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 |
|---|---|---|---|---|
| Destruction rectal tumor 45190 CPT 45190 | $411.91 | $2,423.00 | $20.00 – $1,168.41 | 24 |
| Destruction vag lesions complex 57065 CPT 57065 | $146.54 | $862.00 | $93.23 – $432.94 | 26 |
| Destruction vag lesions simple 57061 CPT 57061 | $717.40 | $4,220.00 | $40.00 – $253.02 | 26 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $58.65 | $345.00 | $5.00 – $185.25 | 24 |
| Determine refractive state CPT 92015 | $11.22 | $66.00 | $30.43 – $273.60 | 20 |
| Developmental screen/score/document 96110 CPT 96110 | $45.56 | $268.00 | $15.62 – $428.79 | 14 |
| Devel tst phys/qhp 1st hr CPT 96112 | $50.49 | $297.00 | $107.77 – $351.32 | 24 |
| Device ablt adv novasure HCPCS C1886 | $1,621.80 | $9,540.00 | $1,455.00 – $2,166.50 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,550.00 | $15,000.00 | $15,000.00 – $22,335.00 | 6 |
| Device intraute mirena HCPCS J7298 | $551.99 | $3,247.00 | $1,238.93 – $4,870.50 | 14 |
| Device sut capio slim opn HCPCS C2631 | $744.09 | $4,377.00 | $4,377.00 – $6,517.35 | 6 |
| Dev interrog remote 1/2/mlt CPT 93295 | $25.50 | $150.00 | $36.70 – $440.37 | 27 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $56.44 | $332.00 | $9.54 – $394.98 | 27 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.89 | $17.00 | $0.02 – $6.00 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $21.25 | $124.98 | $0.09 – $25.50 | 14 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $45.99 | $270.51 | $2.88 – $402.79 | 10 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $47.13 | $277.22 | $2.06 – $412.78 | 10 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $40.22 | $236.57 | $3.85 – $352.26 | 10 |
| Dextrose 5 % IV bolus HCPCS J7070 | $47.29 | $278.19 | $6.47 – $414.22 | 10 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $8.64 | $50.80 | $19.62 – $269.68 | 17 |
| Diabetes (HbA1c) Test CPT 83036 | $137.53 | $809.00 | $3.79 – $88.33 | 27 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $8.33 | $49.00 | $49.00 – $273.60 | 13 |
| Diab manage trn ind/group HCPCS G0109 | $11.22 | $66.00 | $16.72 – $30.10 | 13 |
| Diag laparo separate proc 49320 CPT 49320 | $190.57 | $1,121.00 | $125.00 – $696.91 | 24 |
| Diagnostic anoscopy CPT 46601 | $54.57 | $321.00 | $30.00 – $51,056.26 | 24 |
| Diagnostic anoscopy & biopsy CPT 46607 | $71.74 | $422.00 | $10.00 – $70,978.85 | 24 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $70.55 | $415.00 | $21.97 – $152.00 | 26 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $53.89 | $317.00 | $10.00 – $152.00 | 26 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $122.06 | $718.00 | $62.13 – $184.36 | 26 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $181.73 | $1,069.00 | $47.18 – $850.11 | 27 |
| Diagnostic Mammogram (one breast) CPT 77065 | $125.12 | $736.00 | $38.35 – $664.08 | 27 |
| Diagnostic radio unlisted proc CPT 76499 | $22.95 | $135.00 | $76.84 – $215.78 | 10 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $2,118.03 | $12,459.00 | $45.00 – $5,961.64 | 26 |
| Dialysis one evaluation CPT 90945 | $446.25 | $2,625.00 | $103.51 – $1,034.59 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $63.63 | $374.30 | $7.00 – $42.00 | 14 |
| Dicyclomine injection HCPCS J0500 | $57.39 | $337.57 | $24.93 – $58.07 | 10 |
| Diffusing capacity CPT 94729 | $145.69 | $857.00 | $9.56 – $288.15 | 27 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $16.74 | $98.44 | $3.71 – $59.56 | 10 |
| Digoxin total therapeutic drug level CPT 80162 | $182.07 | $1,071.00 | $11.80 – $161.06 | 17 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $20.57 | $121.00 | $58.74 – $181.50 | 14 |
| Dilate biliary duct/ampulla CPT 47542 | $75.99 | $447.00 | $40.00 – $1,763.27 | 24 |
| Dilate esophagus CPT 43453 | $50.49 | $297.00 | $10.00 – $480.94 | 24 |
| Dilate esophagus 1/mult pass CPT 43450 | $411.06 | $2,418.00 | $10.00 – $255.80 | 26 |
| Dilate tear duct opening CPT 68801 | $58.14 | $342.00 | $75.66 – $233.88 | 26 |
| Dilate urethra stricture CPT 53600 | $69.53 | $409.00 | $55.58 – $152.00 | 26 |
| Dilate urethra stricture CPT 53601 | $51.68 | $304.00 | $15.00 – $152.00 | 26 |
| Dilate urethra stricture CPT 53605 | $36.38 | $214.00 | $40.00 – $113.21 | 24 |
| Dilate urethra stricture CPT 53621 | $97.24 | $572.00 | $63.26 – $213.55 | 26 |
| Dilation/female urethra/initial 53660 CPT 53660 | $45.90 | $270.00 | $15.00 – $152.00 | 26 |
| Dilation of anal sphincter CPT 45905 | $100.98 | $594.00 | $50.00 – $291.53 | 24 |
| Dilation of cervical canal 57800 CPT 57800 | $676.43 | $3,979.00 | $34.46 – $152.00 | 26 |
| Dilation of rectal stricture 45910 CPT 45910 | $114.07 | $671.00 | $20.00 – $346.20 | 24 |
| Dilation of urethra CPT 53661 | $45.22 | $266.00 | $15.00 – $152.00 | 26 |
| Dilation of vagina CPT 57400 | $74.97 | $441.00 | $60.30 – $303.62 | 24 |
| Dilation salivary duct 42650 CPT 42650 | $44.88 | $264.00 | $30.16 – $152.00 | 26 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $164.73 | $969.00 | $76.65 – $226.42 | 26 |
| Dilator fascial 10fx20cm HCPCS C2627 | $421.81 | $2,481.25 | $545.00 – $811.51 | 6 |
| Dilat xst trc ndurlgc px CPT 50436 | $87.21 | $513.00 | $95.00 – $450.26 | 24 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | $15.33 | $90.18 | $0.07 – $134.28 | 7 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $239.02 | $1,406.00 | $117.75 – $2,109.00 | 21 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $15.27 | $89.82 | $0.76 – $26.00 | 14 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $19.04 | $112.00 | $26.76 – $103.43 | 12 |
| Disability dlco CPT 94727 | $122.57 | $721.00 | $12.33 – $297.43 | 27 |
| Disaccharidases CPT 82657 | $57.26 | $336.80 | $17.74 – $218.15 | 17 |
| Discography cerv/thor spine CPT 72285 | $1,250.01 | $7,353.00 | $8.37 – $2,689.85 | 27 |
| Dise eval slp do brth flx dx CPT 42975 | $56.78 | $334.00 | $30.00 – $182.18 | 22 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | $461.72 | $2,716.00 | $30.00 – $1,487.27 | 24 |
| Division of fallopian tube 58605 CPT 58605 | $196.86 | $1,158.00 | $66.00 – $739.37 | 24 |
| Dmd dup/delet analysis CPT 81161 | $47.43 | $279.00 | $161.94 – $5,557.28 | 17 |
| Dmpk gene detc abnor allele CPT 81234 | $18.63 | $109.60 | $109.60 – $1,648.65 | 17 |
| Dna antibody native/double stranded CPT 86225 | $3.40 | $20.00 | $8.00 – $166.69 | 17 |
| Dna gardnerella CPT 87510 | $3.03 | $17.83 | $17.83 – $235.38 | 17 |
| Dna trichomonas CPT 87660 | $80.92 | $476.00 | $17.83 – $244.12 | 17 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $87.94 | $517.28 | $17.64 – $770.23 | 10 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $374.54 | $2,203.20 | $0.60 – $68.00 | 14 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $42.74 | $251.41 | $0.69 – $49.14 | 10 |
| Doppler echo complete CPT 93320 | $282.03 | $1,659.00 | $17.87 – $545.42 | 27 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $2,295.85 | $13,505.00 | $90.39 – $336.49 | 24 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $243.10 | $1,430.00 | $21.15 – $723.37 | 27 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $160.14 | $942.00 | $11.62 – $383.34 | 27 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $13,322.04 | $78,364.92 | $243.82 – $544.37 | 12 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $54.12 | $318.38 | $6.12 – $195.86 | 10 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $3,953.66 | $23,256.80 | $71.86 – $1,367.83 | 14 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $59.38 | $349.30 | $0.22 – $520.11 | 7 |
| Dpyd gene common variants CPT 81232 | $29.72 | $174.81 | $139.85 – $2,529.49 | 17 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $73.61 | $433.00 | $20.00 – $975.44 | 26 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $140.08 | $824.00 | $30.00 – $390.85 | 26 |
| Drainage external ear complex 69005 CPT 69005 | $498.10 | $2,930.00 | $131.74 – $364.99 | 24 |
| Drainage external ear simple 69000 CPT 69000 | $159.97 | $941.00 | $30.00 – $310.38 | 26 |
| Drainage lymph node lesion 38305 CPT 38305 | $290.36 | $1,708.00 | $37.00 – $971.45 | 24 |
| Drainage mouth roof lesion CPT 42000 | $66.13 | $389.00 | $20.00 – $242.64 | 24 |
| Drainage of arm bursa 23931 CPT 23931 | $482.12 | $2,836.00 | $40.00 – $593.53 | 26 |
| Drainage of bone lesion CPT 26992 | $593.98 | $3,494.00 | $193.97 – $1,994.87 | 24 |
| Drainage of bone lesion CPT 27303 | $383.35 | $2,255.00 | $60.00 – $1,307.75 | 24 |
| Drainage of eye CPT 65800 | $52.02 | $306.00 | $45.00 – $297.16 | 24 |
| Drainage of eye CPT 65810 | $276.59 | $1,627.00 | $337.30 – $855.72 | 24 |
| Drainage of forearm bursa CPT 25031 | $225.93 | $1,329.00 | $60.00 – $948.18 | 24 |
| Drainage of kidney lesion CPT 50390 | $329.12 | $1,936.00 | $70.74 – $975.44 | 26 |
| Drainage of mouth lesion CPT 41005 | $71.74 | $422.00 | $45.00 – $293.24 | 24 |
| Drainage of mouth lesion CPT 41006 | $140.93 | $829.00 | $44.30 – $516.97 | 24 |
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.