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 |
|---|---|---|---|---|
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $1,110.71 | $2,038.00 | $59.56 – $602.70 | 13 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $441.68 – $4,532.29 | 8 |
| Urethrocystography void s&i CPT 74455 | $1,110.71 | $2,038.00 | $86.91 – $602.70 | 13 |
| Uric acid blood CPT 84550 | $71.40 | $131.00 | $4.52 – $111.72 | 14 |
| Uric acid urine CPT 84560 | $98.10 | $180.00 | $4.34 – $6.47 | 14 |
| Urinalysis microscopic only CPT 81015 | $120.45 | $221.00 | $3.05 – $40.18 | 14 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $52.32 | $96.00 | $1.28 – $1.90 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $70.85 | $130.00 | $3.17 – $113.68 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $70.85 | $130.00 | $2.25 – $95.06 | 14 |
| Urinary reflex study CPT 51792 | not published | not published | $78.06 – $433.78 | 8 |
| Urine Culture Test CPT 87086 | $160.23 | $294.00 | $8.07 – $279.30 | 14 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $33.75 – $169.39 | 8 |
| Urine pregnancy test CPT 81025 | $160.78 | $295.00 | $4.02 – $241.08 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,281.67 – $4,565.99 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $3,662.40 | $6,720.00 | $14.09 – $6,585.60 | 13 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $50,368.90 | $92,420.00 | $207.21 – $90,571.60 | 13 |
| Vaccine dtap < 7 years im CPT 90700 | $61.04 | $112.00 | $35.06 – $95.00 | 9 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $59.95 | $110.00 | $15.65 – $63.70 | 9 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $168.95 | $310.00 | $77.05 – $241.00 | 10 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $141.70 | $260.00 | $36.80 – $180.32 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $57.77 | $106.00 | $15.00 – $73.50 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $47.42 | $87.00 | $16.60 – $81.34 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | $188.03 | $345.00 | $97.37 – $345.00 | 9 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $268.14 | $492.00 | $40.91 – $221.48 | 12 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $516.66 | $948.00 | $76.20 – $373.38 | 12 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $617.49 | $1,133.00 | $512.54 – $1,025.08 | 7 |
| Vaccine rabies im CPT 90675 | $867.64 | $1,592.00 | $330.75 – $1,154.44 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $101.92 | $187.00 | $42.09 – $149.00 | 10 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $86.66 | $159.00 | $33.59 – $74.00 | 10 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,237.03 – $6,486.99 | 8 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.68 – $6,486.99 | 8 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,158.54 – $6,486.99 | 8 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $698.23 – $9,717.52 | 8 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $639.96 – $6,486.99 | 8 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,264.65 – $6,486.99 | 8 |
| Vaginal bx CPT 58999 | not published | not published | $264.36 – $264.36 | 6 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $780.72 – $4,178.22 | 8 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,994.02 – $4,506.49 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,162.90 – $6,486.99 | 8 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,793.77 – $4,178.22 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,797.40 – $4,062.12 | 4 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,017.53 – $2,299.62 | 4 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $897.17 – $3,196.20 | 4 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $912.12 – $3,249.45 | 4 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $822.40 – $2,929.86 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $169.50 | $311.00 | $8.28 – $12.35 | 14 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,614.29 – $3,658.09 | 4 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,912.88 – $4,323.11 | 4 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,477.33 – $5,263.07 | 4 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,582.43 – $5,637.48 | 4 |
| Vancomycin hcl injection HCPCS J3370 | $600.05 | $1,101.00 | $3.07 – $63.70 | 10 |
| Vancomycin peak therapeutic drug level CPT 80202 | $288.85 | $530.00 | $13.54 – $392.98 | 14 |
| Varicella zoster antibody igg CPT 86787 | $8.32 | $15.26 | $3.35 – $5.00 | 14 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $543.93 – $4,263.74 | 8 |
| Vasectomy CPT 55250 | not published | not published | $299.06 – $2,691.95 | 8 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $3,168.09 | $5,813.00 | $31.85 – $63.70 | 7 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,994.02 – $4,506.49 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $14,376.56 | $26,379.00 | $23.39 – $25,851.42 | 13 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,287.22 – $4,585.77 | 4 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,645.23 – $5,861.20 | 4 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,367.11 – $4,870.39 | 4 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,287.22 – $4,585.77 | 4 |
| Ven blood coll snf/hha HCPCS G0471 | $11.99 | $22.00 | $3.08 – $21.56 | 12 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $12.39 – $44.16 | 4 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $26.91 – $95.89 | 4 |
| Venous mech thrombectomy CPT 37187 | not published | not published | $2,943.99 – $14,902.64 | 8 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $2,550.09 – $6,333.54 | 8 |
| Ventilator each subsequent day CPT 94003 | $1,486.76 | $2,728.00 | $35.30 – $2,673.44 | 14 |
| Ventilator initial day CPT 94002 | $2,066.64 | $3,792.00 | $44.80 – $3,716.16 | 14 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $96.98 – $1,169.93 | 8 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $1,606.36 – $5,722.73 | 4 |
| Version cephalic external CPT 59412 | $369.51 | $678.00 | $339.00 – $678.00 | 12 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $311.01 – $1,108.03 | 4 |
| Very long chain fatty acids CPT 82726 | $58.13 | $106.66 | $19.75 – $104.53 | 14 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $568.21 – $2,024.28 | 4 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $290.51 – $4,261.72 | 8 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $8.72 | $16.00 | $5.61 – $15.68 | 12 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $75.21 | $138.00 | $8.33 – $61.74 | 12 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $599.50 | $1,100.00 | $2.07 – $61.74 | 12 |
| Virus isolation addl studies ea CPT 87253 | $8.72 | $16.00 | $10.72 – $16.00 | 14 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $2,001.15 – $2,001.15 | 1 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $493.20 – $493.20 | 1 |
| Vital capacity test CPT 94150 | $334.09 | $613.00 | $6.39 – $600.74 | 13 |
| Vitamin b-12 CPT 82607 | $100.28 | $184.00 | $15.08 – $180.32 | 14 |
| Vitamin D Test CPT 82306 | $114.45 | $210.00 | $5.36 – $8.00 | 14 |
| Vit for macular hole CPT 67042 | not published | not published | $1,080.01 – $5,286.44 | 8 |
| Vit for macular pucker CPT 67041 | not published | not published | $944.59 – $5,286.44 | 8 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,134.70 – $5,286.44 | 8 |
| Vkorc1 gene CPT 81355 | $54.50 | $100.00 | $67.00 – $98.00 | 12 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $2,231.31 – $5,042.76 | 4 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $2,188.42 – $4,945.83 | 4 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $2,121.56 – $4,794.73 | 4 |
| Vlvt pv clsd hrt via p-art CPT 33471 | not published | not published | $1,291.49 – $2,211.67 | 2 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $67.93 – $242.00 | 4 |
| Vol reduction of blood/prod CPT 86960 | $72.22 | $132.50 | $66.25 – $132.50 | 12 |
| Volume deplete of harvest CPT 38214 | not published | not published | $28.77 – $574.50 | 6 |
| Volume measurement urine timed CPT 81050 | $32.70 | $60.00 | $2.02 – $58.80 | 14 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $341.72 | $627.00 | $0.82 – $95.06 | 11 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $1,889.71 – $4,270.74 | 4 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $1,673.84 – $3,782.88 | 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.