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 |
|---|---|---|---|---|
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $66.78 | $742.00 | $18.82 – $1,647.00 | 17 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $34.65 | $385.00 | $273.00 – $1,616.00 | 17 |
| Treponema pallidum antibody CPT 86780 | $15.75 | $175.00 | $4.00 – $23.83 | 11 |
| Trg gene rearrangement anal CPT 81342 | $23.40 | $260.00 | $201.50 – $362.70 | 11 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $13.23 | $147.00 | $147.00 – $191.10 | 5 |
| #tricyclicantidprssnt CPT 80337 | $1.17 | $13.00 | $13.00 – $16.90 | 5 |
| Triglycerides CPT 84478 | $44.01 | $489.00 | $5.74 – $635.70 | 11 |
| Trimethobenzamide hcl inj HCPCS J3250 | $5.22 | $58.00 | $58.00 – $75.40 | 5 |
| Troponin quantitative CPT 84484 | $88.56 | $984.00 | $12.47 – $81.06 | 11 |
| Ua w/micro/comp poc CPT 81000 | $93.15 | $1,035.00 | $4.02 – $1,345.50 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $157.41 | $1,749.00 | $134.23 – $2,273.70 | 11 |
| Ultrasound breast complete CPT 76641 | $140.58 | $1,562.00 | $134.23 – $2,030.60 | 11 |
| Ultrasound chest CPT 76604 | $95.49 | $1,061.00 | $134.23 – $1,379.30 | 11 |
| Ultrasound encephalogram CPT 76506 | $141.48 | $1,572.00 | $134.23 – $2,043.60 | 11 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $239.22 | $2,658.00 | $134.23 – $3,455.40 | 11 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $110.61 | $1,229.00 | $134.23 – $1,597.70 | 11 |
| Ultrasound guidance for vascular access CPT 76937 | $118.62 | $1,318.00 | $44.05 – $1,713.40 | 11 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $278.01 | $3,089.00 | $69.59 – $4,015.70 | 11 |
| Ultrasound guide intraoperative CPT 76998 | $109.08 | $1,212.00 | $1,212.00 – $1,575.60 | 5 |
| Ultrasound guide tissue ablation CPT 76940 | $154.80 | $1,720.00 | $1,720.00 – $2,236.00 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | $115.02 | $1,278.00 | $111.73 – $1,661.40 | 11 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $136.26 | $1,514.00 | $134.23 – $1,968.20 | 11 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $404.37 | $4,493.00 | $95.70 – $5,840.90 | 11 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $140.85 | $1,565.00 | $64.75 – $2,034.50 | 11 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $218.88 | $2,432.00 | $134.23 – $3,161.60 | 11 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $247.41 | $2,749.00 | $134.23 – $3,095.30 | 11 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $117.45 | $1,305.00 | $134.23 – $1,696.50 | 11 |
| Ultrasound retroperitoneal limited CPT 76775 | $171.54 | $1,906.00 | $134.23 – $2,120.30 | 11 |
| Ultrasound scrotum and contents CPT 76870 | $314.19 | $3,491.00 | $134.23 – $4,538.30 | 11 |
| Ultrasound spinal canal and contents CPT 76800 | $100.71 | $1,119.00 | $134.23 – $1,454.70 | 11 |
| Ultrasound transvaginal non obstetric CPT 76830 | $266.49 | $2,961.00 | $134.23 – $3,849.30 | 11 |
| Unlisted transfusion med px CPT 86999 | $16.20 | $180.00 | $37.13 – $234.00 | 11 |
| Unlisted ultrasound procedure CPT 76999 | $80.19 | $891.00 | $111.73 – $1,146.60 | 11 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $350.37 | $3,893.00 | $881.16 – $5,060.90 | 11 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,170.00 | $13,000.00 | $447.92 – $16,900.00 | 11 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,037.52 | $11,528.00 | $306.34 – $14,986.40 | 11 |
| Urea nitrogen CPT 84520 | $45.00 | $500.00 | $3.95 – $650.00 | 11 |
| Urea nitrogen 24 hour urine CPT 84540 | $24.03 | $267.00 | $5.56 – $10.01 | 11 |
| Ureteral reflux study CPT 78740 | $390.42 | $4,338.00 | $513.27 – $5,639.40 | 11 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $192.87 | $2,143.00 | $306.34 – $2,785.90 | 11 |
| Urethrocystography void s&i CPT 74455 | $217.17 | $2,413.00 | $306.34 – $3,136.90 | 11 |
| Uric acid blood CPT 84550 | $47.88 | $532.00 | $4.52 – $532.00 | 11 |
| Uric acid urine CPT 84560 | $57.42 | $638.00 | $5.00 – $9.14 | 11 |
| Urinalysis microscopic only CPT 81015 | $50.94 | $566.00 | $3.05 – $735.80 | 11 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $22.68 | $252.00 | $2.17 – $3.91 | 11 |
| Urinalysis (with microscopy) CPT 81001 | $3.15 | $35.00 | $3.17 – $42.07 | 11 |
| Urinalysis (without microscopy) CPT 81003 | $45.18 | $502.00 | $2.25 – $652.60 | 11 |
| Urine Culture Test CPT 87086 | $118.62 | $1,318.00 | $8.07 – $1,584.24 | 11 |
| Urine pregnancy test CPT 81025 | $53.10 | $590.00 | $8.61 – $49.28 | 11 |
| Urography, antegrade CPT 74425 | $111.69 | $1,241.00 | $447.92 – $1,613.30 | 11 |
| Vaccine dtap < 7 years im CPT 90700 | $18.81 | $209.00 | $209.00 – $271.70 | 5 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $30.42 | $338.00 | $338.00 – $439.40 | 5 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $16.47 | $183.00 | $183.00 – $237.90 | 5 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $75.87 | $843.00 | $843.00 – $1,095.90 | 5 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $8.73 | $97.00 | $97.00 – $126.10 | 5 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $11.52 | $128.00 | $128.00 – $166.40 | 5 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $23.13 | $257.00 | $257.00 – $334.10 | 5 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $47.79 | $531.00 | $531.00 – $690.30 | 5 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $55.89 | $621.00 | $621.00 – $807.30 | 5 |
| Vaccine mmr live subcutaneous CPT 90707 | $22.14 | $246.00 | $246.00 – $319.80 | 5 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $82.26 | $914.00 | $914.00 – $1,188.20 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $56.97 | $633.00 | $633.00 – $822.90 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $129.96 | $1,444.00 | $1,444.00 – $1,877.20 | 5 |
| Vaccine rabies im CPT 90675 | $210.42 | $2,338.00 | $313.68 – $3,039.40 | 11 |
| Vaccine tdap >=7 years im CPT 90715 | $27.45 | $305.00 | $305.00 – $396.50 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $14.22 | $158.00 | $158.00 – $205.40 | 5 |
| Vaccine varicella live subcutaneous CPT 90716 | $35.10 | $390.00 | $390.00 – $507.00 | 5 |
| Valproic acid total therapeutic drug level CPT 80164 | $80.10 | $890.00 | $13.54 – $1,069.78 | 11 |
| Vancomycin peak therapeutic drug level CPT 80202 | $71.55 | $795.00 | $13.54 – $44.20 | 11 |
| Varicella zoster antibody igg CPT 86787 | $0.32 | $3.55 | $3.55 – $23.18 | 11 |
| Varus/valgus strap padded/li HCPCS L2270 | $72.09 | $801.00 | $82.28 – $1,041.30 | 11 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $2.34 | $26.00 | $26.00 – $33.80 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $11.52 | $128.00 | $21.31 – $166.40 | 11 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $582.03 | $6,467.00 | $1,102.54 – $8,407.10 | 14 |
| Vein x-ray kidney CPT 75831 | $809.19 | $8,991.00 | $4,053.89 – $11,688.30 | 11 |
| Vein x-ray liver w/hemodynam CPT 75889 | $435.87 | $4,843.00 | $4,053.89 – $7,297.00 | 11 |
| Venogram ext bil s&i CPT 75822 | $908.82 | $10,098.00 | $2,021.06 – $13,127.40 | 11 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $746.19 | $8,291.00 | $2,021.06 – $10,778.30 | 11 |
| Ventilator each subsequent day CPT 94003 | $1,125.18 | $12,502.00 | $273.00 – $13,685.10 | 17 |
| Ventilator initial day CPT 94002 | $1,699.92 | $18,888.00 | $273.00 – $21,859.50 | 17 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $68.49 | $761.00 | $761.00 – $989.30 | 5 |
| Virus isolation addl studies ea CPT 87253 | $1.22 | $13.61 | $13.61 – $36.36 | 11 |
| Vitamin b-12 CPT 82607 | $94.23 | $1,047.00 | $15.08 – $1,361.10 | 11 |
| Vitamin D Test CPT 82306 | $28.35 | $315.00 | $29.60 – $409.50 | 11 |
| Volume measurement urine timed CPT 81050 | $0.27 | $3.00 | $3.00 – $6.55 | 11 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | $0.99 | $11.00 | $1.85 – $14.30 | 11 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $35.91 | $399.00 | $399.00 – $518.70 | 5 |
| Warde 1003990 aldosterone CPT 82088 | $0.65 | $7.25 | $7.25 – $73.35 | 11 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $15.10 | $167.75 | $17.00 – $50.04 | 11 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $0.86 | $9.50 | $9.50 – $23.22 | 11 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $2.16 | $24.00 | $24.00 – $45.45 | 11 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $0.90 | $10.00 | $10.00 – $27.90 | 11 |
| Warde 1015200 kappa light chain free CPT 83521 | $0.86 | $9.50 | $9.50 – $31.09 | 11 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $1.31 | $14.60 | $8.02 – $18.98 | 11 |
| Warde 3008005 oligoclonal bands CPT 83916 | $1.94 | $21.50 | $21.50 – $49.30 | 11 |
| Warde 3016000 west nile virus antibody CPT 86788 | $2.70 | $30.00 | $16.85 – $39.00 | 11 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $2.70 | $30.00 | $14.39 – $39.00 | 11 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $1.50 | $16.66 | $12.25 – $22.05 | 11 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $0.38 | $4.25 | $4.25 – $16.02 | 11 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $0.38 | $4.25 | $4.25 – $32.36 | 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.