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 |
|---|---|---|---|---|
| Srs linear based CPT 77372 | $2,391.56 | $14,068.00 | $1,156.43 – $18,262.08 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $106.93 | $629.00 | $89.05 – $650.39 | 18 |
| Staph a dna amp probe CPT 87640 | $91.80 | $540.00 | $35.09 – $416.53 | 17 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $110.33 | $649.00 | $91.47 – $492.00 | 17 |
| Stenger test speech CPT 92577 | $13.26 | $78.00 | $13.61 – $46.31 | 24 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $3,315.00 | $19,500.00 | $5,625.00 – $8,375.63 | 6 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $312.46 | $1,838.00 | $1,137.00 – $1,692.99 | 6 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $2,295.00 | $13,500.00 | $3,528.00 – $5,253.19 | 6 |
| Stereotactic radiation trmt CPT 77432 | $288.49 | $1,697.00 | $284.32 – $722.60 | 24 |
| Sterile water/saline, 10 ml HCPCS A4216 | $15.30 | $90.00 | $0.62 – $18.71 | 13 |
| Sternal debridement CPT 21627 | $322.32 | $1,896.00 | $25.00 – $1,123.04 | 24 |
| St evaluate speech sound production CPT 92522 | $140.08 | $824.00 | $91.96 – $492.00 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $301.07 | $1,771.00 | $187.30 – $801.44 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $189.21 | $1,113.00 | $57.30 – $492.00 | 17 |
| St evaluation swallow function CPT 92610 | $143.65 | $845.00 | $59.71 – $492.00 | 17 |
| Stimulants synthetic CPT 80371 | $25.50 | $150.00 | $0.10 – $288.63 | 10 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | $263.67 | $1,551.00 | $65.00 – $1,282.40 | 24 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $48.45 | $285.00 | $6.00 – $152.00 | 26 |
| Strapping of chest CPT 29200 | $40.97 | $241.00 | $15.00 – $152.00 | 26 |
| Strapping of elbow or wrist 29260 CPT 29260 | $36.04 | $212.00 | $15.83 – $93.72 | 26 |
| Strapping of hand or finger CPT 29280 | $36.04 | $212.00 | $16.92 – $93.72 | 26 |
| Strapping of hip CPT 29520 | $30.43 | $179.00 | $6.00 – $152.00 | 26 |
| Strapping of knee CPT 29530 | $39.27 | $231.00 | $11.00 – $152.00 | 26 |
| Strapping of toes 29550 CPT 29550 | $23.46 | $138.00 | $9.61 – $81.26 | 26 |
| Strep b dna amp probe CPT 87653 | $43.86 | $258.00 | $30.52 – $416.53 | 17 |
| Stress test pulmonary CPT 94618 | $132.09 | $777.00 | $12.08 – $183.27 | 27 |
| Stress tte complete CPT 93351 | $335.92 | $1,976.00 | $83.32 – $1,849.38 | 27 |
| Str markers specimen anal CPT 81265 | $51.00 | $300.00 | $191.15 – $4,617.55 | 17 |
| St treatment speech individual CPT 92507 | $85.51 | $503.00 | $79.85 – $492.00 | 18 |
| St treatment swallow dysfunction/oral CPT 92526 | $53.38 | $314.00 | $48.51 – $492.00 | 17 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | $158.78 | $934.00 | $143.52 – $700.73 | 26 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | $49.64 | $292.00 | $104.41 – $229.91 | 24 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | $47.77 | $281.00 | $98.63 – $221.35 | 26 |
| Subtalar arthro w/fb rmvl CPT 29904 | $383.01 | $2,253.00 | $65.00 – $1,236.33 | 24 |
| Subtalar arthro w/fusion CPT 29907 | $520.54 | $3,062.00 | $65.00 – $1,714.11 | 24 |
| Sugars single quant CPT 84378 | $9.21 | $54.20 | $10.24 – $139.09 | 17 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $0.20 | $1.15 | $0.09 – $1.71 | 7 |
| Sulfonylurea screen qn-sendout CPT 80377 | $21.35 | $125.59 | $0.10 – $401.59 | 10 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $62.22 | $366.00 | $37.74 – $322.50 | 14 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $7.31 | $43.00 | $13.20 – $273.60 | 13 |
| Support clav 29.6-40.5in med HCPCS L3650 | $37.06 | $218.00 | $35.98 – $129.90 | 25 |
| Suprv interfacilty transport CPT 99485 | $24.31 | $143.00 | $108.59 – $286.00 | 13 |
| Suprv interfac trnsport addl CPT 99486 | $21.25 | $125.00 | $94.39 – $250.00 | 13 |
| Surg dx exam anorectal CPT 45990 | $61.20 | $360.00 | $58.00 – $193.01 | 24 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | $460.53 | $2,709.00 | $70.00 – $1,787.99 | 26 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | $460.36 | $2,708.00 | $65.00 – $1,802.04 | 24 |
| Surgical opening of stomach 43500 CPT 43500 | $450.16 | $2,648.00 | $40.00 – $1,377.95 | 24 |
| Surgical pathology level 1 gross examination only CPT 88300 | $9.18 | $54.00 | $12.01 – $227.78 | 17 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $7.82 | $46.00 | $27.48 – $478.84 | 17 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $12.75 | $75.00 | $33.01 – $527.63 | 17 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $16.83 | $99.00 | $36.81 – $712.49 | 17 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $81.77 | $481.00 | $125.71 – $1,503.98 | 17 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $106.42 | $626.00 | $248.94 – $2,085.11 | 17 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $762.79 | $4,487.00 | $147.80 – $2,393.76 | 24 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | $861.56 | $5,068.00 | $75.00 – $2,726.29 | 24 |
| Surgical revision intestine CPT 44680 | $609.62 | $3,586.00 | $65.00 – $1,841.90 | 24 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $254.83 | $1,499.00 | $60.00 – $650.71 | 24 |
| Susceptibility agar dilution per agent CPT 87181 | $0.81 | $4.75 | $1.66 – $29.25 | 17 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $8.84 | $52.00 | $1.74 – $34.96 | 17 |
| Susceptibility mic per plate CPT 87186 | $91.80 | $540.00 | $6.92 – $104.87 | 17 |
| Suscept studies macrobroth dilution ea CPT 87188 | $1.00 | $5.90 | $5.90 – $80.45 | 17 |
| Suspension of testis CPT 54620 | $174.76 | $1,028.00 | $35.00 – $514.42 | 24 |
| Suspension of uterus 58400 CPT 58400 | $36.89 | $217.00 | $217.00 – $981.14 | 24 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $595.85 | $3,505.00 | $45.00 – $1,856.20 | 24 |
| Suture bile duct injury 47900 CPT 47900 | $782.17 | $4,601.00 | $176.47 – $2,361.35 | 24 |
| Svc venogram s&i CPT 75827 | $924.80 | $5,440.00 | $8.25 – $3,262.19 | 27 |
| Sympathectomy digital artery CPT 64820 | $455.43 | $2,679.00 | $40.00 – $1,954.58 | 24 |
| Sympathectomy supfc palmar CPT 64823 | $470.22 | $2,766.00 | $35.00 – $2,058.79 | 24 |
| Synvisc or synvisc-one HCPCS J7325 | $187.51 | $1,103.00 | $6.96 – $31.02 | 21 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $1.67 | $9.80 | $4.40 – $53.41 | 17 |
| System pacing micra av HCPCS C1786 | $10,710.68 | $63,004.00 | $12,000.00 – $13,596.00 | 4 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $10,710.68 | $63,004.00 | $12,000.00 – $13,596.00 | 4 |
| T3 (triiodothyronine) free CPT 84481 | $169.66 | $998.00 | $14.97 – $205.57 | 17 |
| T3 (triiodothyronine) total CPT 84480 | $173.91 | $1,023.00 | $12.59 – $171.92 | 17 |
| T4 (thyroxine) free CPT 84439 | $172.89 | $1,017.00 | $7.91 – $109.36 | 17 |
| T4 (thyroxine) total CPT 84436 | $85.51 | $503.00 | $6.87 – $83.39 | 17 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $2.79 | $16.39 | $0.44 – $24.40 | 10 |
| Tacrolimus therapeutic drug level CPT 80197 | $2.08 | $12.21 | $12.21 – $180.01 | 17 |
| Tah w/mmk 58152 CPT 58152 | $711.62 | $4,186.00 | $40.00 – $2,816.92 | 24 |
| Tap block uni by cont infusion 64487 CPT 64487 | $34.00 | $200.00 | $55.85 – $522.50 | 16 |
| Target gsa panel hmtlmph neop CPT 81450 | $515.10 | $3,030.00 | $759.53 – $41,683.78 | 17 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $419.05 | $2,465.00 | $1,964.13 – $41,683.78 | 17 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | $28.22 | $166.00 | $37.36 – $74.72 | 22 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $161.16 | $948.00 | $44.00 – $951.41 | 17 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $50.32 | $296.00 | $40.00 – $735.47 | 17 |
| Tc-99m diag per dose HCPCS A4641 | $33.15 | $195.00 | $195.00 – $290.36 | 6 |
| Tc-99m disofenin HCPCS A9510 | $319.43 | $1,879.00 | $105.87 – $2,797.83 | 10 |
| Tc-99m exametazime diag HCPCS A9521 | $336.43 | $1,979.00 | $1,654.26 – $16,427.52 | 10 |
| Tc-99m labeled rbc HCPCS A9560 | $42.50 | $250.00 | $223.51 – $895.23 | 10 |
| Tc-99m maa HCPCS A9540 | $81.60 | $480.00 | $42.21 – $714.72 | 10 |
| Tc-99m mebrofenin HCPCS A9537 | $28.90 | $170.00 | $116.73 – $530.23 | 10 |
| Tc-99m medronate HCPCS A9503 | $48.11 | $283.00 | $124.62 – $421.39 | 10 |
| Tc-99m mertiatide HCPCS A9562 | $147.05 | $865.00 | $865.00 – $7,425.88 | 10 |
| Tc-99m oxidronate HCPCS A9561 | $33.49 | $197.00 | $64.37 – $421.68 | 10 |
| Tc-99m pentetate dtpa HCPCS A9539 | $36.89 | $217.00 | $31.86 – $323.11 | 10 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $36.89 | $217.00 | $32.72 – $323.11 | 7 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $18.53 | $109.00 | $3.39 – $162.30 | 10 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $36.89 | $217.00 | $48.43 – $613.85 | 10 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $173.57 | $1,021.00 | $226.04 – $1,520.27 | 10 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $120.36 | $708.00 | $145.30 – $5,745.12 | 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.