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 |
|---|---|---|---|---|
| X-ray ribs 3 views bilateral CPT 71110 | $187.00 | $1,100.00 | $1.97 – $205.64 | 27 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $111.69 | $657.00 | $1.97 – $175.25 | 27 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $204.00 | $1,200.00 | $2.29 – $233.08 | 27 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $132.09 | $777.00 | $1.38 – $161.16 | 27 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $105.57 | $621.00 | $1.28 – $148.48 | 27 |
| X-ray scapula complete (both sides) CPT 73010 | $182.07 | $1,071.00 | $1.28 – $144.01 | 27 |
| X-ray sella turcica CPT 70240 | $76.67 | $451.00 | $1.38 – $119.88 | 27 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $136.51 | $803.00 | $1.13 – $123.25 | 27 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $164.05 | $965.00 | $1.81 – $204.90 | 27 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $300.05 | $1,765.00 | $3.93 – $752.68 | 27 |
| X-ray skull < 4 views CPT 70250 | $98.60 | $580.00 | $1.76 – $161.84 | 27 |
| X-ray skull > 4 views complete CPT 70260 | $183.26 | $1,078.00 | $2.50 – $233.81 | 27 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $18.36 | $108.00 | $4.26 – $138.95 | 24 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $220.49 | $1,297.00 | $3.40 – $339.24 | 27 |
| X-ray small intestine follow-through study CPT 74248 | $147.39 | $867.00 | $5.48 – $315.10 | 27 |
| X-ray spine single view CPT 72020 | $110.84 | $652.00 | $1.13 – $119.88 | 27 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $91.12 | $536.00 | $1.60 – $181.87 | 27 |
| X-ray sternum > 2 views CPT 71120 | $98.60 | $580.00 | $1.49 – $169.25 | 27 |
| X-ray surgical specimen CPT 76098 | $125.46 | $738.00 | $1.17 – $752.68 | 27 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $246.84 | $1,452.00 | $3.84 – $339.97 | 27 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $137.36 | $808.00 | $1.76 – $217.52 | 27 |
| X-ray thoracic spine 2 views CPT 72070 | $155.21 | $913.00 | $1.60 – $169.25 | 27 |
| X-ray thoracic spine 3 views CPT 72072 | $171.70 | $1,010.00 | $1.60 – $192.34 | 27 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $104.38 | $614.00 | $1.60 – $174.46 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $81.77 | $481.00 | $3.04 – $253.91 | 27 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $143.65 | $845.00 | $3.71 – $463.95 | 27 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $152.32 | $896.00 | $1.28 – $135.87 | 27 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $122.74 | $722.00 | $0.96 – $119.88 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $231.54 | $1,362.00 | $5.00 – $430.51 | 27 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $25.50 | $150.00 | $5.00 – $150.00 | 24 |
| X-ray wrist 2 views (both sides) CPT 73100 | $136.51 | $803.00 | $1.17 – $128.39 | 27 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $125.46 | $738.00 | $2.65 – $283.55 | 27 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | $119.85 | $705.00 | $76.84 – $442.93 | 24 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | $60.01 | $353.00 | $75.68 – $1,458.75 | 27 |
| Yersinia antibody CPT 86793 | $7.10 | $41.75 | $11.72 – $160.00 | 17 |
| Zika virus dna/rna amp probe CPT 87662 | $7.75 | $45.61 | $45.61 – $916.62 | 17 |
| Zika virus igm antibody CPT 86794 | $2.54 | $14.97 | $14.97 – $301.05 | 17 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $80.68 | $474.58 | $20.13 – $706.65 | 10 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $401.77 | $2,363.38 | $5.06 – $362.18 | 14 |
| Zoster vaccine-live inj CPT 90736 | $108.29 | $637.00 | $334.06 – $955.50 | 12 |
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.