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 |
|---|---|---|---|---|
| Change stent via transureth CPT 50385 | not published | not published | $1,100.15 – $2,691.95 | 8 |
| Change ureter stent percut CPT 50382 | not published | not published | $1,564.06 – $3,884.58 | 8 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $58.53 – $261.11 | 8 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $131.16 – $525.02 | 8 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $141.41 – $525.02 | 8 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $91.85 – $804.40 | 8 |
| Chemo adm cns w/lmbr punct CPT 96450 | $422.38 | $775.00 | $149.91 – $759.50 | 14 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $98.29 – $910.04 | 8 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | not published | not published | $60.68 – $137.14 | 4 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $69.25 – $156.50 | 4 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $60.68 – $910.04 | 8 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $91.21 – $910.04 | 8 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $217.03 – $1,549.43 | 8 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $95.70 – $387.91 | 8 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $174.31 – $620.98 | 8 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $67.07 – $387.91 | 8 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $58.53 – $387.91 | 8 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $119.19 – $387.91 | 8 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $90.47 – $387.91 | 8 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $68.80 – $387.91 | 8 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $98.66 – $910.04 | 8 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $113.92 – $910.04 | 8 |
| Chest 2 vws w oblique CPT 71048 | $610.40 | $1,120.00 | $37.78 – $291.06 | 13 |
| Chest apical lordotic proj CPT 71047 | $545.00 | $1,000.00 | $35.26 – $287.14 | 13 |
| Chest CT scan (with and without contrast) CPT 71270 | $3,720.72 | $6,827.00 | $233.94 – $1,822.80 | 13 |
| Chest CT scan (with contrast) CPT 71260 | $3,720.72 | $6,827.00 | $230.85 – $1,822.80 | 13 |
| Chest CT scan (without contrast) CPT 71250 | $2,492.83 | $4,574.00 | $139.74 – $1,215.20 | 13 |
| Chest X-ray CPT 71046 | $545.00 | $1,000.00 | $27.47 – $287.14 | 13 |
| Chest X-ray (single view) CPT 71045 | $545.00 | $1,000.00 | $17.65 – $287.14 | 13 |
| Chg pr pul rehab for copd patients CPT 94626 | $172.77 | $317.00 | $172.00 – $310.66 | 6 |
| Chlamydia culture CPT 87110 | $12.27 | $22.50 | $7.83 – $11.68 | 14 |
| Chlamydia type CPT 87140 | $12.27 | $22.50 | $4.07 – $6.07 | 14 |
| Chloride CPT 82435 | $47.96 | $88.00 | $4.32 – $43.12 | 14 |
| Chloride 24 hour urine CPT 82436 | $179.85 | $330.00 | $2.96 – $4.41 | 14 |
| Chloroprocaine hcl injection HCPCS J2401 | $49.05 | $90.00 | $44.10 – $88.20 | 7 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $1,187.56 | $2,179.00 | $22.09 – $131.32 | 12 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $114.45 | $210.00 | $0.01 – $65.00 | 12 |
| Cholangiogram percutaneous compl CPT 47532 | not published | not published | $749.07 – $4,637.54 | 8 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $1,038.77 | $1,906.00 | $62.08 – $676.20 | 11 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,385.22 – $1,385.22 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $709.19 – $2,526.52 | 4 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $701.50 – $2,499.13 | 4 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | not published | not published | $499.42 – $4,637.54 | 8 |
| Cholesterol CPT 82465 | $244.71 | $449.00 | $4.35 – $26.07 | 14 |
| Cholesterol body fluid CPT 84999 | $32.26 | $59.18 | $5.02 – $10.03 | 11 |
| Cholesterol (Lipid) Test CPT 80061 | $160.78 | $295.00 | $5.36 – $8.00 | 14 |
| Cholinesterase CPT 82480 | $6.59 | $12.08 | $5.84 – $8.71 | 14 |
| Chorion biopsy CPT 59015 | not published | not published | $159.18 – $1,144.24 | 8 |
| Chrom analysis CPT 88273 | $80.22 | $147.18 | $34.81 – $116.62 | 14 |
| Chromatography CPT 83021 | $9.81 | $18.00 | $10.32 – $15.40 | 14 |
| Chromo high res and frag x - sendout CPT 81243 | $45.57 | $83.60 | $45.63 – $83.60 | 14 |
| Chromosome analysis 15-20 cell count CPT 88262 | $558.08 | $1,024.00 | $74.13 – $110.63 | 14 |
| Chromosome analysis 5 CPT 88261 | $98.10 | $180.00 | $120.60 – $180.00 | 14 |
| Chromosome count additional CPT 88285 | $19.08 | $35.00 | $10.41 – $34.30 | 14 |
| Chromosome karyotype study CPT 88280 | $20.71 | $38.00 | $25.46 – $38.00 | 14 |
| Cilastatin sodium injection HCPCS J0743 | $39.79 | $73.00 | $7.39 – $63.70 | 11 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $285.39 – $3,065.74 | 8 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $75.76 | $139.00 | $0.01 – $75.46 | 12 |
| Circum 28 days or older CPT 54161 | not published | not published | $181.57 – $2,691.95 | 8 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $877.12 – $877.12 | 6 |
| Circumcision (newborn) CPT 54150 | $3,665.67 | $6,726.00 | $2,691.95 – $6,591.48 | 11 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $34.34 | $63.00 | $2.06 – $61.74 | 12 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $220.32 | $404.25 | $167.50 – $250.00 | 14 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $1,081.28 | $1,984.00 | $10.31 – $1,564.08 | 13 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $3,154.46 | $5,788.00 | $969.00 – $3,798.48 | 11 |
| Claviculectomy partial CPT 23120 | not published | not published | $411.41 – $4,263.74 | 8 |
| Claviculectomy total CPT 23125 | not published | not published | $710.04 – $4,263.74 | 8 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $128.17 – $669.21 | 8 |
| Clearance of airways CPT 31720 | not published | not published | $58.10 – $267.27 | 8 |
| Clearance of tear duct CPT 68530 | not published | not published | $392.82 – $2,019.69 | 8 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $973.92 | $1,787.00 | $31.85 – $63.70 | 7 |
| Clip ligating vesolock lg HCPCS C1760 | $735.75 | $1,350.00 | $337.50 – $1,323.00 | 11 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,269.01 – $4,178.22 | 8 |
| Cllr miami j sm HCPCS L0174 | $148.79 | $273.00 | $11.25 – $45.00 | 12 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,637.97 – $5,835.34 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $237.54 – $846.23 | 8 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $264.02 – $2,103.10 | 8 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $459.69 – $1,637.66 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $315.23 – $1,733.56 | 8 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $247.78 – $2,103.10 | 8 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $158.05 – $357.19 | 8 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $308.88 – $2,103.10 | 8 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $70.07 – $315.23 | 8 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $338.78 – $1,946.55 | 8 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $233.27 – $831.02 | 8 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $300.34 – $1,946.55 | 8 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $529.33 – $2,103.10 | 8 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $149.96 – $4,261.72 | 8 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $189.69 – $675.79 | 8 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $315.23 – $1,173.44 | 8 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $456.70 – $4,263.74 | 8 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $78.61 – $305.16 | 8 |
| Close mastoid fistula CPT 69700 | not published | not published | $338.78 – $1,946.55 | 8 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $930.91 – $3,316.44 | 4 |
| Close tear duct opening CPT 68760 | not published | not published | $157.65 – $561.63 | 8 |
| Close tear duct opening CPT 68761 | not published | not published | $143.98 – $512.91 | 8 |
| Close tear system fistula CPT 68770 | not published | not published | $411.41 – $3,065.74 | 8 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $91.00 – $1,946.55 | 8 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $484.05 – $1,724.40 | 4 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,188.96 – $4,235.74 | 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.