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 |
|---|---|---|---|---|
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $13.68 | $80.49 | $0.84 – $119.86 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,262.68 | $19,192.22 | $11.29 – $64.96 | 17 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $225.08 | $1,324.00 | $16.41 – $225.42 | 17 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $233.75 | $1,375.00 | $16.38 – $224.68 | 17 |
| Gonioscopy CPT 92020 | $11.73 | $69.00 | $16.80 – $43.76 | 24 |
| Goniotomy CPT 65820 | $490.62 | $2,886.00 | $84.51 – $1,436.28 | 24 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $4,857.38 | $28,572.85 | $733.67 – $3,076.10 | 14 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $35.19 | $207.00 | $30.23 – $203.21 | 27 |
| Graft axiofill 1000mg HCPCS J3590 | $171.15 | $1,006.75 | $494.01 – $735.58 | 6 |
| Graft hand or finger tendon CPT 26416 | $551.14 | $3,242.00 | $562.55 – $1,827.40 | 24 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $9,674.28 | $56,907.50 | $6,591.00 – $9,814.00 | 6 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $1,351.50 | $7,950.00 | $2,750.00 – $4,094.75 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $100.64 | $592.00 | $101.03 – $209.43 | 24 |
| Graft repair of spine defect 63710 CPT 63710 | $627.98 | $3,694.00 | $841.40 – $2,822.03 | 24 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $872.10 | $5,130.00 | $134.06 – $311.40 | 25 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $136.34 | $802.00 | $106.70 – $311.40 | 25 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $8,026.21 | $47,213.00 | $343.00 – $510.73 | 6 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,574.84 | $9,263.75 | $649.00 – $966.36 | 6 |
| Great toe with reduction 28495 CPT 28495 | $117.30 | $690.00 | $15.00 – $291.88 | 26 |
| Grfg autol soft tiss dir exc CPT 15769 | $284.07 | $1,671.00 | $65.00 – $805.20 | 24 |
| Group health education CPT 99078 | $3.57 | $21.00 | $21.00 – $76.84 | 13 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $21.59 | $127.00 | $12.70 – $189.10 | 13 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | $1,084.26 | $6,378.00 | $40.00 – $3,284.30 | 24 |
| Gstrst open wo constj tube CPT 43830 | $404.26 | $2,378.00 | $40.00 – $1,213.96 | 24 |
| G-tube reposition CPT 43761 | $163.03 | $959.00 | $65.00 – $344.16 | 26 |
| Gu dilat ureter/urethra s&i CPT 74485 | $477.19 | $2,807.00 | $3.93 – $2,879.47 | 27 |
| Guided cath fluid drainage 10030 CPT 10030 | $383.35 | $2,255.00 | $35.00 – $2,035.53 | 26 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,014.90 | $5,970.00 | $96.00 – $142.94 | 6 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $568.82 | $3,346.00 | $243.00 – $361.83 | 6 |
| Guid loc target vol rad tx CPT 77387 | $230.18 | $1,354.00 | $37.55 – $412.68 | 19 |
| Gw stiffened micro access kit HCPCS C1894 | $899.64 | $5,292.00 | $288.00 – $428.83 | 6 |
| Gynecomastia (males) 19300 CPT 19300 | $257.38 | $1,514.00 | $40.00 – $748.07 | 24 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $17.66 | $103.86 | $1.61 – $154.65 | 10 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $3.40 | $20.00 | $9.67 – $40.00 | 13 |
| Hand tendon reconstruction CPT 26500 | $416.33 | $2,449.00 | $309.01 – $1,366.85 | 24 |
| Hand tendon reconstruction CPT 26502 | $455.09 | $2,677.00 | $337.30 – $1,522.01 | 24 |
| Hand X-ray CPT 73130 | $169.32 | $996.00 | $1.28 – $138.07 | 27 |
| Haptoglobin quantitative CPT 83010 | $1.82 | $10.70 | $10.70 – $152.57 | 17 |
| Harness chest/shlder saddle HCPCS L6672 | $114.75 | $675.00 | $104.77 – $402.06 | 23 |
| Harvest cultured skin graft 15040 CPT 15040 | $72.93 | $429.00 | $43.19 – $413.86 | 24 |
| Harvest femoropopliteal vein 35572 CPT 35572 | $183.77 | $1,081.00 | $43.19 – $711.58 | 24 |
| Harvest vein for bypass 35500 CPT 35500 | $169.49 | $997.00 | $30.00 – $666.32 | 24 |
| Hba1/hba2 full gene sequence CPT 81259 | $79.48 | $467.50 | $467.50 – $8,681.92 | 17 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $27.53 | $161.92 | $161.92 – $2,928.71 | 17 |
| Hbb full gene sequence CPT 81364 | $153.00 | $900.00 | $324.58 – $4,696.69 | 17 |
| Hbb gene dup/del variants CPT 81363 | $27.53 | $161.92 | $161.92 – $2,928.71 | 17 |
| Hb glycosylated a1c home dev CPT 83037 | $7.82 | $46.00 | $3.79 – $88.33 | 27 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $261.63 | $1,539.00 | $5.00 – $341.50 | 27 |
| Hcg free betachain test CPT 84704 | $2.27 | $13.38 | $13.38 – $182.54 | 17 |
| Hcg qualitative CPT 84703 | $97.75 | $575.00 | $2.26 – $68.36 | 27 |
| Hcg quantitative CPT 84702 | $181.05 | $1,065.00 | $13.24 – $174.78 | 17 |
| Hc metata joint dislocation anes CPT 28635 | $79.05 | $465.00 | $37.00 – $305.27 | 24 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $258.06 | $1,518.00 | $45.78 – $1,350.27 | 27 |
| Hc nm kidney imaging with flow CPT 78701 | $187.00 | $1,100.00 | $23.43 – $914.49 | 27 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $28.73 | $169.00 | $43.37 – $385.62 | 24 |
| Head CT scan (with and without contrast) CPT 70470 | $1,028.67 | $6,051.00 | $9.26 – $1,012.54 | 27 |
| Head CT scan (with contrast) CPT 70460 | $981.24 | $5,772.00 | $8.19 – $811.61 | 27 |
| Head CT scan (without contrast) CPT 70450 | $939.25 | $5,525.00 | $6.17 – $676.54 | 27 |
| Heart infarct image CPT 78466 | $340.17 | $2,001.00 | $32.08 – $682.88 | 27 |
| Heinz bodies direct CPT 85441 | $9.65 | $56.75 | $4.20 – $50.88 | 17 |
| Heinz bodies induced CPT 85445 | $9.65 | $56.75 | $6.82 – $82.73 | 17 |
| Helicobacter pylori antibody igm CPT 86677 | $139.91 | $823.00 | $16.85 – $180.66 | 17 |
| Hematocrit CPT 85014 | $38.59 | $227.00 | $0.21 – $21.50 | 27 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $13,128.37 | $77,225.72 | $14.14 – $77.68 | 14 |
| Hemodialysis one evaluation CPT 90935 | $615.57 | $3,621.00 | $56.60 – $945.39 | 26 |
| Hemoglobin CPT 85018 | $36.89 | $217.00 | $0.21 – $21.50 | 27 |
| Hemoglobin plasma CPT 83051 | $1.11 | $6.50 | $6.50 – $88.62 | 17 |
| Hemoglobin urine CPT 83069 | $0.60 | $3.51 | $3.51 – $47.86 | 17 |
| Hemolysins/agglutinins auto CPT 86940 | $1.32 | $7.75 | $7.75 – $99.31 | 17 |
| Hemolysins and agglutinins incubated CPT 86941 | $1.72 | $10.12 | $10.12 – $146.93 | 17 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $264.01 | $1,553.00 | $390.17 – $1,034.14 | 24 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $374.34 | $2,202.00 | $77.07 – $308.12 | 26 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $228.14 | $1,342.00 | $181.31 – $631.44 | 24 |
| Heparin assay CPT 85520 | $164.56 | $968.00 | $11.47 – $134.92 | 17 |
| Heparin bolus from bag HCPCS J1644 | $41.69 | $245.21 | $0.21 – $30.00 | 14 |
| Heparin neutralization CPT 85525 | $5.95 | $35.00 | $10.10 – $104.21 | 17 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $13.06 | $76.83 | $0.04 – $1.68 | 10 |
| Hepatectomy removal of liver 47120 CPT 47120 | $1,319.37 | $7,761.00 | $160.09 – $4,076.97 | 24 |
| Hepatitis a antibody igm CPT 86709 | $120.19 | $707.00 | $9.91 – $132.07 | 17 |
| Hepatitis b core antibody igm CPT 86705 | $125.46 | $738.00 | $10.37 – $138.19 | 17 |
| Hepatitis b core antibody total CPT 86704 | $29.41 | $173.00 | $8.95 – $141.54 | 17 |
| Hepatitis b surface antibody CPT 86706 | $24.31 | $143.00 | $10.74 – $126.02 | 17 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | $59.84 | $352.00 | $253.21 – $704.00 | 11 |
| Hepatitis c antibody CPT 86803 | $151.13 | $889.00 | $12.57 – $167.59 | 17 |
| Hepatitis d quantification CPT 87523 | $38.25 | $225.00 | $42.84 – $309.19 | 15 |
| Hepatobiliary system imaging CPT 78226 | $153.85 | $905.00 | $34.33 – $2,100.47 | 27 |
| Hereditary colon ca dsordrs CPT 81435 | $397.80 | $2,340.00 | $584.90 – $41,683.78 | 17 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | $255.00 | $1,500.00 | $626.00 – $5,365.34 | 17 |
| Hernia Repair (Inguinal) CPT 49505 | $454.24 | $2,672.00 | $242.00 – $886.40 | 24 |
| Herpes simplex 1 ag if CPT 87274 | $1.72 | $10.10 | $10.10 – $109.03 | 17 |
| Herpes simplex 2 ag if CPT 87273 | $1.72 | $10.10 | $10.10 – $112.63 | 17 |
| Herpes simplex type 1 antibody igg CPT 86695 | $1.99 | $11.72 | $11.72 – $160.00 | 17 |
| Herpes simplex type 2 antibody igg CPT 86696 | $34.02 | $200.10 | $7.00 – $234.65 | 17 |
| Herpes simplex virus isolation CPT 87255 | $4.60 | $27.08 | $27.08 – $410.73 | 17 |
| Heterophile antibodies screening CPT 86308 | $100.81 | $593.00 | $1.09 – $47.04 | 27 |
| Heterophile antibodies titer CPT 86309 | $0.98 | $5.75 | $5.75 – $78.49 | 17 |
| Hexa gene CPT 81255 | $8.75 | $51.45 | $51.45 – $2,858.64 | 17 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $31.79 | $187.00 | $94.37 – $206.84 | 13 |
| Hhv-6 dna quant CPT 87533 | $6.31 | $37.12 | $37.12 – $423.99 | 17 |
| Hib-hepb vaccine im CPT 90748 | $32.98 | $194.00 | $37.00 – $97.44 | 12 |
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.