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 |
|---|---|---|---|---|
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $53.73 | $597.00 | $597.00 – $776.10 | 5 |
| Calcium 24 hour urine CPT 82340 | $69.93 | $777.00 | $6.03 – $173.09 | 11 |
| Calcium ionized CPT 82330 | $22.68 | $252.00 | $6.00 – $327.60 | 11 |
| Calcium total CPT 82310 | $53.73 | $597.00 | $4.23 – $84.36 | 11 |
| Calprotectin fecal CPT 83993 | $4.95 | $55.00 | $19.63 – $71.50 | 11 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $13,965.52 | $155,172.41 | $344.00 – $447.20 | 5 |
| Cap nerve 2x15mm HCPCS C1763 | $3,396.42 | $37,738.00 | $2,614.00 – $3,398.20 | 5 |
| Cap trach decann 15mm HCPCS C1750 | $1,039.68 | $11,552.00 | $1,431.00 – $1,860.30 | 5 |
| Carbamazepine total therapeutic drug level CPT 80156 | $72.09 | $801.00 | $14.57 – $1,041.30 | 11 |
| Carbon dioxide CPT 82374 | $36.18 | $402.00 | $4.88 – $53.30 | 11 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $82.17 | $913.00 | $913.00 – $1,186.90 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $4.69 | $52.08 | $12.32 – $67.70 | 11 |
| Carcinoembryonic ag (cea) CPT 82378 | $88.74 | $986.00 | $18.96 – $34.13 | 11 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $516.15 | $5,735.00 | $1,662.20 – $7,455.50 | 11 |
| Cardiolipin antibody iga CPT 86147 | $4.47 | $49.71 | $5.00 – $45.81 | 11 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $637.20 | $7,080.00 | $848.59 – $7,551.70 | 14 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $80.73 | $897.00 | $41.00 – $1,008.80 | 18 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $40.32 | $448.00 | $21.77 – $504.40 | 18 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $542.43 | $6,027.00 | $306.34 – $7,179.90 | 14 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $245.25 | $2,725.00 | $2,725.00 – $3,542.50 | 5 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $2,069.10 | $22,990.00 | $22,990.00 – $29,887.00 | 5 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $3,967.92 | $44,088.00 | $564.00 – $733.20 | 5 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $7,620.75 | $84,675.00 | $871.00 – $1,132.30 | 5 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $2,384.10 | $26,490.00 | $4,162.31 – $34,437.00 | 11 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $404.37 | $4,493.00 | $385.00 – $500.50 | 5 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $660.24 | $7,336.00 | $3,527.00 – $4,585.10 | 5 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $604.26 | $6,714.00 | $3,530.00 – $4,589.00 | 5 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $724.14 | $8,046.00 | $8,046.00 – $10,459.80 | 5 |
| Cath left heart/lv gram CPT 93452 | $2,384.10 | $26,490.00 | $4,162.31 – $34,437.00 | 11 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $3,670.92 | $40,788.00 | $478.00 – $621.40 | 5 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $2,690.28 | $29,892.00 | $4,162.31 – $38,859.60 | 11 |
| Cath right heart w/o2 sat & card CPT 93451 | $2,270.61 | $25,229.00 | $4,162.31 – $32,797.70 | 11 |
| Cath stripping venous s&i CPT 75901 | $146.61 | $1,629.00 | $256.29 – $2,117.70 | 11 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $37.62 | $418.00 | $418.00 – $543.40 | 5 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | $14.13 | $157.00 | $157.00 – $204.10 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $15.93 | $177.00 | $20.00 – $26.00 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $32.40 | $360.00 | $360.00 – $468.00 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | $33.39 | $371.00 | $371.00 – $482.30 | 5 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | $68.67 | $763.00 | $3.00 – $3.90 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | $1.53 | $17.00 | $4.23 – $22.10 | 11 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | $5.31 | $59.00 | $59.00 – $76.70 | 5 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $20.88 | $232.00 | $22.00 – $28.60 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | $25.47 | $283.00 | $283.00 – $367.90 | 5 |
| #celiac hla-dq2 CPT 81377 | $6.75 | $75.00 | $75.00 – $170.53 | 11 |
| Cell count w differential body fluid CPT 89051 | $102.87 | $1,143.00 | $5.60 – $1,485.90 | 11 |
| Cell function assay w/stim CPT 86352 | $4.95 | $55.00 | $55.00 – $244.55 | 11 |
| Cerebrospinal fld flw imag CPT 78645 | $200.43 | $2,227.00 | $697.12 – $2,895.10 | 11 |
| Cer post col occ/man sup adj HCPCS L0180 | $390.42 | $4,338.00 | $545.66 – $5,639.40 | 11 |
| Chemo adm cns w/lmbr punct CPT 96450 | $258.57 | $2,873.00 | $424.08 – $8,185.00 | 15 |
| Chest 2 vws w oblique CPT 71048 | $256.41 | $2,849.00 | $134.23 – $3,703.70 | 11 |
| Chest apical lordotic proj CPT 71047 | $173.43 | $1,927.00 | $111.73 – $2,505.10 | 11 |
| Chest CT scan (with and without contrast) CPT 71270 | $979.92 | $10,888.00 | $225.20 – $14,154.40 | 11 |
| Chest CT scan (with contrast) CPT 71260 | $1,053.27 | $11,703.00 | $225.20 – $15,213.90 | 11 |
| Chest CT scan (without contrast) CPT 71250 | $684.72 | $7,608.00 | $134.23 – $9,890.40 | 11 |
| Chest X-ray CPT 71046 | $148.32 | $1,648.00 | $111.73 – $2,142.40 | 11 |
| Chest X-ray (single view) CPT 71045 | $137.97 | $1,533.00 | $111.73 – $1,992.90 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $144.27 | $1,603.00 | $225.20 – $2,083.90 | 11 |
| Chlamydia type CPT 87140 | $2.79 | $31.00 | $5.57 – $40.30 | 11 |
| Chloride CPT 82435 | $3.87 | $43.00 | $4.60 – $51.69 | 11 |
| Chloride 24 hour urine CPT 82436 | $39.42 | $438.00 | $5.75 – $50.48 | 11 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $77.67 | $863.00 | $863.00 – $1,121.90 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $39.78 | $442.00 | $442.00 – $574.60 | 5 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $245.79 | $2,731.00 | $2,731.00 – $3,550.30 | 5 |
| Cholesterol CPT 82465 | $61.02 | $678.00 | $4.35 – $145.60 | 11 |
| Cholesterol (Lipid) Test CPT 80061 | $114.75 | $1,275.00 | $2.75 – $24.10 | 11 |
| Chromatography CPT 83021 | $1.64 | $18.25 | $18.06 – $32.51 | 11 |
| Chromo high res and frag x - sendout CPT 81243 | $27.26 | $302.92 | $57.04 – $102.67 | 11 |
| Chromosome analysis 15-20 cell count CPT 88262 | $20.12 | $223.50 | $125.49 – $290.55 | 11 |
| Cilastatin sodium injection HCPCS J0743 | $77.67 | $863.00 | $863.00 – $1,121.90 | 5 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $9.90 | $110.00 | $110.00 – $143.00 | 5 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $92.79 | $1,031.00 | $1,031.00 – $1,340.30 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $17.82 | $198.00 | $198.00 – $593.12 | 11 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $20.43 | $227.00 | $10.68 – $295.10 | 11 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $9.54 | $106.00 | $20.00 – $26.00 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $220.77 | $2,453.00 | $2,453.00 – $3,188.90 | 5 |
| Clip phn wireless f/baha4 proc HCPCS L9900 | $18.00 | $200.00 | $200.00 – $260.00 | 5 |
| Cllr miami j sm HCPCS L0174 | $273.51 | $3,039.00 | $420.89 – $3,950.70 | 11 |
| Clot factor xiii fibrin stab CPT 85290 | $13.50 | $150.00 | $16.34 – $195.00 | 11 |
| Clsd ostomy pouch without barr HCPCS A5052 | $28.53 | $317.00 | $2.12 – $412.10 | 11 |
| C motor evoked upr&lwr limbs CPT 95939 | $416.43 | $4,627.00 | $1,048.00 – $6,015.10 | 14 |
| #cmvcul-virus inoculation shell CPT 87254 | $54.18 | $602.00 | $19.56 – $336.70 | 11 |
| Cmv pcr-sendout CPT 87496 | $29.41 | $326.80 | $35.09 – $101.40 | 11 |
| Coagulation time activated teg CPT 85347 | $73.62 | $818.00 | $4.28 – $1,063.40 | 11 |
| Cold agglutinin titer CPT 86157 | $0.54 | $6.00 | $6.00 – $14.51 | 11 |
| Colistimethate sodium inj HCPCS J0770 | $18.00 | $200.00 | $200.00 – $260.00 | 5 |
| Collagen based wound filler HCPCS A6010 | $646.38 | $7,182.00 | $44.14 – $6,919.90 | 11 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $523.35 | $5,815.00 | $536.80 – $7,559.50 | 11 |
| Collar cerv ascend 172 reg HCPCS L0172 | $161.28 | $1,792.00 | $182.91 – $2,329.60 | 11 |
| Collar extrication adult univ HCPCS L0200 | $566.19 | $6,291.00 | $791.22 – $8,178.30 | 11 |
| Collection of venous blood by venipuncture CPT 36415 | $11.88 | $132.00 | $9.34 – $71.50 | 11 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $71.19 | $791.00 | $218.74 – $901.74 | 11 |
| Compatibility test each unit electronic CPT 86923 | $77.11 | $856.80 | $218.74 – $1,113.84 | 11 |
| Compatibility test each unit immediate spin technique CPT 86920 | $79.38 | $882.00 | $218.74 – $1,146.60 | 11 |
| Compatibility test incubate CPT 86921 | $59.76 | $664.00 | $218.74 – $863.20 | 11 |
| Complement antigen each component c3 CPT 86160 | $5.56 | $61.80 | $4.00 – $21.60 | 11 |
| Complement fixation each CPT 86171 | $3.96 | $44.00 | $10.01 – $57.20 | 11 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | $781.74 | $8,686.00 | $888.03 – $11,291.80 | 11 |
| Compre oph exam est pt 1/> CPT 92014 | $32.94 | $366.00 | $170.93 – $1,176.00 | 14 |
| Concentration infection agents any type CPT 87015 | $2.79 | $31.00 | $6.68 – $40.30 | 11 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $26.91 | $299.00 | $299.00 – $705.71 | 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.