Sierra Nevada Memorial Hospital

Grass Valley, CA

Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$675.80–$2,678.13 $1,240–$4,914 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$770.63–$2,834.55 $1,414–$5,201 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$1,181.02–$4,365.45 $2,167–$8,010 varies
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$1,181.02–$4,365.45 $2,167–$8,010 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$178.22–$742.84 $327–$1,363 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$770.63–$2,684.13 $1,414–$4,925 varies
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$1,013.70–$4,279.89 $1,860–$7,853 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$1,337.43–$5,408.58 $2,454–$9,924 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$283.40–$1,030.60 $520–$1,891 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$172.22–$791.89 $316–$1,453 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$283.40–$1,084.01 $520–$1,989 varies
Mammography, both breasts (diagnostic) (77066) $492.14 $903 4.5×
Mammography, screening (bilateral) (77067) $334.63 $614 3.7×
Basic metabolic panel (80048) $166.23 $305 19.6×
Comprehensive metabolic panel (80053) $202.74 $372 19.2×
Lipid panel (80061)
range across 5 matching MRF lines
$4.36–$153.15 $8–$281 varies
Renal function panel (80069) $138.43 $254 15.9×
Hepatic function panel (80076) $140.61 $258 17.2×
Urinalysis, non-automated, without microscopy (81002) $72.49 $133 20.8×
PSA, total (84153)
range across 2 matching MRF lines
$9–$113.91 $16.51–$209 varies
Thyroid stimulating hormone (TSH) (84443)
range across 3 matching MRF lines
$4.36–$143.88 $8–$264 varies
CBC with automated differential (85025) $145.52 $267 18.7×
CBC, automated (85027) $109.55 $201 16.9×
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$1.93–$78.48 $3.53–$144 varies
Partial thromboplastin time (PTT) (85730)
range across 4 matching MRF lines
$2.96–$124.81 $5.43–$229 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$183.67–$238.71 $337–$438 varies
Office visit, new patient (moderate complexity, ~45 min) (99204) $258.88 $475 1.5×
Office visit, new patient (high complexity, ~60 min) (99205) $337.36 $619 2.0×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

More prices at this hospital

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Download the machine-readable file (JSON, 81.5 MB) ↓ — captured 2026-09-03

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