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 |
|---|---|---|---|---|
| Srs cran les complex addl CPT 61799 | not published | not published | $198.06 – $447.62 | 4 |
| Srs cran les simple addl CPT 61797 | not published | not published | $143.34 – $323.95 | 4 |
| Srs spinal lesion CPT 63620 | not published | not published | $531.27 – $1,200.67 | 4 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $164.93 – $372.74 | 4 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $936.04 – $936.04 | 1 |
| Staph a dna amp probe CPT 87640 | $210.37 | $386.00 | $31.19 – $378.28 | 14 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $22,972.30 | $42,151.00 | $632.91 – $41,307.98 | 13 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $40,698.97 | $74,677.00 | $1,447.00 – $5,672.24 | 11 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $2,108.61 | $3,869.00 | $115.25 – $451.78 | 11 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $6,935.67 | $12,726.00 | $115.25 – $451.78 | 11 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $17,723.95 | $32,521.00 | $431.87 – $31,870.58 | 13 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $10,971.94 | $20,132.00 | $182.43 – $19,729.36 | 10 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $948.62 – $2,143.88 | 4 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $16,875.93 | $30,965.00 | $594.56 – $30,345.70 | 13 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Sternal debridement CPT 21627 | not published | not published | $840.34 – $2,993.78 | 4 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $266.16 – $2,566.14 | 8 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $342.95 – $775.07 | 4 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $20.08 – $207.35 | 8 |
| Strapping of chest CPT 29200 | not published | not published | $40.16 – $207.35 | 8 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $32.46 – $115.67 | 8 |
| Strapping of hand or finger CPT 29280 | not published | not published | $59.81 – $213.07 | 8 |
| Strapping of hip CPT 29520 | not published | not published | $34.61 – $169.39 | 8 |
| Strapping of knee CPT 29530 | not published | not published | $34.17 – $169.39 | 8 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $19.22 – $78.06 | 8 |
| Strep b dna amp probe CPT 87653 | $194.57 | $357.00 | $30.52 – $349.86 | 14 |
| Streptomycin injection HCPCS J3000 | $43.06 | $79.00 | $12.91 – $65.00 | 11 |
| Stress tte complete CPT 93351 | $2,433.97 | $4,466.00 | $247.29 – $4,376.68 | 13 |
| Str markers specimen anal CPT 81265 | $127.60 | $234.12 | $156.87 – $234.12 | 14 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $96.98 – $910.04 | 8 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $261.11 – $261.11 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $804.40 – $804.40 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $130.30 – $464.23 | 4 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $511.17 – $4,263.74 | 8 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $485.11 – $9,387.58 | 8 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $450.11 – $4,263.74 | 8 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $623.60 – $16,908.29 | 8 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $774.13 – $2,757.86 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $198.93 | $365.00 | $0.99 – $63.70 | 11 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $4,810.88 – $4,810.88 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $4,810.88 – $4,810.88 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,810.88 – $4,810.88 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,403.79 – $2,403.79 | 6 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $4,005.75 | $7,350.00 | $1,955.10 – $3,910.20 | 7 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $87.20 | $160.00 | $31.85 – $63.70 | 7 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $214.73 | $394.00 | $31.85 – $65.00 | 10 |
| Support clav 29.6-40.5in med HCPCS L3650 | $24.53 | $45.00 | $11.25 – $45.00 | 12 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $96.13 – $3,603.77 | 8 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,017.53 – $2,299.62 | 4 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,017.53 – $2,299.62 | 4 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $220.45 – $4,532.29 | 8 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $701.50 – $2,499.13 | 4 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $633.57 – $9,387.58 | 8 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $720.72 – $9,387.58 | 8 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $865.98 – $9,387.58 | 8 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $532.32 – $9,387.58 | 8 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $556.67 – $6,680.39 | 8 |
| Surgical opening esophagus CPT 43351 | not published | not published | $677.58 – $2,413.91 | 4 |
| Surgical opening esophagus CPT 43352 | not published | not published | $677.58 – $2,413.91 | 4 |
| Surgical opening of stomach CPT 43510 | not published | not published | $627.59 – $2,235.84 | 8 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $499.42 – $1,779.23 | 4 |
| Surgical opening of throat CPT 42955 | not published | not published | $554.96 – $1,977.07 | 8 |
| Surgical pathology level 1 gross examination only CPT 88300 | $246.89 | $453.00 | $12.01 – $49.98 | 13 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $246.89 | $453.00 | $29.60 – $51.00 | 13 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $404.94 | $743.00 | $43.72 – $116.62 | 13 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $493.77 | $906.00 | $22.29 – $33.26 | 13 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $991.36 | $1,819.00 | $125.71 – $1,340.64 | 13 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,643.72 | $3,016.00 | $266.04 – $715.00 | 13 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $848.04 – $3,021.17 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $983.03 – $3,502.12 | 4 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.44 – $3,043.99 | 4 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $158.93 – $3,603.77 | 8 |
| Susceptibility agar dilution per agent CPT 87181 | $77.94 | $143.00 | $1.66 – $140.14 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $29.43 | $54.00 | $1.21 – $24.50 | 14 |
| Susceptibility mic per plate CPT 87186 | $173.31 | $318.00 | $5.19 – $7.74 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $24.46 | $44.88 | $4.85 – $7.23 | 14 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $818.56 – $2,916.15 | 4 |
| Suspension of testis CPT 54620 | not published | not published | $193.53 – $4,532.29 | 8 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $785.24 – $2,797.43 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,012.09 – $3,605.63 | 4 |
| Sweat collection by iontophoresis CPT 89230 | $227.81 | $418.00 | $2.20 – $409.64 | 14 |
| Sympathectomy cervical CPT 64802 | not published | not published | $619.48 – $2,566.14 | 8 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $455.84 – $2,566.14 | 8 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $640.83 – $2,283.01 | 4 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $4,263.74 | 8 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $854.44 – $3,043.99 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | $2,491.74 | $4,572.00 | $9.64 – $1,493.52 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $20.61 | $37.80 | $2.68 – $4.00 | 14 |
| System pacing micra av HCPCS C1786 | $15,243.11 | $27,969.00 | $1,881.50 – $7,375.48 | 9 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $19,815.11 | $36,358.00 | $2,446.00 – $9,588.32 | 9 |
| T3 (triiodothyronine) free CPT 84481 | $112.82 | $207.00 | $10.25 – $15.29 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $416.93 | $765.00 | $3.35 – $5.00 | 14 |
| T4 (thyroxine) free CPT 84439 | $114.45 | $210.00 | $5.40 – $8.05 | 14 |
| T4 (thyroxine) total CPT 84436 | $248.52 | $456.00 | $6.87 – $148.96 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $15.26 | $28.00 | $0.16 – $7.84 | 11 |
| Tacrolimus therapeutic drug level CPT 80197 | $6.54 | $12.00 | $8.04 – $12.00 | 14 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $3,027.48 | $5,555.00 | $2,721.95 – $5,443.90 | 7 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $3,783.56 | 4 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $3,481.24 | 4 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,388.21 – $3,137.35 | 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.