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 |
|---|---|---|---|---|
| Consultation pathology during surgery CPT 88329 | $5.21 | $57.84 | $57.84 – $136.33 | 11 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $3.20 | $35.53 | $35.53 – $1,861.94 | 11 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $2.55 | $28.31 | $28.31 – $104.58 | 11 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $4.16 | $46.17 | $46.17 – $393.73 | 11 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $16.45 | $182.80 | $66.91 – $237.64 | 11 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $20.03 | $222.60 | $47.95 – $289.38 | 11 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,249.74 | $13,886.00 | $4,053.89 – $18,051.80 | 11 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $3,634.11 | $40,379.00 | $7,144.24 – $12,859.63 | 11 |
| Contrast x-ray of ankle CPT 73615 | $291.60 | $3,240.00 | $447.92 – $4,212.00 | 11 |
| Contrast x-ray of hip CPT 73525 | $223.29 | $2,481.00 | $447.92 – $3,225.30 | 11 |
| Contrast x-ray of knee joint CPT 73580 | $225.63 | $2,507.00 | $447.92 – $3,259.10 | 11 |
| Controller infinity pt dbs HCPCS C1787 | $787.32 | $8,748.00 | $8,748.00 – $11,372.40 | 5 |
| Coombs direct CPT 86880 | $71.10 | $790.00 | $5.39 – $45.50 | 11 |
| Coombs indirect titer reference CPT 86886 | $48.42 | $538.00 | $5.18 – $273.00 | 11 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $2,207.43 | $24,527.00 | $4,162.31 – $31,885.10 | 11 |
| Coronary angio/lv gram/lt heart CPT 93458 | $1,983.33 | $22,037.00 | $4,162.31 – $28,648.10 | 11 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $2,383.11 | $26,479.00 | $4,162.31 – $34,422.70 | 11 |
| Coronary art/grft angio s&i CPT 93455 | $2,207.43 | $24,527.00 | $4,162.31 – $31,885.10 | 11 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $1,983.33 | $22,037.00 | $4,162.31 – $28,648.10 | 11 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $266.94 | $2,966.00 | $2,966.00 – $7,057.00 | 8 |
| Cortisol total am CPT 82533 | $75.06 | $834.00 | $8.00 – $29.34 | 11 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $55.62 | $618.00 | $618.00 – $803.40 | 5 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $206.37 | $2,293.00 | $2,293.00 – $2,980.90 | 5 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $163.44 | $1,816.00 | $566.13 – $2,360.80 | 11 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $72.09 | $801.00 | $566.13 – $1,041.30 | 11 |
| Covid-19 lab test non-cdc HCPCS U0002 | $22.23 | $247.00 | $51.31 – $321.10 | 11 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $0.48 | $5.33 | $5.33 – $23.45 | 11 |
| C-peptide CPT 84681 | $0.43 | $4.75 | $4.75 – $37.46 | 11 |
| Crbrospnl fld flw imag cistern CPT 78630 | $364.41 | $4,049.00 | $697.12 – $5,263.70 | 11 |
| C-reactive protein CPT 86140 | $88.83 | $987.00 | $5.18 – $1,283.10 | 11 |
| C-reactive protein high sensitivity CPT 86141 | $22.95 | $255.00 | $12.95 – $24.93 | 11 |
| Creatine kinase CPT 82550 | $46.98 | $522.00 | $6.51 – $627.44 | 11 |
| Creatine kinase isoenzymes CPT 82552 | $3.96 | $44.00 | $13.39 – $57.20 | 11 |
| Creatine kinase mb CPT 82553 | $3.69 | $41.00 | $11.55 – $49.28 | 11 |
| Creatinine CPT 82565 | $45.63 | $507.00 | $5.12 – $659.10 | 11 |
| Creatinine 24 hour urine CPT 82570 | $48.96 | $544.00 | $5.18 – $14.85 | 11 |
| Creatinine clearance urine CPT 82575 | $39.60 | $440.00 | $9.46 – $572.00 | 11 |
| #creutz-prot.,western blot CPT 84182 | $3.90 | $43.33 | $29.21 – $56.33 | 11 |
| Critical care 30-74 minutes CPT 99291 | $882.90 | $9,810.00 | $1,060.54 – $12,753.00 | 11 |
| Critical care each additional 30 minutes CPT 99292 | $459.99 | $5,111.00 | $100.33 – $6,644.30 | 11 |
| Cryoprecipitate each unit HCPCS P9012 | $21.69 | $241.00 | $71.95 – $313.30 | 11 |
| Cryptosporidium antigen CPT 87272 | $38.34 | $426.00 | $11.98 – $38.46 | 11 |
| Crystal identification light microscopy CPT 89060 | $27.54 | $306.00 | $7.33 – $397.80 | 11 |
| Csf leakage imaging CPT 78650 | $474.84 | $5,276.00 | $1,662.20 – $6,858.80 | 11 |
| CT 3d report other modality w/workstation CPT 76377 | $125.19 | $1,391.00 | $85.24 – $1,808.30 | 11 |
| Cta abdomen without & /or w/contrast CPT 74175 | $950.85 | $10,565.00 | $225.20 – $11,424.40 | 11 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $937.89 | $10,421.00 | $225.20 – $13,547.30 | 11 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $704.79 | $7,831.00 | $225.20 – $9,581.00 | 11 |
| Cta neck without &/or w/contrast CPT 70498 | $964.26 | $10,714.00 | $225.20 – $10,580.70 | 11 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $549.90 | $6,110.00 | $447.92 – $7,287.80 | 11 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $978.93 | $10,877.00 | $225.20 – $12,017.20 | 11 |
| CT Angiogram of the Head CPT 70496 | $789.84 | $8,776.00 | $225.20 – $10,604.10 | 11 |
| CT angio hrt w/3d image CPT 75574 | $931.41 | $10,349.00 | $447.92 – $13,453.70 | 11 |
| CT angio pelvis CPT 72191 | $1,009.80 | $11,220.00 | $225.20 – $8,453.90 | 11 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $610.11 | $6,779.00 | $225.20 – $8,812.70 | 11 |
| CT colonography dx CPT 74261 | $206.10 | $2,290.00 | $134.23 – $2,977.00 | 11 |
| CT guidance for needle placement CPT 77012 | $542.88 | $6,032.00 | $132.04 – $7,841.60 | 11 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $711.45 | $7,905.00 | $121.67 – $7,723.30 | 11 |
| CT guid parench tis ablat CPT 77013 | $182.34 | $2,026.00 | $2,026.00 – $2,633.80 | 5 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $15.84 | $176.00 | $111.73 – $228.80 | 11 |
| CT limited or localized follow-up study CPT 76380 | $520.20 | $5,780.00 | $111.73 – $6,046.30 | 11 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $491.94 | $5,466.00 | $225.20 – $7,105.80 | 11 |
| CT lower extremity without contrast (both sides) CPT 73700 | $699.12 | $7,768.00 | $134.23 – $10,098.40 | 11 |
| Ctlso a-p-l control with inter HCPCS L0710 | $2,111.85 | $23,465.00 | $3,199.93 – $30,504.50 | 11 |
| CT lwr extremity w/o&w/dye CPT 73702 | $767.79 | $8,531.00 | $225.20 – $11,090.30 | 11 |
| CT neck soft tissue w/contrast CPT 70491 | $917.82 | $10,198.00 | $225.20 – $13,257.40 | 11 |
| CT neck soft tissue without contrast CPT 70490 | $626.31 | $6,959.00 | $134.23 – $9,046.70 | 11 |
| CT neck soft tissue without & w/contrast CPT 70492 | $899.10 | $9,990.00 | $225.20 – $12,987.00 | 11 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,052.37 | $11,693.00 | $225.20 – $15,200.90 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $864.63 | $9,607.00 | $225.20 – $12,489.10 | 11 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $746.46 | $8,294.00 | $134.23 – $10,782.20 | 11 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,246.95 | $13,855.00 | $447.92 – $18,011.50 | 11 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,559.61 | $17,329.00 | $447.92 – $22,527.70 | 11 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,178.28 | $13,092.00 | $306.34 – $17,019.60 | 11 |
| CT thoracic spine w/contrast CPT 72129 | $703.08 | $7,812.00 | $225.20 – $10,155.60 | 11 |
| CT thoracic spine without contrast CPT 72128 | $904.41 | $10,049.00 | $134.23 – $13,063.70 | 11 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $270.81 | $3,009.00 | $447.92 – $3,911.70 | 11 |
| CT upper extremity without contrast (both sides) CPT 73200 | $292.23 | $3,247.00 | $134.23 – $4,221.10 | 11 |
| Culture aerobic additional method definitive id each CPT 87077 | $26.82 | $298.00 | $8.08 – $14.95 | 11 |
| Culture afb any source CPT 87116 | $8.73 | $97.00 | $9.75 – $126.10 | 11 |
| Culture anaerobic additional method definitive id each CPT 87076 | $39.60 | $440.00 | $8.08 – $572.00 | 11 |
| Culture anaerobic except blood CPT 87075 | $30.87 | $343.00 | $9.47 – $445.90 | 11 |
| Culture bact stool aero addl path ea CPT 87046 | $26.55 | $295.00 | $9.44 – $59.80 | 11 |
| Culture body fluid CPT 87070 | $153.63 | $1,707.00 | $8.62 – $16.60 | 11 |
| Culture fungi definitive id mold CPT 87107 | $7.20 | $80.00 | $10.32 – $104.00 | 11 |
| Culture fungi definitive id yeast CPT 87106 | $23.13 | $257.00 | $10.32 – $334.10 | 11 |
| Culture fungi other (except blood) CPT 87102 | $38.88 | $432.00 | $8.41 – $37.62 | 11 |
| Culture fungi skin/hair/nail CPT 87101 | $30.69 | $341.00 | $7.71 – $443.30 | 11 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $22.77 | $253.00 | $4.47 – $328.90 | 11 |
| Culture screening strep group a CPT 87081 | $58.86 | $654.00 | $6.63 – $12.77 | 11 |
| Culture typing immunologic CPT 87147 | $63.54 | $706.00 | $5.18 – $917.80 | 11 |
| Culture urine each isolate CPT 87088 | $23.31 | $259.00 | $8.09 – $336.70 | 11 |
| Cutter lead HCPCS C1773 | $64.08 | $712.00 | $712.00 – $925.60 | 5 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $7.74 | $86.00 | $86.00 – $111.80 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $7.67 | $85.22 | $10.00 – $23.31 | 11 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $19.53 | $217.00 | $217.00 – $282.10 | 5 |
| Cyclosporine 2 hour CPT 80158 | $1.71 | $19.00 | $18.05 – $32.49 | 11 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $19.71 | $219.00 | $162.00 – $210.60 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $5.67 | $63.00 | $29.00 – $37.70 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $5,207.94 | $57,866.00 | $12,097.00 – $15,726.10 | 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.