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 |
|---|---|---|---|---|
| Limb exercise test CPT 95875 | $52.53 | $309.00 | $51.18 – $102.45 | 24 |
| Limited visual field xm CPT 92081 | $14.62 | $86.00 | $16.25 – $81.26 | 26 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $48.86 | $287.39 | $6.03 – $427.93 | 10 |
| Lipase CPT 83690 | $98.94 | $582.00 | $6.08 – $83.47 | 17 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | $885.36 | $5,208.00 | $55.00 – $4,566.99 | 26 |
| Lipoprotein blood quant CPT 83704 | $16.49 | $97.00 | $28.05 – $374.39 | 17 |
| Lipoprotein direct measurement hdl CPT 83718 | $102.34 | $602.00 | $6.75 – $99.23 | 17 |
| Lipoprotein direct measurement ldl CPT 83721 | $118.83 | $699.00 | $8.22 – $114.42 | 17 |
| Lithium therapeutic drug level CPT 80178 | $126.14 | $742.00 | $5.88 – $80.12 | 17 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,783.41 | $16,373.00 | $122.40 – $32,172.95 | 18 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | $691.90 | $4,070.00 | $60.00 – $2,053.97 | 24 |
| Liver Function Test CPT 80076 | $168.64 | $992.00 | $8.17 – $99.15 | 17 |
| Liver imaging CPT 78201 | $13.43 | $79.00 | $20.09 – $300.61 | 24 |
| Liver imag w/vasclr flow CPT 78202 | $15.81 | $93.00 | $23.38 – $327.48 | 24 |
| Liver/spleen imag static only CPT 78215 | $182.58 | $1,074.00 | $23.07 – $755.72 | 27 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $218.62 | $1,286.00 | $26.88 – $898.20 | 27 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | $280.67 | $1,651.00 | $295.23 – $1,189.53 | 24 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $4.59 | $27.00 | $0.69 – $23.82 | 10 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $23.62 | $138.96 | $1.38 – $23.61 | 14 |
| Low back disk surgery CPT 63030 | $532.61 | $3,133.00 | $426.00 – $2,492.51 | 24 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,045.50 | $6,150.00 | $9.26 – $1,261.24 | 27 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $986.85 | $5,805.00 | $8.84 – $1,012.16 | 27 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $861.22 | $5,066.00 | $8.40 – $846.61 | 27 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,439.90 | $8,470.00 | $17.09 – $3,072.94 | 27 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $944.35 | $5,555.00 | $12.99 – $1,872.31 | 27 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $707.20 | $4,160.00 | $10.81 – $1,729.98 | 27 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $155.21 | $913.00 | $1.60 – $174.46 | 27 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $480.42 | $2,826.00 | $190.01 – $2,071.96 | 24 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $523.26 | $3,078.00 | $492.00 – $2,280.80 | 24 |
| Lumbar diskogram s&i CPT 72295 | $1,250.01 | $7,353.00 | $6.11 – $2,689.85 | 27 |
| Lumbar Spinal Fusion (single level) CPT 22612 | $906.44 | $5,332.00 | $70.00 – $3,260.75 | 24 |
| Lung function test (mbc/mvv) CPT 94200 | $19.04 | $112.00 | $2.61 – $81.26 | 27 |
| Lung Function Test (Spirometry) CPT 94010 | $129.37 | $761.00 | $8.52 – $297.43 | 27 |
| Lung perfusion imaging CPT 78580 | $326.74 | $1,922.00 | $34.33 – $799.45 | 27 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $9,088.20 | $53,460.00 | $212.10 – $468.08 | 14 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $116.11 | $683.00 | $248.39 – $655.75 | 15 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | $413.95 | $2,435.00 | $663.45 – $1,494.72 | 16 |
| Lymphatics/lymph node imaging CPT 78195 | $438.77 | $2,581.00 | $54.36 – $1,061.08 | 27 |
| Lymphocyte transformation mitogen CPT 86353 | $26.69 | $157.00 | $43.58 – $594.66 | 17 |
| Lymph vessel x-ray trunk CPT 75807 | $34.34 | $202.00 | $8.46 – $748.32 | 24 |
| Lysis intranasal synechia 30560 CPT 30560 | $165.07 | $971.00 | $56.22 – $742.92 | 26 |
| Lysis of labial adhesions CPT 56441 | $108.97 | $641.00 | $58.00 – $334.54 | 26 |
| Lysis penil circumic lesion CPT 54162 | $118.32 | $696.00 | $185.67 – $494.00 | 24 |
| Macroscopic exam arthropod CPT 87168 | $23.31 | $137.10 | $4.27 – $51.78 | 17 |
| Macroscopic exam parasite CPT 87169 | $57.12 | $336.00 | $3.80 – $51.78 | 17 |
| Magnesium CPT 83735 | $84.66 | $498.00 | $5.96 – $80.77 | 17 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $31.35 | $184.40 | $0.48 – $4.00 | 14 |
| Magnetic image bone marrow CPT 77084 | $470.73 | $2,769.00 | $328.67 – $4,168.00 | 17 |
| Makena, 10 mg HCPCS J1726 | $44.20 | $260.00 | $31.02 – $390.00 | 13 |
| Male sling procedure CPT 53440 | $439.45 | $2,585.00 | $681.17 – $1,532.70 | 24 |
| Manipulate finger w/anesth CPT 26340 | $226.61 | $1,333.00 | $229.34 – $613.24 | 24 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $65.79 | $387.00 | $16.78 – $492.00 | 17 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $131.07 | $771.00 | $28.54 – $492.00 | 17 |
| Manipulation of hip joint CPT 27275 | $111.18 | $654.00 | $5.00 – $369.42 | 24 |
| Manipulat palm cord post inj CPT 26341 | $71.91 | $423.00 | $63.66 – $241.35 | 26 |
| Mapping io sentinel lymph node CPT 38900 | $76.67 | $451.00 | $25.00 – $302.70 | 24 |
| Marker biop eviva buckle ss HCPCS A4648 | $189.21 | $1,113.00 | $28.60 – $388.00 | 13 |
| Mastectomy partial CPT 19301 | $379.78 | $2,234.00 | $70.00 – $902.99 | 24 |
| Mast mod rad CPT 19307 | $677.62 | $3,986.00 | $65.00 – $2,262.57 | 24 |
| Mastoidectomy complete 69502 CPT 69502 | $3,084.48 | $18,144.00 | $101.27 – $1,727.21 | 24 |
| Mastoids complete CPT 70130 | $176.12 | $1,036.00 | $2.50 – $205.58 | 27 |
| Mastopexy CPT 19316 | $467.16 | $2,748.00 | $91.96 – $1,599.41 | 24 |
| Mast radical CPT 19305 | $658.24 | $3,872.00 | $40.00 – $2,163.90 | 24 |
| Mast rad urban type CPT 19306 | $703.46 | $4,138.00 | $60.00 – $2,251.10 | 24 |
| Mast simple complete CPT 19303 | $550.29 | $3,237.00 | $40.00 – $1,780.69 | 24 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,352.52 | $7,956.00 | $18.55 – $203.21 | 25 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $2.19 | $12.86 | $12.86 – $175.35 | 17 |
| Mayo aathr protein s free CPT 85306 | $14.39 | $84.67 | $13.62 – $185.97 | 17 |
| Mayo activated protein c resistance assay CPT 85307 | $14.39 | $84.67 | $13.62 – $185.81 | 17 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $35.79 | $210.50 | $38.57 – $278.39 | 17 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $16.42 | $96.59 | $0.10 – $200.67 | 10 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $134.64 | $792.00 | $0.10 – $200.67 | 10 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $3.03 | $17.80 | $11.69 – $179.44 | 17 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $23.12 | $136.00 | $0.10 – $557.42 | 10 |
| Mayo alpha 1 antitrypsin CPT 82103 | $6.18 | $36.36 | $11.94 – $162.86 | 17 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $2.28 | $13.40 | $13.40 – $182.87 | 17 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $1.46 | $8.59 | $0.10 – $317.46 | 10 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $1.46 | $8.59 | $0.10 – $288.63 | 10 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $54.69 | $321.71 | $108.11 – $2,501.15 | 17 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $54.12 | $318.35 | $91.66 – $936.22 | 17 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $23.29 | $137.00 | $109.60 – $1,648.65 | 17 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $246.08 | $1,447.50 | $171.21 – $2,088.00 | 17 |
| Mayo androstenedione CPT 82157 | $8.65 | $50.90 | $26.02 – $355.03 | 17 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $2.21 | $12.98 | $12.98 – $177.07 | 17 |
| Mayo antithrombin iii antigen CPT 85301 | $1.63 | $9.61 | $9.61 – $131.17 | 17 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $2.56 | $15.05 | $6.34 – $182.62 | 17 |
| Mayo avwpr vw factor activity CPT 85397 | $16.15 | $95.00 | $30.86 – $442.91 | 17 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $5.13 | $30.15 | $30.15 – $321.72 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $51.34 | $302.00 | $0.10 – $212.68 | 10 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $1.54 | $9.05 | $9.05 – $123.33 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $24.62 | $144.84 | $35.00 – $781.86 | 17 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $8.67 | $51.00 | $51.00 – $2,265.45 | 17 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $1.95 | $11.47 | $11.47 – $160.00 | 17 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $24.82 | $146.00 | $0.10 – $343.44 | 10 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $1.99 | $11.72 | $11.72 – $160.00 | 17 |
| Mayo brcmg brucella antibody igm CPT 86622 | $1.35 | $7.94 | $7.94 – $97.84 | 17 |
| Mayo c1 esterase inhibitor CPT 83883 | $23.80 | $140.00 | $12.09 – $165.14 | 17 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $105.40 | $620.00 | $0.10 – $439.81 | 10 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $2.55 | $14.99 | $14.99 – $203.69 | 17 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $26.99 | $158.75 | $11.60 – $324.81 | 17 |
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.