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 |
|---|---|---|---|---|
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $97.41 | $573.00 | $28.26 – $81.26 | 18 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $58.82 | $346.00 | $21.92 – $132.13 | 26 |
| Island pedicle flap graft CPT 15740 | $499.80 | $2,940.00 | $65.00 – $1,452.75 | 24 |
| Ivc venogram s&i CPT 75825 | $1,168.75 | $6,875.00 | $8.37 – $4,349.38 | 27 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $165.92 | $976.00 | $31.05 – $99.18 | 26 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $165.92 | $976.00 | $17.96 – $47.02 | 26 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $139.06 | $818.00 | $19.27 – $64.50 | 26 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $251.94 | $1,482.00 | $62.60 – $293.00 | 26 |
| Ivp w/nephrotomography CPT 74415 | $348.33 | $2,049.00 | $3.57 – $548.55 | 27 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $316.37 | $1,861.00 | $3.57 – $437.92 | 27 |
| Jak2 targeted sequence analysis CPT 81279 | $11.06 | $65.08 | $65.08 – $1,336.63 | 17 |
| Jejunstmy tube plcmt CPT 44372 | $136.85 | $805.00 | $10.00 – $671.68 | 24 |
| John cunningham antibody CPT 86711 | $5.10 | $30.00 | $16.89 – $220.68 | 17 |
| J-tube placement CPT 44015 | $92.31 | $543.00 | $15.00 – $264.49 | 26 |
| Ketamine and metabolite screen - quest CPT 80357 | $18.02 | $106.00 | $0.10 – $258.50 | 10 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $1.54 | $9.03 | $7.15 – $98.58 | 17 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $17.09 | $100.53 | $0.30 – $28.00 | 21 |
| Kidney endoscopy & treatment CPT 50561 | $224.91 | $1,323.00 | $55.00 – $828.47 | 24 |
| Kidney imaging morphology CPT 78700 | $205.19 | $1,207.00 | $20.43 – $740.10 | 27 |
| Kidney imag w/bld flow multi CPT 78709 | $490.62 | $2,886.00 | $64.26 – $1,164.17 | 27 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $443.19 | $2,607.00 | $44.17 – $1,155.04 | 27 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $296.82 | $1,746.00 | $5.37 – $514.43 | 27 |
| Kit case 4.2mm spinejack HCPCS C1062 | $3,053.71 | $17,963.00 | $17,963.00 – $20,352.08 | 4 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $21.93 | $129.00 | $46.06 – $258.00 | 23 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $3,261.28 | $19,184.00 | $19,184.00 – $21,735.47 | 4 |
| Kit gene analys d816 variant CPT 81273 | $47.60 | $280.00 | $124.87 – $1,885.09 | 17 |
| Kit hfx iq ipg bundle HCPCS C1822 | $25,758.06 | $151,518.00 | $117,500.00 – $117,500.00 | 1 |
| Kit lead specify 5-6-5 HCPCS C1778 | $5,916.00 | $34,800.00 | $3,000.00 – $4,467.00 | 6 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,518.61 | $8,933.00 | $76.84 – $13,399.50 | 11 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | $371.45 | $2,185.00 | $90.00 – $1,251.10 | 24 |
| Knee arthroscopy/drainage CPT 29871 | $309.74 | $1,822.00 | $337.30 – $1,049.15 | 24 |
| Knee arthroscopy dx CPT 29870 | $250.24 | $1,472.00 | $278.48 – $941.71 | 24 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | $325.04 | $1,912.00 | $95.00 – $1,305.28 | 24 |
| Knee arthroscopy/surgery CPT 29850 | $374.34 | $2,202.00 | $80.00 – $1,137.81 | 24 |
| Knee arthroscopy/surgery CPT 29851 | $549.44 | $3,232.00 | $55.00 – $1,943.15 | 24 |
| Knee arthroscopy/surgery CPT 29873 | $326.23 | $1,919.00 | $197.32 – $1,054.08 | 24 |
| Knee arthroscopy/surgery CPT 29874 | $320.79 | $1,887.00 | $257.00 – $1,100.87 | 24 |
| Knee arthroscopy/surgery CPT 29875 | $298.35 | $1,755.00 | $95.00 – $1,022.06 | 24 |
| Knee arthroscopy/surgery CPT 29876 | $389.64 | $2,292.00 | $90.00 – $1,322.52 | 24 |
| Knee arthroscopy/surgery CPT 29879 | $394.91 | $2,323.00 | $95.00 – $1,339.76 | 24 |
| Knee arthroscopy/surgery CPT 29880 | $336.77 | $1,981.00 | $90.00 – $1,401.33 | 24 |
| Knee arthroscopy/surgery CPT 29882 | $409.70 | $2,410.00 | $60.00 – $1,408.72 | 24 |
| Knee arthroscopy/surgery CPT 29883 | $497.42 | $2,926.00 | $60.00 – $1,741.20 | 24 |
| Knee arthroscopy/surgery CPT 29884 | $370.77 | $2,181.00 | $577.07 – $1,246.18 | 24 |
| Knee arthroscopy/surgery CPT 29886 | $381.48 | $2,244.00 | $65.00 – $1,275.73 | 24 |
| Knee arthroscopy/surgery CPT 29887 | $449.65 | $2,645.00 | $60.00 – $1,507.23 | 24 |
| Knee arthroscopy/surgery CPT 29888 | $572.90 | $3,370.00 | $95.00 – $2,058.90 | 24 |
| Knee arthroscopy/surgery CPT 29889 | $722.67 | $4,251.00 | $65.00 – $2,499.74 | 24 |
| Knee control full kneecap HCPCS L2795 | $54.23 | $319.00 | $59.71 – $190.18 | 23 |
| Knee disc/dial lock/adj flex HCPCS L2425 | $71.57 | $421.00 | $70.12 – $251.15 | 23 |
| Knee MRI (with and without contrast) CPT 73723 | $1,091.23 | $6,419.00 | $15.64 – $3,521.00 | 27 |
| Knee MRI (with contrast) CPT 73722 | $779.11 | $4,583.00 | $11.77 – $1,902.10 | 27 |
| Knee MRI (without contrast) CPT 73721 | $896.41 | $5,273.00 | $9.80 – $1,554.71 | 27 |
| Knee X-ray CPT 73564 | $195.67 | $1,151.00 | $1.60 – $161.84 | 27 |
| Kyleena, 19.5 mg HCPCS J7296 | $943.33 | $5,549.00 | $1,238.93 – $5,266.00 | 14 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $15.13 | $88.99 | $0.55 – $132.51 | 8 |
| Labioplasty 56800 CPT 56800 | $148.58 | $874.00 | $20.00 – $542.58 | 24 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $170.40 | $1,002.33 | $0.37 – $1,492.47 | 9 |
| Lactate dehydrogenase (ldh) CPT 83615 | $74.97 | $441.00 | $5.37 – $73.02 | 17 |
| Lactated ringers intravenous solution HCPCS J7120 | $25.34 | $149.06 | $5.24 – $221.94 | 10 |
| Lactic acid CPT 83605 | $94.18 | $554.00 | $9.41 – $129.53 | 17 |
| Lactoferrin fecal qualitative CPT 83630 | $45.73 | $269.00 | $17.45 – $199.39 | 17 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | $142.97 | $841.00 | $40.00 – $384.41 | 22 |
| Lam facetec & foramot crv CPT 63045 | $736.78 | $4,334.00 | $191.73 – $3,269.84 | 24 |
| Lam facetec & foramot lumbar CPT 63047 | $958.12 | $5,636.00 | $70.00 – $2,869.91 | 24 |
| Lam facetec & foramot thrc CPT 63046 | $706.52 | $4,156.00 | $40.00 – $3,129.02 | 24 |
| Lam factc/frmt arthrd lum ea CPT 63053 | $126.82 | $746.00 | $45.00 – $287.90 | 22 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | $971.89 | $5,717.00 | $265.45 – $4,402.03 | 24 |
| Laminotomy single cervical CPT 63040 | $789.65 | $4,645.00 | $214.44 – $3,683.85 | 24 |
| Laminotomy single lumbar CPT 63042 | $745.28 | $4,384.00 | $70.00 – $3,458.54 | 24 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | $161.67 | $951.00 | $418.80 – $1,902.00 | 13 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $13,090.00 | $77,000.00 | $35.72 – $155.74 | 17 |
| Laparo ablate renal cyst CPT 50541 | $530.74 | $3,122.00 | $130.00 – $2,086.04 | 24 |
| Laparo-asst vag hysterectomy CPT 58550 | $511.02 | $3,006.00 | $160.00 – $1,980.45 | 24 |
| Laparo cholecystectomy/explr CPT 47564 | $638.69 | $3,757.00 | $155.00 – $1,832.62 | 24 |
| Laparo cholecystectomy/graph CPT 47563 | $411.74 | $2,422.00 | $160.00 – $1,574.50 | 24 |
| Laparo drng lymphocele 49323 CPT 49323 | $368.56 | $2,168.00 | $428.52 – $1,325.77 | 24 |
| Laparo new ureter/bladder CPT 50947 | $796.96 | $4,688.00 | $1,220.77 – $3,193.59 | 24 |
| Laparo partial colectomy 44204 CPT 44204 | $869.55 | $5,115.00 | $70.00 – $3,268.67 | 24 |
| Laparo partial nephrectomy CPT 50543 | $860.71 | $5,063.00 | $155.00 – $3,362.53 | 24 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $527.34 | $3,102.00 | $38.00 – $76.84 | 3 |
| Laparo radical nephrectomy CPT 50545 | $768.57 | $4,521.00 | $125.00 – $3,062.18 | 24 |
| Laparo remove w/ureter CPT 50548 | $771.80 | $4,540.00 | $868.95 – $3,090.34 | 24 |
| Laparoscopic myomectomy CPT 58545 | $520.37 | $3,061.00 | $94.25 – $2,013.30 | 24 |
| Laparoscopic nephrectomy CPT 50546 | $695.30 | $4,090.00 | $148.18 – $2,707.86 | 24 |
| Laparoscopic proc CPT 45400 | $650.25 | $3,825.00 | $845.12 – $2,081.73 | 24 |
| Laparoscopic salpingostomy 58673 CPT 58673 | $455.94 | $2,682.00 | $130.00 – $1,832.62 | 24 |
| Laparoscopy aspiration CPT 49322 | $215.39 | $1,267.00 | $125.00 – $800.16 | 24 |
| Laparoscopy biopsy CPT 49321 | $199.07 | $1,171.00 | $125.00 – $727.42 | 24 |
| Laparoscopye procstom 43659 CPT 43659 | $178.67 | $1,051.00 | $38.00 – $260.00 | 11 |
| Laparoscopy excise lesions CPT 58662 | $412.59 | $2,427.00 | $305.66 – $1,590.93 | 24 |
| Laparoscopy fundoplasty CPT 43280 | $609.79 | $3,587.00 | $574.00 – $2,291.27 | 24 |
| Laparoscopy gastrostomy CPT 43653 | $335.41 | $1,973.00 | $76.69 – $1,138.05 | 24 |
| Laparoscopy lymphadenectomy CPT 38571 | $384.20 | $2,260.00 | $481.76 – $1,823.23 | 24 |
| Laparoscopy lymph node biop CPT 38570 | $299.88 | $1,764.00 | $130.00 – $1,203.75 | 24 |
| Laparoscopy lysis CPT 58660 | $394.74 | $2,322.00 | $280.71 – $1,504.11 | 24 |
| Laparoscopy orchiectomy CPT 54690 | $382.67 | $2,251.00 | $96.43 – $1,494.72 | 24 |
| Laparoscopy pyeloplasty CPT 50544 | $714.51 | $4,203.00 | $160.00 – $2,855.69 | 24 |
| Laparoscopy remove adnexa CPT 58661 | $564.74 | $3,322.00 | $97.79 – $1,461.87 | 24 |
| Laparoscopy splenectomy CPT 38120 | $96.73 | $569.00 | $155.00 – $2,212.75 | 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.