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 |
|---|---|---|---|---|
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $512.67 – $4,637.54 | 8 |
| Organic acids total quant ea spec CPT 83918 | $9.77 | $17.91 | $12.00 – $17.91 | 14 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $76.05 – $1,946.55 | 8 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $2,108.61 | $3,869.00 | $324.66 – $3,791.62 | 12 |
| Oscillation chest wall mechanical per session CPT 94669 | $145.52 | $267.00 | $25.96 – $417.00 | 14 |
| Osmolality blood CPT 83930 | $59.41 | $109.00 | $6.61 – $106.82 | 14 |
| Osmolality urine CPT 83935 | $56.68 | $104.00 | $6.82 – $101.92 | 14 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $377.24 – $4,263.74 | 8 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $338.78 – $4,263.74 | 8 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $607.22 – $1,372.32 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $787.50 – $16,908.29 | 8 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $741.62 – $9,387.58 | 8 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $867.46 – $9,387.58 | 8 |
| Osteoplasty humerus CPT 24420 | not published | not published | $842.05 – $9,387.58 | 8 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,222.28 – $4,354.43 | 4 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $349.47 – $1,244.99 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,162.90 – $4,142.87 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,095.82 – $3,903.92 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $580.60 – $9,387.58 | 8 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $871.11 – $3,103.36 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $489.60 – $9,387.58 | 8 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,612.89 – $9,308.53 | 4 |
| Oth resp proc, group HCPCS G0239 | $192.39 | $353.00 | $51.58 – $417.00 | 12 |
| Oth resp proc, indiv HCPCS G0238 | $55.59 | $102.00 | $32.18 – $417.00 | 12 |
| Otoplasty 69300 CPT 69300 | not published | not published | $427.22 – $4,261.72 | 8 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,896.86 – $6,757.67 | 4 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $872.17 – $6,486.99 | 8 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $6,005.90 | $11,020.00 | $0.87 – $63.70 | 12 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $6,272.95 | $11,510.00 | $0.10 – $67.62 | 12 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $89.93 | $165.00 | $1.68 – $63.70 | 11 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $117.72 | $216.00 | $0.11 – $0.98 | 12 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $3,976.32 | $7,296.00 | $12.85 – $4,835.32 | 13 |
| Palonosetron hcl HCPCS J2469 | $942.85 | $1,730.00 | $0.47 – $63.70 | 12 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $1,290.56 | $2,368.00 | $11.83 – $63.70 | 12 |
| Pancreatectomy CPT 48146 | not published | not published | $1,373.51 – $4,893.22 | 4 |
| Pancreatectomy CPT 48152 | not published | not published | $2,051.09 – $7,307.12 | 4 |
| Pancreatectomy CPT 48154 | not published | not published | $2,051.09 – $7,307.12 | 4 |
| Pancreatectomy 48153 CPT 48153 | not published | not published | $2,155.33 – $7,678.49 | 4 |
| Pancreatectomy dist subtot w/wo splenecto 48140 CPT 48140 | not published | not published | $967.66 – $3,447.34 | 4 |
| Pancreatorrhaphy CPT 48545 | not published | not published | $841.63 – $2,998.36 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $12,158.41 | $22,309.00 | $182.90 – $5,466.44 | 13 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $35.43 | $65.00 | $31.85 – $63.70 | 7 |
| Papaverin hcl injection HCPCS J2440 | $35.43 | $65.00 | $3.27 – $65.00 | 10 |
| Parathormone (pth) intact CPT 83970 | $432.73 | $794.00 | $23.35 – $34.84 | 14 |
| Parathyrdec/expl parathyr medstnl sternal/tthrc 60505 CPT 60505 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Parathyrd planar w/spect&ct CPT 78072 | $2,729.36 | $5,008.00 | $364.92 – $4,907.84 | 13 |
| Parathyroid autotransplantation 60512 CPT 60512 | not published | not published | $232.83 – $829.49 | 4 |
| Parathyroid planar imaging CPT 78070 | $2,348.95 | $4,310.00 | $137.86 – $1,528.80 | 13 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $1,166.53 – $6,486.99 | 8 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $692.48 – $8,569.85 | 8 |
| Paricalcitol HCPCS J2501 | $46.33 | $85.00 | $0.71 – $63.70 | 12 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | not published | not published | $19.22 – $261.11 | 8 |
| Parotid duct diversion CPT 42507 | not published | not published | $499.00 – $7,773.77 | 8 |
| Parotid duct diversion CPT 42509 | not published | not published | $833.81 – $7,773.77 | 6 |
| Parotid duct diversion CPT 42510 | not published | not published | $542.15 – $4,261.72 | 8 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $570.34 – $9,387.58 | 8 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $197.69 – $4,178.22 | 8 |
| Partial complicated cystectomy 51555 CPT 51555 | not published | not published | $871.11 – $3,103.36 | 4 |
| Partial exc bone humerus CPT 24140 | not published | not published | $471.65 – $4,263.74 | 8 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $317.43 – $4,263.74 | 8 |
| Partial excision of lip CPT 40500 | not published | not published | $448.59 – $4,261.72 | 8 |
| Partial hip replacement CPT 27125 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Partial hysterectomy CPT 58180 | not published | not published | $1,162.90 – $2,628.15 | 4 |
| Partial proctectomy CPT 45113 | not published | not published | $1,588.41 – $5,658.79 | 4 |
| Partial proctectomy; perineal 45123 CPT 45123 | not published | not published | $993.29 – $3,538.66 | 4 |
| Partial removal donor liver CPT 47140 | not published | not published | $2,010.86 – $4,994.46 | 4 |
| Partial removal donor liver CPT 47141 | not published | not published | $2,437.81 – $6,054.47 | 4 |
| Partial removal donor liver CPT 47142 | not published | not published | $2,693.71 – $6,690.05 | 4 |
| Partial removal finger bone CPT 26235 | not published | not published | $327.25 – $2,103.10 | 8 |
| Partial removal finger bone CPT 26236 | not published | not published | $305.03 – $2,103.10 | 8 |
| Partial removal foot fascia CPT 28060 | not published | not published | $290.51 – $4,263.74 | 8 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $533.17 – $4,263.74 | 8 |
| Partial removal of bladder CPT 51550 | not published | not published | $871.11 – $3,103.36 | 4 |
| Partial removal of esophagus CPT 43116 | not published | not published | $2,149.78 – $7,658.69 | 4 |
| Partial removal of esophagus CPT 43118 | not published | not published | $2,219.84 – $7,908.30 | 4 |
| Partial removal of esophagus CPT 43121 | not published | not published | $1,913.10 – $6,815.50 | 4 |
| Partial removal of esophagus CPT 43123 | not published | not published | $2,219.84 – $7,908.30 | 4 |
| Partial removal of esophagus 43117 CPT 43117 | not published | not published | $2,107.05 – $7,506.48 | 4 |
| Partial removal of esophagus 43122 CPT 43122 | not published | not published | $1,913.10 – $6,815.50 | 4 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $640.83 – $2,997.11 | 8 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,281.67 – $4,565.99 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $580.60 – $4,263.74 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $230.70 – $4,263.74 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $341.78 – $4,263.74 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $1,346.60 – $4,797.32 | 4 |
| Partial removal of larynx CPT 31367 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Partial removal of larynx CPT 31368 | not published | not published | $1,645.23 – $5,861.20 | 4 |
| Partial removal of larynx CPT 31370 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Partial removal of larynx CPT 31375 | not published | not published | $967.66 – $3,447.34 | 4 |
| Partial removal of larynx CPT 31380 | not published | not published | $967.66 – $3,447.34 | 4 |
| Partial removal of larynx CPT 31382 | not published | not published | $967.66 – $3,447.34 | 4 |
| Partial removal of lip CPT 40530 | not published | not published | $290.51 – $4,261.72 | 8 |
| Partial removal of liver CPT 47125 | not published | not published | $1,124.02 – $4,004.36 | 4 |
| Partial removal of liver CPT 47130 | not published | not published | $1,068.05 – $3,805.00 | 4 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $1,227.83 – $4,374.21 | 4 |
| Partial removal of nose CPT 30150 | not published | not published | $687.82 – $7,773.77 | 8 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,064.63 – $3,792.80 | 4 |
| Partial removal of pancreas CPT 48150 | not published | not published | $1,645.23 – $5,861.20 | 4 |
| Partial removal of penis CPT 54120 | not published | not published | $484.05 – $4,532.29 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $857.86 – $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.