Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA 95945 · (530) 274-6000

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 3/5Truckee, CA metro Website ↗

Price file

Prices published

File dated 2026-09-30

3,055 price rows for 56 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $166

$159

cash

$8 to $778

39 negotiated rates

$286

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 3 lines · metro median $1,337

$1,323

cash

$282 to $9,333

66 negotiated rates

$2,381

list

CT scan of the head, no contrast

CPT 70450 · lowest of 3 lines · metro median $676

$677

cash

$113 to $4,775

66 negotiated rates

$1,218

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 3 lines · metro median $1,014

$1,005

cash

$227 to $7,385

66 negotiated rates

$1,809

list

Cataract surgery with lens implant

CPT 66984

—

cash

$478 to $20,647

30 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$1,995 to $13,293

14 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,387 to $112,552

14 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines · metro median $17

$17

cash

$24 to $238

78 negotiated rates

$31

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$164 to $15,717

30 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$178 to $15,717

30 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$224 to $15,717

30 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $146

$147

cash

$8 to $542

39 negotiated rates

$265

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $203

$204

cash

$11 to $1,201

39 negotiated rates

$368

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $492

$482

cash

$148 to $867

29 negotiated rates

$867

list

Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 6 lines · metro median $301

$307

cash

$102 to $553

84 negotiated rates

$552

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$535 to $38,184

30 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines · metro median $17

$17

cash

$24 to $249

78 negotiated rates

$31

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$2,234 to $49,678

12 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,230 to $26,921

12 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,633 to $45,909

12 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$395 to $26,083

30 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$521 to $26,083

30 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$214 to $13,585

30 negotiated rates

—

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $4

cash

$6 to $318

195 negotiated rates

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $141

$143

cash

$8 to $277

39 negotiated rates

$258

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 3 lines · metro median $1,181

$1,184

cash

$339 to $7,658

66 negotiated rates

$2,131

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 3 lines · metro median $771

$786

cash

$204 to $4,780

66 negotiated rates

$1,414

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 3 lines · metro median $771

$786

cash

$203 to $4,777

66 negotiated rates

$1,414

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$2,682 to $49,678

14 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$101 to $15,717

30 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines · metro median $184

$187

cash

$71 to $434

84 negotiated rates

$337

list

New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $259

$264

cash

$117 to $470

28 negotiated rates

$475

list

New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $337

$344

cash

$138 to $614

28 negotiated rates

$620

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $9

cash

$13 to $235

78 negotiated rates

$17

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 8 lines · metro median $3

cash

$4 to $233

156 negotiated rates

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 3 lines · metro median $172

$181

cash

$135 to $1,424

66 negotiated rates

$325

list

Prostate biopsy

CPT 55700

—

cash

$100 to $18,332

9 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$1,075 to $43,471

30 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $2

cash

$3 to $331

117 negotiated rates

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$302 to $21,381

30 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $335

$326

cash

$119 to $587

29 negotiated rates

$587

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$143 to $12,814

22 negotiated rates

—

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$32,246 to $32,246

2 negotiated rates

—

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$74 to $13,585

30 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$90 to $13,585

30 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 6 lines · metro median $4

cash

$6 to $278

117 negotiated rates

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$194 to $24,938

30 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 3 lines · metro median $283

$287

cash

$97 to $1,949

66 negotiated rates

$517

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 3 lines · metro median $283

$277

cash

$119 to $1,811

66 negotiated rates

$499

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$111 to $15,717

30 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$124 to $15,717

30 negotiated rates

—

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $63

$64

cash

$3 to $127

39 negotiated rates

$116

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$1,994 to $12,814

14 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,138 to $26,921

14 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$1,994 to $13,293

14 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 3 lines · metro median $178

$182

cash

$57 to $1,336

66 negotiated rates

$327

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.commonspirit.org/content/dam/commonspiritorg/en/dhsac/casa/finance/price-transparency/941439787-1659361392_sierra-nevada-memorial-miners-hospital_standardcharges.json
Sierra Nevada Memorial Hospital · parsed · json v3.0.0 · file dated 2026-09-30 · 83.3 MB · 3055 price rows read · read Nov 2026