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 |
|---|---|---|---|---|
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $1,326.10 – $4,724.28 | 4 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $1,314.13 – $4,681.66 | 4 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $1,451.70 – $5,171.74 | 4 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $1,431.62 – $5,100.21 | 4 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $93.56 – $4,261.72 | 8 |
| Sickling rbc CPT 85660 | $98.10 | $180.00 | $3.03 – $4.52 | 14 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $82.89 – $1,198.08 | 8 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $143.12 – $1,198.08 | 8 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $141.41 – $1,549.43 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $176.16 – $1,198.08 | 8 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $365.80 – $1,549.43 | 6 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $107.66 – $1,549.43 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $167.70 – $7,822.59 | 6 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $212.95 – $3,603.77 | 6 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $164.49 – $1,549.43 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $198.23 – $1,198.08 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $227.71 – $1,549.43 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $121.76 – $1,198.08 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $408.09 – $1,549.43 | 8 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $48.70 – $319.60 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $312.83 | $574.00 | $129.10 – $266.00 | 12 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,797.02 – $9,964.54 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $3,909.83 | $7,174.00 | $233.94 – $1,657.18 | 13 |
| Sinus CT scan (with contrast) CPT 70487 | $3,909.83 | $7,174.00 | $210.35 – $1,822.80 | 13 |
| Sinus CT scan (without contrast) CPT 70486 | $2,606.74 | $4,783.00 | $139.74 – $1,215.20 | 13 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $145.25 – $4,261.72 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $512.67 – $7,773.77 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $469.94 – $7,773.77 | 8 |
| Skin and muscle repair face CPT 15845 | not published | not published | $857.44 – $4,810.88 | 8 |
| Skin Biopsy CPT 11102 | $695.97 | $1,277.00 | $71.48 – $1,203.44 | 13 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $337.51 – $2,403.79 | 8 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $170.89 – $608.80 | 4 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $628.01 – $4,810.88 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $662.20 – $2,403.79 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $58.10 – $206.99 | 4 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,135.26 – $7,606.96 | 4 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,389.15 – $12,074.00 | 4 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,033.02 – $3,680.18 | 4 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $24.53 | $45.00 | $11.25 – $44.10 | 11 |
| Sling pelv split sam med HCPCS L0621 | $115.00 | $211.00 | $52.75 – $206.78 | 12 |
| Sling suprapubic suburetheral HCPCS C1771 | $15,243.11 | $27,969.00 | $967.25 – $3,791.62 | 11 |
| Slitting of prepuce CPT 54000 | not published | not published | $135.01 – $4,532.29 | 8 |
| Slitting of prepuce CPT 54001 | not published | not published | $155.51 – $2,691.95 | 8 |
| Small bowel endoscopy CPT 44360 | not published | not published | $174.73 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $232.83 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $269.58 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $302.47 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $289.66 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $399.45 – $2,492.83 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $125.17 – $1,232.05 | 8 |
| Small bowel endoscopy CPT 44384 | not published | not published | $163.58 – $2,492.83 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $193.95 – $2,492.83 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $298.21 – $2,492.83 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $205.06 – $2,492.83 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $306.32 – $2,492.83 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $96.55 – $1,232.05 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $2,492.83 – $2,492.83 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $226.43 – $7,822.59 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $39.79 | $73.00 | $5.39 – $10.00 | 14 |
| Smear gram stain CPT 87205 | $69.22 | $127.00 | $4.27 – $123.48 | 14 |
| Smear nasal eosinophil CPT 89190 | $70.31 | $129.00 | $5.79 – $126.42 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $120.99 | $222.00 | $4.37 – $6.52 | 14 |
| Smear wet mount CPT 87210 | $367.88 | $675.00 | $5.11 – $137.20 | 14 |
| Snrpn/ube3a gene CPT 81331 | $182.58 | $335.00 | $40.85 – $328.30 | 14 |
| Sodium 24 hour urine CPT 84300 | $49.05 | $90.00 | $2.95 – $4.39 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $42.51 | $78.00 | $2.42 – $63.70 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $42.51 | $78.00 | $1.46 – $63.70 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $81.75 | $150.00 | $0.75 – $63.70 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $114.45 | $210.00 | $0.15 – $0.98 | 10 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $73.03 | $134.00 | $2.31 – $109.76 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $50.14 | $92.00 | $4.81 – $90.16 | 14 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $204.38 | $375.00 | $31.85 – $63.70 | 7 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $148.67 – $529.68 | 4 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $160.21 – $570.74 | 4 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $114.76 – $114.76 | 1 |
| Special physics consult CPT 77370 | $1,318.90 | $2,420.00 | $136.54 – $2,371.60 | 13 |
| Special radiation dosimetry CPT 77331 | $173.31 | $318.00 | $76.60 – $311.64 | 13 |
| Special radiation treatment CPT 77470 | $2,314.07 | $4,246.00 | $166.73 – $4,161.08 | 13 |
| Special teletx port plan CPT 77321 | $1,346.15 | $2,470.00 | $117.20 – $2,420.60 | 13 |
| Specific gravity body fluid CPT 84315 | $210.92 | $387.00 | $1.84 – $2.74 | 14 |
| Sperm antibody test CPT 89325 | $26.30 | $48.25 | $10.67 – $47.29 | 12 |
| Sperm washing 58323 CPT 58323 | not published | not published | $264.36 – $264.36 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $487.89 – $7,773.77 | 8 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $478.49 – $3,603.77 | 8 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.13 – $342.46 | 4 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $182.46 – $182.46 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,137.96 | $2,088.00 | $237.90 – $2,046.24 | 13 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $715.59 | $1,313.00 | $51.67 – $1,286.74 | 13 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $701.50 – $2,499.13 | 4 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,416.67 – $5,046.94 | 4 |
| Splicing of ureters CPT 50770 | not published | not published | $1,073.18 – $3,823.24 | 4 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $98.10 | $180.00 | $27.00 – $105.84 | 12 |
| Splint finger frog med HCPCS L3927 | $24.53 | $45.00 | $11.25 – $44.10 | 12 |
| Splint func pos polyflex ii med HCPCS L3999 | $251.25 | $461.00 | $11.25 – $44.10 | 11 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $115.00 | $211.00 | $22.26 – $132.30 | 12 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $532.32 – $4,810.88 | 8 |
| Split blood or products CPT 86985 | $82.30 | $151.00 | $28.14 – $42.00 | 11 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $96.98 – $345.51 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $531.27 – $1,200.67 | 4 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $531.27 – $1,200.67 | 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.