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 |
|---|---|---|---|---|
| X-ray nasal bones complete > 3 views CPT 70160 | $157.41 | $1,749.00 | $111.73 – $2,273.70 | 11 |
| X-ray neck soft tissue CPT 70360 | $160.20 | $1,780.00 | $111.73 – $2,314.00 | 11 |
| X-ray pelvis 1-2 views CPT 72170 | $130.50 | $1,450.00 | $134.23 – $1,580.80 | 11 |
| X-ray pelvis complete > 3 views CPT 72190 | $175.50 | $1,950.00 | $134.23 – $2,535.00 | 11 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $317.88 | $3,532.00 | $447.92 – $4,591.60 | 11 |
| X-ray ribs 2 views left CPT 71100 | $176.13 | $1,957.00 | $111.73 – $2,544.10 | 11 |
| X-ray ribs 3 views bilateral CPT 71110 | $236.97 | $2,633.00 | $134.23 – $3,164.87 | 11 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $195.39 | $2,171.00 | $134.23 – $2,822.30 | 11 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $188.82 | $2,098.00 | $134.23 – $2,727.40 | 11 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $122.40 | $1,360.00 | $134.23 – $1,550.40 | 11 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $149.40 | $1,660.00 | $111.73 – $2,158.00 | 11 |
| X-ray scapula complete (both sides) CPT 73010 | $163.53 | $1,817.00 | $134.23 – $2,362.10 | 11 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $133.20 | $1,480.00 | $111.73 – $1,924.00 | 11 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $225.09 | $2,501.00 | $111.73 – $3,251.30 | 11 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $355.77 | $3,953.00 | $701.54 – $5,138.90 | 11 |
| X-ray skull < 4 views CPT 70250 | $160.83 | $1,787.00 | $134.23 – $2,323.10 | 11 |
| X-ray skull > 4 views complete CPT 70260 | $227.88 | $2,532.00 | $134.23 – $3,291.60 | 11 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $173.79 | $1,931.00 | $225.20 – $2,510.30 | 11 |
| X-ray small intestine follow-through study CPT 74248 | $99.45 | $1,105.00 | $86.77 – $1,436.50 | 11 |
| X-ray spine single view CPT 72020 | $132.21 | $1,469.00 | $111.73 – $1,909.70 | 11 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $82.98 | $922.00 | $111.73 – $1,198.60 | 11 |
| X-ray sternum > 2 views CPT 71120 | $57.06 | $634.00 | $111.73 – $824.20 | 11 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $236.52 | $2,628.00 | $111.73 – $3,061.50 | 11 |
| X-ray thoracic spine 2 views CPT 72070 | $144.00 | $1,600.00 | $134.23 – $2,080.00 | 11 |
| X-ray thoracic spine 3 views CPT 72072 | $201.69 | $2,241.00 | $134.23 – $2,913.30 | 11 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $152.10 | $1,690.00 | $111.73 – $2,197.00 | 11 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $148.05 | $1,645.00 | $111.73 – $2,116.40 | 11 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $103.77 | $1,153.00 | $111.73 – $1,394.90 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $297.72 | $3,308.00 | $225.20 – $4,300.40 | 11 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $196.02 | $2,178.00 | $225.20 – $2,831.40 | 11 |
| X-ray wrist 2 views (both sides) CPT 73100 | $122.40 | $1,360.00 | $111.73 – $1,768.00 | 11 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $5.04 | $56.00 | $56.00 – $72.80 | 5 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $102.96 | $1,144.00 | $1,144.00 – $1,487.20 | 5 |
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.