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 |
|---|---|---|---|---|
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $215.56 – $7,666.93 | 8 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $253.91 – $13,681.38 | 8 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $311.24 – $13,681.38 | 8 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | not published | not published | $1,618.76 – $7,492.37 | 8 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | not published | not published | $2,072.22 – $14,902.64 | 8 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | not published | not published | $6,259.85 – $23,596.93 | 8 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,602.08 – $3,620.70 | 4 |
| Thrombin time CPT 85670 | $26.44 | $48.50 | $3.41 – $5.08 | 14 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $1,196.22 – $4,261.59 | 4 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $1,281.67 – $7,103.63 | 8 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $986.60 – $2,229.72 | 4 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $107.91 | $198.00 | $4.73 – $7.05 | 14 |
| Thumb fusion with graft CPT 26820 | not published | not published | $484.05 – $9,387.58 | 8 |
| Thumb fusion with graft CPT 26842 | not published | not published | $484.05 – $9,387.58 | 8 |
| Thumb tendon transfer CPT 26510 | not published | not published | $681.42 – $4,263.74 | 8 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,210.32 – $4,311.81 | 4 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $871.11 – $7,773.77 | 8 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,085.14 – $3,865.89 | 4 |
| Thyroglobulin antibody CPT 86800 | $3.55 | $6.50 | $3.35 – $5.00 | 14 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $1,044.99 – $3,722.81 | 4 |
| Thyroid (TSH) Test CPT 84443 | $161.32 | $296.00 | $5.36 – $8.00 | 14 |
| Thyroid Ultrasound CPT 76536 | $988.09 | $1,813.00 | $85.69 – $509.60 | 13 |
| Thyroid uptake measurement CPT 78012 | $2,348.95 | $4,310.00 | $136.03 – $1,528.80 | 11 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $4,063.52 | $7,456.00 | $1,192.99 – $5,256.72 | 13 |
| Thyroxine binding globulin (tbg) CPT 84442 | $7.79 | $14.28 | $9.57 – $14.28 | 14 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $732.26 – $9,387.58 | 8 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $784.38 – $16,908.29 | 8 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $16,875.93 | $30,965.00 | $646.31 – $30,345.70 | 13 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $334.33 – $755.59 | 4 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | not published | not published | $282.95 – $639.47 | 4 |
| Tilt table study CPT 93660 | $1,654.62 | $3,036.00 | $697.26 – $2,975.28 | 12 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $890.54 – $2,012.62 | 4 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $352.94 – $797.64 | 4 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $162.78 – $404.27 | 4 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $180.71 – $448.84 | 4 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $125.61 – $311.95 | 4 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $154.23 – $383.05 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $14,625.62 | $26,836.00 | $13,149.64 – $26,299.28 | 7 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $9,018.12 | $16,547.00 | $20.65 – $16,216.06 | 12 |
| Tissue culture placenta CPT 88235 | $51.78 | $95.00 | $63.65 – $95.00 | 14 |
| Tissue culture skin/biopsy CPT 88233 | $107.91 | $198.00 | $63.65 – $95.00 | 14 |
| Tissue culture tumor CPT 88239 | $51.78 | $95.00 | $63.65 – $95.00 | 14 |
| Tissue transglutaminase iga CPT 86364 | $6.54 | $12.00 | $5.36 – $7.84 | 7 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $682.52 – $13,681.38 | 8 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $846.70 – $13,681.38 | 8 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $748.40 – $13,681.38 | 8 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $956.65 – $13,681.38 | 8 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,221.55 – $7,914.38 | 4 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,186.94 – $7,791.10 | 4 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $259.75 – $4,263.74 | 8 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $417.47 | $766.00 | $2.45 – $63.70 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | $228.36 | $419.00 | $16.13 – $99.96 | 14 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $4,779.11 | $8,769.00 | $6.13 – $8,593.62 | 13 |
| Tocilizumab for covid-19 HCPCS Q0249 | $5,278.33 | $9,685.00 | $4,745.65 – $9,491.30 | 7 |
| Toe joint transfer CPT 26556 | not published | not published | $2,960.22 – $10,545.95 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $34.34 | $63.00 | $42.21 – $63.00 | 10 |
| Tomosynthesis breast screen bilateral CPT 77063 | $49.05 | $90.00 | $47.52 – $90.00 | 11 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Tongue base vol reduction CPT 41530 | not published | not published | $284.44 – $4,261.72 | 8 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $69.21 – $4,261.72 | 8 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,751.18 – $6,238.66 | 4 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,265.00 – $4,506.64 | 4 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,683.68 – $5,998.20 | 4 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,258.16 – $4,482.30 | 4 |
| Tongue suspension CPT 41512 | not published | not published | $434.10 – $7,773.77 | 8 |
| Tongue to lip surgery CPT 41510 | not published | not published | $427.22 – $4,261.72 | 8 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $232.41 – $4,261.72 | 8 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $193.53 – $7,773.77 | 8 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $2,705.38 | $4,964.00 | $1.42 – $119.56 | 12 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,487.77 – $3,362.36 | 4 |
| Total hip arthroplasty CPT 27132 | not published | not published | $2,271.16 – $2,271.16 | 1 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,708.89 – $16,908.29 | 8 |
| Total hysterectomy CPT 58150 | not published | not published | $1,162.90 – $2,628.15 | 4 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,708.89 – $16,908.29 | 8 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,995.21 – $4,509.17 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,231.20 – $24,166.36 | 8 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $927.40 – $2,095.92 | 4 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $422.56 – $954.99 | 4 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,945.56 – $6,931.17 | 4 |
| Toxoplasma antibody igg CPT 86777 | $5.45 | $9.99 | $5.88 – $8.77 | 14 |
| Toxoplasma antibody igm CPT 86778 | $5.45 | $10.00 | $6.49 – $9.68 | 14 |
| Tp53 gene trgt sequence alys CPT 81352 | $441.45 | $810.00 | $263.61 – $793.80 | 14 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $3,480.63 – $7,866.22 | 8 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $7,398.92 | $13,576.00 | $406.05 – $13,304.48 | 13 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $247.36 – $881.24 | 8 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $377.94 – $6,486.99 | 8 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $194.81 – $694.02 | 8 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,418.83 – $5,466.56 | 4 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,371.38 – $4,885.62 | 4 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $258.04 – $4,261.72 | 8 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $38.15 | $70.00 | $45.74 – $70.00 | 14 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $331.38 – $748.92 | 8 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $973.19 – $2,199.41 | 4 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,056.22 – $2,387.06 | 4 |
| Transcath biopsy CPT 37200 | not published | not published | $158.07 – $7,103.63 | 8 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $372.67 – $842.23 | 4 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $1,594.56 – $3,603.71 | 4 |
| Transcath occlusion cns CPT 61624 | not published | not published | $957.83 – $3,412.33 | 4 |
| Transcath occlusion non-cns CPT 61626 | not published | not published | $778.40 – $14,902.64 | 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.