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 |
|---|---|---|---|---|
| Revision of big toe CPT 28310 | not published | not published | $246.93 – $9,387.58 | 8 |
| Revision of bladder & bowel CPT 51960 | not published | not published | $1,291.92 – $4,602.54 | 4 |
| Revision of bladder neck CPT 52500 | not published | not published | $484.05 – $4,532.29 | 8 |
| Revision of bladder/urethra CPT 51800 | not published | not published | $967.66 – $3,447.34 | 4 |
| Revision of calf tendon CPT 27687 | not published | not published | $377.24 – $4,263.74 | 8 |
| Revision of cervix CPT 57720 | not published | not published | $436.09 – $4,178.22 | 8 |
| Revision of cervix CPT 59320 | not published | not published | $146.47 – $4,178.22 | 8 |
| Revision of circulation CPT 37140 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Revision of circulation CPT 37145 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Revision of circulation CPT 37160 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Revision of circulation CPT 37180 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Revision of collar bone CPT 23480 | not published | not published | $484.05 – $9,387.58 | 8 |
| Revision of collar bone CPT 23485 | not published | not published | $628.88 – $16,908.29 | 8 |
| Revision of colostomy CPT 44340 | not published | not published | $196.10 – $4,810.88 | 8 |
| Revision of colostomy comp in-depth 44345 CPT 44345 | not published | not published | $369.97 – $1,318.05 | 4 |
| Revision of colostomy paraclt hernia 44346 CPT 44346 | not published | not published | $745.07 – $2,654.37 | 4 |
| Revision of cornea CPT 65600 | not published | not published | $341.78 – $3,065.74 | 8 |
| Revision of cranial nerve CPT 64716 | not published | not published | $457.55 – $2,566.14 | 8 |
| Revision of eyelid CPT 67880 | not published | not published | $510.11 – $3,065.74 | 8 |
| Revision of eyelid CPT 67882 | not published | not published | $657.49 – $3,065.74 | 8 |
| Revision of eyelid CPT 67950 | not published | not published | $491.74 – $3,065.74 | 8 |
| Revision of eyelid CPT 67961 | not published | not published | $481.48 – $3,065.74 | 8 |
| Revision of eyelid CPT 67966 | not published | not published | $530.18 – $3,065.74 | 8 |
| Revision of femur epiphysis CPT 27185 | not published | not published | $341.78 – $1,217.60 | 4 |
| Revision of foot CPT 28116 | not published | not published | $338.78 – $4,263.74 | 8 |
| Revision of foot and ankle CPT 28262 | not published | not published | $745.07 – $9,387.58 | 8 |
| Revision of foot bones CPT 28737 | not published | not published | $435.33 – $16,908.29 | 8 |
| Revision of foot fascia 28250 CPT 28250 | not published | not published | $290.51 – $4,263.74 | 8 |
| Revision of foot tendon CPT 28238 | not published | not published | $377.24 – $9,387.58 | 8 |
| Revision of foot tendon CPT 28261 | not published | not published | $484.05 – $2,103.10 | 8 |
| Revision of heart chamber CPT 33476 | not published | not published | $1,579.44 – $5,626.84 | 4 |
| Revision of heart chamber CPT 33735 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Revision of heart chamber CPT 33736 | not published | not published | $1,218.01 – $4,339.20 | 4 |
| Revision of heart chamber CPT 33737 | not published | not published | $1,623.44 – $2,780.14 | 2 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $1,606.36 – $5,722.73 | 4 |
| Revision of hip bone CPT 27147 | not published | not published | $1,361.98 – $4,852.15 | 4 |
| Revision of hip bones CPT 27156 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Revision of hip tendon CPT 27097 | not published | not published | $685.69 – $4,263.74 | 8 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $758.74 – $2,703.07 | 4 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $387.49 – $4,810.88 | 8 |
| Revision of infusion pump CPT 36261 | not published | not published | $309.74 – $4,782.40 | 8 |
| Revision of iris CPT 66761 | not published | not published | $241.81 – $861.47 | 8 |
| Revision of iris CPT 66762 | not published | not published | $241.81 – $861.47 | 8 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $265.31 – $1,946.55 | 8 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $369.97 – $4,261.72 | 8 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,064.63 – $3,792.80 | 4 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Revision of knee joint CPT 27440 | not published | not published | $725.85 – $16,908.29 | 8 |
| Revision of knee joint CPT 27441 | not published | not published | $854.44 – $16,908.29 | 8 |
| Revision of knee joint CPT 27442 | not published | not published | $1,025.33 – $16,908.29 | 8 |
| Revision of knee joint CPT 27443 | not published | not published | $891.61 – $16,908.29 | 8 |
| Revision of knee joint CPT 27446 | not published | not published | $1,561.68 – $16,908.29 | 6 |
| Revision of knee joint CPT 27445 | not published | not published | $1,738.60 – $1,738.60 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $891.19 – $7,773.77 | 8 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $140.56 – $4,136.13 | 8 |
| Revision of lung CPT 32940 | not published | not published | $697.66 – $2,485.41 | 4 |
| Revision of mitral valve CPT 33420 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Revision of mitral valve CPT 33422 | not published | not published | $1,766.14 – $6,291.93 | 4 |
| Revision of neck muscle CPT 21700 | not published | not published | $484.05 – $9,387.58 | 8 |
| Revision of neck muscle CPT 21720 | not published | not published | $387.06 – $4,263.74 | 8 |
| Revision of neck muscle CPT 21725 | not published | not published | $435.33 – $1,550.92 | 8 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $580.60 – $2,068.40 | 4 |
| Revision of nose CPT 30120 | not published | not published | $427.22 – $4,261.72 | 8 |
| Revision of nose CPT 30430 | not published | not published | $270.00 – $7,773.77 | 8 |
| Revision of nose CPT 30435 | not published | not published | $848.46 – $7,773.77 | 8 |
| Revision of nose CPT 30450 | not published | not published | $1,182.12 – $7,773.77 | 8 |
| Revision of nose CPT 30460 | not published | not published | $572.90 – $7,773.77 | 8 |
| Revision of nose CPT 30462 | not published | not published | $1,145.81 – $7,773.77 | 8 |
| Revision of pelvis CPT 27158 | not published | not published | $1,533.17 – $1,533.17 | 1 |
| Revision of penis CPT 54300 | not published | not published | $387.06 – $4,532.29 | 8 |
| Revision of penis CPT 54304 | not published | not published | $641.26 – $4,532.29 | 8 |
| Revision of penis CPT 54420 | not published | not published | $561.37 – $4,532.29 | 8 |
| Revision of penis CPT 54430 | not published | not published | $561.37 – $1,999.90 | 4 |
| Revision of penis CPT 54435 | not published | not published | $495.58 – $4,532.29 | 8 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,021.06 – $7,773.77 | 8 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,587.56 – $5,655.74 | 4 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,403.43 – $4,999.78 | 4 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,136.11 – $7,609.98 | 4 |
| Revision of radius CPT 25350 | not published | not published | $484.05 – $9,387.58 | 8 |
| Revision of radius CPT 25355 | not published | not published | $580.60 – $4,263.74 | 8 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $509.25 – $2,566.14 | 8 |
| Revision of scrotum CPT 55175 | not published | not published | $299.06 – $4,532.29 | 8 |
| Revision of scrotum CPT 55180 | not published | not published | $616.48 – $6,680.39 | 8 |
| Revision of spinal shunt CPT 63744 | not published | not published | $484.05 – $8,415.59 | 8 |
| Revision of testis CPT 54660 | not published | not published | $361.45 – $6,680.39 | 6 |
| Revision of thigh muscles CPT 27430 | not published | not published | $694.66 – $9,387.58 | 8 |
| Revision of toe CPT 28312 | not published | not published | $224.72 – $4,263.74 | 8 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,167.72 – $7,722.62 | 4 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,136.11 – $7,609.98 | 4 |
| Revision of ulna CPT 25360 | not published | not published | $484.05 – $9,387.58 | 8 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $701.07 – $9,387.58 | 8 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $709.61 – $9,387.58 | 8 |
| Revision of upper arm CPT 24940 | not published | not published | $1,295.62 – $1,295.62 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $867.69 – $3,091.16 | 4 |
| Revision of urethra CPT 53450 | not published | not published | $208.91 – $4,532.29 | 8 |
| Revision of urethra CPT 53460 | not published | not published | $235.40 – $4,532.29 | 8 |
| Revision of urethra CPT 57220 | not published | not published | $508.77 – $6,486.99 | 8 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $709.19 – $7,103.63 | 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.