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 |
|---|---|---|---|---|
| Pten gene full sequence CPT 81321 | $226.18 | $415.00 | $234.28 – $415.00 | 14 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $582.73 – $7,773.77 | 8 |
| Pt prgrm for implt neurostim HCPCS L8681 | $4,101.67 | $7,526.00 | $1,881.50 – $7,375.48 | 11 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,645.23 – $5,861.20 | 4 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $677.58 – $2,413.91 | 4 |
| Pulmonary vent imaging CPT 78579 | $2,100.43 | $3,854.00 | $157.92 – $1,092.70 | 13 |
| Pulse ox continuous overnight monitoring CPT 94762 | $208.19 | $382.00 | $205.60 – $374.36 | 11 |
| Pulse ox multiple CPT 94761 | $208.19 | $382.00 | $255.94 – $374.36 | 6 |
| Pulse ox single CPT 94760 | $191.30 | $351.00 | $6.41 – $257.74 | 10 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $149.96 – $910.04 | 8 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $228.36 | $419.00 | $14.53 – $417.00 | 14 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $434.91 | $798.00 | $53.83 – $479.00 | 13 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $85.44 – $4,261.72 | 8 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,456.79 | $2,673.00 | $93.99 – $1,084.86 | 13 |
| Puraply 1 sq cm HCPCS Q4195 | $9,018.12 | $16,547.00 | $71.23 – $16,216.06 | 13 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $74.09 – $167.44 | 4 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $143.71 – $910.04 | 8 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $131.42 – $910.04 | 8 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,048.83 – $1,796.12 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $927.07 – $3,302.76 | 4 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $885.21 – $3,153.56 | 4 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $954.84 – $3,401.66 | 4 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $604.51 – $2,153.62 | 4 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $35.43 | $65.00 | $6.69 – $65.00 | 11 |
| Pyruvate CPT 84210 | $13.46 | $24.68 | $14.48 – $24.68 | 14 |
| Pyruvate kinase CPT 84220 | $19.08 | $35.00 | $9.44 – $34.30 | 14 |
| Quest t3 uptake CPT 84479 | $3.18 | $5.83 | $3.91 – $5.83 | 14 |
| Quinupristin/dalfopristin HCPCS J2770 | $580.97 | $1,066.00 | $5.60 – $548.00 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $7,419.09 | $13,613.00 | $172.34 – $2,923.34 | 12 |
| Radiation physics consult CPT 77336 | $1,177.75 | $2,161.00 | $79.01 – $2,117.78 | 13 |
| Radiation therapy dose plan CPT 77300 | $485.60 | $891.00 | $80.50 – $873.18 | 13 |
| Radiation treatment aid(s) CPT 77332 | $477.42 | $876.00 | $49.26 – $858.48 | 13 |
| Radiation treatment aid(s) CPT 77333 | $663.27 | $1,217.00 | $65.60 – $1,192.66 | 13 |
| Radiation treatment aid(s) CPT 77334 | $1,164.12 | $2,136.00 | $160.93 – $2,093.28 | 13 |
| Radiation treatment delivery CPT 77402 | $711.23 | $1,305.00 | $60.82 – $1,278.90 | 13 |
| Radiation treatment delivery CPT 77412 | $1,662.80 | $3,051.00 | $61.97 – $2,989.98 | 13 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,180.43 – $4,927.77 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $956.13 – $3,406.23 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,088.56 – $3,878.07 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $949.29 – $3,381.89 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $933.91 – $9,387.58 | 8 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,390.17 – $4,952.56 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $968.51 – $3,761.02 | 8 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,138.87 – $3,761.02 | 8 |
| Radiology port images(s) CPT 77417 | $110.09 | $202.00 | $14.09 – $197.96 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | $2,566.41 | $4,709.00 | $410.00 – $4,614.82 | 13 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,211.69 | $5,893.00 | $189.70 – $1,735.58 | 13 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,403.92 | $2,576.00 | $631.33 – $2,524.48 | 13 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,923.31 | $3,529.00 | $710.87 – $1,061.00 | 11 |
| Radphm lcl tumor plr sgl day CPT 78800 | $2,019.77 | $3,706.00 | $127.83 – $3,631.88 | 13 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,045.41 – $9,387.58 | 8 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,074.89 – $3,829.34 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,051.38 – $3,761.02 | 8 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $978.65 – $3,761.02 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $757.04 – $3,761.02 | 8 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,094.93 – $3,761.02 | 8 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $788.22 – $3,761.02 | 8 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $878.26 – $3,761.02 | 8 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $723.72 – $9,387.58 | 8 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $767.71 – $3,761.02 | 8 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $13,789.59 | $25,302.00 | $78.92 – $4,959.78 | 13 |
| Rapid Strep Test CPT 87880 | $138.43 | $254.00 | $10.03 – $59.78 | 14 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $9,777.85 | $17,941.00 | $248.40 – $3,517.22 | 12 |
| Rbc deglycerolized each unit HCPCS P9039 | $775.54 | $1,423.00 | $347.23 – $942.76 | 13 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $42.58 – $574.50 | 6 |
| Rbc irradiated each unit HCPCS P9038 | $391.31 | $718.00 | $195.18 – $703.64 | 13 |
| Rbc osmotic fragility CPT 85555 | $39.64 | $72.73 | $7.47 – $71.28 | 14 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,693.51 – $7,773.77 | 8 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,442.73 – $5,139.78 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,064.63 – $3,792.80 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,166.74 – $4,156.57 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $1,548.26 – $5,515.73 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $1,548.26 – $5,515.73 | 4 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $769.00 – $4,261.72 | 8 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $939.89 – $7,773.77 | 8 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $939.89 – $7,773.77 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $677.58 – $2,413.91 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $580.60 – $2,068.40 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $636.13 – $4,263.74 | 8 |
| Realignment of thigh bone CPT 27454 | not published | not published | $967.66 – $3,447.34 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $939.89 – $7,773.77 | 8 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $939.89 – $7,773.77 | 8 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,025.33 – $7,773.77 | 8 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $725.85 – $7,773.77 | 8 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $774.13 – $7,773.77 | 8 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Rechanneling of artery CPT 35306 | not published | not published | $404.69 – $914.60 | 4 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,404.28 – $5,002.83 | 4 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,369.67 – $4,879.54 | 4 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,084.14 – $2,450.16 | 4 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,708.89 – $6,087.99 | 4 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,127.70 – $2,548.60 | 4 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,708.89 – $6,087.99 | 4 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,084.14 – $2,450.16 | 4 |
| Recipient nephrectomy CPT 50340 | not published | not published | $854.44 – $3,043.99 | 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.