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 |
|---|---|---|---|---|
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,261.13 | $2,314.00 | $613.92 – $2,267.72 | 13 |
| Breast punct aspir cyst, bil CPT 19000 | $1,318.90 | $2,420.00 | $40.16 – $1,345.54 | 13 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $813.43 – $22,863.17 | 8 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,209.89 – $4,310.29 | 4 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,607.10 – $5,725.76 | 4 |
| Breast reduction CPT 19318 | not published | not published | $1,140.68 – $8,569.85 | 8 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $17,563.17 | $32,226.00 | $223.51 – $31,581.48 | 13 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $125.61 – $510.28 | 8 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $128.82 – $291.13 | 4 |
| Bronch ebus samplng 1/2 node CPT 31652 | not published | not published | $826.88 – $4,845.02 | 8 |
| Bronch ebus samplng 3/> node CPT 31653 | not published | not published | $878.26 – $4,845.02 | 8 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $268.29 – $955.82 | 8 |
| Bronchial valve init insert CPT 31647 | not published | not published | $185.03 – $9,096.82 | 8 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $61.80 – $2,266.13 | 8 |
| Bronchial valve remov init CPT 31648 | not published | not published | $195.09 – $4,845.02 | 8 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $163.18 – $9,096.82 | 8 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $170.89 – $2,266.13 | 8 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $256.33 – $4,845.02 | 8 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $222.16 – $9,096.82 | 8 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $68.02 – $168.71 | 4 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $241.81 – $4,845.02 | 8 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $83.94 – $207.97 | 4 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | not published | not published | $213.61 – $4,845.02 | 8 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $181.41 – $9,096.82 | 8 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $241.81 – $4,845.02 | 8 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | not published | not published | $231.12 – $2,266.13 | 8 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | not published | not published | $239.25 – $2,266.13 | 8 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $430.64 – $9,096.82 | 8 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $241.81 – $4,845.02 | 8 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $186.52 – $9,096.82 | 8 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $196.57 – $9,096.82 | 8 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $199.38 – $9,096.82 | 8 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $255.12 – $255.12 | 6 |
| Br punct aspir ea add, l CPT 19001 | $1,318.90 | $2,420.00 | $23.93 – $1,345.54 | 10 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $748.90 – $1,692.51 | 4 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $58.32 | $107.00 | $31.85 – $63.70 | 7 |
| Bundled special stain group 1 microorganisms CPT 88312 | $98.65 | $181.00 | $8.96 – $13.36 | 13 |
| Bundled special stain group 2 CPT 88313 | $109.55 | $201.00 | $8.96 – $13.36 | 13 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $35.43 | $65.00 | $31.85 – $63.70 | 7 |
| Buprenorphine oral 1mg HCPCS J0571 | $26.16 | $48.00 | $0.01 – $8.82 | 12 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $484.05 – $1,724.40 | 4 |
| Burr hole implant ventricular cath/other device CPT 61210 | $5,064.69 | $9,293.00 | $402.12 – $9,107.14 | 10 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $924.07 – $3,292.10 | 4 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,110.78 – $3,957.19 | 4 |
| Bur rotalink 2.15mm HCPCS C1724 | $9,018.12 | $16,547.00 | $1,260.00 – $4,939.20 | 11 |
| Buttock fasciotomy CPT 27027 | not published | not published | $649.66 – $9,387.58 | 8 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $720.03 – $2,103.10 | 8 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | $4,014.47 | $7,366.00 | $139.70 – $4,500.16 | 13 |
| Bx bone trocar/ndl deep CPT 20225 | $3,597.00 | $6,600.00 | $170.89 – $3,526.04 | 13 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $166.42 – $2,129.16 | 8 |
| Bx breast 1st lesion strtctc CPT 19081 | $1,419.73 | $2,605.00 | $632.17 – $2,552.90 | 13 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $77.44 – $196.07 | 4 |
| Bx breast add lesion strtctc CPT 19082 | $1,419.73 | $2,605.00 | $526.80 – $2,552.90 | 10 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $1,261.13 | $2,314.00 | $506.70 – $2,267.72 | 10 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $87.15 – $2,129.16 | 8 |
| Bx breast pq tomo guide CPT 19499 | not published | not published | $5,032.06 – $5,032.06 | 6 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $98.85 – $399.74 | 8 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,766.56 – $6,293.47 | 4 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $6,740.56 | $12,368.00 | $165.76 – $12,120.64 | 13 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $110.22 – $5,032.06 | 8 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,304.73 – $4,648.16 | 4 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $301.19 – $3,761.02 | 8 |
| Bx liver with other CPT 47001 | not published | not published | $55.96 – $199.38 | 4 |
| Bx muscle CPT 20200 | not published | not published | $62.38 – $2,129.16 | 8 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $159.78 – $4,261.72 | 8 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $236.25 – $5,032.06 | 8 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $214.55 – $4,178.22 | 8 |
| Bx pancreas pq ndl CPT 48102 | $2,850.35 | $5,230.00 | $434.49 – $2,660.70 | 13 |
| Bx perianal mass CPT 46999 | not published | not published | $1,198.08 – $1,198.08 | 6 |
| Bx pleura pq ndl CPT 32400 | $2,850.35 | $5,230.00 | $153.80 – $2,903.74 | 13 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $297.47 – $4,532.29 | 8 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $214.04 – $3,761.02 | 8 |
| Bx shoulder tissues supf 23065 CPT 23065 | $4,014.47 | $7,366.00 | $96.55 – $4,500.16 | 13 |
| Bx skin incisnl ea sep/add l les CPT 11107 | not published | not published | $51.82 – $117.11 | 4 |
| Bx skin punch ea sep/ addl les CPT 11105 | $177.13 | $325.00 | $43.78 – $318.50 | 10 |
| Bx skin tangential ea sep/ addl les CPT 11103 | not published | not published | $38.42 – $86.83 | 4 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $88.86 – $2,129.16 | 8 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $1,915.68 | $3,515.00 | $156.79 – $3,444.70 | 13 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $348.62 – $2,129.16 | 8 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $308.88 – $2,129.16 | 8 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $88.00 – $2,129.16 | 8 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $427.22 – $2,129.16 | 8 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $4,014.47 | $7,366.00 | $144.40 – $4,500.16 | 13 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,318.90 | $2,420.00 | $61.09 – $1,405.32 | 13 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $47.09 – $1,144.24 | 8 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $84.31 – $1,144.24 | 8 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $50.15 – $113.34 | 4 |
| Bypass temp external fem-fem CPT 37799 | not published | not published | $812.46 – $812.46 | 6 |
| C1 esterase inhibitor func - sendout CPT 86161 | $10.90 | $20.00 | $7.05 – $10.51 | 14 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $35,684.42 | $65,476.00 | $240.73 – $64,166.48 | 13 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,415.51 – $8,605.38 | 4 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,682.52 – $9,556.64 | 4 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,950.39 – $10,510.94 | 4 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $2,148.07 – $7,652.63 | 4 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $2,079.28 – $7,407.58 | 4 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $662.62 – $2,360.62 | 4 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,287.78 – $8,150.31 | 4 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,491.99 – $8,877.80 | 4 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,695.77 – $9,603.82 | 4 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $203.35 – $724.47 | 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.