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 |
|---|---|---|---|---|
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $39.87 | $443.00 | $443.00 – $575.90 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $0.18 | $2.00 | $2.00 – $2.60 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $0.36 | $4.00 | $4.00 – $5.20 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $11.88 | $132.00 | $132.00 – $171.60 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $28.80 | $320.00 | $124.64 – $416.00 | 11 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1.17 | $13.00 | $13.00 – $16.90 | 5 |
| Microdissection manual CPT 88381 | $11.36 | $126.23 | $126.23 – $379.22 | 11 |
| Microsatellite instability CPT 81301 | $21.24 | $236.00 | $236.00 – $627.41 | 11 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $4.14 | $46.00 | $4.00 – $5.20 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $21.33 | $237.00 | $23.00 – $29.90 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $122.40 | $1,360.00 | $20.35 – $1,768.00 | 11 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $51.98 | $577.50 | $37.73 – $750.75 | 11 |
| Molded inner boot HCPCS L2280 | $520.83 | $5,787.00 | $693.78 – $7,523.10 | 11 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $3,394.26 | $37,714.00 | $32,864.00 – $42,723.20 | 5 |
| Mopath procedure level 5 CPT 81404 | $82.85 | $920.50 | $274.83 – $950.63 | 11 |
| Mopath procedure level 6 CPT 81405 | $82.85 | $920.50 | $301.35 – $1,196.65 | 11 |
| Mopath procedure level 9 CPT 81408 | $87.00 | $966.66 | $966.66 – $3,600.00 | 11 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $9.45 | $105.00 | $72.00 – $93.60 | 5 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $4.32 | $48.00 | $48.00 – $62.40 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $25.20 | $280.00 | $218.74 – $393.73 | 11 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $15.12 | $168.00 | $55.00 – $393.73 | 11 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $25.20 | $280.00 | $218.74 – $393.73 | 11 |
| Mpsv4 vaccine subq CPT 90733 | $55.44 | $616.00 | $616.00 – $800.80 | 5 |
| MRA abdomen post contrast CPT 74185 | $742.32 | $8,248.00 | $372.15 – $8,763.30 | 11 |
| MRA aorta thoracic w/wo contrast CPT 71555 | $1,360.62 | $15,118.00 | $371.03 – $14,822.60 | 11 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $1,356.21 | $15,069.00 | $373.63 – $13,053.30 | 11 |
| MRA pelvis CPT 72198 | $576.00 | $6,400.00 | $372.93 – $7,802.60 | 11 |
| MRA upper extremity post contrast-bil CPT 73225 | $1,197.81 | $13,309.00 | $358.74 – $17,301.70 | 11 |
| MRI chest without contrast CPT 71550 | $1,124.28 | $12,492.00 | $306.34 – $16,239.60 | 11 |
| MRI chest w IV cont CPT 71551 | $1,360.62 | $15,118.00 | $1,006.48 – $19,653.40 | 11 |
| MRI compatible system HCPCS L0859 | $758.43 | $8,427.00 | $1,399.89 – $10,955.10 | 11 |
| MRI loex nonjt w IV cont CPT 73719 | $797.94 | $8,866.00 | $447.92 – $11,525.80 | 11 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $611.46 | $6,794.00 | $306.34 – $8,832.20 | 11 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $398.70 | $4,430.00 | $447.92 – $5,759.00 | 11 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,162.44 | $12,916.00 | $306.34 – $16,790.80 | 11 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $991.80 | $11,020.00 | $447.92 – $14,326.00 | 11 |
| MRI orbit fac&nck w IV cont CPT 70542 | $451.44 | $5,016.00 | $447.92 – $6,520.80 | 11 |
| MRI tmj CPT 70336 | $466.29 | $5,181.00 | $306.34 – $6,735.30 | 11 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $869.40 | $9,660.00 | $306.34 – $12,558.00 | 11 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $601.92 | $6,688.00 | $447.92 – $8,694.40 | 11 |
| MRI upper extremity w/dye CPT 73219 | $605.61 | $6,729.00 | $447.92 – $8,747.70 | 11 |
| Mr spectroscopy CPT 76390 | $424.62 | $4,718.00 | $111.73 – $6,133.40 | 11 |
| Mthfr gene analy common variants CPT 81291 | $7.43 | $82.50 | $65.34 – $117.61 | 11 |
| M.tuberculo dna dir probe CPT 87555 | $9.00 | $100.00 | $26.88 – $130.00 | 11 |
| Mumps antibody igg CPT 86735 | $1.98 | $22.00 | $2.75 – $23.49 | 11 |
| Muscle test cran nerv unilat CPT 95867 | $148.14 | $1,646.00 | $277.22 – $2,139.80 | 14 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $19.35 | $215.00 | $215.00 – $279.50 | 5 |
| Mycophenolic acid HCPCS J7518 | $4.32 | $48.00 | $48.00 – $62.40 | 5 |
| Mycoplasma antibody igm CPT 86738 | $0.81 | $9.00 | $6.25 – $23.83 | 11 |
| Myelography l-s spine CPT 72265 | $236.79 | $2,631.00 | $1,006.48 – $3,420.30 | 11 |
| Myelography thoracic spine CPT 72255 | $263.34 | $2,926.00 | $1,006.48 – $3,803.80 | 11 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $21.15 | $235.00 | $9.00 – $20.75 | 11 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | $5.04 | $56.00 | $56.00 – $72.80 | 5 |
| Nasal septal prosthesis HCPCS L8047 | $78.48 | $872.00 | $872.00 – $3,146.62 | 11 |
| Natriuretic peptide CPT 83880 | $76.77 | $853.00 | $34.00 – $70.67 | 11 |
| Natural killer cells total count CPT 86357 | $2.25 | $25.00 | $25.00 – $67.91 | 11 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $42.75 | $475.00 | $170.82 – $1,508.00 | 14 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $762.75 | $8,475.00 | $447.92 – $11,017.50 | 11 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,046.25 | $11,625.00 | $134.23 – $15,112.50 | 11 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $907.92 | $10,088.00 | $447.92 – $13,114.40 | 11 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $299.88 | $3,332.00 | $447.92 – $4,331.60 | 11 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $687.96 | $7,644.00 | $306.34 – $9,937.20 | 11 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $573.30 | $6,370.00 | $447.92 – $8,281.00 | 11 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,240.47 | $13,783.00 | $447.92 – $17,917.90 | 11 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $915.75 | $10,175.00 | $306.34 – $13,227.50 | 11 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | $4.05 | $45.00 | $45.00 – $58.50 | 5 |
| Neox 100 or clarix 100 HCPCS Q4156 | $56.79 | $631.00 | $144.95 – $547.30 | 11 |
| Nerve conduction 7-8 studies CPT 95910 | $334.53 | $3,717.00 | $479.10 – $4,832.10 | 14 |
| Nerve conduction studies 11-12 CPT 95912 | $381.42 | $4,238.00 | $479.10 – $5,509.40 | 14 |
| Nerve conduction studies 1-2 CPT 95907 | $287.73 | $3,197.00 | $277.22 – $4,156.10 | 14 |
| Nerve conduction studies 13+ CPT 95913 | $407.43 | $4,527.00 | $479.10 – $5,885.10 | 14 |
| Nerve conduction studies 3-4 CPT 95908 | $299.61 | $3,329.00 | $277.22 – $4,327.70 | 14 |
| Nerve conduction studies 5-6 CPT 95909 | $311.67 | $3,463.00 | $277.22 – $4,501.90 | 14 |
| Nerve conduction studies 9-10 CPT 95911 | $358.02 | $3,978.00 | $479.10 – $5,171.40 | 14 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $266.94 | $2,966.00 | $165.20 – $3,855.80 | 14 |
| New Patient Office Visit (level 2) CPT 99202 | $31.50 | $350.00 | $41.59 – $136.50 | 14 |
| New Patient Office Visit (level 3) CPT 99203 | $102.78 | $1,142.00 | $71.67 – $192.40 | 14 |
| New Patient Office Visit (level 4) CPT 99204 | $54.27 | $603.00 | $116.00 – $217.10 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $71.64 | $796.00 | $116.00 – $289.98 | 14 |
| Nintedanib 150 mg capsule HCPCS J8999 | $78.84 | $876.00 | $15.00 – $19.50 | 5 |
| Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous HCPCS J2305 | $1.80 | $20.00 | $20.00 – $26.00 | 5 |
| Nivolumab 10 mg/ml intravenous solution (wrapper) HCPCS J9299 | $13.95 | $155.00 | $32.96 – $201.50 | 11 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $648.72 | $7,208.00 | $513.27 – $9,370.40 | 11 |
| Nm imaging bone/joint whole body CPT 78306 | $580.50 | $6,450.00 | $513.27 – $8,385.00 | 11 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $330.30 | $3,670.00 | $513.27 – $4,771.00 | 11 |
| Nm imaging gastric emptying study CPT 78264 | $412.74 | $4,586.00 | $513.27 – $5,961.80 | 11 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $430.92 | $4,788.00 | $513.27 – $6,224.40 | 11 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $347.67 | $3,863.00 | $697.12 – $5,021.90 | 11 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $380.88 | $4,232.00 | $697.12 – $5,501.60 | 11 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $252.90 | $2,810.00 | $697.12 – $3,653.00 | 11 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $268.29 | $2,981.00 | $299.58 – $3,875.30 | 11 |
| Non-corrosive finish HCPCS L2780 | $253.35 | $2,815.00 | $103.70 – $3,659.50 | 11 |
| Nras gene variants exon 2&3 CPT 81311 | $14.40 | $160.00 | $160.00 – $532.42 | 11 |
| Nuclear rx intra-arterial CPT 79445 | $210.60 | $2,340.00 | $299.58 – $3,042.00 | 11 |
| Nuclear Stress Test (Heart) CPT 78452 | $547.65 | $6,085.00 | $1,662.20 – $7,910.50 | 11 |
| Observation per hour HCPCS G0378 | $81.63 | $907.00 | $306.00 – $397.80 | 5 |
| Obstetrics panel CPT 80055 | $344.79 | $3,831.00 | $47.81 – $4,980.30 | 11 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $2.88 | $32.00 | $32.00 – $41.60 | 5 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $0.81 | $9.00 | $9.00 – $11.70 | 5 |
| Oncology colon mrna CPT 81525 | $397.80 | $4,420.00 | $3,116.00 – $5,746.00 | 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.