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 |
|---|---|---|---|---|
| Treat slipped epiphysis CPT 27176 | not published | not published | $939.89 – $3,348.39 | 4 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $603.66 – $2,150.57 | 4 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $960.82 – $3,423.00 | 4 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $939.89 – $3,348.39 | 4 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $1,025.33 – $3,652.79 | 4 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $141.83 – $1,169.93 | 8 |
| Treat spinal cord lesion CPT 62281 | not published | not published | $123.04 – $1,169.93 | 8 |
| Treat spine fracture CPT 22325 | not published | not published | $832.65 – $2,966.39 | 4 |
| Treat sternum fracture CPT 21820 | not published | not published | $132.87 – $473.33 | 8 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,129.15 – $4,263.74 | 8 |
| Treat thigh fracture CPT 27230 | not published | not published | $315.23 – $315.23 | 6 |
| Treat thigh fracture CPT 27235 | not published | not published | $939.89 – $9,387.58 | 8 |
| Treat thigh fracture CPT 27236 | not published | not published | $1,035.59 – $3,689.34 | 4 |
| Treat thigh fracture CPT 27238 | not published | not published | $281.04 – $2,103.10 | 8 |
| Treat thigh fracture CPT 27245 | not published | not published | $1,071.90 – $3,818.70 | 4 |
| Treat thigh fracture CPT 27246 | not published | not published | $315.23 – $1,512.87 | 8 |
| Treat thigh fracture CPT 27248 | not published | not published | $395.61 – $1,409.38 | 4 |
| Treat thigh fracture CPT 27240 | not published | not published | $459.69 – $1,637.66 | 4 |
| Treat thigh fracture CPT 27244 | not published | not published | $967.66 – $3,447.34 | 4 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $315.23 – $2,019.69 | 8 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $377.24 – $2,103.10 | 8 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $803.17 – $2,861.36 | 4 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,161.19 – $4,136.79 | 4 |
| Treat thumb fracture CPT 26650 | not published | not published | $290.51 – $4,263.74 | 8 |
| Treat thumb fracture CPT 26665 | not published | not published | $484.05 – $4,263.74 | 8 |
| Treat toe dislocation CPT 28636 | not published | not published | $170.46 – $4,263.74 | 8 |
| Treat toe dislocation CPT 28665 | not published | not published | $102.96 – $366.80 | 8 |
| Treat toe dislocation CPT 28666 | not published | not published | $225.57 – $4,263.74 | 8 |
| Treat toe fracture CPT 28525 | not published | not published | $402.01 – $4,263.74 | 8 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $636.56 – $2,566.14 | 8 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,025.33 – $3,652.79 | 8 |
| Treat ulnar fracture CPT 24675 | not published | not published | $275.13 – $2,103.10 | 8 |
| Treat ulnar fracture CPT 24685 | not published | not published | $387.06 – $9,387.58 | 8 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $92.30 – $264.36 | 8 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $264.45 – $2,103.10 | 8 |
| Treat wrist dislocation CPT 25675 | not published | not published | $263.60 – $939.08 | 8 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $96,922.80 | $177,840.00 | $87,141.60 – $174,283.20 | 7 |
| Treponema pallidum antibody CPT 86780 | $7.09 | $13.00 | $6.70 – $10.00 | 14 |
| Trg gene rearrangement anal CPT 81342 | $141.70 | $260.00 | $118.50 – $260.00 | 14 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $35.43 | $65.00 | $0.91 – $63.70 | 12 |
| Triglycerides CPT 84478 | $130.26 | $239.00 | $3.37 – $5.02 | 14 |
| Trim nondyst nails CPT 11719 | not published | not published | $78.06 – $78.06 | 6 |
| Triptorelin pamoate HCPCS J3315 | $12,549.72 | $23,027.00 | $521.41 – $2,816.52 | 13 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $5,286.44 – $5,286.44 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $6,780.37 – $6,780.37 | 6 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $315.23 – $1,118.81 | 8 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | not published | not published | $588.23 – $1,329.40 | 4 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | not published | not published | $702.78 – $1,745.47 | 4 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $708.86 – $1,602.02 | 4 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | not published | not published | $182.80 – $413.13 | 4 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | not published | not published | $127.33 – $287.77 | 4 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | not published | not published | $275.13 – $14,902.64 | 8 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $290.94 – $4,136.13 | 8 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $328.37 – $7,103.63 | 8 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $201.41 – $4,136.13 | 8 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $119.51 – $4,136.13 | 8 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $288.90 – $4,136.13 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $888.68 – $4,810.88 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $189.50 – $428.27 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | not published | not published | $484.05 – $2,403.79 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $850.17 – $3,028.78 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $387.06 – $2,403.79 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $334.94 – $2,403.79 | 8 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $257.18 – $2,403.79 | 8 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $822.40 – $2,929.86 | 4 |
| Troponin quantitative CPT 84484 | $263.24 | $483.00 | $5.98 – $8.92 | 14 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $720.92 – $2,914.77 | 8 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $1,696.94 – $4,532.29 | 8 |
| Tte w or without contr, cont ecg HCPCS C8930 | $4,527.86 | $8,308.00 | $1,038.22 – $8,141.84 | 11 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $604.44 – $7,666.93 | 8 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $31.07 – $574.50 | 6 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $598.41 – $9,717.52 | 8 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,511.77 – $3,416.60 | 4 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $315.23 – $315.23 | 6 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $253.54 – $573.00 | 8 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $287.10 – $4,263.74 | 8 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $212.28 – $479.75 | 8 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $804.40 – $804.40 | 6 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $804.40 – $804.40 | 6 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $994.28 – $2,247.07 | 4 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,206.50 – $2,726.69 | 4 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $258.89 – $4,263.74 | 8 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $207.21 – $4,263.74 | 8 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $208.48 – $4,263.74 | 8 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $193.53 – $4,261.72 | 8 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $272.57 – $4,263.74 | 8 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $263.17 – $4,263.74 | 8 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $453.93 – $1,025.88 | 4 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $165.72 – $374.53 | 8 |
| Tympanic membrane repair CPT 69610 | not published | not published | $163.62 – $1,946.55 | 8 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $217.88 – $4,261.72 | 8 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $68.78 – $669.21 | 8 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,281.67 – $7,773.77 | 8 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,025.33 – $7,773.77 | 8 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $1,087.28 | $1,995.00 | $85.45 – $509.60 | 13 |
| Ultrasound chest CPT 76604 | $888.90 | $1,631.00 | $53.17 – $509.60 | 13 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $997.35 | $1,830.00 | $38.73 – $1,793.40 | 13 |
| Ultrasound encephalogram CPT 76506 | $997.35 | $1,830.00 | $89.26 – $648.76 | 13 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $997.35 | $1,830.00 | $110.40 – $1,793.40 | 13 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $854.56 | $1,568.00 | $76.90 – $463.54 | 13 |
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.