SONORA COMMUNITY HOSPITAL
1000 Greenley Rd, Sonora, CA · Adventisthealth · · NPI 1780673376
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $4.42 | $26.02 | $26.02 – $355.03 | 17 |
| 17-hydroxypregnenolone CPT 84143 | $3.45 | $20.28 | $20.28 – $276.87 | 17 |
| 17-ketosteroids CPT 83586 | $5.05 | $29.73 | $12.80 – $155.34 | 17 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | $38.08 | $224.00 | $47.20 – $163.97 | 26 |
| 1st inpatient critical care pr day age 28 days/less than 99468 CPT 99468 | $367.03 | $2,159.00 | $152.00 – $1,626.00 | 26 |
| 1st/sbsq psyc collab care CPT 99494 | $24.82 | $146.00 | $57.88 – $273.60 | 13 |
| 2nd order venous cath CPT 36012 | $559.30 | $3,290.00 | $113.55 – $1,634.36 | 26 |
| 2vhpv vaccine 3 dose im CPT 90650 | $97.58 | $574.00 | $37.00 – $290.90 | 12 |
| 3-d radiotherapy plan CPT 77295 | $1,478.15 | $8,695.00 | $231.97 – $6,351.14 | 27 |
| 3d recon without postprocess indpndt CPT 76376 | $178.33 | $1,049.00 | $1.55 – $877.68 | 27 |
| 5% dextrose and 0.45% saline HCPCS S5010 | $46.91 | $275.94 | $3.31 – $410.88 | 10 |
| 5' nucleotidase - sendout CPT 83915 | $1.68 | $9.91 | $9.91 – $135.25 | 17 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $7.14 | $42.00 | $20.05 – $224.31 | 17 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $34.00 | $200.00 | $64.00 – $285.00 | 20 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $38.93 | $229.00 | $48.00 – $295.50 | 20 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $38.93 | $229.00 | $60.00 – $328.50 | 20 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $29.24 | $172.00 | $64.00 – $273.60 | 20 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $34.00 | $200.00 | $64.00 – $273.60 | 20 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $34.00 | $200.00 | $64.00 – $273.60 | 20 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $38.93 | $229.00 | $64.00 – $294.00 | 20 |
| 99397 periodic comp preventive med 65+ years est CPT 99397 | $48.96 | $288.00 | $60.00 – $354.00 | 20 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $2,529.60 | $14,880.00 | $39.80 – $130.99 | 17 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $1.81 | $10.67 | $10.67 – $150.28 | 17 |
| Abd aorta w/runoff s&i CPT 75630 | $1,062.50 | $6,250.00 | $13.52 – $4,349.38 | 27 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $684.93 | $4,029.00 | $100.52 – $1,579.14 | 24 |
| Abd/low ext cath 1st CPT 36245 | $1,259.87 | $7,411.00 | $198.93 – $2,589.83 | 26 |
| Abd/low ext cath 2nd CPT 36246 | $1,007.42 | $5,926.00 | $75.00 – $2,494.28 | 26 |
| Abd/low ext cath 3rd CPT 36247 | $1,007.42 | $5,926.00 | $45.00 – $3,937.55 | 26 |
| Abd/low ext cath addl CPT 36248 | $604.01 | $3,553.00 | $40.56 – $349.50 | 26 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $987.87 | $5,811.00 | $10.16 – $1,212.24 | 27 |
| Abdominal CT scan (with contrast) CPT 74160 | $918.34 | $5,402.00 | $9.26 – $979.20 | 27 |
| Abdominal CT scan (without contrast) CPT 74150 | $724.20 | $4,260.00 | $8.61 – $811.99 | 27 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,329.91 | $7,823.00 | $16.39 – $3,527.43 | 27 |
| Abdominal MRI (with contrast) CPT 74182 | $833.00 | $4,900.00 | $12.57 – $1,906.45 | 27 |
| Abdominal MRI (without contrast) CPT 74181 | $599.76 | $3,528.00 | $10.54 – $1,561.18 | 27 |
| Abdominal paracentesis w/image guidance CPT 49083 | $414.63 | $2,439.00 | $60.00 – $650.50 | 26 |
| Abdominal Ultrasound (complete) CPT 76700 | $423.13 | $2,489.00 | $5.90 – $514.43 | 27 |
| Abdominal Ultrasound (limited) CPT 76705 | $357.34 | $2,102.00 | $4.32 – $370.42 | 27 |
| Abdominoplasty 15830 CPT 15830 | $688.33 | $4,049.00 | $648.00 – $1,875.06 | 24 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $605.54 | $3,562.00 | $58.57 – $343.12 | 26 |
| Abl1 gene CPT 81170 | $125.99 | $741.13 | $300.00 – $6,481.24 | 17 |
| Ablate bone tumor(s) perq CPT 20982 | $11,501.01 | $67,653.00 | $3,678.13 – $132,938.15 | 13 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $564.74 | $3,322.00 | $37.00 – $2,137.28 | 26 |
| Ablate inf turbinate superf 30801 CPT 30801 | $564.74 | $3,322.00 | $12.00 – $332.17 | 26 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $99.62 | $586.00 | $177.25 – $385.14 | 9 |
| Ablation cryo abd perit om CPT 49999 | $431.97 | $2,541.00 | $38.00 – $140.00 | 11 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $167.11 | $983.00 | $38.00 – $160.00 | 11 |
| Ablation cryo thigh/knee CPT 27599 | $129.20 | $760.00 | $38.00 – $120.00 | 11 |
| Ablation of upper extremity nerves rf CPT 64999 | $556.07 | $3,271.00 | $38.00 – $6,427.52 | 11 |
| Abrasion lesions add-on CPT 15787 | $39.78 | $234.00 | $10.42 – $87.28 | 26 |
| Abrasion lesion single CPT 15786 | $80.58 | $474.00 | $92.39 – $351.93 | 24 |
| Abscess drain retroperitoneal surg code CPT 49406 | $525.81 | $3,093.00 | $65.00 – $2,204.09 | 26 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $1.87 | $11.00 | $1.88 – $22.00 | 23 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $3.74 | $22.00 | $3.65 – $44.00 | 23 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $801.72 | $4,716.00 | $35.00 – $344.47 | 26 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $26.23 | $154.28 | $0.13 – $229.73 | 10 |
| Acetaminophen 120 mg rectal suppository HCPCS A9270 | $9.18 | $54.00 | $0.02 – $108.00 | 11 |
| Acetaminophen level CPT 80143 | $19.21 | $113.00 | $14.91 – $134.53 | 17 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $97.94 | $576.10 | $56.30 – $857.81 | 10 |
| Acetone qualitative CPT 82009 | $59.50 | $350.00 | $4.52 – $54.88 | 17 |
| Acetylcholine receptor modulating antibody CPT 86043 | $1.46 | $8.60 | $8.60 – $86.99 | 15 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $218.79 | $1,287.00 | $0.81 – $1,916.34 | 10 |
| Acne surgery 10040 CPT 10040 | $70.72 | $416.00 | $37.00 – $152.00 | 26 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $70.55 | $415.00 | $8.77 – $622.50 | 25 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $55.76 | $328.00 | $5.96 – $492.00 | 25 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $26.52 | $156.00 | $64.71 – $251.89 | 13 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $31.28 | $184.00 | $44.01 – $208.47 | 26 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $58.31 | $343.00 | $79.55 – $388.62 | 26 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $111.35 | $655.00 | $138.19 – $575.71 | 16 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $7.65 | $45.00 | $1.26 – $51.61 | 25 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $21.59 | $127.00 | $12.70 – $29.71 | 13 |
| Acoustic immitance testing CPT 92570 | $64.77 | $381.00 | $38.50 – $319.05 | 13 |
| Acoustic refl threshold tst CPT 92568 | $13.26 | $78.00 | $9.28 – $51.45 | 26 |
| Acromp/acromionectomy prtl CPT 23130 | $372.98 | $2,194.00 | $30.00 – $1,236.33 | 24 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $22.78 | $134.00 | $20.00 – $71.71 | 13 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $12.58 | $74.00 | $20.00 – $38.27 | 13 |
| Acup 1/> without estim ea add 15 CPT 97811 | $11.22 | $66.00 | $20.00 – $152.00 | 26 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $19.72 | $116.00 | $20.00 – $152.00 | 26 |
| Acute hepatitis panel CPT 80074 | $190.57 | $1,121.00 | $41.79 – $490.61 | 17 |
| Acute venous thrombus image CPT 78456 | $332.69 | $1,957.00 | $213.21 – $3,210.05 | 17 |
| Acyclovir 400 mg tablet HCPCS J8499 | $184.28 | $1,084.00 | $2.12 – $38.00 | 10 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $32.78 | $192.80 | $0.26 – $287.08 | 10 |
| Adapter b 8 channel 10cm HCPCS C1883 | $691.56 | $4,068.00 | $4,068.00 – $6,057.25 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $17.29 | $101.69 | $1.17 – $53.60 | 10 |
| Adenovirus antibody,serum - quest CPT 86603 | $13.43 | $79.00 | $12.87 – $156.16 | 17 |
| Adhesiolysis tube ovary 58740 CPT 58740 | $523.09 | $3,077.00 | $35.00 – $1,959.48 | 24 |
| Adh-sendout CPT 84588 | $51.85 | $305.00 | $33.94 – $413.35 | 17 |
| Adj gastric band via subq port CPT 43999 | $480.25 | $2,825.00 | $38.00 – $5,551.13 | 11 |
| Adjmt/revj ext fixj sys anes CPT 20693 | $270.81 | $1,593.00 | $65.00 – $953.10 | 24 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $454.75 | $2,675.00 | $84.51 – $1,548.47 | 24 |
| Adjustment gastric band HCPCS S2083 | $24.99 | $147.00 | $104.13 – $485.31 | 13 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $12.40 | $72.95 | $0.23 – $34.50 | 14 |
| Admin ecg contrast agent CPT 93352 | $24.65 | $145.00 | $34.77 – $88.86 | 24 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $124.95 | $735.00 | $21.49 – $485.00 | 27 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $153.00 | $900.00 | $28.59 – $485.00 | 27 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $334.22 | $1,966.00 | $28.59 – $485.00 | 27 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $221.34 | $1,302.00 | $17.96 – $485.00 | 27 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $123.08 | $724.00 | $10.66 – $485.00 | 27 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $153.85 | $905.00 | $10.66 – $485.00 | 27 |
| Administration immunization 1 vaccine CPT 90471 | $9.01 | $53.00 | $4.46 – $99.18 | 26 |
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.