | $39.79 | $73.00 | $11.49 – $71.54 | 14 |
| Mayo ffspg allergen clam igg CPT 86001 | $3.10 | $5.68 | $3.81 – $5.68 | 14 |
| Mayo fibrinogen antigen CPT 85385 | $5.05 | $9.25 | $6.20 – $9.25 | 14 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $7.87 | $14.43 | $9.67 – $14.43 | 14 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $2,725.00 | $5,000.00 | $31.74 – $82.00 | 10 |
| Mayo hemosiderin qualitative urine CPT 83070 | $5.78 | $10.59 | $4.75 – $10.59 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $32.14 | $58.96 | $35.09 – $58.96 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $32.14 | $58.96 | $35.09 – $58.96 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $7.42 | $13.61 | $6.91 – $10.30 | 14 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $14.72 | $27.00 | $18.09 – $27.00 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $228.36 | $419.00 | $8.71 – $13.00 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $13.63 | $25.00 | $13.52 – $25.00 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $13.13 | $24.08 | $16.14 – $24.08 | 14 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $67.15 | $123.20 | $7.71 – $11.50 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $54.98 | $100.88 | $9.23 – $13.77 | 14 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $6.47 | $11.86 | $6.03 – $9.00 | 14 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $13.63 | $25.00 | $12.41 – $18.51 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $100.83 | $185.00 | $6.99 – $64.28 | 14 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $14.17 | $26.00 | $8.66 – $25.48 | 14 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $24.53 | $45.00 | $30.15 – $45.00 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $23.25 | $42.66 | $28.59 – $42.66 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $29.98 | $55.00 | $35.09 – $55.00 | 14 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $81.75 | $150.00 | $100.50 – $147.00 | 7 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $50.36 | $92.40 | $42.84 – $92.40 | 14 |
| Mayo inhab inhibin a CPT 86336 | $13.14 | $24.11 | $13.85 – $24.11 | 14 |
| Mayo insft insulin free CPT 83527 | $6.65 | $12.20 | $8.18 – $12.20 | 14 |
| Mayo insulin antibodies CPT 86337 | $13.63 | $25.00 | $16.75 – $25.00 | 14 |
| Mayo iodine CPT 83789 | $73.03 | $134.00 | $10.95 – $16.34 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $24.53 | $45.00 | $21.69 – $45.00 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $3.82 | $7.00 | $4.69 – $7.00 | 14 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $5.28 | $9.67 | $6.48 – $9.67 | 14 |
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.