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 orbitofacial bones CPT 21275 | not published | not published | $1,023.62 – $7,773.77 | 8 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $726.28 – $9,387.58 | 8 |
| Revision tips CPT 37183 | not published | not published | $249.81 – $7,492.37 | 8 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,356.29 – $16,908.29 | 8 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,463.51 – $3,307.53 | 4 |
| Revita, per sq cm HCPCS Q4180 | $15,243.11 | $27,969.00 | $166.13 – $2,240.28 | 13 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,180.19 – $7,103.63 | 8 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,111.69 – $7,103.63 | 8 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $725.85 – $7,773.77 | 8 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,025.33 – $7,773.77 | 8 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,557.66 – $3,868.67 | 4 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,064.63 – $6,680.39 | 8 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $893.75 – $7,773.77 | 8 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $347.33 – $4,519.20 | 8 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $141.83 – $4,519.20 | 8 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $108.34 – $4,519.20 | 8 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,492.55 – $3,373.16 | 4 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,143.33 – $2,583.93 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $235.67 – $532.61 | 4 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $456.44 – $2,566.14 | 8 |
| Rheumatoid factor quantitative CPT 86431 | $13.63 | $25.00 | $4.69 – $7.00 | 14 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $580.60 – $7,773.77 | 8 |
| Rho d immune globulin 50 mcg HCPCS J2788 | $31.61 | $58.00 | $28.42 – $58.00 | 12 |
| Rho d immune globulin inj HCPCS J2790 | $270.32 | $496.00 | $47.53 – $97.00 | 12 |
| Rib cartilage graft CPT 21230 | not published | not published | $769.00 – $7,773.77 | 8 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $408.75 | $750.00 | $133.28 – $266.56 | 7 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $21,749.86 | $39,908.00 | $19,554.92 – $39,109.84 | 7 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $11,674.99 | $21,422.00 | $80.49 – $4,199.30 | 13 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $18,679.33 | $34,274.00 | $39.18 – $29,390.20 | 13 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $10,507.06 | $19,279.00 | $33.05 – $3,778.88 | 12 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $8,203.89 | $15,053.00 | $1,475.39 – $2,950.78 | 7 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $8,203.89 | $15,053.00 | $28.09 – $2,950.78 | 12 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $551.97 – $1,966.40 | 4 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $114.37 – $924.59 | 8 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $559.57 – $7,666.93 | 8 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $230.27 – $2,103.10 | 8 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $440.04 – $3,761.02 | 8 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $236.25 – $1,549.43 | 8 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $126.88 – $2,129.16 | 8 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $103.50 – $233.91 | 4 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $626.73 – $4,782.40 | 8 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $313.48 – $29,496.54 | 8 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $325.02 – $42,132.12 | 8 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $301.56 – $29,496.54 | 8 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $172.17 – $4,782.40 | 8 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $86.37 – $195.20 | 4 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $337.30 – $762.30 | 4 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $953.55 – $3,397.10 | 4 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $526.47 | $966.00 | $175.16 – $946.68 | 13 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $178.58 – $10,875.47 | 8 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $134.40 – $303.74 | 4 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $301.56 – $25,061.41 | 8 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $278.11 – $10,875.47 | 8 |
| Rmvl pq iabp CPT 33968 | not published | not published | $30.77 – $109.56 | 4 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $6,225.54 | $11,423.00 | $166.05 – $11,194.54 | 10 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $319.56 – $4,263.74 | 8 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $316.08 – $4,782.40 | 8 |
| Rmvl subq card rhythm mntr CPT 33286 | $2,232.32 | $4,096.00 | $115.41 – $1,319.08 | 13 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $188.84 – $3,761.02 | 8 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $70.07 – $524.38 | 8 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,366.34 – $3,087.93 | 4 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,111.32 – $2,511.58 | 4 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $667.74 – $2,378.90 | 4 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $371.26 – $4,782.40 | 8 |
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $305.46 – $4,782.40 | 8 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $196.89 – $489.15 | 4 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | not published | not published | $2,136.11 – $7,609.98 | 4 |
| Rnl autotrnsplj rimpltj kdn CPT 50380 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $6,700.78 | $12,295.00 | $4,344.83 – $8,689.66 | 7 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $5,732.31 | $10,518.00 | $5,153.82 – $10,307.64 | 7 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $2,449.23 | $4,494.00 | $12.72 – $3,210.48 | 13 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $1,016.97 | $1,866.00 | $0.06 – $63.70 | 11 |
| Rplcmt a-valve tlcj autol pv CPT 33440 | not published | not published | $2,827.25 – $6,389.58 | 4 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $569.03 – $9,387.58 | 8 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,933.74 | $5,383.00 | $82.47 – $5,275.34 | 13 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | not published | not published | $72.64 – $2,041.38 | 8 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $379.00 – $4,136.13 | 8 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $234.98 – $7,103.63 | 8 |
| Rpl tun cvc wo subq port CPT 36581 | $5,874.56 | $10,779.00 | $200.74 – $10,563.42 | 13 |
| Rpr acq av fistula thrx&abd CPT 35189 | not published | not published | $1,133.84 – $4,039.37 | 4 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $1,196.22 – $7,103.63 | 8 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $1,196.22 – $7,103.63 | 8 |
| Rpr blvs gr ot/th vn ntrth w CPT 35271 | not published | not published | $1,558.50 – $5,552.26 | 4 |
| Rpr blvs gr ot/t vn ntrth wo CPT 35276 | not published | not published | $1,545.26 – $5,505.07 | 4 |
| Rpr blvsl gr ot/th vn ntr-ab CPT 35281 | not published | not published | $1,452.55 – $5,174.79 | 4 |
| Rpr blvsl vn grf intra-abdl CPT 35251 | not published | not published | $965.95 – $3,441.23 | 4 |
| Rpr blvsl vn grf ntrthrc w/b CPT 35241 | not published | not published | $2,031.01 – $7,235.57 | 4 |
| Rpr cgen av fistula thrx&abd CPT 35182 | not published | not published | $1,043.28 – $3,716.73 | 4 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $490.45 – $7,773.77 | 8 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $854.44 – $7,773.77 | 8 |
| Rpr csf leak/pseudomeng/laminectomy63709 CPT 63709 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Rpr diaphragm hernia/chronic/not neonate 39541 CPT 39541 | not published | not published | $822.40 – $2,929.86 | 4 |
| Rpr diaphragm lac/any approach 39501 CPT 39501 | not published | not published | $820.27 – $2,922.25 | 4 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $455.42 – $4,637.54 | 8 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $540.58 – $7,666.93 | 8 |
| Rpr hypopl a-arch w/byp CPT 33853 | not published | not published | $1,852.43 – $6,599.38 | 4 |
| Rpr hypopl a-arch wo byp CPT 33852 | not published | not published | $1,606.36 – $5,722.73 | 4 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $677.58 – $6,680.39 | 8 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $326.83 – $4,532.29 | 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.