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 |
|---|---|---|---|---|
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,384.48 | $8,144.00 | $18.58 – $3,071.74 | 27 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $944.35 | $5,555.00 | $13.94 – $1,873.51 | 27 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $707.20 | $4,160.00 | $11.61 – $1,731.57 | 27 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $533.63 | $3,139.00 | $111.30 – $1,249.36 | 26 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $79.56 | $468.00 | $124.25 – $656.03 | 24 |
| Uppr gi scope w/submuc inj CPT 43236 | $79.56 | $468.00 | $15.00 – $639.63 | 24 |
| Urachal cyst/sinus excision 51500 CPT 51500 | $374.00 | $2,200.00 | $521.22 – $1,132.21 | 24 |
| Urea nitrogen CPT 84520 | $51.00 | $300.00 | $3.15 – $47.86 | 17 |
| Urea nitrogen 24 hour urine CPT 84540 | $63.58 | $374.00 | $4.75 – $57.58 | 17 |
| Urea nitrogen clearance CPT 84545 | $1.00 | $5.88 | $5.88 – $80.04 | 17 |
| Ureteral reflux study CPT 78740 | $185.64 | $1,092.00 | $27.80 – $552.35 | 27 |
| Ureter endoscopy & treatment CPT 50961 | $180.20 | $1,060.00 | $32.00 – $676.67 | 24 |
| Ureteroneocystostomy 50780 CPT 50780 | $642.09 | $3,777.00 | $888.31 – $1,881.76 | 24 |
| Ureteroureterostomy 50760 CPT 50760 | $649.57 | $3,821.00 | $40.00 – $1,894.85 | 24 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $144.50 | $850.00 | $2.44 – $378.26 | 27 |
| Urethrlys transvag with scope CPT 53500 | $434.18 | $2,554.00 | $77.07 – $1,292.20 | 24 |
| Urethrocystography void s&i CPT 74455 | $207.23 | $1,219.00 | $2.44 – $410.78 | 27 |
| Uric acid blood CPT 84550 | $65.11 | $383.00 | $4.52 – $54.88 | 17 |
| Uric acid urine CPT 84560 | $59.50 | $350.00 | $4.22 – $57.58 | 17 |
| Urinalysis microscopic only CPT 81015 | $46.58 | $274.00 | $3.05 – $36.83 | 17 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $1.53 | $9.00 | $0.20 – $4.90 | 24 |
| Urinalysis (with microscopy) CPT 81001 | $84.32 | $496.00 | $2.77 – $37.08 | 17 |
| Urinalysis (without microscopy) CPT 81003 | $37.57 | $221.00 | $0.20 – $20.46 | 27 |
| Urine Culture Test CPT 87086 | $136.85 | $805.00 | $8.07 – $96.54 | 17 |
| Urine flow measurement 51736 CPT 51736 | $29.92 | $176.00 | $8.70 – $152.00 | 26 |
| Urine pregnancy test CPT 81025 | $39.44 | $232.00 | $2.80 – $46.43 | 27 |
| Urography, antegrade CPT 74425 | $295.46 | $1,738.00 | $2.65 – $480.57 | 27 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $100.47 | $591.00 | $248.94 – $669.60 | 10 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $100.47 | $591.00 | $226.47 – $669.60 | 10 |
| Vaccine dtap < 7 years im CPT 90700 | $30.69 | $180.55 | $37.00 – $55.50 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $47.26 | $278.00 | $37.00 – $180.71 | 12 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $36.38 | $214.00 | $37.00 – $116.64 | 12 |
| Vaccine dtap-ipv/hib im CPT 90698 | $63.75 | $375.00 | $37.00 – $196.43 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $19.89 | $117.00 | $37.00 – $104.99 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $19.89 | $117.00 | $21.64 – $55.50 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $34.34 | $202.00 | $37.00 – $152.53 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $127.33 | $749.00 | $182.00 – $1,123.50 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $19.72 | $116.00 | $37.00 – $72.83 | 12 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | $31.96 | $188.00 | $115.73 – $282.00 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $29.92 | $176.00 | $110.89 – $264.00 | 12 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | $71.57 | $421.00 | $108.00 – $631.50 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $30.73 | $180.78 | $37.00 – $59.43 | 12 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $86.70 | $510.00 | $37.00 – $516.75 | 12 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | $69.19 | $407.00 | $37.00 – $351.45 | 12 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $35.53 | $209.00 | $57.23 – $313.50 | 12 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | $83.05 | $488.50 | $110.58 – $325.17 | 12 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | $9.35 | $55.00 | $33.99 – $110.00 | 11 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $20.74 | $121.99 | $30.06 – $70.25 | 12 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | $10.54 | $62.00 | $28.77 – $55.50 | 12 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $33.83 | $199.00 | $32.87 – $289.50 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | $9.86 | $58.00 | $29.81 – $87.00 | 12 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $26.18 | $154.00 | $30.80 – $55.50 | 12 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | $8.84 | $52.00 | $14.38 – $104.00 | 11 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | $10.03 | $59.00 | $38.28 – $118.00 | 11 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $31.28 | $184.00 | $74.52 – $276.00 | 12 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | $18.53 | $109.00 | $42.93 – $138.00 | 12 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | $4.59 | $27.00 | $11.60 – $54.00 | 11 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $67.32 | $396.00 | $37.00 – $405.75 | 12 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | $78.71 | $463.00 | $307.00 – $1,713.88 | 12 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | $177.65 | $1,045.00 | $278.00 – $2,090.00 | 11 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $61.20 | $360.00 | $37.00 – $261.74 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | $57.12 | $336.00 | $37.00 – $154.22 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | $137.36 | $808.00 | $37.00 – $453.44 | 12 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $56.78 | $334.00 | $36.09 – $205.54 | 12 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $123.76 | $728.00 | $37.00 – $355.48 | 12 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $174.76 | $1,028.00 | $414.74 – $1,164.72 | 12 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $126.65 | $745.00 | $37.00 – $657.47 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $18.36 | $108.00 | $37.00 – $78.43 | 12 |
| Vaccine rabies im CPT 90675 | $350.21 | $2,060.04 | $302.76 – $567.39 | 19 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | $247.01 | $1,453.00 | $481.93 – $2,179.50 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $388.79 | $2,287.00 | $873.58 – $3,430.50 | 10 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $388.79 | $2,287.00 | $873.58 – $3,430.50 | 10 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $106.25 | $625.00 | $481.22 – $1,250.00 | 9 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $49.47 | $291.00 | $37.00 – $273.26 | 12 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $47.94 | $282.00 | $37.00 – $185.36 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $51.21 | $301.25 | $37.00 – $85.36 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $41.41 | $243.61 | $42.27 – $126.00 | 12 |
| Vaccine typhoid vicps im CPT 90691 | $38.42 | $226.00 | $90.85 – $339.00 | 12 |
| Vaccine varicella live subcutaneous CPT 90716 | $53.89 | $317.00 | $37.00 – $301.58 | 12 |
| Vaccine yellow fever live subcutaneous CPT 90717 | $35.87 | $211.00 | $148.22 – $314.18 | 9 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | $574.43 | $3,379.00 | $40.00 – $2,229.36 | 24 |
| Vag hyst incl t/o complex CPT 58291 | $714.17 | $4,201.00 | $656.68 – $2,836.60 | 24 |
| Vag hyst including t/o CPT 58262 | $536.18 | $3,154.00 | $40.00 – $2,069.12 | 24 |
| Vaginal bx CPT 58999 | $88.57 | $521.00 | $38.00 – $611.12 | 11 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | $497.42 | $2,926.00 | $70.00 – $2,170.22 | 24 |
| Vaginal Delivery (full care) CPT 59400 | $1,372.41 | $8,073.00 | $70.00 – $3,693.07 | 24 |
| Vaginal hysterectomy CPT 58260 | $485.86 | $2,858.00 | $389.00 – $1,847.02 | 24 |
| Vagotomy & pylorus repair 43640 CPT 43640 | $676.94 | $3,982.00 | $143.34 – $2,077.17 | 24 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | $20.99 | $123.46 | $123.46 – $183.84 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $185.64 | $1,092.00 | $12.04 – $164.33 | 17 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $59.88 | $352.22 | $0.07 – $212.29 | 7 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $49.42 | $290.68 | $0.22 – $432.82 | 7 |
| Vancomycin peak therapeutic drug level CPT 80202 | $232.39 | $1,367.00 | $12.04 – $164.33 | 17 |
| Varicella zoster antibody igg CPT 86787 | $30.09 | $177.00 | $11.38 – $156.32 | 17 |
| Varicella-zoster immue globin im CPT 90396 | $1,669.23 | $9,819.00 | $252.53 – $4,253.85 | 16 |
| Vasc graft into carpal bone CPT 25430 | $438.94 | $2,582.00 | $40.00 – $1,418.57 | 24 |
| Vasectomy CPT 55250 | $1,068.79 | $6,287.00 | $30.00 – $874.79 | 26 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $49.16 | $289.20 | $1.17 – $430.62 | 8 |
| Vbac delivery 59610 CPT 59610 | $1,425.28 | $8,384.00 | $40.00 – $3,693.07 | 24 |
| Vbac/include postpartum care 59614 CPT 59614 | $644.13 | $3,789.00 | $991.95 – $7,578.00 | 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.