SIERRA NEVADA MEMORIAL HOSPITAL

Acute Care Hospitals

3 out of 5 (CMS)

155 GLASSON WAY

GRASS VALLEY, CA, 95945

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(530) 274-6000

Emergency Services: Yes

Voluntary non-profit - Other

Procedure Prices at SIERRA NEVADA MEMORIAL HOSPITAL

VENIPUNCTURE

CPT 36415

INJ FORAMEN EPIDURAL L/S

CPT 64483

$10.04

Chest X-Ray (1 view)

CPT 71045

$17.67

Upper GI Endoscopy w/ Biopsy

CPT 43239

$21.52

Chest X-Ray (2 views)

CPT 71046

$24.73

Colonoscopy

CPT 45378

$28.69

Thoracic Spine X-Ray

CPT 72072

$30.31

Colonoscopy w/ Biopsy

CPT 45380

$43.03

Appendectomy

CPT 44950

$47.95

Recurrent Inguinal Hernia Repair

CPT 49520

$47.95

Inguinal Hernia Repair

CPT 49505

$50.2

Vaginal Delivery

CPT 59400

$50.2

VBAC Delivery

CPT 59610

$50.2

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$51.64

TREAT THIGH FRACTURE

CPT 27245

$54.8

Abdominal Ultrasound — Limited

CPT 76705

$67.84

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$68.5

Retroperitoneal Ultrasound

CPT 76770

$83.82

Knee Replacement

CPT 27447

$86.06

C-Section

CPT 59510

$86.06

ARTHROSCOP ROTATOR CUFF REPR

CPT 29827

$90

Abdominal Ultrasound

CPT 76700

$90.14

Knee Arthroscopy

CPT 29881

$93.24

Diagnostic Mammogram (unilateral)

CPT 77065

$97.2

CT Chest

CPT 71250

$98.69

OB Ultrasound

CPT 76805

$100.17

Cataract Surgery — Complex

CPT 66982

$120

Diagnostic Mammogram (bilateral)

CPT 77066

$124.33

Hip Replacement

CPT 27130

$137

MRI Brain w/o Contrast

CPT 70551

$157.61

MRI Joint of Lower Extremity

CPT 73721

$171.73

Laparoscopic Cholecystectomy

CPT 47562

$179.3

Laparoscopic Hernia Repair

CPT 49650

$179.3

CT Abdomen & Pelvis

CPT 74177

$265.38

MRI Brain w/ Contrast

CPT 70553

$265.75

Cataract Surgery

CPT 66984

$380.41

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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.