SIERRA VISTA HOSPITAL, INC.
1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116
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 |
|---|---|---|---|---|
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $78.75 | $875.00 | $137.00 – $1,137.50 | 11 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $85.50 | $950.00 | $700.00 – $2,088.00 | 11 |
| Mayo androstenedione CPT 82157 | $1.35 | $15.00 | $15.00 – $52.70 | 11 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $1.46 | $16.20 | $5.08 – $26.28 | 11 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $2.25 | $25.00 | $15.05 – $27.09 | 11 |
| Mayo avwpr vw factor activity CPT 85397 | $12.15 | $135.00 | $30.86 – $175.50 | 11 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $0.55 | $6.12 | $6.12 – $18.32 | 11 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $19.13 | $212.50 | $144.84 – $276.25 | 11 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $10.92 | $121.28 | $12.90 – $30.36 | 11 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $6.30 | $70.00 | $26.00 – $33.80 | 5 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $3.15 | $35.00 | $16.87 – $45.50 | 11 |
| Mayo ceruloplasmin CPT 82390 | $0.52 | $5.75 | $5.75 – $19.33 | 11 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $3.15 | $35.00 | $14.12 – $42.25 | 11 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $1.35 | $15.00 | $12.88 – $23.18 | 11 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $2.79 | $31.00 | $11.82 – $40.30 | 11 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $2.34 | $26.00 | $26.00 – $33.80 | 5 |
| Mayo coccidioides antibody CPT 86635 | $21.96 | $244.00 | $11.47 – $317.20 | 11 |
| Mayo cocou cortisone urine CPT 82542 | $36.00 | $400.00 | $24.09 – $45.50 | 11 |
| Mayo cortisol free CPT 82530 | $0.90 | $10.00 | $10.00 – $30.08 | 11 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $3.79 | $42.13 | $42.13 – $75.83 | 11 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $1.80 | $20.00 | $12.12 – $26.00 | 11 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $0.99 | $11.00 | $11.00 – $45.49 | 11 |
| Mayo dihydrotestosterone CPT 82642 | $2.70 | $30.00 | $29.28 – $52.70 | 11 |
| Mayo efpo chloride stool CPT 82438 | $42.66 | $474.00 | $5.00 – $616.20 | 11 |
| Mayo estriol CPT 82677 | $1.17 | $13.00 | $13.00 – $43.52 | 11 |
| Mayo estrone CPT 82679 | $0.92 | $10.25 | $10.25 – $44.91 | 11 |
| Mayo factor viii vw factor antigen CPT 85246 | $4.77 | $53.00 | $22.94 – $68.90 | 11 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $3.69 | $40.96 | $22.94 – $53.25 | 11 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $5.13 | $57.00 | $22.94 – $74.10 | 11 |
| Mayo factor x CPT 85260 | $4.05 | $45.00 | $17.90 – $58.50 | 11 |
| Mayo fbl culture fungi blood CPT 87103 | $40.86 | $454.00 | $16.06 – $517.56 | 11 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $262.76 | $2,919.60 | $126.00 – $163.80 | 5 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $1.65 | $18.33 | $13.79 – $24.82 | 11 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $1.64 | $18.25 | $12.54 – $48.91 | 11 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $20.26 | $225.14 | $7.73 – $31.09 | 11 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $1.54 | $17.11 | $1.65 – $26.98 | 11 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $0.61 | $6.75 | $6.50 – $37.46 | 11 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $2.70 | $30.00 | $20.81 – $37.46 | 11 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $22.32 | $248.00 | $16.07 – $322.40 | 11 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $3.42 | $38.00 | $11.98 – $49.40 | 11 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $21.03 | $233.70 | $35.09 – $303.81 | 11 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $22.41 | $249.00 | $35.09 – $323.70 | 11 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | $17.02 | $189.10 | $35.09 – $245.83 | 11 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $6.30 | $70.00 | $42.84 – $91.00 | 11 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $12.15 | $135.00 | $72.19 – $175.50 | 11 |
| Mayo infliximab therapeutic drug level CPT 80230 | $22.95 | $255.00 | $38.57 – $331.50 | 11 |
| Mayo insft insulin free CPT 83527 | $1.12 | $12.42 | $12.42 – $23.31 | 11 |
| Mayo insulin antibodies CPT 86337 | $3.24 | $36.00 | $21.41 – $46.80 | 11 |
| Mayo iodine CPT 83789 | $3.42 | $38.00 | $19.75 – $43.40 | 11 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $6.12 | $68.00 | $27.11 – $88.40 | 11 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $0.70 | $7.73 | $7.73 – $23.85 | 11 |
| Mayo legionella antibody CPT 86713 | $1.08 | $12.00 | $12.00 – $27.54 | 11 |
| Mayo leptospira antibody igm CPT 86720 | $4.50 | $50.00 | $16.20 – $65.00 | 11 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $1.58 | $17.50 | $15.49 – $27.88 | 11 |
| Mayo metanephrines plasma CPT 83835 | $1.80 | $20.00 | $12.00 – $30.49 | 11 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | $2.34 | $26.00 | $26.00 – $33.80 | 5 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $6.96 | $77.29 | $12.05 – $56.33 | 11 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $4.26 | $47.33 | $18.40 – $61.53 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $4.47 | $49.71 | $7.50 – $26.19 | 11 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $8.39 | $93.25 | $18.64 – $65.00 | 11 |
| Mayo muramidase CPT 85549 | $1.08 | $12.00 | $12.00 – $33.75 | 11 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $3.15 | $35.00 | $18.05 – $45.50 | 11 |
| Mayo myoglobin CPT 83874 | $0.95 | $10.50 | $6.50 – $23.26 | 11 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | $2.34 | $26.00 | $26.00 – $33.80 | 5 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $0.90 | $10.00 | $10.00 – $38.18 | 11 |
| Mayo organic acids qualitative each specimen CPT 83919 | $4.50 | $50.00 | $16.45 – $65.00 | 11 |
| Mayo oxalate 24 hour urine CPT 83945 | $1.17 | $13.00 | $11.00 – $26.01 | 11 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $2.48 | $27.50 | $13.00 – $27.05 | 11 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $18.00 | $200.00 | $8.00 – $21.69 | 11 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $4.73 | $52.50 | $35.09 – $68.25 | 11 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $1.03 | $11.42 | $8.44 – $15.19 | 11 |
| Mayo pregnenolone CPT 84140 | $2.03 | $22.50 | $20.67 – $37.21 | 11 |
| Mayo proinsulin CPT 84206 | $2.97 | $33.00 | $26.69 – $48.04 | 11 |
| Mayo psaft prostate specific antigen free CPT 84154 | $0.32 | $3.50 | $3.50 – $33.10 | 11 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $58.50 | $650.00 | $18.40 – $36.40 | 11 |
| Mayo renin CPT 84244 | $0.46 | $5.13 | $5.13 – $39.58 | 11 |
| Mayo repu protein electrophoresis urine CPT 84166 | $1.11 | $12.33 | $5.50 – $32.09 | 11 |
| Mayo selenium CPT 84255 | $1.44 | $16.00 | $16.00 – $45.95 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $11.88 | $132.00 | $4.27 – $171.60 | 11 |
| Mayo tgrp testosterone free CPT 84402 | $5.01 | $55.72 | $5.13 – $45.85 | 11 |
| Mayo tgrp testosterone total CPT 84403 | $31.32 | $348.00 | $6.00 – $84.50 | 11 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $15.75 | $175.00 | $22.17 – $227.50 | 11 |
| Mayo thyroglobulin CPT 84432 | $2.25 | $25.00 | $16.06 – $32.50 | 11 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $5.01 | $55.72 | $35.00 – $92.30 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $2.70 | $30.00 | $20.24 – $39.00 | 11 |
| Mayo vitamin b3 (niacin) CPT 84591 | $5.85 | $65.00 | $17.06 – $84.50 | 11 |
| Mayo vitamin k CPT 84597 | $3.15 | $35.00 | $13.72 – $45.50 | 11 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $1.80 | $20.00 | $13.25 – $26.00 | 11 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $0.36 | $4.00 | $4.00 – $5.20 | 5 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | $5.22 | $58.00 | $41.00 – $53.30 | 5 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $18.63 | $207.00 | $11.00 – $14.30 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $40.77 | $453.00 | $453.00 – $588.90 | 5 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $13.68 | $152.00 | $152.00 – $197.60 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $146.25 | $1,625.00 | $8.46 – $2,112.50 | 11 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $237.87 | $2,643.00 | $10.56 – $3,013.02 | 11 |
| Metatarsal joint implant HCPCS L8641 | $3,467.88 | $38,532.00 | $433.44 – $7,736.30 | 11 |
| Metered dose inhaler drug HCPCS J3535 | $98.01 | $1,089.00 | $46.00 – $59.80 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $10.17 | $113.00 | $113.00 – $146.90 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $34.74 | $386.00 | $241.00 – $313.30 | 5 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $2.52 | $28.00 | $8.73 – $36.40 | 11 |
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.