CMS Price Transparency Data

CT scan, pelvis

Facility: Sierra Nevada Memorial Hospital

Billing Code: 72192 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$690
about 6.4× the $107 Medicare rate · typically $160–$1,069
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,028
Above the fair price
about $338 over the fair price · 9.6× Medicare
Medicare pays $107 Fair price $690 This hospital $1,028 Cash price $2,854 Hospital's list price $5,236

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $1,028

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a CT scan, pelvis is about $690 (about 6.4× the $107 Medicare rate). Sierra Nevada Memorial Hospital charges insurers about $1,028, or about $2,854 in cash — above the fair price. Located in Grass Valley, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $690. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $140 - $3,508 131%
Blue Cross Blue Shieldmajor $140 - $1,788 131%
Aetnamajor $140 - $977 131%
Cignamajor $1,079 - $4,555 1010%
Humanamajor $140 131%
Kaiser Permanentemajor $140 - $4,032 131%
Health Net $140 - $414 131%
+ 3 smaller / regional plans $140 - $414
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 155 Glasson Way, Grass Valley, CA 95945
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals