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 |
|---|---|---|---|---|
| Ast/sgot CPT 84450 | $51.75 | $575.00 | $5.18 – $747.50 | 11 |
| Atxn1 gene detc abnor allele CPT 81178 | $15.10 | $167.74 | $137.00 – $246.60 | 11 |
| Atxn2 gene detc abnor allele CPT 81179 | $15.10 | $167.74 | $137.00 – $246.60 | 11 |
| Atxn3 gene detc abnor allele CPT 81180 | $15.10 | $167.74 | $137.00 – $246.60 | 11 |
| Atxn7 gene detc abnor allele CPT 81181 | $15.10 | $167.74 | $137.00 – $246.60 | 11 |
| Augment injectable kit 3.0cc HCPCS C1734 | $1,277.28 | $14,192.00 | $14,192.00 – $18,449.60 | 5 |
| Autologous blood op salvage CPT 86891 | $110.70 | $1,230.00 | $1,034.41 – $1,861.94 | 11 |
| Azathioprine 50 mg tablet HCPCS J7500 | $6.93 | $77.00 | $77.00 – $100.10 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $18.00 | $200.00 | $200.00 – $260.00 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $0.99 | $11.00 | $11.00 – $14.30 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | $0.99 | $11.00 | $11.00 – $14.30 | 5 |
| Bacterial meningitis antigen CPT 86403 | $34.29 | $381.00 | $11.54 – $222.30 | 11 |
| Bacterial vaginosis pcr CPT 87801 | $9.54 | $106.00 | $70.20 – $137.80 | 11 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $529.47 | $5,883.00 | $5,883.00 – $7,647.90 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | $17.55 | $195.00 | $35.09 – $253.50 | 11 |
| B cells total count CPT 86355 | $2.70 | $30.00 | $25.00 – $67.91 | 11 |
| #_benzodiazconfur CPT 80346 | $2.70 | $30.00 | $30.00 – $39.00 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $18.00 | $200.00 | $200.00 – $260.00 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $1.87 | $20.81 | $8.00 – $45.81 | 11 |
| Beta-2 microglobulin CPT 82232 | $0.68 | $7.50 | $7.50 – $29.12 | 11 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $11.16 | $124.00 | $124.00 – $161.20 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $29.61 | $329.00 | $73.20 – $427.70 | 11 |
| Bilicheck CPT 88720 | $8.19 | $91.00 | $5.02 – $118.30 | 11 |
| Bilirubin direct CPT 82248 | $41.22 | $458.00 | $5.02 – $11.70 | 11 |
| Bilirubin total CPT 82247 | $43.02 | $478.00 | $5.00 – $9.04 | 11 |
| Biopsy of heart lining CPT 93505 | $649.35 | $7,215.00 | $4,053.89 – $9,379.50 | 12 |
| Biotinidase - quest CPT 82261 | $1.64 | $18.25 | $16.87 – $30.37 | 11 |
| Bivalirudin HCPCS J0583 | $27.18 | $302.00 | $302.00 – $392.60 | 5 |
| Bk waist belt webbing HCPCS L5688 | $78.48 | $872.00 | $99.71 – $1,133.60 | 11 |
| Bld prd mix CPT 86965 | $9.99 | $111.00 | $111.00 – $393.73 | 11 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $131.94 | $1,466.00 | $1,466.00 – $1,905.80 | 5 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $2,837.34 | $31,526.00 | $1,302.00 – $1,692.60 | 5 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $2,660.49 | $29,561.00 | $461.00 – $599.30 | 5 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $684.00 | $7,600.00 | $7,600.00 – $9,880.00 | 5 |
| Bln press regulation 71-80cm HCPCS C1815 | $6,494.94 | $72,166.00 | $34,341.00 – $44,643.30 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $106.65 | $1,185.00 | $4.29 – $1,540.50 | 11 |
| Blood Clotting (PTT) Test CPT 85730 | $102.24 | $1,136.00 | $6.01 – $20.80 | 11 |
| Blood Count (CBC) Test CPT 85025 | $120.51 | $1,339.00 | $7.77 – $1,740.70 | 11 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $86.31 | $959.00 | $6.47 – $1,246.70 | 11 |
| Blood Culture Test CPT 87040 | $185.49 | $2,061.00 | $10.32 – $2,679.30 | 11 |
| Blood draw capillary 36416 CPT 36416 | $12.96 | $144.00 | $11.00 – $1,616.00 | 8 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $32.40 | $360.00 | $4.38 – $468.00 | 11 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $27.36 | $304.00 | $5.32 – $395.20 | 11 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $21.69 | $241.00 | $3.80 – $261.30 | 11 |
| Blood typing abo CPT 86900 | $72.90 | $810.00 | $2.99 – $42.90 | 11 |
| Blood typing ag donor ea ag CPT 86902 | $9.27 | $103.00 | $6.35 – $93.60 | 11 |
| Blood typing patient serum CPT 86904 | $204.48 | $2,272.00 | $16.34 – $2,730.94 | 11 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $41.58 | $462.00 | $3.83 – $600.60 | 11 |
| Blood typing rh (d) CPT 86901 | $39.06 | $434.00 | $2.99 – $434.00 | 11 |
| Blood typing rh phenotype complete reference CPT 86906 | $6.48 | $72.00 | $7.75 – $93.60 | 11 |
| Bone/joint imaging ltd area CPT 78300 | $387.27 | $4,303.00 | $513.27 – $5,593.90 | 11 |
| Bone survey-lead poisoning CPT 77074 | $124.92 | $1,388.00 | $134.23 – $1,804.40 | 11 |
| Boot j walker l HCPCS L4386 | $124.92 | $1,388.00 | $190.16 – $1,804.40 | 11 |
| Boot mlti podous univ xlg HCPCS L4396 | $129.96 | $1,444.00 | $197.90 – $1,877.20 | 11 |
| Boot softgait shrt m HCPCS L4387 | $158.94 | $1,766.00 | $190.16 – $2,295.80 | 11 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $312.84 | $3,476.00 | $371.23 – $4,518.80 | 11 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $310.14 | $3,446.00 | $371.23 – $4,479.80 | 11 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $0.81 | $9.00 | $7.00 – $30.65 | 11 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $32.31 | $359.00 | $359.00 – $466.70 | 5 |
| (both sides) smear without diff wbc count CPT 85008 | $5.76 | $64.00 | $3.43 – $76.93 | 11 |
| Botulism ig IV CPT 90288 | $5,157.00 | $57,300.00 | $57,300.00 – $74,490.00 | 5 |
| Bowel imaging CPT 78290 | $373.05 | $4,145.00 | $513.27 – $5,388.50 | 11 |
| Brace adj motion lerman type HCPCS L2186 | $217.98 | $2,422.00 | $173.00 – $3,148.60 | 11 |
| Brace afo lg left 6607 HCPCS L1930 | $319.05 | $3,545.00 | $362.45 – $4,608.50 | 11 |
| Brace afopos solid ankle cust HCPCS L1960 | $637.38 | $7,082.00 | $849.26 – $9,206.60 | 11 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $162.18 | $1,802.00 | $184.26 – $2,342.60 | 11 |
| Brace ank air stirrup univ HCPCS L4350 | $86.31 | $959.00 | $136.95 – $1,246.70 | 11 |
| Brace ankle joint dflxn assist HCPCS L2210 | $66.78 | $742.00 | $102.99 – $964.60 | 11 |
| Brace ankle stablizing lg HCPCS L1902 | $67.23 | $747.00 | $105.11 – $971.10 | 11 |
| Brace back epic lso 637 HCPCS L0650 | $679.68 | $7,552.00 | $406.45 – $9,817.60 | 11 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $323.82 | $3,598.00 | $493.08 – $4,677.40 | 11 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $884.88 | $9,832.00 | $1,782.97 – $12,781.60 | 11 |
| Brace back t-lso custom HCPCS L0486 | $1,833.12 | $20,368.00 | $2,583.85 – $26,478.40 | 11 |
| Brace cust back lso HCPCS L0631 | $808.74 | $8,986.00 | $1,231.38 – $11,681.80 | 11 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $408.33 | $4,537.00 | $463.50 – $5,898.10 | 11 |
| Brace halo bremer l2830 HCPCS L2830 | $352.80 | $3,920.00 | $143.94 – $5,096.00 | 11 |
| Brace kafo dbl upright cust HCPCS L2036 | $1,255.59 | $13,951.00 | $2,549.08 – $18,136.30 | 11 |
| Brace knee extender plus 22-30in HCPCS L1832 | $727.38 | $8,082.00 | $834.24 – $10,506.60 | 11 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $791.19 | $8,791.00 | $1,451.22 – $11,428.30 | 11 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $783.63 | $8,707.00 | $1,192.99 – $11,319.10 | 11 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $478.98 | $5,322.00 | $272.97 – $6,918.60 | 11 |
| Brace wrist classic lft sm HCPCS L3908 | $57.15 | $635.00 | $89.82 – $825.50 | 11 |
| Brachy source yttrium-90 HCPCS C2616 | $7,640.37 | $84,893.00 | $17,771.00 – $110,360.90 | 11 |
| Braf gene CPT 81210 | $9.63 | $107.00 | $107.00 – $315.72 | 11 |
| Brain flow imaging only CPT 78610 | $256.41 | $2,849.00 | $697.12 – $3,703.70 | 11 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $619.56 | $6,884.00 | $306.34 – $8,949.20 | 11 |
| Brain MRI (with and without contrast) CPT 70553 | $1,490.49 | $16,561.00 | $447.92 – $21,529.30 | 11 |
| Brain MRI (with contrast) CPT 70552 | $716.94 | $7,966.00 | $447.92 – $10,355.80 | 11 |
| Brain MRI (without contrast) CPT 70551 | $1,097.64 | $12,196.00 | $306.34 – $15,854.80 | 11 |
| Breath recording infant CPT 94772 | $779.22 | $8,658.00 | $479.10 – $11,255.40 | 14 |
| Breath tst attain/anal c-14 CPT 78267 | $74.61 | $829.00 | $11.06 – $1,077.70 | 11 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $64.71 | $719.00 | $258.64 – $934.70 | 11 |
| Bronchial challenge CPT 94070 | $204.84 | $2,276.00 | $479.10 – $2,958.80 | 14 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $0.63 | $7.00 | $7.00 – $9.10 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $8.79 | $97.66 | $66.91 – $126.96 | 11 |
| Bundled special stain group 2 CPT 88313 | $7.20 | $80.00 | $57.00 – $307.48 | 11 |
| Buprenorphine and metabolite - sendout CPT 80348 | $11.72 | $130.20 | $130.20 – $169.26 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $11.79 | $131.00 | $131.00 – $170.30 | 5 |
| Cacna1a gen detc abnor allel CPT 81184 | $15.10 | $167.74 | $137.00 – $246.60 | 11 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $25.47 | $283.00 | $283.00 – $367.90 | 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.