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 |
|---|---|---|---|---|
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $507.54 – $4,637.54 | 8 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $366.55 – $4,637.54 | 8 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $437.04 – $4,637.54 | 8 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $299.06 – $8,199.66 | 8 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $661.58 – $4,637.54 | 8 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $2,686.89 – $7,773.77 | 8 |
| Rpr pul art unifocal without cpb CPT 33925 | not published | not published | $1,690.94 – $4,199.71 | 4 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $430.64 – $4,637.54 | 8 |
| Rpr tga aortic pulm art rcns CPT 33778 | not published | not published | $2,278.80 – $8,118.33 | 4 |
| Rpr tga atr bfl clsr vsd CPT 33776 | not published | not published | $2,225.82 – $7,929.64 | 4 |
| Rpr tga atr bfl rmvl plm bnd CPT 33775 | not published | not published | $2,127.56 – $7,579.54 | 4 |
| Rpr tga atrial baffle px CPT 33774 | not published | not published | $2,009.23 – $7,157.96 | 4 |
| Rpr tga bfl rpr sbpulm obstr CPT 33777 | not published | not published | $2,225.82 – $7,929.64 | 4 |
| Rpr tga rcnstj clsr vsd CPT 33780 | not published | not published | $2,409.53 – $8,584.07 | 4 |
| Rpr tga rcnstj rmvl plm bnd CPT 33779 | not published | not published | $2,268.54 – $8,081.83 | 4 |
| Rpr tga rcnstj rpr sbpl obst CPT 33781 | not published | not published | $2,409.53 – $8,584.07 | 4 |
| Rpr tga without surg enlgmnt vsd CPT 33770 | not published | not published | $1,957.96 – $6,975.33 | 4 |
| Rpr tga w/surg enlgmnt vsd CPT 33771 | not published | not published | $1,907.97 – $6,797.27 | 4 |
| Rpr umbil hern block < 5 yr CPT 49582 | not published | not published | $379.37 – $379.37 | 1 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $279.40 – $9,387.58 | 8 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $513.95 – $12,151.68 | 8 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $1,050.54 – $3,742.58 | 4 |
| Rsv assay w/optic CPT 87807 | $76.30 | $140.00 | $8.57 – $37.24 | 14 |
| Rubella antibody igg CPT 86762 | $208.74 | $383.00 | $4.69 – $7.00 | 14 |
| Rubeola antibody igg CPT 86765 | $8.32 | $15.26 | $3.35 – $5.00 | 14 |
| Russell viper venom diluted CPT 85613 | $16.79 | $30.80 | $4.47 – $6.66 | 14 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $5,000.38 | $9,175.00 | $38.43 – $8,991.50 | 13 |
| Salmonella antibody CPT 86768 | $7.83 | $14.36 | $9.63 – $14.36 | 14 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $4,178.22 – $4,178.22 | 6 |
| Sarscov coronavirus ag ia CPT 87426 | $58.32 | $107.00 | $35.33 – $104.86 | 14 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $132.98 | $244.00 | $63.59 – $239.12 | 14 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $369.12 – $7,822.59 | 8 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,472.05 | $2,701.00 | $215.55 – $772.29 | 13 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $986.45 | $1,810.00 | $139.74 – $473.00 | 13 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $1,472.05 | $2,701.00 | $188.37 – $761.46 | 13 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $986.45 | $1,810.00 | $91.03 – $1,773.80 | 13 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $1,472.05 | $2,701.00 | $111.16 – $761.46 | 13 |
| Scan proc cranial extra CPT 61782 | not published | not published | $161.58 – $365.17 | 4 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $194.34 – $439.21 | 4 |
| Scan proc spinal CPT 61783 | not published | not published | $194.34 – $439.21 | 4 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $920.70 – $2,129.16 | 8 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $361.86 – $4,263.74 | 8 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,332.28 | $9,784.00 | $1,881.50 – $7,375.48 | 11 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $109.55 | $201.00 | $18.05 – $196.98 | 12 |
| Screening Mammogram CPT 77067 | $334.63 | $614.00 | $119.45 – $601.72 | 11 |
| Screening prostate cancer PSA HCPCS G0103 | $532.47 | $977.00 | $19.31 – $118.58 | 12 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $19,815.11 | $36,358.00 | $11.25 – $44.10 | 11 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $384.07 – $1,368.27 | 4 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | not published | not published | $2,045.53 – $5,080.41 | 4 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $598.41 | $1,098.00 | $53.85 – $1,076.04 | 10 |
| Sedimentation rate erythrocyte automated CPT 85652 | $98.65 | $181.00 | $2.70 – $177.38 | 14 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $899.72 – $3,205.34 | 4 |
| Semen analysis presence/motility CPT 89321 | $54.50 | $100.00 | $12.05 – $98.00 | 12 |
| Semen analysis w/count CPT 89310 | $124.26 | $228.00 | $8.61 – $61.74 | 12 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $616.91 – $3,065.74 | 8 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $604.51 – $9,387.58 | 8 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $552.39 – $4,263.74 | 8 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $893.32 – $9,387.58 | 8 |
| Set radiation therapy field CPT 77280 | $1,256.23 | $2,305.00 | $114.95 – $2,258.90 | 13 |
| Set radiation therapy field CPT 77285 | $1,941.29 | $3,562.00 | $182.20 – $3,490.76 | 13 |
| Set radiation therapy field CPT 77290 | $2,284.10 | $4,191.00 | $223.61 – $4,107.18 | 13 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $18.53 | $34.00 | $3.92 – $7.84 | 7 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $40.33 | $74.00 | $12.25 – $24.50 | 7 |
| Sever cranial nerve CPT 64771 | not published | not published | $338.78 – $2,566.14 | 8 |
| Sex transformation f to m CPT 55980 | not published | not published | $4,532.29 – $4,532.29 | 6 |
| Sex transformation m to f CPT 55970 | not published | not published | $6,486.99 – $6,486.99 | 6 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $249.60 – $1,549.43 | 6 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $36.74 – $261.11 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $45.28 – $261.11 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $49.56 – $525.02 | 8 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $62.80 – $525.02 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $29.48 – $261.11 | 8 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $40.59 – $261.11 | 8 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $45.72 – $261.11 | 8 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $58.10 – $525.02 | 8 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $30.33 – $525.02 | 8 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $38.88 – $261.11 | 8 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $355.89 | $653.00 | $44.86 – $639.94 | 13 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $6,935.67 | $12,726.00 | $3,181.50 – $12,471.48 | 11 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $301.19 – $4,263.74 | 8 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $666.79 – $9,387.58 | 8 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $846.24 – $9,387.58 | 8 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $480.63 – $4,263.74 | 8 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $467.38 – $4,263.74 | 8 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $475.92 – $4,263.74 | 8 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $439.61 – $9,387.58 | 8 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $338.78 – $4,263.74 | 8 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $823.16 – $9,387.58 | 8 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $509.67 – $4,263.74 | 8 |
| Shoe post-op mens m HCPCS L3260 | $24.53 | $45.00 | $11.25 – $45.00 | 12 |
| Shortening of hand tendon CPT 26479 | not published | not published | $387.06 – $4,263.74 | 8 |
| Shortening of thigh bone CPT 27465 | not published | not published | $967.66 – $3,447.34 | 4 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $1,708.89 – $6,087.99 | 4 |
| Shorten radius or ulna CPT 25390 | not published | not published | $532.32 – $9,387.58 | 8 |
| Shorten radius & ulna CPT 25392 | not published | not published | $745.07 – $9,387.58 | 8 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $566.83 – $9,387.58 | 8 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $922.19 – $3,761.02 | 8 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $1,096.80 – $2,478.77 | 4 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $1,285.93 – $4,581.22 | 4 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $1,361.98 – $4,852.15 | 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.