healthcosts.net

SIERRA VISTA HOSPITAL, INC.

1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116

Source: hospital's published price file ↗ · Published Jan 10, 2026 · Ingested Sep 16, 2026

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
Onco (ovar) two proteins CPT 81500 $39.08 $434.25 $260.50 – $564.53 11
Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 $3.42 $38.00 $38.00 – $49.40 5
Oprelvekin injection HCPCS J2355 $147.15 $1,635.00 $1,635.00 – $2,125.50 5
Oral aprepitant HCPCS J8501 $6.39 $71.00 $71.00 – $92.30 5
Ortho elbow w/lock w/ft&adj HCPCS L3760 $355.14 $3,946.00 $545.90 – $5,129.80 11
Orthosis lso rigd frm hyperex HCPCS L0472 $585.99 $6,511.00 $619.52 – $8,464.30 11
Osmolality blood CPT 83930 $35.55 $395.00 $6.61 – $474.79 11
Osmolality urine CPT 83935 $29.16 $324.00 $6.82 – $42.90 11
Ot evaluation high complexity patient/family CPT 97167 $72.72 $808.00 $108.03 – $1,050.40 18
Ot evaluation low complexity patient/family CPT 97165 $69.39 $771.00 $108.03 – $1,002.30 18
Ot evaluation moderate complexity patient/family CPT 97166 $94.86 $1,054.00 $108.03 – $1,094.60 18
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 $33.66 $374.00 $54.91 – $468.00 18
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 $42.93 $477.00 $50.26 – $574.60 18
Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 $39.06 $434.00 $29.62 – $564.20 18
Ot re-evaluation patient/family CPT 97168 $55.71 $619.00 $73.88 – $804.70 18
Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 $40.32 $448.00 $37.95 – $582.40 18
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 $29.34 $326.00 $18.97 – $468.00 18
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 $29.34 $326.00 $20.21 – $468.00 18
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 $44.37 $493.00 $31.06 – $566.80 18
Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 $44.10 $490.00 $35.04 – $637.00 18
Ot training self care/home management direct contact each 15 minutes CPT 97535 $47.16 $524.00 $34.87 – $582.40 18
Oxaliplatin 5 mg/ml desensitization HCPCS J9263 $4.68 $52.00 $52.00 – $67.60 5
Oxytocin 10 unit/ml injection solution HCPCS J2590 $18.09 $201.00 $99.00 – $128.70 5
Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 $0.27 $3.00 $3.00 – $3.90 5
Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 $7.29 $81.00 $10.54 – $105.30 11
Palivizumab 50 mg/0.5 ml inj CPT 90378 $803.88 $8,932.00 $436.75 – $11,611.60 11
Palonosetron hcl HCPCS J2469 $26.82 $298.00 $298.00 – $387.40 5
Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 $123.93 $1,377.00 $1,377.00 – $1,790.10 5
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 $43.65 $485.00 $485.00 – $630.50 5
Papaverin hcl injection HCPCS J2440 $20.52 $228.00 $228.00 – $296.40 5
Parathormone (pth) intact CPT 83970 $33.75 $375.00 $9.00 – $74.30 11
Parathyroid planar imaging CPT 78070 $299.61 $3,329.00 $513.27 – $4,327.70 11
Parathyroid planar img w/tomo spect CPT 78071 $453.87 $5,043.00 $513.27 – $6,555.90 11
Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 $2.70 $30.00 $11.00 – $14.30 5
Passy muir valve metal trach HCPCS L8501 $68.76 $764.00 $147.88 – $993.20 11
Pdgfra gene CPT 81314 $9.00 $100.00 $100.00 – $593.12 11
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 $107.55 $1,195.00 $99.13 – $1,553.50 11
Pelvic band & belt thigh fla HCPCS L2192 $343.98 $3,822.00 $546.30 – $4,968.60 11
Pelvic control hip heavy dut HCPCS L2620 $257.94 $2,866.00 $409.67 – $3,725.80 11
Pelvic CT scan (with and without contrast) CPT 72194 $1,181.43 $13,127.00 $225.20 – $17,065.10 11
Pelvic CT scan (with contrast) CPT 72193 $824.31 $9,159.00 $225.20 – $11,906.70 11
Pelvic CT scan (without contrast) CPT 72192 $737.28 $8,192.00 $134.23 – $10,649.60 11
Pelvic MRI (with and without contrast) CPT 72197 $991.80 $11,020.00 $447.92 – $14,326.00 11
Pelvic MRI (with contrast) CPT 72196 $695.16 $7,724.00 $447.92 – $10,041.20 11
Pelvic MRI (without contrast) CPT 72195 $442.89 $4,921.00 $306.34 – $6,397.30 11
Pelvic Ultrasound (complete) CPT 76856 $340.56 $3,784.00 $134.23 – $4,919.20 11
Pelvic Ultrasound (limited) CPT 76857 $100.17 $1,113.00 $134.23 – $1,446.90 11
Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 $15.61 $173.45 $60.29 – $225.49 11
Peng benzathine/procaine inj HCPCS J0558 $2.97 $33.00 $19.52 – $42.90 11
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 $2.34 $26.00 $26.00 – $54.02 11
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 $5.67 $63.00 $10.00 – $13.00 5
Penile rear tip xtnd 0.5cm HCPCS C2622 $3,124.89 $34,721.00 $34,721.00 – $45,137.30 5
Pentamidine non-comp unit HCPCS J2545 $45.45 $505.00 $505.00 – $656.50 5
Pentobarbital sodium inj HCPCS J2515 $8.55 $95.00 $27.99 – $123.50 11
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 $33.93 $377.00 $377.00 – $490.10 5
Pfc sigma fem post aug sz3 8mm HCPCS C1776 $5,603.58 $62,262.00 $457.00 – $594.10 5
Ph body fluid CPT 83986 $17.28 $192.00 $3.58 – $231.40 11
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 $16.47 $183.00 $183.00 – $237.90 5
Phenobarbital therapeutic drug level CPT 80184 $70.11 $779.00 $15.30 – $1,012.70 11
Phentolaine mesylate inj HCPCS J2760 $89.73 $997.00 $432.02 – $1,296.10 11
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 $13.23 $147.00 $147.00 – $191.10 5
Phenytoin total therapeutic drug level CPT 80185 $75.69 $841.00 $13.25 – $1,093.30 11
Phlebotomy therapeutic CPT 99195 $80.10 $890.00 $170.82 – $1,157.00 14
Phosphorus CPT 84100 $44.19 $491.00 $4.74 – $638.30 11
Phosphorus 24 hour urine CPT 84105 $11.79 $131.00 $5.78 – $170.30 11
Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 $36.81 $409.00 $43.00 – $55.90 5
Pillow shldr abduc inflat univ HCPCS L3960 $723.78 $8,042.00 $1,101.88 – $10,454.60 11
Pin caspar distraction 12mm HCPCS C1821 $4,591.62 $51,018.00 $15,853.00 – $20,608.90 5
Pinworm exam CPT 87172 $53.64 $596.00 $4.27 – $774.80 11
Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 $6.30 $70.00 $32.00 – $41.60 5
Placement occlusive device venous/arterial access site post procedure HCPCS G0269 $242.64 $2,696.00 $516.00 – $670.80 5
Plas shoe insert w ank joint HCPCS L2180 $157.68 $1,752.00 $179.43 – $2,277.60 11
Plastic mod low ext pad/line HCPCS L2275 $157.68 $1,752.00 $179.72 – $2,277.60 11
Platelets pheresis leukocytes reduced each unit HCPCS P9035 $121.23 $1,347.00 $511.59 – $1,751.10 11
Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 $121.23 $1,347.00 $680.61 – $1,751.10 11
Plethysmography lung volumes/airway resistance CPT 94726 $111.15 $1,235.00 $479.10 – $1,616.00 14
Pm device progr eval dual CPT 93280 $52.56 $584.00 $47.92 – $7,057.00 14
Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 $138.33 $1,537.00 $26.07 – $1,847.47 11
Postop app non-wgt bear dsg HCPCS L5450 $327.51 $3,639.00 $498.76 – $4,730.70 11
Potassium 24 hour urine CPT 84133 $26.55 $295.00 $4.73 – $374.40 11
Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 $1.35 $15.00 $13.00 – $16.90 5
Potassium serum/plasma/whole blood CPT 84132 $42.66 $474.00 $4.76 – $616.20 11
Pq biliary strict dil s&i CPT 74363 $205.74 $2,286.00 $2,286.00 – $2,971.80 5
Pq dr cath chg w cont s&i CPT 75984 $145.98 $1,622.00 $102.19 – $2,108.60 11
Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 $42.66 $474.00 $257.59 – $468.00 15
Prealbumin CPT 84134 $47.88 $532.00 $14.59 – $691.60 11
Prednisone 1 mg tablet HCPCS J7512 $2.34 $26.00 $26.00 – $33.80 5
Pregnancy Ultrasound (complete, after first trimester) CPT 76805 $254.79 $2,831.00 $134.23 – $3,680.30 11
Pregnancy Ultrasound (first trimester) CPT 76801 $281.52 $3,128.00 $134.23 – $4,066.40 11
Prep bk ptb open end socket HCPCS L5535 $1,636.20 $18,180.00 $2,768.11 – $23,634.00 11
Pre-tibial shell molded to p HCPCS L2340 $513.81 $5,709.00 $684.77 – $7,421.70 11
Pretreat rbc absorption reference CPT 86978 $13.50 $150.00 $75.74 – $195.00 11
Pretreat rbc w chem/drugs reference CPT 86970 $13.50 $150.00 $75.74 – $195.00 11
Pretreat rbc w enzyme reference CPT 86971 $13.50 $150.00 $150.00 – $393.73 11
Prgrmg dev eval pm/ldls pm CPT 93279 $50.67 $563.00 $47.92 – $7,057.00 14
Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 $38.61 $429.00 $10.93 – $557.70 11
Probe cryo 1150mm endo flex ster disp HCPCS C2618 $1,108.17 $12,313.00 $9,335.00 – $12,135.50 5
Procalcitonin CPT 84145 $17.28 $192.00 $27.22 – $249.60 11
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 $20.88 $232.00 $232.00 – $301.60 5
Progesterone CPT 84144 $90.72 $1,008.00 $20.86 – $1,310.40 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.