How many shoppable procedure prices are published for Sierra Nevada Memorial Hospital?

Sierra Nevada Memorial Hospital in Grass Valley, CA currently has 91 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sierra Nevada Memorial Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sierra Nevada Memorial Hospital's median negotiated commercial rate is 2.4× the regionally adjusted fair BaseRate benchmark.

What is Sierra Nevada Memorial Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Sierra Nevada Memorial Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Other 104 Beds · rural Updated: 2026-02-28

Sierra Nevada Memorial Hospital

155 Glasson Way, Grass Valley, CA 95945 · 91 Priced Procedures · 71% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

High Markup · Shop Alternatives

2.36×vs. Fair Market Price

Typical commercial prices here are +136% above the fair benchmark (2.36×) even after accounting for local nurse/doctor wages and patient complexity.

68/100 · Caution

68/100Self-Pay Cash Beats Insurance 63% of the Time

File Completeness56

Price Logic46

Peer Alignment65

Clean Billing84

Real Cash Discount100

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 2.36× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +80% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

Sierra Nevada Memorial Hospital prices routine shoppable procedures at 4.0× Medicare (median 2.00× Fair BaseRate) while upper-quartile commercial rates jump +80% to 3.60× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#230 of 240 in CA · 95th State Percentile#3,217 of 3,385 in U.S. · 95th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.02× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 63% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (65/100 safety score) with 71% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 5.0× markup over Medicare rates
Commercial insurance median sits at 2.00× Fair BaseRate (4.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 3.60×) jump +80% above the median procedure ratio (Q50 2.00×)
Consolidated metro market (HHI 6,147) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

4.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.28× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+80% Upper Tail

Q25 1.02× · Q50 2.00× · Q75 3.60×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

4.0× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

5.0× MedicareWatchout

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

5.6× MedicareWatchout

Back-Door Captive ER VisitsBack-Door Captive

5.8× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.4× MedicareWatchout

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

63% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 65/100Fair

Procedure Prices at Sierra Nevada Memorial Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 91 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$30,438	$30,775	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$19,492	$19,087	1.0×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$18,746	$19,432	1.0×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$18,003	$17,936	1.0×
Total knee replacement CPT Code: `27447`	—	$16,626	$13,523	1.2×
Total hip replacement CPT Code: `27130`	—	$16,344	$13,413	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,982	$8,223	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$7,667	$6,109	1.3×
Breast lump removal CPT Code: `19120`	—	$5,032	$3,875	1.3×
Inguinal hernia repair CPT Code: `49505`	—	$4,638	$3,629	1.3×
Vaginal delivery (full package) CPT Code: `59400`	—	$4,506	$2,680	1.7×
C-section delivery (full package) CPT Code: `59510`	—	$4,509	$2,975	1.5×
Rabies immune globulin HCPCS Code: `90375`	$4,522	$4,522	$322	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$4,264	$3,372	1.3×
Bunion correction surgery CPT Code: `28296`	—	$4,264	$3,446	1.2×
Cataract surgery with lens implant CPT Code: `66984`	—	$3,553	$2,540	1.4×
Blood transfusion CPT Code: `36430`	$1,761	$2,783	$498	5.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$2,167	$2,760	$583	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$4,365	$1,884	$511	3.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,409	$1,537	$448	3.4×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,549	$1,256	1.2×
MRI, lower back (no contrast) CPT Code: `72148`	$2,684	$1,386	$338	4.1×
MRI, brain (no contrast) CPT Code: `70551`	$2,835	$1,386	$343	4.0×
CT scan, head (with contrast) CPT Code: `70460`	$4,017	$1,338	$242	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$4,017	$1,352	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,624	$1,255	$303	4.1×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,232	$987	1.2×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,203	$981	1.2×
CT scan, sinuses CPT Code: `70486`	$2,607	$1,038	$166	6.3×
CT scan, chest (no contrast) CPT Code: `71250`	$2,493	$1,038	$167	6.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$2,673	$1,038	$168	6.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,453	$1,038	$169	6.1×
CT scan, head (no contrast) CPT Code: `70450`	$2,678	$1,017	$160	unverified
CT scan, pelvis CPT Code: `72192`	$2,854	$1,028	$163	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,472	$761	$272	2.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$492	$736	$148	unverified
Breathing treatment (nebulizer) CPT Code: `94640`	$393	$576	$201	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$335	$523	$123	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,031	$494	$134	3.7×
Ultrasound, pelvis CPT Code: `76856`	$988	$468	$130	3.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$988	$468	$132	3.5×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,031	$439	$126	3.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$249	$413	$123	3.4×
New patient office visit (30-44 min) CPT Code: `99203`	$207	$330	$110	3.0×
Hepatitis B immune globulin HCPCS Code: `90371`	$343	$343	$151	2.3×
Office visit, established patient (20-29 min) CPT Code: `99213`	$184	$273	$87	3.1×
X-ray, lower back CPT Code: `72110`	$743	$282	$112	2.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$332	$239	$64	3.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$147	$235	$86	2.7×
X-ray, chest (two views) CPT Code: `71046`	$545	$239	$93	2.6×
X-ray, pelvis CPT Code: `72170`	$620	$238	$110	2.2×
X-ray, neck (cervical spine) CPT Code: `72040`	$663	$205	$93	2.2×
X-ray, chest (single view) CPT Code: `71045`	$545	$184	$92	2.0×
Typhoid vaccine HCPCS Code: `90675`	$827	$827	$347	2.4×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$435	$435	$11	39.5×
Blood test, basic metabolic panel CPT Code: `80048`	$311	$311	$9	34.6×
Culture, blood CPT Code: `87040`	$320	$320	$11	29.1×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$299	$299	$20	14.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$188	$266	$111	2.4×
Blood test, complete blood count (CBC) CPT Code: `85025`	$223	$223	$8	27.9×
Blood test, amylase CPT Code: `82150`	$116	$116	$7	16.6×
Blood test, liver function panel CPT Code: `80076`	$141	$141	$9	15.7×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$88	$144	$56	2.6×
Blood test, potassium CPT Code: `84132`	$144	$144	$5	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$60	$95	$39	2.4×
Blood antibody screen CPT Code: `86850`	$54	$82	$46	1.8×
Pneumococcal vaccine HCPCS Code: `90732`	$219	$98	$140	0.7×
Blood test, vitamin B12 CPT Code: `82607`	$100	$100	$16	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$105	$105	$14	unverified
Blood test, hemoglobin CPT Code: `85018`	$53	$53	$3	17.7×
Blood test, creatinine (kidney) CPT Code: `82565`	$59	$59	$5	11.8×
Blood test, sodium CPT Code: `84295`	$50	$50	$5	10.0×
Diagnostic procedure preparation HCPCS Code: `G0279`	$34	$60	$35	1.7×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$67	$67	$3	unverified
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	$32	$4	8.0×
Culture, bacterial CPT Code: `87070`	$34	$34	$9	3.8×
Hepatitis B vaccine HCPCS Code: `90744`	$49	$34	$37	0.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$7	$6	1.2×
Blood test, calcium CPT Code: `82310`	$54	$5	$5	1.0×
Blood test, lipase CPT Code: `83690`	$76	$7	$7	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$4	$4	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$5	$5	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$46	$24	$25	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$61	$17	$19	0.9×
Hepatitis C antibody test CPT Code: `86803`	$46	$13	$15	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$8	$12	$14	0.9×
Blood test, magnesium CPT Code: `83735`	$68	$6	$7	0.9×
Blood test, vitamin D CPT Code: `82306`	$14	$25	$31	0.8×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$7	$10	0.7×
Blood test, thyroid (TSH) CPT Code: `84443`	$5	$9	$18	0.5×
Drug screening test HCPCS Code: `G0480`	$23	$23	$116	0.2×

Showing top 25 high-impact procedures of 91 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 30.0%

Audit a Bill or Quote at Sierra Nevada Memorial Hospital (Zero PHI Required)

CMS CCN: 050150

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $30,438

1. Amount on Your Bill or Quote ($) Pre-filled with Sierra Nevada Memorial Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $21,901 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $21,901

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.0% of gross = $21,901).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Sierra Nevada Memorial Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$42,276 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($73,051) is $42,276 above the denoised Fair BaseRate ($30,775) and 3.1× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (30.0% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite65/100

Would Recommend71%

Rated 9 or 10 (HCAHPS)71%

Median ER Wait152 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate6.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sierra Nevada Memorial Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-06·administrative_or_closure
Met Requirements
Recorded
2022-12-15·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (451 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sierra Nevada Memorial Hospital.

Price Index: 1.05× regional baseline

Quality: 54/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-56.2%

Median Household Income$84,905U.S. Census ACS

Local Uninsured Share5.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 68/100 · Caution CMS CCN 050150

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 050150) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-28

Validated Rate Rows3,589 (CMS v3.0.0)

File Integrity DigestVerified · CCN 050150

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy