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 |
|---|---|---|---|---|
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,196.22 – $7,773.77 | 8 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,281.67 – $7,773.77 | 8 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,064.63 – $7,773.77 | 8 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,025.33 – $7,773.77 | 8 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,573.88 – $5,607.06 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $1,237.23 – $4,407.70 | 4 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $508.40 – $7,773.77 | 8 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,025.76 – $7,773.77 | 8 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,064.63 – $24,166.36 | 8 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,690.94 – $6,024.08 | 4 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,024.05 – $9,387.58 | 8 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $774.13 – $7,773.77 | 8 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $854.44 – $4,261.72 | 8 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $939.89 – $7,773.77 | 8 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $683.55 – $7,773.77 | 8 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $726.28 – $7,773.77 | 8 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $726.28 – $7,773.77 | 8 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,693.51 – $6,033.21 | 4 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $1,693.51 – $6,033.21 | 4 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $1,693.51 – $6,033.21 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $811.72 – $9,387.58 | 8 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $982.19 – $24,166.36 | 8 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,207.22 – $16,908.29 | 6 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $818.69 – $9,387.58 | 8 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $818.69 – $16,908.29 | 8 |
| Reconstruct extra finger CPT 26587 | not published | not published | $360.91 – $4,263.74 | 6 |
| Reconstruct finger joint CPT 26545 | not published | not published | $387.06 – $4,263.74 | 8 |
| Reconstruct finger joint CPT 26548 | not published | not published | $425.09 – $4,263.74 | 8 |
| Reconstruct head of radius CPT 24365 | not published | not published | $616.91 – $16,908.29 | 8 |
| Reconstruct head of radius CPT 24366 | not published | not published | $532.32 – $16,908.29 | 8 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,050.11 – $3,741.07 | 4 |
| Reconstruction knee CPT 27427 | not published | not published | $921.48 – $9,387.58 | 6 |
| Reconstruction knee CPT 27428 | not published | not published | $976.63 – $16,908.29 | 8 |
| Reconstruction knee CPT 27429 | not published | not published | $1,101.38 – $16,908.29 | 8 |
| Reconstruction of anus CPT 46753 | not published | not published | $402.45 – $3,603.77 | 8 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $967.66 – $3,447.34 | 4 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $580.60 – $3,065.74 | 8 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $725.85 – $3,065.74 | 8 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $830.52 – $4,955.47 | 8 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $328.53 – $3,065.74 | 8 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $967.66 – $3,447.34 | 4 |
| Reconstruction of jaw CPT 21245 | not published | not published | $911.69 – $7,773.77 | 8 |
| Reconstruction of jaw CPT 21246 | not published | not published | $818.99 – $7,773.77 | 8 |
| Reconstruction of jaw CPT 21248 | not published | not published | $731.83 – $7,773.77 | 8 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,162.90 – $7,773.77 | 8 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,014.22 – $7,773.77 | 8 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $955.26 – $7,773.77 | 8 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,354.29 – $24,166.36 | 8 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $902.72 – $7,773.77 | 8 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,397.87 – $4,979.98 | 4 |
| Reconstruction of mouth CPT 40840 | not published | not published | $565.65 – $7,773.77 | 8 |
| Reconstruction of mouth CPT 40842 | not published | not published | $565.21 – $7,773.77 | 8 |
| Reconstruction of mouth CPT 40843 | not published | not published | $743.79 – $7,773.77 | 8 |
| Reconstruction of mouth CPT 40844 | not published | not published | $955.70 – $7,773.77 | 8 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,134.70 – $7,773.77 | 8 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $187.13 – $2,403.79 | 8 |
| Reconstruction of nose CPT 30410 | not published | not published | $846.76 – $7,773.77 | 8 |
| Reconstruction of nose CPT 30420 | not published | not published | $967.66 – $7,773.77 | 8 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,281.67 – $7,773.77 | 8 |
| Reconstruction of throat CPT 42950 | not published | not published | $298.21 – $7,773.77 | 8 |
| Reconstruction of urethra CPT 53410 | not published | not published | $774.13 – $6,680.39 | 8 |
| Reconstruction of urethra CPT 53415 | not published | not published | $967.66 – $3,447.34 | 4 |
| Reconstruction of urethra CPT 53430 | not published | not published | $677.58 – $6,680.39 | 8 |
| Reconstruction of urethra CPT 54308 | not published | not published | $755.33 – $6,680.39 | 8 |
| Reconstruction of urethra CPT 54312 | not published | not published | $846.76 – $4,532.29 | 8 |
| Reconstruction of urethra CPT 54316 | not published | not published | $871.11 – $12,151.68 | 8 |
| Reconstruction of urethra CPT 54318 | not published | not published | $628.88 – $4,532.29 | 8 |
| Reconstruction of urethra CPT 54322 | not published | not published | $774.13 – $4,532.29 | 8 |
| Reconstruction of urethra CPT 54324 | not published | not published | $774.13 – $4,532.29 | 8 |
| Reconstruction of urethra CPT 54326 | not published | not published | $774.13 – $4,532.29 | 8 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $269.15 – $4,261.72 | 8 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,300.59 – $8,195.98 | 4 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $641.68 – $7,773.77 | 8 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $726.58 – $4,261.72 | 6 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,281.67 – $7,773.77 | 8 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,421.36 – $5,063.71 | 4 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,548.26 – $7,773.77 | 8 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $967.66 – $16,908.29 | 8 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,701.24 – $24,166.36 | 6 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $455.42 – $9,387.58 | 8 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,281.67 – $7,773.77 | 8 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $883.10 – $6,680.39 | 8 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $854.44 – $6,680.39 | 8 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $901.87 – $6,680.39 | 8 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $1,502.12 – $5,351.34 | 4 |
| Reconstruct windpipe CPT 31780 | not published | not published | $1,194.09 – $4,253.98 | 4 |
| Reconstruct windpipe CPT 31781 | not published | not published | $1,287.22 – $4,585.77 | 4 |
| Red blood cells each unit HCPCS P9021 | $465.43 | $854.00 | $129.66 – $597.80 | 13 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $155.33 | $285.00 | $185.15 – $285.00 | 13 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $413.66 | $759.00 | $240.27 – $743.82 | 13 |
| Red blood cells washed each unit HCPCS P9022 | $435.46 | $799.00 | $277.03 – $783.02 | 13 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $2,949.73 – $6,666.39 | 4 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $303.42 – $4,136.13 | 8 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $642.12 – $2,287.57 | 4 |
| Reduce testis torsion CPT 54600 | not published | not published | $387.06 – $4,532.29 | 8 |
| Reduction of facial bones CPT 21209 | not published | not published | $547.70 – $7,773.77 | 8 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $52.54 – $1,198.08 | 8 |
| Reduction of skull defect CPT 62115 | not published | not published | $967.66 – $3,447.34 | 4 |
| Reduction of skull defect CPT 62117 | not published | not published | $1,690.09 – $6,021.02 | 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.