CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Sierra Nevada Memorial Hospital

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$279
about 2.1× the $136 Medicare rate · typically $102–$456
modeled estimate · not a bill or quote
What this hospital charges insurers
$413
Above the fair price
about $134 over the fair price · 3.0× Medicare
Medicare pays $136 Fair price $279 This hospital $413 Cash price $249 Hospital's list price $457

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 $38 Priciest $413

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

A fair price for a Office visit, established patient (30-39 min) is about $279 (about 2.1× the $136 Medicare rate). Sierra Nevada Memorial Hospital charges insurers about $413, or about $249 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 $279. 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Cigna✓ Kaiser Permanente AetnaHumana

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 $284 - $26,911 209%
Blue Cross Blue Shieldmajor $74 - $461 55%
Cignamajor $369 - $458 272%
Kaiser Permanentemajor $326 - $405 240%
Health Net $151 111%
+ 2 smaller / regional plans $67 - $151
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