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 |
|---|---|---|---|---|
| Place slctv cath carotd art uni CPT 36224 | $4,996.98 | $29,394.00 | $40.00 – $7,665.00 | 26 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $4,996.98 | $29,394.00 | $237.90 – $4,797.48 | 26 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,288.30 | $36,990.00 | $256.89 – $7,665.00 | 26 |
| Place slctv cath subclavian art CPT 36225 | $4,996.98 | $29,394.00 | $20.00 – $5,209.84 | 26 |
| Place slctv cath vertebral art uni CPT 36226 | $4,996.98 | $29,394.00 | $20.00 – $7,665.00 | 26 |
| Platelet aggregation each agent teg CPT 85576 | $168.13 | $989.00 | $17.07 – $221.42 | 17 |
| Platelet automated CPT 85049 | $64.09 | $377.00 | $4.48 – $54.31 | 17 |
| Platelet pheresis each unit HCPCS P9034 | $94.01 | $553.00 | $330.90 – $595.62 | 13 |
| Platelet pheresis irr ea HCPCS P9036 | $102.85 | $605.00 | $599.16 – $1,829.74 | 13 |
| Platelets each unit HCPCS P9019 | $16.32 | $96.00 | $56.95 – $102.51 | 13 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $118.49 | $697.00 | $200.73 – $365.49 | 13 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $103.36 | $608.00 | $547.91 – $986.24 | 13 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $122.44 | $720.23 | $605.00 – $1,312.07 | 13 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $309.74 | $1,822.00 | $650.56 – $1,171.01 | 13 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $1,619.08 | $9,524.00 | $10.00 – $4,931.95 | 26 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,387.65 | $14,045.00 | $60.00 – $4,855.61 | 26 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,173.45 | $12,785.00 | $60.00 – $5,112.35 | 26 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $47.94 | $282.00 | $32.00 – $1,137.42 | 24 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $24.14 | $142.00 | $22.00 – $996.65 | 24 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $36.21 | $213.00 | $53.03 – $1,633.83 | 24 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $58.31 | $343.00 | $25.00 – $927.06 | 26 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $245.14 | $1,442.00 | $12.33 – $514.02 | 27 |
| Plmt biliary drainage cath CPT 47534 | $207.57 | $1,221.00 | $15.00 – $5,682.98 | 24 |
| Plmt nephroureteral catheter CPT 50433 | $1,513.17 | $8,901.00 | $20.00 – $4,855.61 | 26 |
| Plmt ureteral stent prq CPT 50694 | $1,668.55 | $9,815.00 | $35.00 – $4,855.61 | 26 |
| Pm device progr eval dual CPT 93280 | $33.83 | $199.00 | $37.73 – $168.52 | 27 |
| Pm device progr eval multi CPT 93281 | $35.87 | $211.00 | $41.91 – $197.24 | 27 |
| Pmp22 gene dup/delet CPT 81324 | $88.40 | $520.00 | $520.00 – $9,269.97 | 17 |
| Pm phone r-strip device eval CPT 93293 | $24.99 | $147.00 | $13.66 – $309.59 | 27 |
| Pms2 gene dup/delet variants CPT 81319 | $24.31 | $143.00 | $118.00 – $8,839.06 | 17 |
| Pms2 gene full seq analysis CPT 81317 | $80.75 | $475.00 | $197.00 – $8,781.40 | 17 |
| Pms2 known familial variants CPT 81318 | $56.27 | $331.00 | $107.80 – $893.26 | 17 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $58.82 | $346.00 | $15.00 – $234.73 | 17 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $322.15 | $1,895.00 | $135.27 – $7,516.30 | 27 |
| Polysom any age 1-3> param CPT 95808 | $244.97 | $1,441.00 | $83.53 – $1,671.86 | 27 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $971.55 | $5,715.00 | $127.05 – $1,937.28 | 27 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | $53.55 | $315.00 | $152.00 – $469.04 | 13 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | $70.04 | $412.00 | $152.00 – $613.47 | 13 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | $106.76 | $628.00 | $152.00 – $935.09 | 13 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | $418.71 | $2,463.00 | $55.00 – $1,674.70 | 24 |
| Postpartum Care Only CPT 59430 | $238.00 | $1,400.00 | $151.48 – $1,016.30 | 26 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | $422.28 | $2,484.00 | $338.00 – $1,674.70 | 24 |
| Potassium 24 hour urine CPT 84133 | $71.74 | $422.00 | $3.83 – $52.19 | 17 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $75.78 | $445.78 | $0.26 – $124.44 | 10 |
| Potassium serum/plasma/whole blood CPT 84132 | $59.84 | $352.00 | $3.44 – $56.27 | 17 |
| Pq biliary strict dil s&i CPT 74363 | $243.27 | $1,431.00 | $933.05 – $2,130.76 | 10 |
| Pq dr cath chg w cont s&i CPT 75984 | $206.04 | $1,212.00 | $5.21 – $508.67 | 27 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $4,317.15 | $25,395.00 | $55.00 – $19,441.34 | 26 |
| Pq thr inj ext pse CPT 36002 | $71.06 | $418.00 | $224.30 – $1,555.38 | 13 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $609.28 | $3,584.00 | $60.00 – $2,549.00 | 26 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $609.28 | $3,584.00 | $25.00 – $4,570.96 | 26 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $822.46 | $4,838.00 | $357.21 – $4,538.94 | 26 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $2,747.20 | $16,160.00 | $261.35 – $4,507.13 | 26 |
| Pr application of long arm splint CPT 29105 | $80.75 | $475.00 | $6.00 – $155.31 | 26 |
| Pr application splint static short arm CPT 29125 | $80.75 | $475.00 | $35.00 – $152.00 | 26 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $10.71 | $63.00 | $4.81 – $51.45 | 27 |
| Pr biopsy skin punch single lesion CPT 11104 | $75.31 | $443.00 | $26.00 – $247.76 | 26 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | $358.36 | $2,108.00 | $80.04 – $1,427.27 | 24 |
| Pr correction hammertoe CPT 28285 | $326.91 | $1,923.00 | $152.00 – $755.14 | 26 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $16.49 | $97.00 | $10.41 – $51.61 | 26 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,356.43 | $7,979.00 | $35.00 – $626.09 | 26 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $134.64 | $792.00 | $35.00 – $791.12 | 24 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $120.19 | $707.00 | $31.13 – $365.00 | 27 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $33.83 | $199.00 | $37.60 – $152.00 | 26 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $47.94 | $282.00 | $53.40 – $176.62 | 26 |
| Prealbumin CPT 84134 | $169.66 | $998.00 | $12.47 – $177.48 | 17 |
| Pr ecg 12 lead report only CPT 93010 | $21.42 | $126.00 | $8.52 – $102.91 | 27 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | $11.22 | $66.00 | $18.21 – $385.06 | 27 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $9.00 | $52.92 | $0.96 – $15.19 | 10 |
| Prednisone 1 mg tablet HCPCS J7512 | $1.87 | $11.00 | $0.01 – $7.50 | 14 |
| Prefab stnlss steel crown pe HCPCS D2931 | $102.34 | $602.00 | $152.00 – $896.38 | 13 |
| Prefab stnlss steel crwn pri HCPCS D2930 | $71.91 | $423.00 | $152.00 – $629.85 | 13 |
| Pregabalin - sendout CPT 80366 | $11.69 | $68.75 | $0.10 – $5.96 | 7 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $113.90 | $670.00 | $20.00 – $658.03 | 24 |
| Pregnancy associated plasma protein-a CPT 84163 | $2.27 | $13.38 | $13.38 – $178.86 | 17 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $265.03 | $1,559.00 | $7.24 – $533.66 | 27 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $315.86 | $1,858.00 | $7.24 – $285.64 | 27 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $43.69 | $257.00 | $64.00 – $333.00 | 20 |
| Prenatal Care Only (4-6 visits) CPT 59425 | $323.17 | $1,901.00 | $152.00 – $2,119.50 | 26 |
| Prenatal Care Only (7+ visits) CPT 59426 | $590.75 | $3,475.00 | $152.00 – $3,886.50 | 26 |
| Prepare fecal microbiota CPT 44705 | $71.06 | $418.00 | $76.84 – $836.00 | 13 |
| Prep skin to 100cm2 other CPT 15004 | $233.75 | $1,375.00 | $65.15 – $625.02 | 26 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $150.79 | $887.00 | $45.00 – $1,018.06 | 26 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $24.99 | $147.00 | $11.91 – $115.43 | 24 |
| Pressure max expiratory/inspiratory CPT 94799 | $206.38 | $1,214.00 | $177.25 – $319.05 | 7 |
| Pressure velocity wire add ves CPT 93572 | $1,100.75 | $6,475.00 | $71.79 – $242.00 | 24 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $76.50 | $450.00 | $23.88 – $422.42 | 17 |
| Pretreat rbc absorption reference CPT 86978 | $31.88 | $187.54 | $19.97 – $240.58 | 17 |
| Pretreat rbc density gradient separation reference CPT 86972 | $72.26 | $425.08 | $23.88 – $422.42 | 17 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $31.88 | $187.54 | $4.52 – $202.28 | 17 |
| Pretreat rbc w enzyme reference CPT 86971 | $31.88 | $187.54 | $24.79 – $422.42 | 17 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $81.60 | $480.00 | $103.25 – $342.82 | 26 |
| Preventive counseling group CPT 99411 | $4.25 | $25.00 | $25.00 – $273.60 | 13 |
| Preventive counseling group CPT 99412 | $6.80 | $40.00 | $40.00 – $273.60 | 13 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $12.92 | $76.00 | $29.00 – $273.60 | 20 |
| Prev med cnsl indiv apprx 30 CPT 99402 | $26.18 | $154.00 | $52.00 – $273.60 | 20 |
| Prev med cnsl indiv apprx 45 CPT 99403 | $39.27 | $231.00 | $152.00 – $343.96 | 13 |
| Prev med cnsl indiv apprx 60 CPT 99404 | $52.53 | $309.00 | $152.00 – $460.10 | 13 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $70.72 | $416.00 | $115.16 – $480.00 | 25 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $498.10 | $2,930.00 | $53.24 – $180.19 | 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.