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 |
|---|---|---|---|---|
| Phosphorus 24 hour urine CPT 84105 | $123.17 | $226.00 | $5.78 – $221.48 | 14 |
| Photopheresis CPT 36522 | not published | not published | $2,959.79 – $6,689.13 | 8 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $106.28 | $195.00 | $3.01 – $63.70 | 12 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $790.80 | $1,451.00 | $710.99 – $1,421.98 | 6 |
| Pik3ca gene trgt seq alys CPT 81309 | $221.27 | $406.00 | $219.86 – $406.00 | 14 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $182.00 – $804.40 | 8 |
| Pin finger dislocation CPT 26776 | not published | not published | $237.54 – $4,263.74 | 8 |
| Pin finger fracture each CPT 26756 | not published | not published | $419.11 – $4,263.74 | 8 |
| Pin hand dislocation CPT 26676 | not published | not published | $265.31 – $4,263.74 | 8 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $204.64 – $4,263.74 | 8 |
| Pinworm exam CPT 87172 | $60.50 | $111.00 | $3.80 – $57.82 | 14 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $1,354.33 | $2,485.00 | $1.17 – $63.70 | 11 |
| Place breast cath for rad CPT 19297 | not published | not published | $66.59 – $165.52 | 4 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,893.60 – $8,569.85 | 8 |
| Place cath intracranial art CPT 36228 | not published | not published | $181.31 – $409.76 | 4 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $88.61 – $532.77 | 4 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $891.29 – $2,014.32 | 8 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,093.82 – $2,492.83 | 8 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $685.26 – $2,441.30 | 4 |
| Place gastrostomy tube perc CPT 49440 | not published | not published | $920.70 – $2,492.83 | 8 |
| Placement bile duct support CPT 47801 | not published | not published | $775.40 – $2,762.42 | 4 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $412.57 | $757.00 | $215.93 – $757.00 | 13 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $334.09 | $613.00 | $151.53 – $600.74 | 10 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,212.08 | $2,224.00 | $476.17 – $1,694.42 | 13 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,780.27 | $10,606.00 | $773.64 – $5,737.90 | 13 |
| Placement of drain pancreas CPT 48001 | not published | not published | $892.46 – $3,179.48 | 4 |
| Placement of seton CPT 46020 | not published | not published | $192.48 – $3,603.77 | 8 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $392.40 – $14,902.64 | 8 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $246.09 – $4,263.74 | 8 |
| Place needles h&n for right CPT 41019 | not published | not published | $363.74 – $7,773.77 | 8 |
| Place needles pelvic for right CPT 55920 | not published | not published | $344.01 – $6,486.99 | 8 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $173.86 – $4,136.13 | 8 |
| Place po breast cath for rad CPT 19296 | not published | not published | $5,095.45 – $12,655.39 | 8 |
| Place right device/marker pros CPT 55876 | not published | not published | $132.17 – $1,798.03 | 8 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $280.71 – $7,103.63 | 8 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $237.90 – $4,136.13 | 8 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $256.89 – $7,103.63 | 8 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $255.77 – $4,136.13 | 8 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $281.46 – $7,103.63 | 8 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $265.96 | $488.00 | $83.69 – $478.24 | 13 |
| Plas shoe insert w ank joint HCPCS L2180 | $433.82 | $796.00 | $134.86 – $780.08 | 12 |
| Platelet aggregation each agent teg CPT 85576 | $408.21 | $749.00 | $17.07 – $178.52 | 14 |
| Platelet automated CPT 85049 | $75.21 | $138.00 | $3.77 – $135.24 | 14 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $42.58 – $574.50 | 6 |
| Platelet pheresis each unit HCPCS P9034 | $368.97 | $677.00 | $441.03 – $677.00 | 13 |
| Platelet pheresis irr ea HCPCS P9036 | $723.76 | $1,328.00 | $417.71 – $1,301.44 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $738.48 | $1,355.00 | $499.53 – $1,327.90 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $723.76 | $1,328.00 | $624.66 – $1,328.00 | 13 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $7,176.02 | $13,167.00 | $1,225.61 – $12,903.66 | 13 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $2,482.12 – $5,609.59 | 4 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $973.94 – $4,532.29 | 8 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,830.34 | $8,863.00 | $1,301.93 – $5,386.08 | 13 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $672.37 – $1,519.56 | 4 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,237.70 | $2,271.00 | $492.55 – $1,319.08 | 13 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $925.96 | $1,699.00 | $430.75 – $1,665.02 | 10 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $268.06 – $605.82 | 4 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $55.10 – $196.07 | 4 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $1,109.08 | $2,035.00 | $186.15 – $1,994.30 | 10 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $1,188.10 | $2,180.00 | $418.09 – $2,136.40 | 10 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $578.25 | $1,061.00 | $48.09 – $1,039.78 | 13 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $967.66 – $3,447.34 | 4 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $1,081.53 – $8,199.66 | 8 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $1,507.82 – $4,637.54 | 8 |
| Plmt nephroureteral catheter CPT 50433 | $5,404.77 | $9,917.00 | $1,043.18 – $5,400.78 | 13 |
| Plmt ureteral stent prq CPT 50694 | $4,830.34 | $8,863.00 | $1,068.87 – $5,386.08 | 13 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $75.19 – $812.46 | 8 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $368.97 | $677.00 | $17.00 – $637.98 | 14 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $37,278.00 | $68,400.00 | $144.40 – $67,032.00 | 13 |
| Positional change of finger CPT 26555 | not published | not published | $1,393.17 – $9,387.58 | 8 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $422.09 – $1,503.76 | 4 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $470.37 – $1,675.72 | 4 |
| Potassium 24 hour urine CPT 84133 | $192.93 | $354.00 | $2.62 – $3.91 | 14 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $91.56 | $168.00 | $0.17 – $63.70 | 11 |
| Potassium hydroxide preps HCPCS Q0112 | $67.58 | $124.00 | $4.65 – $34.30 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $224.00 | $411.00 | $4.76 – $116.62 | 14 |
| Pq dr cath chg w cont s&i CPT 75984 | $2,153.30 | $3,951.00 | $97.15 – $1,401.40 | 11 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $12,790.06 | $23,468.00 | $435.59 – $22,998.64 | 13 |
| Pq thr inj ext pse CPT 36002 | not published | not published | $179.44 – $812.46 | 8 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $181.68 – $410.60 | 4 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | not published | not published | $393.89 – $4,263.74 | 8 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $8,702.56 | $15,968.00 | $370.07 – $15,648.64 | 13 |
| Pralatrexate injection HCPCS J9307 | $15,511.25 | $28,461.00 | $375.01 – $24,322.62 | 13 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $207.10 | $380.00 | $104.04 – $365.00 | 10 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $299.90 – $4,263.74 | 8 |
| Pr application of long arm splint CPT 29105 | $274.14 | $503.00 | $76.05 – $492.94 | 13 |
| Pr application splint static short arm CPT 29125 | $378.78 | $695.00 | $60.67 – $681.10 | 13 |
| Pr biopsy skin punch single lesion CPT 11104 | $249.61 | $458.00 | $89.65 – $458.00 | 13 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $459.69 – $16,908.29 | 8 |
| Pr correction hammertoe CPT 28285 | not published | not published | $232.41 – $4,263.74 | 8 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $184.76 | $339.00 | $10.41 – $147.00 | 13 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $238.64 – $539.33 | 4 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $208.49 – $471.19 | 4 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $631.86 – $4,532.29 | 8 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $353.71 | $649.00 | $48.32 – $467.46 | 13 |
| Prealbumin CPT 84134 | $107.91 | $198.00 | $14.59 – $186.20 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $17.44 | $32.00 | $0.29 – $8.00 | 11 |
| Prednisone 1 mg tablet HCPCS J7512 | $4.36 | $8.00 | $0.01 – $7.84 | 9 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $3,434.59 | $6,302.00 | $277.70 – $6,175.96 | 13 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $791.89 | $1,453.00 | $135.29 – $309.68 | 13 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,182.11 | $2,169.00 | $78.42 – $463.54 | 13 |
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.