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 |
|---|---|---|---|---|
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $407.14 – $1,450.45 | 4 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $610.50 – $2,174.96 | 4 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $813.86 – $2,899.42 | 4 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $1,017.64 – $3,625.40 | 4 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $1,221.43 – $4,351.40 | 4 |
| Cable cath 22-pin diag HCPCS C1730 | $1,619.74 | $2,972.00 | $199.00 – $780.08 | 11 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | $13,596.66 | $24,948.00 | $8,149.68 – $16,299.36 | 7 |
| Cad breast MRI w/r&i HCPCS C8937 | $101.37 | $186.00 | $29.48 – $43.12 | 6 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $87.20 | $160.00 | $1.70 – $63.70 | 10 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $7,169.48 | $13,155.00 | $31.85 – $65.00 | 13 |
| Calcium 24 hour urine CPT 82340 | $112.82 | $207.00 | $4.41 – $6.57 | 14 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $1.64 | $3.00 | $0.98 – $1.96 | 7 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $35.43 | $65.00 | $31.85 – $63.70 | 7 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $953.75 | $1,750.00 | $40.67 – $81.34 | 7 |
| Calcium ionized CPT 82330 | $292.67 | $537.00 | $6.11 – $9.11 | 14 |
| Calcium total CPT 82310 | $103.55 | $190.00 | $2.75 – $4.10 | 14 |
| Calprotectin fecal CPT 83993 | $21.80 | $40.00 | $17.45 – $39.44 | 14 |
| Candida dna CPT 87480 | $41.97 | $77.00 | $12.24 – $18.26 | 14 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $265.59 – $7,103.63 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $40,698.97 | $74,677.00 | $11.25 – $44.10 | 11 |
| Canthotomy 67715 CPT 67715 | not published | not published | $36.32 – $3,065.74 | 8 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $91.02 | $167.00 | $48.51 – $97.02 | 7 |
| Cap nerve 2x15mm HCPCS C1763 | $54,171.37 | $99,397.00 | $199.00 – $780.08 | 11 |
| Capsular contracture release CPT 23020 | not published | not published | $532.32 – $4,263.74 | 8 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $190.11 – $2,103.10 | 8 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $226.43 – $4,263.74 | 8 |
| Cap trach decann 15mm HCPCS C1750 | $5,332.28 | $9,784.00 | $115.25 – $451.78 | 11 |
| Carbamazepine total therapeutic drug level CPT 80156 | $159.14 | $292.00 | $14.57 – $286.16 | 14 |
| Carbohydrate deficient transf - sendout CPT 82373 | $158.82 | $291.40 | $6.25 – $9.32 | 14 |
| Carbon dioxide CPT 82374 | $27.80 | $51.00 | $0.92 – $1.36 | 14 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $56.14 | $103.00 | $2.24 – $16.66 | 12 |
| Carboxyhemoglobin quantitative CPT 82375 | $203.83 | $374.00 | $12.32 – $73.50 | 14 |
| Carcinoembryonic ag (cea) CPT 82378 | $131.89 | $242.00 | $11.58 – $17.28 | 14 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $3,856.42 | $7,076.00 | $176.60 – $2,092.30 | 13 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,856.42 | $7,076.00 | $201.93 – $2,302.02 | 13 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $190.21 | $349.00 | $22.25 – $342.02 | 13 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $190.21 | $349.00 | $14.46 – $342.02 | 13 |
| Cardiolipin antibody iga CPT 86147 | $11.18 | $20.51 | $4.69 – $7.00 | 14 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $898.16 | $1,648.00 | $175.66 – $1,599.36 | 14 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $3,742.52 | $6,867.00 | $58.40 – $1,679.72 | 13 |
| Carotene CPT 82380 | $7.30 | $13.38 | $8.97 – $13.38 | 14 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,472.05 | $2,701.00 | $179.75 – $761.46 | 13 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $363.57 – $2,566.14 | 8 |
| Cataract Surgery CPT 66984 | not published | not published | $1,153.50 – $4,109.40 | 8 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $1,153.50 – $4,109.40 | 8 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $1,619.74 | $2,972.00 | $152.25 – $596.82 | 11 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $4,101.67 | $7,526.00 | $969.00 – $3,798.48 | 11 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $6,935.67 | $12,726.00 | $11.25 – $44.10 | 11 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $2,108.61 | $3,869.00 | $87.75 – $343.98 | 11 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $1,619.74 | $2,972.00 | $68.25 – $267.54 | 11 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,746.80 | $5,040.00 | $11.25 – $44.10 | 11 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,112.42 | $3,876.00 | $969.00 – $3,798.48 | 11 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $3,154.46 | $5,788.00 | $152.25 – $596.82 | 11 |
| Catheter declot mechanical CPT 36596 | not published | not published | $191.97 – $2,041.38 | 8 |
| Catheter insert artery CPT 36625 | $891.62 | $1,636.00 | $67.93 – $1,603.28 | 10 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $114.45 | $210.00 | $3.60 – $202.86 | 12 |
| Catheter stripping venous CPT 36595 | not published | not published | $835.43 – $4,136.13 | 8 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $6,935.67 | $12,726.00 | $11.25 – $44.10 | 11 |
| Cath hawkone s directional HCPCS C1714 | $9,018.12 | $16,547.00 | $2,446.00 – $9,588.32 | 11 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,746.80 | $5,040.00 | $1,260.00 – $4,939.20 | 11 |
| Cathj umbilical vein dx/ther nb CPT 36510 | not published | not published | $29.48 – $105.02 | 4 |
| Cath lt/rt pulm art CPT 36014 | not published | not published | $111.50 – $397.24 | 4 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $4,101.67 | $7,526.00 | $30.15 – $44.10 | 6 |
| Cath place 1st order venous 36011 CPT 36011 | not published | not published | $92.71 – $330.28 | 4 |
| Cath right hrt mnpul art CPT 36013 | not published | not published | $92.71 – $330.28 | 4 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $323.19 | $593.00 | $212.81 – $337.00 | 10 |
| Cath segmntl pulm art CPT 36015 | not published | not published | $130.30 – $464.23 | 4 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $4,101.67 | $7,526.00 | $969.00 – $3,798.48 | 9 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $735.75 | $1,350.00 | $11.25 – $44.10 | 11 |
| Cauterization chemical granulation tissue CPT 17250 | $332.45 | $610.00 | $23.07 – $597.80 | 13 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $97.10 – $4,178.22 | 8 |
| Ccnd1/igh translocation alys CPT 81168 | $147.15 | $270.00 | $165.85 – $270.00 | 14 |
| Cdna analysis for variants CPT 81403 | $223.45 | $410.00 | $133.33 – $199.00 | 14 |
| Cebpa gene full sequence CPT 81218 | $168.95 | $310.00 | $207.70 – $310.00 | 14 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $35.43 | $65.00 | $0.89 – $63.70 | 12 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $1,491.12 | $2,736.00 | $1.30 – $63.70 | 11 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $80.12 | $147.00 | $5.44 – $63.70 | 12 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $615.31 | $1,129.00 | $2.02 – $158.76 | 13 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $136.80 | $251.00 | $1.74 – $63.70 | 11 |
| Ceftazidime and avibactam HCPCS J0714 | $652.37 | $1,197.00 | $111.25 – $1,168.16 | 13 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $194.02 | $356.00 | $0.51 – $63.70 | 12 |
| Cell count w differential body fluid CPT 89051 | $150.42 | $276.00 | $5.60 – $270.48 | 14 |
| Cell function assay w/stim CPT 86352 | $104.20 | $191.19 | $94.34 – $137.99 | 12 |
| Cell marker study CPT 88182 | $50.87 | $93.33 | $58.95 – $87.98 | 13 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | $22,615.32 | $41,496.00 | $30.42 – $40,666.08 | 13 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $947.15 – $4,263.74 | 8 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $315.44 – $712.89 | 4 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $436.09 – $4,178.22 | 8 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | $7,017.97 | $12,877.00 | $4.76 – $12,619.46 | 13 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $919.38 – $8,569.85 | 8 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $781.35 – $1,765.85 | 4 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | $2,823.65 | $5,181.00 | $83.18 – $2,539.18 | 13 |
| #cf-97variants CPT 81220 | $98.10 | $180.00 | $120.60 – $180.00 | 14 |
| Change cystostomy tube; complex 51710 CPT 51710 | not published | not published | $120.48 – $877.12 | 8 |
| Change cystostomy tube simple CPT 51705 | $315.01 | $578.00 | $67.50 – $296.00 | 13 |
| Change gastric port open CPT 43888 | not published | not published | $360.15 – $4,810.88 | 8 |
| Change g-tube to g-j perc CPT 49446 | not published | not published | $912.51 – $2,492.83 | 8 |
| Change nephroureteral cath CPT 50387 | not published | not published | $518.22 – $2,691.95 | 8 |
| Change of ureter tube/stent CPT 50688 | not published | not published | $51.70 – $2,691.95 | 8 |
| Change of windpipe airway 31502 CPT 31502 | not published | not published | $59.57 – $305.16 | 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.