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 |
|---|---|---|---|---|
| Cystatin c CPT 82610 | $2.43 | $27.00 | $18.52 – $35.10 | 11 |
| Cystic fibrosis cftr CPT 81223 | $82.85 | $920.50 | $499.00 – $950.63 | 11 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $97.74 | $1,086.00 | $447.92 – $1,411.80 | 11 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $4.14 | $46.00 | $46.00 – $59.80 | 5 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $5.67 | $63.00 | $9.50 – $25.90 | 11 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $0.72 | $8.00 | $8.00 – $30.33 | 11 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $4.19 | $46.55 | $46.55 – $120.43 | 11 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $4.94 | $54.91 | $47.95 – $86.32 | 11 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $5.40 | $60.03 | $47.95 – $86.32 | 11 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $2.24 | $24.89 | $24.89 – $393.73 | 11 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $10.60 | $117.79 | $66.91 – $153.13 | 11 |
| Cytopath smear oth prep screen & interp CPT 88161 | $6.05 | $67.25 | $37.13 – $87.43 | 11 |
| Dch validity tests CPT 81002 | $42.39 | $471.00 | $3.48 – $84.14 | 11 |
| Deamidated gliadin antibody iga CPT 86258 | $2.43 | $27.00 | $7.00 – $21.69 | 11 |
| Debridement (>20 cm) charge pt CPT 97598 | $29.61 | $329.00 | $21.52 – $468.00 | 15 |
| Decalcification CPT 88311 | $0.84 | $9.30 | $9.30 – $38.00 | 11 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $24.48 | $272.00 | $272.00 – $353.60 | 5 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $3.06 | $34.00 | $4.45 – $44.20 | 11 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $80.73 | $897.00 | $273.00 – $1,647.00 | 17 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $11.25 | $125.00 | $29.38 – $162.50 | 11 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $20.16 | $224.00 | $224.00 – $291.20 | 5 |
| Detect agent nos dna dir CPT 87797 | $7.20 | $80.00 | $30.03 – $54.05 | 11 |
| Device intraute mirena HCPCS J7298 | $328.04 | $3,644.90 | $3,644.90 – $4,738.37 | 5 |
| Device sut capio slim opn HCPCS C2631 | $212.40 | $2,360.00 | $2,360.00 – $3,068.00 | 5 |
| Dextran 40 infusion HCPCS J7100 | $119.25 | $1,325.00 | $520.00 – $676.00 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $79.38 | $882.00 | $834.00 – $1,084.20 | 5 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $75.42 | $838.00 | $721.00 – $937.30 | 5 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $65.52 | $728.00 | $495.00 – $643.50 | 5 |
| Dextrose 5 % IV bolus HCPCS J7070 | $76.95 | $855.00 | $855.00 – $1,111.50 | 5 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $0.63 | $7.00 | $7.00 – $40.01 | 11 |
| Diabetes (HbA1c) Test CPT 83036 | $86.31 | $959.00 | $9.71 – $1,246.70 | 11 |
| Dialysis one evaluation CPT 90945 | $758.43 | $8,427.00 | $535.72 – $3,144.70 | 11 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $3.87 | $43.00 | $43.00 – $55.90 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $23.67 | $263.00 | $3.00 – $3.90 | 5 |
| Dicyclomine injection HCPCS J0500 | $98.73 | $1,097.00 | $1,097.00 – $1,426.10 | 5 |
| Diffusing capacity CPT 94729 | $107.64 | $1,196.00 | $71.11 – $1,616.00 | 14 |
| Digital analysis of eeg CPT 95957 | $116.01 | $1,289.00 | $342.96 – $2,182.00 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $19.53 | $217.00 | $217.00 – $282.10 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $643.05 | $7,145.00 | $5,168.23 – $9,302.81 | 11 |
| Digoxin total therapeutic drug level CPT 80162 | $77.49 | $861.00 | $13.28 – $460.37 | 11 |
| Dilator fascial 10fx20cm HCPCS C2627 | $61.38 | $682.00 | $682.00 – $886.60 | 5 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $15.03 | $167.00 | $167.00 – $217.10 | 5 |
| Dissolve clot heart vessel CPT 92975 | $475.65 | $5,285.00 | $4,909.00 – $7,057.00 | 8 |
| Dna antibody native/double stranded CPT 86225 | $11.25 | $125.00 | $6.25 – $24.73 | 11 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $1.80 | $20.00 | $15.00 – $19.50 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $12.69 | $141.00 | $141.00 – $183.30 | 5 |
| Dolasetron mesylate HCPCS J1260 | $10.26 | $114.00 | $114.00 – $148.20 | 5 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $4.05 | $45.00 | $4.00 – $5.20 | 5 |
| Doppler echo complete CPT 93320 | $285.03 | $3,167.00 | $56.68 – $4,117.10 | 14 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $526.68 | $5,852.00 | $4,500.00 – $7,607.60 | 6 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $213.57 | $2,373.00 | $277.22 – $2,910.70 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $97.74 | $1,086.00 | $170.82 – $1,895.00 | 14 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $20.88 | $232.00 | $167.00 – $217.10 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $240.57 | $2,673.00 | $108.47 – $3,474.90 | 11 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $0.11 | $1.17 | $1.17 – $1.52 | 5 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $47.97 | $533.00 | $144.95 – $692.90 | 11 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $11.79 | $131.00 | $131.00 – $170.30 | 5 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,470.32 | $27,448.00 | $2,405.00 – $3,126.50 | 5 |
| Drug assay posaconazole CPT 80187 | $28.35 | $315.00 | $27.11 – $409.50 | 11 |
| Drug assay voriconazole CPT 80285 | $4.32 | $48.00 | $27.11 – $62.40 | 11 |
| Drug asy hydroxychloroquine CPT 80220 | $7.31 | $81.25 | $18.64 – $105.63 | 11 |
| Drug of abuse screen urine CPT 80305 | $61.29 | $681.00 | $12.60 – $885.30 | 11 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $186.30 | $2,070.00 | $6.00 – $111.85 | 11 |
| Duplex scan bilateral study 93985 CPT 93985 | $252.36 | $2,804.00 | $306.34 – $3,645.20 | 14 |
| Duplex scan unilateral study 93986 CPT 93986 | $290.61 | $3,229.00 | $134.23 – $4,197.70 | 14 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $284.85 | $3,165.00 | $134.23 – $3,608.10 | 14 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $88.56 | $984.00 | $277.22 – $1,895.00 | 14 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $263.34 | $2,926.00 | $306.34 – $3,803.80 | 14 |
| Ecg 12 lead tracing only CPT 93005 | $138.24 | $1,536.00 | $75.74 – $1,765.40 | 14 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,101.60 | $12,240.00 | $701.54 – $15,912.00 | 14 |
| Echocardiography doppler color flow mapping CPT 93325 | $180.81 | $2,009.00 | $26.73 – $2,611.70 | 14 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $383.76 | $4,264.00 | $306.34 – $3,554.20 | 14 |
| Echo exam of fetal heart CPT 76825 | $673.92 | $7,488.00 | $701.54 – $9,734.40 | 11 |
| Echo exam of fetal heart CPT 76827 | $94.23 | $1,047.00 | $134.23 – $1,361.10 | 11 |
| Echo stress CPT 93350 | $556.83 | $6,187.00 | $701.54 – $8,043.10 | 14 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,112.49 | $12,361.00 | $701.54 – $16,069.30 | 14 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $635.04 | $7,056.00 | $306.34 – $9,172.80 | 14 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $173.97 | $1,933.00 | $277.22 – $2,512.90 | 14 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $549.81 | $6,109.00 | $479.10 – $7,941.70 | 14 |
| Eeg during surgery CPT 95955 | $53.19 | $591.00 | $220.22 – $2,182.00 | 14 |
| Eeg monitoring/function test CPT 95958 | $800.73 | $8,897.00 | $1,102.54 – $11,566.10 | 14 |
| Eeg monitoring/giving drugs CPT 95954 | $92.16 | $1,024.00 | $479.10 – $2,182.00 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $225.45 | $2,505.00 | $277.22 – $3,256.50 | 14 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $165.24 | $1,836.00 | $277.22 – $2,386.80 | 14 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $383.40 | $4,260.00 | $277.22 – $5,538.00 | 14 |
| Eeg recording awake and asleep CPT 95819 | $685.35 | $7,615.00 | $277.22 – $9,899.50 | 14 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $310.95 | $3,455.00 | $479.10 – $4,491.50 | 14 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $162.09 | $1,801.00 | $277.22 – $2,341.30 | 14 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $293.67 | $3,263.00 | $479.10 – $4,241.90 | 14 |
| Egfr gene com variants CPT 81235 | $17.73 | $197.00 | $197.00 – $584.24 | 11 |
| Electrode stimulation brain CPT 95961 | $416.43 | $4,627.00 | $1,102.54 – $6,015.10 | 14 |
| Electrolyte panel CPT 80051 | $13.32 | $148.00 | $7.01 – $192.40 | 11 |
| Electron microscopy diagnostic CPT 88348 | $46.89 | $521.00 | $521.00 – $1,861.94 | 11 |
| Electrophysiology evaluation CPT 93641 | $336.06 | $3,734.00 | $3,734.00 – $7,057.00 | 8 |
| Embolization s&i CPT 75894 | $1,188.18 | $13,202.00 | $341.46 – $17,162.60 | 11 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $195.21 | $2,169.00 | $170.82 – $2,819.70 | 14 |
| Emg cranial nerve bilateral CPT 95868 | $305.55 | $3,395.00 | $277.22 – $4,413.50 | 14 |
| Emg needle test 4-extremities CPT 95864 | $129.87 | $1,443.00 | $165.20 – $1,875.90 | 14 |
| Endo below knee alignable sy HCPCS L5910 | $349.20 | $3,880.00 | $443.39 – $5,044.00 | 11 |
| Endoluminl ivus oct c 1st CPT 92978 | $1,109.61 | $12,329.00 | $4,909.00 – $16,027.70 | 8 |
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.