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 |
|---|---|---|---|---|
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $460.91 – $1,041.66 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $15,243.11 | $27,969.00 | $5,378.25 – $21,082.74 | 11 |
| Mopath procedure level 1 CPT 81400 | $124.81 | $229.00 | $63.96 – $224.42 | 14 |
| Mopath procedure level 3 CPT 81402 | $202.88 | $372.25 | $150.33 – $364.81 | 14 |
| Mopath procedure level 5 CPT 81404 | $221.27 | $406.00 | $272.02 – $406.00 | 14 |
| Mopath procedure level 6 CPT 81405 | $338.18 | $620.50 | $296.14 – $442.00 | 14 |
| Mopath procedure level 7 CPT 81406 | $490.50 | $900.00 | $282.88 – $525.00 | 14 |
| Mopath procedure level 8 CPT 81407 | $2,247.26 | $4,123.40 | $846.27 – $4,040.94 | 14 |
| Mopath procedure level 9 CPT 81408 | $953.21 | $1,749.00 | $1,171.83 – $1,749.00 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $55.05 | $101.00 | $1.56 – $63.70 | 12 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $809.87 | $1,486.00 | $11.44 – $63.70 | 12 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $152.60 | $280.00 | $178.99 – $280.00 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $44.69 | $82.00 | $54.94 – $82.00 | 13 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $206.01 | $378.00 | $36.85 – $55.00 | 13 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $272.15 – $4,261.72 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $152.60 | $280.00 | $178.99 – $280.00 | 13 |
| M/phmtrc alysishquant/semiq CPT 88369 | $134.07 | $246.00 | $65.87 – $244.92 | 11 |
| MRA abdomen post contrast CPT 74185 | $5,897.99 | $10,822.00 | $476.26 – $6,278.86 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $5,146.44 | $9,443.00 | $329.74 – $9,254.14 | 11 |
| MRA pelvis CPT 72198 | $5,932.87 | $10,886.00 | $331.39 – $10,668.28 | 11 |
| MRI breast without cont bi CPT 77047 | $2,405.09 | $4,413.00 | $214.07 – $4,324.74 | 13 |
| MRI chest without contrast CPT 71550 | $2,710.29 | $4,973.00 | $317.64 – $4,873.54 | 13 |
| MRI chest without & w/contrast CPT 71552 | $4,151.27 | $7,617.00 | $469.30 – $2,700.88 | 13 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,503.73 | $4,594.00 | $317.64 – $1,385.72 | 13 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,852.06 | $7,068.00 | $333.68 – $2,123.66 | 13 |
| MRI tmj CPT 70336 | $2,710.29 | $4,973.00 | $317.64 – $4,873.54 | 11 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,700.01 | $6,789.00 | $469.30 – $2,123.66 | 11 |
| Mr safety implant elec prepj CPT 76018 | $149.88 | $275.00 | $184.25 – $269.50 | 6 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $2,242.48 – $7,988.99 | 4 |
| Mthfr gene analy common variants CPT 81291 | $32.70 | $60.00 | $40.20 – $60.00 | 12 |
| Mucin synovial fluid CPT 83872 | $176.04 | $323.00 | $5.86 – $316.54 | 14 |
| Mumps antibody igg CPT 86735 | $8.32 | $15.26 | $3.35 – $5.00 | 14 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $995.43 – $3,546.28 | 8 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $1,079.59 – $4,810.88 | 8 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $1,078.31 – $4,810.88 | 8 |
| Muscle transfers CPT 23397 | not published | not published | $1,099.24 – $9,387.58 | 8 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $1,083.87 – $9,387.58 | 8 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $915.49 – $4,810.88 | 8 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $703.64 – $9,387.58 | 8 |
| Mycobacteria dna dir probe CPT 87550 | $117.72 | $216.00 | $20.05 – $211.68 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $29.98 | $55.00 | $0.17 – $7.84 | 11 |
| Mycoplasma antibody igm CPT 86738 | $3.82 | $7.00 | $4.69 – $7.00 | 14 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $163.50 | $300.00 | $140.32 – $300.00 | 14 |
| Myelography l-s spine CPT 72265 | $1,732.56 | $3,179.00 | $117.59 – $1,127.00 | 13 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $2,137.49 | $3,922.00 | $279.75 – $2,179.52 | 12 |
| Myelography via inj w/s&i cervical CPT 62302 | $2,137.49 | $3,922.00 | $108.34 – $2,179.52 | 13 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,137.49 | $3,922.00 | $254.46 – $2,278.50 | 12 |
| Myelography via inj w/s&i thoracic CPT 62303 | not published | not published | $109.83 – $1,038.22 | 8 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $64.75 | $118.80 | $5.83 – $8.69 | 14 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $2,250.61 – $8,017.89 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $603.99 – $1,365.02 | 4 |
| Myomectomy abdom method CPT 58140 | not published | not published | $1,017.53 – $2,299.62 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $510.91 – $4,178.22 | 8 |
| Myringoplasty CPT 69620 | not published | not published | $555.39 – $4,261.72 | 8 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | $171.68 | $315.00 | $31.85 – $63.70 | 7 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $35.43 | $65.00 | $3.72 – $63.70 | 12 |
| Naltrexone, depot form HCPCS J2315 | $2,996.41 | $5,498.00 | $0.01 – $5,388.04 | 13 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | not published | not published | $56.39 – $255.12 | 8 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $305.16 – $305.16 | 6 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $231.56 – $9,096.82 | 8 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $787.37 – $2,805.04 | 4 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $827.10 – $2,946.59 | 4 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | not published | not published | $117.48 – $2,266.13 | 8 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $270.44 – $9,096.82 | 8 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $151.67 – $2,266.13 | 8 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $274.28 – $9,096.82 | 8 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $411.41 – $9,096.82 | 8 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $387.49 – $9,096.82 | 8 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $95.70 – $510.28 | 8 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $167.89 – $2,266.13 | 8 |
| Nasal sinus therapy CPT 30210 | not published | not published | $56.83 – $1,946.55 | 8 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | $10,969.76 | $20,128.00 | $18.20 – $19,725.44 | 13 |
| Natriuretic peptide CPT 83880 | $612.04 | $1,123.00 | $23.45 – $35.00 | 14 |
| Natural killer cells total count CPT 86357 | $18.19 | $33.37 | $10.40 – $15.51 | 14 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $1,240.65 – $3,081.35 | 4 |
| N block inj common digit CPT 64632 | not published | not published | $40.81 – $387.91 | 8 |
| N block inj hypogas plxs CPT 64517 | not published | not published | $181.51 – $1,169.93 | 8 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $114.06 – $406.39 | 8 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | not published | not published | $23.08 – $52.16 | 8 |
| Ndl insj without njx 3+ musc CPT 20561 | not published | not published | $32.18 – $77.40 | 8 |
| Ndl round specialty proguide HCPCS C1715 | $148.79 | $273.00 | $33.75 – $132.30 | 11 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $9,387.58 – $9,387.58 | 6 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $3,678.75 | $6,750.00 | $233.94 – $1,657.18 | 13 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $4,855.95 | $8,910.00 | $233.92 – $2,186.38 | 13 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $2,452.50 | $4,500.00 | $139.74 – $1,215.20 | 13 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $4,107.12 | $7,536.00 | $449.31 – $2,123.66 | 13 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $4,107.12 | $7,536.00 | $388.22 – $1,930.60 | 13 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $2,684.13 | $4,925.00 | $266.30 – $1,385.72 | 13 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $3,557.76 | $6,528.00 | $339.06 – $2,123.66 | 13 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $3,557.76 | $6,528.00 | $240.58 – $1,930.60 | 13 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $2,312.44 | $4,243.00 | $211.59 – $1,385.72 | 13 |
| Neck spine disk surgery CPT 63020 | not published | not published | $1,388.47 – $9,387.58 | 8 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $1,122.73 – $9,387.58 | 8 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $240.52 – $856.88 | 4 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $9.81 | $18.00 | $0.49 – $1.00 | 11 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $958.26 – $3,413.84 | 4 |
| Nephrectomy partial CPT 50240 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $865.98 – $3,085.10 | 4 |
| Nerve graft add-on CPT 64901 | not published | not published | $550.26 – $1,960.35 | 4 |
| Nerve graft add-on CPT 64902 | not published | not published | $639.98 – $2,279.96 | 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.