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 |
|---|---|---|---|---|
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $226.21 – $226.21 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $88.97 – $88.97 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,417.00 | $2,600.00 | $536.00 – $784.00 | 12 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,607.75 | $2,950.00 | $1,273.00 – $1,900.00 | 14 |
| Target gsa panel organ neop CPT 81445 | $790.25 | $1,450.00 | $597.91 – $1,421.00 | 14 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $1,417.77 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $204.47 – $804.40 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $2,438.38 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $40.88 | $75.00 | $20.10 – $30.00 | 14 |
| Tc-99m exametazime diag HCPCS A9521 | $3,172.99 | $5,822.00 | $454.09 – $5,705.56 | 13 |
| Tc-99m labeled rbc HCPCS A9560 | $476.88 | $875.00 | $51.80 – $857.50 | 10 |
| Tc-99m maa HCPCS A9540 | $469.25 | $861.00 | $30.00 – $843.78 | 10 |
| Tc-99m mebrofenin HCPCS A9537 | $76.30 | $140.00 | $45.36 – $137.20 | 10 |
| Tc-99m medronate HCPCS A9503 | $29.43 | $54.00 | $18.87 – $52.92 | 10 |
| Tc-99m mertiatide HCPCS A9562 | $571.71 | $1,049.00 | $306.98 – $1,028.02 | 10 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $571.71 | $1,049.00 | $33.63 – $1,028.02 | 10 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $116.09 | $213.00 | $3.84 – $208.74 | 9 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $93.20 | $171.00 | $54.88 – $167.58 | 10 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $674.71 | $1,238.00 | $97.36 – $1,213.24 | 10 |
| Tc-99m sulfur colloid HCPCS A9541 | $358.61 | $658.00 | $42.56 – $356.72 | 10 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,989.25 | $3,650.00 | $543.35 – $3,577.00 | 9 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $804.40 | 8 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $31.07 – $574.50 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $12.27 | $22.50 | $10.39 – $15.50 | 14 |
| T cells absolute cd 4 count CPT 86361 | $15.26 | $28.00 | $16.45 – $24.54 | 14 |
| T cells total count CPT 86359 | $12.27 | $22.50 | $10.40 – $15.51 | 14 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $1,206.93 | 4 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Telehealth original site facility fee HCPCS Q3014 | $41.42 | $76.00 | $22.94 – $74.48 | 10 |
| Telethx isodose plan cplx CPT 77307 | $970.10 | $1,780.00 | $251.13 – $1,744.40 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $3,957.79 | $7,262.00 | $34.22 – $5,764.36 | 13 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $4,263.74 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $4,263.74 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $4,263.74 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $532.32 – $4,263.74 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $16,889.01 | $30,989.00 | $120.23 – $10,007.76 | 12 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $598.11 – $9,387.58 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $371.68 – $4,263.74 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $4,263.74 | 8 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $768.57 – $9,387.58 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $484.05 – $2,103.10 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $378.95 – $1,350.03 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $206.35 – $4,263.74 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $192.68 – $2,103.10 | 8 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $59.95 | $110.00 | $2.91 – $63.70 | 12 |
| Tert gene targeted seq alys CPT 81345 | $114.45 | $210.00 | $140.70 – $210.00 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,071.47 | $1,966.00 | $60.24 – $1,926.68 | 13 |
| Tetanus immune globulin inj HCPCS J1670 | $864.37 | $1,586.00 | $240.00 – $1,554.28 | 13 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $545.00 | $1,000.00 | $670.00 – $980.00 | 6 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $16.11 – $574.50 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $483.96 | $888.00 | $14.14 – $103.88 | 14 |
| Therapeutic procd strg endur HCPCS G0237 | $73.58 | $135.00 | $16.55 – $417.00 | 12 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $18.53 | $34.00 | $22.78 – $37.36 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $15.26 | $28.00 | $18.76 – $32.62 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $87.15 – $4,261.72 | 8 |
| Ther/proph/diag inj ia CPT 96373 | $281.77 | $517.00 | $18.25 – $517.00 | 14 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $35.43 | $65.00 | $1.89 – $63.70 | 11 |
| Thiotepa injection HCPCS J9340 | $3,204.60 | $5,880.00 | $246.38 – $2,449.02 | 10 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,253.16 – $2,832.14 | 4 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,371.55 – $3,099.70 | 4 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,964.73 | $3,605.00 | $105.95 – $2,225.58 | 13 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,007.94 – $7,153.40 | 4 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.05 – $1,724.40 | 4 |
| Thoracic duct procedure CPT 38381 | not published | not published | $952.71 – $3,394.07 | 4 |
| Thoracic duct procedure CPT 38382 | not published | not published | $854.44 – $3,043.99 | 4 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $216.61 – $771.65 | 4 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $2,659.88 – $9,475.98 | 4 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $714.32 – $2,544.76 | 4 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,314.96 – $2,971.81 | 4 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $211.90 – $7,666.93 | 8 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,247.21 – $2,818.69 | 4 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $174.98 – $395.45 | 4 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,455.69 – $3,289.86 | 4 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $592.13 – $2,109.51 | 4 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,103.50 – $2,493.91 | 4 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $555.81 – $1,980.12 | 4 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $642.54 – $2,289.09 | 4 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $448.15 – $1,596.60 | 4 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $569.49 – $2,028.80 | 4 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $588.29 – $2,095.79 | 4 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $821.12 – $2,925.28 | 4 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $291.37 – $7,666.93 | 8 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $306.32 – $13,681.38 | 8 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $856.15 – $3,050.10 | 4 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $746.78 – $2,660.47 | 4 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $539.58 – $1,922.29 | 4 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $631.43 – $2,249.51 | 4 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $627.59 – $2,235.84 | 4 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $613.06 – $2,184.06 | 4 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $991.06 – $2,239.80 | 4 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $721.15 – $1,629.80 | 4 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $127.33 – $287.77 | 4 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $128.07 – $289.44 | 4 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $605.06 – $1,367.44 | 4 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $605.06 – $1,367.44 | 4 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $846.97 – $1,914.15 | 4 |
| Thoracotomy w/expl CPT 32100 | not published | not published | $580.60 – $2,068.40 | 4 |
| Thoracotomy with cardiac massage CPT 32160 | not published | not published | $641.26 – $2,284.52 | 4 |
| Thorax spine fusion CPT 22610 | not published | not published | $1,353.76 – $3,059.50 | 4 |
| Thorax stereo rad targetw/tx CPT 32701 | not published | not published | $175.73 – $397.15 | 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.