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 |
|---|---|---|---|---|
| Ped critical care subsq CPT 99472 | $163.71 | $963.00 | $143.52 – $701.37 | 26 |
| Pedicle enel/ntroral 15576 CPT 15576 | $386.92 | $2,276.00 | $65.00 – $1,241.59 | 24 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $10,081.38 | $59,302.24 | $127.38 – $1,132.52 | 12 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $6,558.09 | $38,577.00 | $135.89 – $982.27 | 14 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | $5,194.87 | $30,558.03 | $223.40 – $497.09 | 15 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $997.39 | $5,867.00 | $8.84 – $1,210.61 | 27 |
| Pelvic CT scan (with contrast) CPT 72193 | $950.81 | $5,593.00 | $8.40 – $977.98 | 27 |
| Pelvic CT scan (without contrast) CPT 72192 | $847.45 | $4,985.00 | $7.93 – $846.17 | 27 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,424.43 | $8,379.00 | $16.39 – $3,527.43 | 27 |
| Pelvic MRI (with contrast) CPT 72196 | $781.15 | $4,595.00 | $12.57 – $1,561.18 | 27 |
| Pelvic MRI (without contrast) CPT 72195 | $617.61 | $3,633.00 | $10.60 – $1,591.83 | 27 |
| Pelvic Ultrasound (complete) CPT 76856 | $401.88 | $2,364.00 | $5.06 – $399.33 | 27 |
| Pelvic Ultrasound (limited) CPT 76857 | $169.15 | $995.00 | $2.83 – $274.61 | 27 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,763.17 | $39,783.33 | $61.25 – $131.41 | 14 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $2,754.00 | $16,200.00 | $4.04 – $165.85 | 17 |
| Peng benzathine/procaine inj HCPCS J0558 | $8.67 | $51.00 | $19.52 – $51.00 | 13 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $734.01 | $4,317.72 | $8.51 – $56.64 | 21 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $29.66 | $174.47 | $1.72 – $202.91 | 10 |
| Penicillin g procaine inj HCPCS J2510 | $321.13 | $1,889.00 | $46.87 – $3,778.00 | 13 |
| Penile injection CPT 54235 | $126.65 | $745.00 | $20.00 – $152.00 | 26 |
| Penile vascular study CPT 93980 | $39.61 | $233.00 | $61.37 – $969.07 | 27 |
| Penile vascular study CPT 93981 | $90.95 | $535.00 | $21.37 – $904.75 | 27 |
| Penis plastic surgery CPT 54360 | $421.09 | $2,477.00 | $65.00 – $1,234.99 | 26 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $12,024.27 | $70,731.00 | $76.84 – $45,452.70 | 18 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $127.50 | $750.00 | $38.00 – $1,500.00 | 11 |
| Perc d-e cor stent ather s HCPCS C9602 | $202.13 | $1,189.00 | $76.84 – $2,378.00 | 11 |
| Perc drug-el cor stent bran HCPCS C9601 | $5,682.08 | $33,424.00 | $76.84 – $2,401.17 | 11 |
| Perc drug-el cor stent sing HCPCS C9600 | $7,010.12 | $41,236.00 | $76.84 – $28,623.60 | 18 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $737.43 | $4,337.80 | $88.46 – $582.20 | 10 |
| Pericardiocentesis wwo imaging CPT 33016 | $885.70 | $5,210.00 | $15.00 – $2,168.37 | 26 |
| Peri-implt capslc brst compl CPT 19371 | $421.77 | $2,481.00 | $84.51 – $1,583.34 | 24 |
| Perineoplasty rpr per nonob CPT 56810 | $738.99 | $4,347.00 | $49.66 – $4,459.09 | 26 |
| Peripheral vascular rehab CPT 93668 | $20.06 | $118.00 | $81.26 – $231.87 | 13 |
| Peri-proc device eval icd CPT 93287 | $9.01 | $53.00 | $22.26 – $53.00 | 24 |
| Peri-proc device eval pm CPT 93286 | $6.12 | $36.00 | $14.79 – $36.00 | 24 |
| Peritoneogram rs&i CPT 74190 | $14.45 | $85.00 | $3.51 – $422.70 | 24 |
| Perit-vens shunt pat tst CPT 78291 | $201.96 | $1,188.00 | $202.41 – $2,397.86 | 17 |
| Perq dev breast 1st mr guide CPT 19287 | $71.74 | $422.00 | $105.17 – $2,017.04 | 24 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $649.74 | $3,822.00 | $55.00 – $2,201.29 | 24 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $199.07 | $1,171.00 | $82.30 – $1,063.64 | 26 |
| Perq skel fix rad/uln dislc CPT 25671 | $326.40 | $1,920.00 | $37.00 – $1,041.76 | 24 |
| Perq skel fix ulnar styld fx CPT 25651 | $299.88 | $1,764.00 | $17.00 – $933.40 | 24 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | $310.59 | $1,827.00 | $55.00 – $768.53 | 24 |
| Perq tx malar fracture CPT 21355 | $196.86 | $1,158.00 | $15.00 – $839.81 | 24 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $10,327.13 | $60,747.83 | $17.02 – $37.42 | 14 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $13,600.00 | $80,000.00 | $60.23 – $199.27 | 14 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $36.04 | $212.00 | $30.85 – $103.44 | 17 |
| Pessary reusable rub anytype HCPCS A4561 | $36.04 | $212.00 | $12.40 – $41.53 | 17 |
| Pet CT skull-mid thgh initial CPT 78815 | $2,070.60 | $12,180.00 | $111.55 – $6,511.51 | 27 |
| Pet CT whole body initial CPT 78816 | $1,496.34 | $8,802.00 | $113.22 – $7,748.88 | 27 |
| Pet fdg brain metoblic eval sb CPT 78608 | $874.99 | $5,147.00 | $68.05 – $5,567.25 | 19 |
| Pet image full body CPT 78813 | $60.52 | $356.00 | $90.18 – $3,249.40 | 24 |
| Pet image skull-thigh CPT 78812 | $59.50 | $350.00 | $88.17 – $3,249.40 | 24 |
| Pet image w/ct lmtd CPT 78814 | $794.07 | $4,671.00 | $100.26 – $5,972.46 | 27 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $31,563.90 | $185,670.00 | $388.25 – $578.10 | 6 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | $10.37 | $61.00 | $20.27 – $152.00 | 26 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | $14.45 | $85.00 | $29.50 – $152.00 | 26 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | $5.61 | $33.00 | $10.50 – $152.00 | 26 |
| Phalangectomy ea toe 28150 CPT 28150 | $168.98 | $994.00 | $187.27 – $709.62 | 24 |
| Pharmacologic management w/psytx CPT 90863 | $19.38 | $114.00 | $69.30 – $216.00 | 13 |
| Ph body fluid CPT 83986 | $46.92 | $276.00 | $3.18 – $43.37 | 17 |
| Phencyclidine (pcp) CPT 83992 | $37.91 | $223.00 | $0.10 – $156.57 | 10 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $132.54 | $779.65 | $6.59 – $1,160.90 | 10 |
| Phenobarbital therapeutic drug level CPT 80184 | $168.13 | $989.00 | $12.05 – $138.68 | 17 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $15.19 | $89.38 | $0.02 – $93.12 | 8 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $4.08 | $24.00 | $1.32 – $35.74 | 10 |
| Phenytoin total therapeutic drug level CPT 80185 | $175.10 | $1,030.00 | $11.78 – $160.81 | 17 |
| Phlebotomy therapeutic CPT 99195 | $139.06 | $818.00 | $16.40 – $183.27 | 26 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $1,234.03 | $7,259.00 | $40.00 – $892.61 | 26 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $964.07 | $5,671.00 | $57.71 – $4,349.38 | 26 |
| Phosphorus CPT 84100 | $60.86 | $358.00 | $4.21 – $57.42 | 17 |
| Phosphorus 24 hour urine CPT 84105 | $68.17 | $401.00 | $4.62 – $62.72 | 17 |
| Photo patch test CPT 95052 | $2.89 | $17.00 | $6.60 – $273.60 | 16 |
| Physician standby services CPT 99360 | $37.74 | $222.00 | $76.84 – $444.00 | 13 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $105.14 | $618.45 | $2.73 – $22.00 | 14 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $279.31 | $1,643.00 | $346.49 – $5,895.05 | 15 |
| Pin caspar distraction 12mm HCPCS C1821 | $4,743.98 | $27,905.75 | $5,250.00 – $7,817.25 | 6 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $352.92 | $2,076.00 | $20.00 – $816.47 | 26 |
| Pin finger dislocation CPT 26776 | $277.10 | $1,630.00 | $207.00 – $891.53 | 24 |
| Pin finger fracture each CPT 26756 | $261.63 | $1,539.00 | $365.23 – $834.89 | 24 |
| Pin hand dislocation CPT 26676 | $313.65 | $1,845.00 | $35.00 – $1,012.21 | 24 |
| Pinworm exam CPT 87172 | $57.12 | $336.00 | $0.73 – $38.84 | 27 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $29.25 | $172.07 | $2.40 – $150.60 | 10 |
| Place cath intracranial art CPT 36228 | $83.64 | $492.00 | $181.31 – $644.52 | 13 |
| Place cath xtrnl carotid CPT 36227 | $66.30 | $390.00 | $20.00 – $804.61 | 26 |
| Place device/marker, non pro HCPCS C9728 | $907.80 | $5,340.00 | $76.84 – $4,514.39 | 18 |
| Place duod/jej tube perc CPT 49441 | $400.35 | $2,355.00 | $75.00 – $2,643.27 | 26 |
| Place gastrostomy tube open 43832 CPT 43832 | $595.34 | $3,502.00 | $25.00 – $1,876.74 | 24 |
| Place gastrostomy tube perc CPT 49440 | $807.67 | $4,751.00 | $177.33 – $2,643.27 | 26 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $498.10 | $2,930.00 | $82.45 – $2,275.05 | 26 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $43.18 | $254.00 | $40.00 – $390.10 | 26 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $215.90 | $1,270.00 | $70.96 – $1,089.98 | 26 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $1,136.28 | $6,684.00 | $118.00 – $3,038.59 | 26 |
| Placement of drain pancreas CPT 48001 | $1,292.51 | $7,603.00 | $35.00 – $4,041.23 | 24 |
| Placement of seton CPT 46020 | $67.83 | $399.00 | $42.00 – $373.27 | 24 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,320.88 | $43,064.00 | $45.00 – $15,902.00 | 26 |
| Place needles h&n for right CPT 41019 | $291.04 | $1,712.00 | $363.74 – $761.58 | 24 |
| Place non-slctv cath thoracic arta CPT 36221 | $3,331.32 | $19,596.00 | $35.00 – $4,349.38 | 26 |
| Placental lactogen CPT 83632 | $24.82 | $146.00 | $20.22 – $245.18 | 17 |
| Place right device/marker pros CPT 55876 | $572.22 | $3,366.00 | $70.00 – $252.14 | 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.