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 |
|---|---|---|---|---|
| Ultrasound guidance for vascular access CPT 76937 | $574.43 | $1,054.00 | $28.15 – $373.38 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $866.55 | $1,590.00 | $72.61 – $507.00 | 11 |
| Ultrasound hips infant dynamic CPT 76885 | $755.92 | $1,387.00 | $109.14 – $446.88 | 13 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $650.19 | $1,193.00 | $115.34 – $259.00 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $449.08 | $824.00 | $55.12 – $175.42 | 11 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,486.22 | $2,727.00 | $158.68 – $967.26 | 13 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,051.85 | $1,930.00 | $74.36 – $463.54 | 13 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $1,051.85 | $1,930.00 | $90.30 – $463.54 | 13 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,051.85 | $1,930.00 | $82.17 – $463.54 | 13 |
| Ultrasound scrotum and contents CPT 76870 | $1,086.73 | $1,994.00 | $85.75 – $509.60 | 13 |
| Ultrasound spinal canal and contents CPT 76800 | $949.94 | $1,743.00 | $80.98 – $617.40 | 13 |
| Ultrasound transabd ea addl gest CPT 76812 | $416.38 | $764.00 | $119.18 – $276.00 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,084.01 | $1,989.00 | $97.04 – $509.60 | 13 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $36.32 – $129.38 | 4 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $284.26 – $642.43 | 8 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted cytogenetic study CPT 88299 | $250.70 | $460.00 | $59.71 – $450.80 | 12 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $264.36 – $264.36 | 6 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $264.36 – $264.36 | 6 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $425.08 – $7,666.93 | 6 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px renal CPT 50549 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px testis CPT 54699 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted muscskel px head CPT 21499 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted procedure colon CPT 45399 | not published | not published | $304.36 – $1,198.08 | 6 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $1,232.05 – $1,232.05 | 6 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $392.82 – $392.82 | 6 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted procedure liver CPT 47399 | not published | not published | $924.59 – $924.59 | 6 |
| Unlisted procedure microbiology CPT 87999 | $1,455.81 | $2,671.20 | $170.00 – $333.20 | 10 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $392.82 – $392.82 | 6 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $924.59 – $924.59 | 6 |
| Unlisted procedure rectum CPT 45999 | not published | not published | $1,198.08 – $1,198.08 | 6 |
| Unlisted procedure spine CPT 22899 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px abdomen muscskel CPT 22999 | $4,496.25 | $8,250.00 | $315.23 – $4,583.46 | 12 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $2,997.11 – $2,997.11 | 6 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $1,232.05 – $1,232.05 | 6 |
| Unlisted px casting/strpg CPT 29799 | not published | not published | $207.35 – $207.35 | 6 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $392.82 – $392.82 | 6 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $924.59 – $924.59 | 6 |
| Unlisted px external ear CPT 69399 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $392.82 – $392.82 | 6 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px inner ear CPT 69949 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $392.82 – $392.82 | 6 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px male genital sys CPT 55899 | not published | not published | $319.60 – $319.60 | 6 |
| Unlisted px middle ear CPT 69799 | not published | not published | $180.72 – $305.16 | 6 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $315.23 – $315.23 | 6 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,997.11 – $2,997.11 | 6 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px small intestine CPT 44799 | not published | not published | $1,232.05 – $1,232.05 | 6 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px tongue flr mouth CPT 41599 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $305.16 – $305.16 | 6 |
| Unlisted transfusion med px CPT 86999 | $177.13 | $325.00 | $25.00 – $49.00 | 13 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $812.46 – $812.46 | 6 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $7,666.93 – $7,666.93 | 6 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $1,155.95 | $2,121.00 | $707.00 – $2,078.58 | 11 |
| Upgrade pm system CPT 33214 | not published | not published | $455.42 – $13,752.49 | 8 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,824.27 | $7,017.00 | $449.80 – $2,123.66 | 13 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,824.27 | $7,017.00 | $384.05 – $6,876.66 | 13 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,485.75 | $4,561.00 | $265.87 – $1,385.72 | 13 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $257.18 – $1,232.05 | 8 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $268.73 – $1,232.05 | 8 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $273.42 – $679.08 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $279.05 – $1,232.05 | 8 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $598.11 – $7,666.93 | 8 |
| Urea nitrogen CPT 84520 | $64.31 | $118.00 | $2.12 – $3.15 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $116.63 | $214.00 | $4.74 – $7.07 | 14 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,577.81 – $3,565.85 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $189.26 – $4,532.29 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $387.06 – $6,680.39 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $241.81 – $6,680.39 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $181.57 – $4,532.29 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $389.20 – $6,680.39 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $572.90 – $6,680.39 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $239.25 – $6,680.39 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $179.44 – $6,680.39 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,019.35 – $3,631.50 | 4 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,024.91 – $3,651.28 | 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.