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 |
|---|---|---|---|---|
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $14,558.59 | $26,713.00 | $72.40 – $2,198.14 | 13 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $98.65 | $181.00 | $47.04 – $94.08 | 7 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $6,483.32 | $11,896.00 | $37.95 – $2,232.44 | 13 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $739.96 – $1,837.76 | 4 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $361.86 – $1,289.15 | 4 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $51.23 | $94.00 | $0.10 – $1.00 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,283.54 – $2,900.80 | 4 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $920.70 – $2,080.78 | 4 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $931.49 – $2,105.17 | 4 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,834.92 – $4,557.29 | 4 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,983.17 – $4,925.49 | 4 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,983.17 – $4,925.49 | 4 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $376.40 – $5,032.06 | 8 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $626.58 – $1,416.07 | 4 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $314.43 – $1,120.19 | 4 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $636.56 – $7,773.77 | 8 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $553.25 – $7,773.77 | 8 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $290.51 – $5,032.06 | 8 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,354.72 – $4,826.25 | 4 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $206.77 – $2,103.10 | 8 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $405.01 – $7,103.63 | 8 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $818.56 – $2,916.15 | 4 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $405.87 – $7,773.77 | 8 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $726.28 – $4,261.72 | 8 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $590.85 – $9,387.58 | 8 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $707.91 – $9,387.58 | 8 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $964.24 – $2,394.83 | 8 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $723.28 – $2,576.74 | 4 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $666.42 – $1,506.11 | 4 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $666.42 – $1,506.11 | 4 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $46.54 – $105.18 | 4 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,068.48 – $2,653.74 | 4 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $253.54 – $573.00 | 4 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $226.73 – $512.41 | 4 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $431.61 – $1,071.69 | 4 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $549.89 – $40,045.34 | 8 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $28,180.07 – $28,180.07 | 6 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $313.16 – $16,387.23 | 8 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $544.30 – $8,624.31 | 8 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $628.88 – $7,773.77 | 8 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $636.99 – $7,773.77 | 8 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $933.05 – $3,324.05 | 4 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $317.00 – $7,773.77 | 8 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,117.62 – $7,773.77 | 8 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $580.60 – $7,773.77 | 8 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $534.46 – $1,904.00 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $580.60 – $7,773.77 | 8 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $580.60 – $7,773.77 | 8 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $580.60 – $7,773.77 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $540.01 – $7,773.77 | 8 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $598.11 – $7,773.77 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $599.40 – $7,773.77 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $677.58 – $7,773.77 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $814.72 – $7,773.77 | 8 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $615.20 – $9,387.58 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $548.55 – $9,387.58 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $548.55 – $9,387.58 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $636.13 – $9,387.58 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $435.33 – $9,387.58 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,362.68 – $7,773.77 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,531.59 – $5,456.36 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $580.60 – $2,068.40 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,232.96 – $4,392.49 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,375.88 – $3,109.49 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $304.18 – $4,263.74 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $556.24 – $9,387.58 | 8 |
| Optx lunate dislocation CPT 25695 | not published | not published | $401.59 – $9,387.58 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $435.33 – $9,387.58 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $580.60 – $7,773.77 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $683.55 – $7,773.77 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $424.23 – $7,773.77 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $241.81 – $7,773.77 | 8 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $560.52 – $7,773.77 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $605.37 – $2,156.67 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,009.52 – $16,908.29 | 8 |
| Optx post ankle fx CPT 27769 | not published | not published | $501.86 – $9,387.58 | 8 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $580.60 – $16,908.29 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,346.60 – $24,166.36 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $387.06 – $9,387.58 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $387.06 – $9,387.58 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $387.06 – $9,387.58 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $722.86 – $9,387.58 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $768.57 – $9,387.58 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $580.60 – $9,387.58 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $551.54 – $9,387.58 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $725.75 – $9,387.58 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $580.60 – $9,387.58 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $677.58 – $16,908.29 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $561.79 – $9,387.58 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $484.05 – $9,387.58 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $897.62 – $2,028.62 | 4 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $780.96 – $4,261.72 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $580.60 – $9,387.58 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $387.06 – $9,387.58 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $474.68 – $9,387.58 | 8 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,952.83 – $6,957.05 | 4 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,187.38 – $7,792.64 | 4 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,259.57 – $8,049.87 | 4 |
| Orchiectomy partial CPT 54522 | not published | not published | $590.00 – $4,532.29 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $597.69 – $4,637.54 | 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.