Visits & medical services prices at Sierra Nevada Memorial Hospital
Grass Valley, CA · every code in this section with a posted price and a Medicare benchmark.
103 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) | $184.76 | $339 | 3.5× |
| Airway Inhalation Treatment (94640) range across 2 matching MRF lines |
$378.78–$407.66 | $695–$748 | varies |
| Application on-body injector (96377) | $171.68 | $315 | 2.8× |
| Audiometry Air & Bone (92553) | $306.84 | $563 | 1.8× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $715.59 | $1,313 | 1.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $1,071.47 | $1,966 | 3.8× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$515.57–$4,295.15 | $946–$7,881 | varies |
| Cardioversion (92960) range across 2 matching MRF lines |
$889.44–$898.16 | $1,632–$1,648 | varies |
| Cbt 1st hour (94644) | $395.67 | $726 | 2.3× |
| Chemo Anti-Neopl Sq/Im (96401) range across 3 matching MRF lines |
$139.52–$597.32 | $256–$1,096 | varies |
| Chemo Hormon Antineopl Sq/Im (96402) range across 3 matching MRF lines |
$139.52–$267.60 | $256–$491 | varies |
| Chemo IV infusion addl hr (96415) range across 3 matching MRF lines |
$140.61–$379.87 | $258–$697 | varies |
| Chemo IV push addl drug (96411) range across 2 matching MRF lines |
$140.61–$379.87 | $258–$697 | varies |
| Chemother Prolong Infuse W/Pump (96416) | $506.31 | $929 | 1.2× |
| Chemotherapy Into Cns (96450) | $422.38 | $775 | 1.0× |
| Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) range across 2 matching MRF lines |
$140.61–$520.48 | $258–$955 | varies |
| Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) range across 2 matching MRF lines |
$520.48–$688.88 | $955–$1,264 | varies |
| Chemotx admn IV push tq 1/1st sbst/drug (96409) range across 2 matching MRF lines |
$426.74–$520.48 | $783–$955 | varies |
| Chest Wall Manipulation (94668) | $173.86 | $319 | 1.0× |
| Color/duplex Doppler, complete (93975) range across 2 matching MRF lines |
$423.47–$1,472.05 | $777–$2,701 | varies |
| Color/duplex Doppler, limited (93976) range across 2 matching MRF lines |
$257.79–$986.45 | $473–$1,810 | varies |
| Continuous Pulse Ox (94762) | $208.19 | $382 | 1.2× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$505.22–$1,742.37 | $927–$3,197 | varies |
| Cpt initial (94667) | $158.05 | $290 | 0.9× |
| Critical care first hour (99291) | $4,733.33 | $8,685 | 4.4× |
| Debridement Open Wound 20 Sq Cm< (97597) range across 3 matching MRF lines |
$259.97–$353.71 | $477–$649 | varies |
| Dialysis One Evaluation (90945) | $625.66 | $1,148 | 1.2× |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) range across 2 matching MRF lines |
$423.47–$1,472.05 | $777–$2,701 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) | $986.45 | $1,810 | 7.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) range across 2 matching MRF lines |
$423.47–$1,472.05 | $777–$2,701 | varies |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) range across 2 matching MRF lines |
$423.47–$1,472.05 | $777–$2,701 | varies |
| Duplex up extrem art bilat (93930) range across 2 matching MRF lines |
$423.47–$1,469.32 | $777–$2,696 | varies |
| ECG/monitoring and analysis (93271) | $161.32 | $296 | 1.3× |
| Echo Congenital Complete (93303) | $1,310.73 | $2,405 | 1.9× |
| Echo Heart Xthoracic,Limited (93308) | $666.54 | $1,223 | 2.2× |
| Echo transesophageal (93312) range across 2 matching MRF lines |
$948.85–$1,482.40 | $1,741–$2,720 | varies |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $2,433.97 | $4,466 | 3.4× |
| Eeg 41-60 Minutes (95812) | $538.46 | $988 | 1.9× |
| EEG awake and asleep (95819) | $1,408.28 | $2,584 | 5.0× |
| EEG awake drowsy (95816) | $1,235.52 | $2,267 | 4.4× |
| EEG cont rec w/video by tech min 8 channels (95700) | $514.48 | $944 | 1.8× |
| EEG extended monitoring 61-119 minutes (95813) | $652.91 | $1,198 | 2.3× |
| Eeg Sleep Only (95822) | $682.34 | $1,252 | 2.4× |
| Electrocardiogram Tracing (93005) | $331.91 | $609 | 4.3× |
| Emergency Dept Visit Level 2 (99282) | $671.44 | $1,232 | 3.4× |
| Emergency Dept Visit Level 3 (99283) | $1,104.17 | $2,026 | 3.1× |
| Emergency Dept Visit Level 4 (99284) | $2,165.29 | $3,973 | 4.0× |
| Er level 1 (99281) | $324.82 | $596 | 3.0× |
| Er level v (99285) | $3,334.31 | $6,118 | 4.3× |
| Evaluate pt use of inhaler (94664) | $204.38 | $375 | 0.7× |
| External ECG rec>48hr<7d recording (93242) | $81.21 | $149 | 1.7× |
| External ECG rec>7d<15d recording (93246) | $81.21 | $149 | 1.7× |
| External Ecg Scanning Analysis Report (93226) | $458.35 | $841 | 6.0× |
| Extracranial Bilat Study (93880) range across 2 matching MRF lines |
$423.47–$1,472.05 | $777–$2,701 | varies |
| Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) range across 2 matching MRF lines |
$1,300.37–$1,566.33 | $2,386–$2,874 | varies |
| Holter monitor recording (93225) | $311.74 | $572 | 1.8× |
| Icm Device Eval (93290) | $68.67 | $126 | 1.4× |
| Immunization administration (90471) | $175.49 | $322 | 1.9× |
| Insert/Place Heart Catheter (93503) | $2,933.74 | $5,383 | 1.4× |
| Intracranial Complete Study (93886) range across 2 matching MRF lines |
$537.92–$1,486.22 | $987–$2,727 | varies |
| Irrig Drug Delivery Device (96523) | $176.58 | $324 | 2.3× |
| IV infusion hydration each additional hour (96361) range across 2 matching MRF lines |
$88.84–$468.70 | $163–$860 | varies |
| IV infusion hydration initial 31 min-1 hour (96360) range across 2 matching MRF lines |
$431.10–$468.70 | $791–$860 | varies |
| IV infusion ther proph addl sequential to 1 hr (96367) range across 3 matching MRF lines |
$88.84–$473.61 | $163–$869 | varies |
| IV infusion therapy prophylaxis/dx ea hour (96366) range across 2 matching MRF lines |
$88.84–$468.70 | $163–$860 | varies |
| IV push initial (96374) range across 3 matching MRF lines |
$256.15–$328.09 | $470–$602 | varies |
| Lung Function Test (Mbc/Mvv) (94200) | $195.66 | $359 | 2.6× |
| Mechanical chest wall oscillation per session (94669) | $145.52 | $267 | 0.5× |
| Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) | $15.26 | $28 | 0.5× |
| Medical nutrition assmt&ivntj indiv each 15 mi (97802) | $18.53 | $34 | 0.5× |
| Medical nutrition therapy grp2/ indiv ea 30 mi (97804) | $8.18 | $15 | 0.5× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) range across 2 matching MRF lines |
$202.20–$713.95 | $371–$1,310 | varies |
| Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) range across 2 matching MRF lines |
$329.18–$713.95 | $604–$1,310 | varies |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$294.30–$353.16 | $540–$648 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$479.60–$729.76 | $880–$1,339 | varies |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $190.21 | $349 | 1.1× |
| Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) | $190.21 | $349 | 1.1× |
| Peripheral arterial disease rehab per session (93668) | $115 | $211 | 1.5× |
| Phlebotomy therapeutic (99195) range across 2 matching MRF lines |
$156.96–$307.93 | $288–$565 | varies |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $172.77 | $317 | 2.3× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $172.77 | $317 | 2.3× |
| Plethysmography (94726) | $578.25 | $1,061 | 1.2× |
| Pulm function test by gas (94727) | $293.76 | $539 | 1.0× |
| Pulmonary service/procedure (94799) | $217.46 | $399 | 1.3× |
| Refill/Maint Pump/Resvr Syst (96522) | $349.35 | $641 | 1.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $209.83 | $385 | 0.8× |
| Spirometry (94010) | $249.61 | $458 | 0.9× |
| Stress Tte Only (93350) | $2,433.97 | $4,466 | 3.4× |
| Ther/Proph/Diag Inj Ia (96373) | $281.77 | $517 | 1.0× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$87.20–$281.77 | $160–$517 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) range across 3 matching MRF lines |
$407.66–$468.70 | $748–$860 | varies |
| Tilt table test with heart rhythm and blood pressure monitoring (93660) | $1,654.62 | $3,036 | 3.4× |
| Tobacco Use Cessation Intensive >10 Minutes (99407) | $384.23 | $705 | 7.9× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) range across 2 matching MRF lines |
$81.75–$184.76 | $150–$339 | varies |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $997.35 | $1,830 | 7.4× |
| Tte w/doppler, complete (93306) | $2,167.47 | $3,977 | 3.1× |
| Tte W/O Doppler Complete (93307) | $1,546.17 | $2,837 | 5.0× |
| Tx/Pro/Dx Inj New Drug Addon (96375) range across 3 matching MRF lines |
$125.90–$281.77 | $231–$517 | varies |
| Upr/L Xtremity Art 2 Levels (93922) range across 3 matching MRF lines |
$150.97–$673.08 | $277–$1,235 | varies |
| Upr/Lxtr Art Stdy 3+ Lvls (93923) | $989.72 | $1,816 | 3.5× |
| Vent Mgmt Inpat Init Day (94002) | $2,066.64 | $3,792 | 2.6× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $1,486.76 | $2,728 | 1.9× |
| Vital capacity, total (94150) | $334.09 | $613 | 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.