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 |
|---|---|---|---|---|
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $799.33 – $8,415.59 | 8 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $953.13 – $8,415.59 | 8 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $1,281.67 – $4,810.88 | 8 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $1,451.70 – $5,171.74 | 8 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $1,432.05 – $5,101.72 | 8 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $603.66 – $8,415.59 | 8 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $791.64 – $8,415.59 | 8 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $574.83 – $8,415.59 | 8 |
| Nerve surgery CPT 64859 | not published | not published | $348.24 – $348.24 | 1 |
| Nesiritide injection HCPCS J2325 | $2,202.89 | $4,042.00 | $48.03 – $3,961.16 | 11 |
| Neurectomy foot CPT 28055 | not published | not published | $335.07 – $2,566.14 | 8 |
| Neurectomy hamstring CPT 27325 | not published | not published | $438.94 – $2,566.14 | 8 |
| Neurectomy popliteal CPT 27326 | not published | not published | $391.29 – $2,566.14 | 8 |
| Neuroeltrd stim post tibial CPT 64566 | not published | not published | $94.12 – $387.91 | 8 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $117.48 – $291.79 | 4 |
| Neurolysis celiac plexus CPT 64680 | not published | not published | $135.43 – $1,169.93 | 8 |
| Neurolysis trigeminal nerve CPT 64600 | not published | not published | $130.30 – $1,169.93 | 8 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $232.41 – $2,566.14 | 8 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $341.78 – $2,566.14 | 8 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $699.18 – $8,415.59 | 8 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $484.05 – $4,810.88 | 8 |
| New Patient Office Visit (level 2) CPT 99202 | $183.67 | $337.00 | $61.11 – $263.62 | 11 |
| New Patient Office Visit (level 3) CPT 99203 | $238.71 | $438.00 | $101.90 – $330.26 | 11 |
| New Patient Office Visit (level 4) CPT 99204 | $258.88 | $475.00 | $122.74 – $465.50 | 11 |
| New Patient Office Visit (level 5) CPT 99205 | $337.36 | $619.00 | $133.00 – $606.62 | 11 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $918.53 – $3,272.32 | 4 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $536.28 | $984.00 | $32.83 – $65.66 | 7 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,671.62 – $6,037.86 | 4 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $2,886.81 – $6,524.19 | 4 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $767.29 – $5,032.06 | 8 |
| Nipple exploration CPT 19110 | not published | not published | $440.46 – $5,032.06 | 8 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $51.78 | $95.00 | $26.46 – $52.92 | 7 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $16,353.82 | $30,007.00 | $34.98 – $4,687.34 | 13 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $105.14 – $1,169.93 | 8 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | not published | not published | $192.85 – $910.04 | 8 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $114.06 – $1,169.93 | 8 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $76.05 – $387.91 | 8 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $530.18 – $2,566.14 | 8 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $127.33 – $1,169.93 | 8 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $195.46 – $1,169.93 | 8 |
| Njx interlaminar lmbr/sac CPT 62326 | not published | not published | $135.14 – $1,169.93 | 8 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $201.04 – $1,169.93 | 8 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | $4,259.18 | $7,815.00 | $475.05 – $4,728.50 | 13 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $377.24 – $6,680.39 | 8 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,109.49 – $3,952.63 | 4 |
| Nl removal calculus CPT 50060 | not published | not published | $967.66 – $3,447.34 | 4 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,126.15 – $4,011.97 | 4 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $2,013.23 | $3,694.00 | $188.05 – $1,202.46 | 13 |
| Nm imaging bone/joint whole body CPT 78306 | $2,013.23 | $3,694.00 | $202.29 – $1,202.46 | 13 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $2,348.95 | $4,310.00 | $240.65 – $1,528.80 | 13 |
| Nm imaging gastric emptying study CPT 78264 | $2,013.23 | $3,694.00 | $405.07 – $1,202.46 | 13 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $2,093.89 | $3,842.00 | $186.19 – $1,092.70 | 13 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,763.70 | $5,071.00 | $391.93 – $1,581.72 | 13 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $2,763.70 | $5,071.00 | $290.93 – $1,581.72 | 13 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $991.90 | $1,820.00 | $213.50 – $644.84 | 13 |
| Npm1 gene CPT 81310 | $190.75 | $350.00 | $140.44 – $220.00 | 14 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $2,936.70 – $7,773.77 | 8 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $2,856.29 – $7,773.77 | 8 |
| Nras gene variants exon 2&3 CPT 81311 | $185.30 | $340.00 | $227.80 – $340.00 | 14 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $2,333.69 | $4,282.00 | $958.06 – $4,282.00 | 13 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $796.77 – $8,415.59 | 8 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $687.40 – $8,415.59 | 8 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $743.36 – $8,415.59 | 8 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $707.91 – $8,415.59 | 8 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $839.92 – $8,415.59 | 8 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $908.70 – $8,415.59 | 8 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $882.21 – $8,415.59 | 8 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,004.40 – $8,415.59 | 8 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $675.72 – $8,415.59 | 8 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $133.28 – $301.21 | 4 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $699.37 – $9,096.82 | 8 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $638.27 – $9,096.82 | 8 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $403.20 – $9,096.82 | 8 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $177.59 – $9,096.82 | 8 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $3,616.52 – $9,096.82 | 8 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $149.29 – $9,096.82 | 8 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $800.19 – $9,096.82 | 8 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $145.94 – $9,096.82 | 8 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $427.03 – $9,096.82 | 8 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $380.49 – $9,096.82 | 8 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $520.78 – $4,845.02 | 8 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $380.12 – $2,266.13 | 8 |
| Ntrk translocation analysis CPT 81194 | $441.45 | $810.00 | $414.62 – $810.00 | 14 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $1,693.86 | $3,108.00 | $410.00 – $3,045.84 | 12 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $1,693.86 | $3,108.00 | $410.00 – $3,045.84 | 12 |
| Nuclear Stress Test (Heart) CPT 78452 | $4,646.13 | $8,525.00 | $348.12 – $2,771.44 | 13 |
| Nushield 1 square cm HCPCS Q4160 | $11,724.59 | $21,513.00 | $93.93 – $2,912.56 | 13 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $19,714.83 | $36,174.00 | $83.17 – $35,450.52 | 13 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $2,136.11 – $7,609.98 | 4 |
| Observation direct referral from physician office for admission HCPCS G0379 | $447.99 | $822.00 | $59.00 – $805.67 | 11 |
| Observation per hour HCPCS G0378 | $147.15 | $270.00 | $59.00 – $264.60 | 7 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $799.53 – $4,178.22 | 8 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $51,297.04 | $94,123.00 | $63.29 – $92,240.54 | 13 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $296.48 | $544.00 | $0.64 – $63.70 | 12 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $14,617.99 | $26,822.00 | $195.20 – $7,154.98 | 13 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $334.09 – $829.76 | 8 |
| Ocular reconst transplant CPT 65780 | not published | not published | $359.72 – $4,955.47 | 8 |
| Ocular reconst transplant CPT 65781 | not published | not published | $613.22 – $6,780.37 | 8 |
| Ocular reconst transplant CPT 65782 | not published | not published | $521.86 – $4,955.47 | 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.