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Sierra Nevada Memorial Hospital

Dignity Health
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Hospital Overview
Facility Details

CCN

050150

NPI

1659361392

Type

Short Term Acute Care Hospital

Ownership

Voluntary Non-Profit - Other

Beds

104

Contact Information

Address

155 Glasson Way

Grass Valley, CA 95945

Phone

(530) 274-6000

Insurance Accepted
Medicare
Medicaid
Aetna
BCBS
Cigna
United (incl Optum)

💡

Important Notice

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Price Transparency Contract Information

The data below comes from CMS-mandated price transparency data. Learn more.

NOTE: Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

PayerCategoryCode Type & GroupContract TypeRate Compared to State Average

Aetna

Facility

RC

Radiology Therapeutic and/of Chemotherapy Administration

Range: 0330 - 0339

Percentage of Bill Charged

Aetna

Outpatient

CPT

Surgery

Range: 10004 - 69990

Percentage of Bill Charged

Aetna

Facility

RC

Room and Board (3 and 4 beds)

Range: 0130 - 0139

Per Diem

Very High

Aetna

Outpatient

HCPCS

Ambulance and Other Transport Services and Supplies

Range: A0021 - A0999

Percentage of Bill Charged

Aetna

Facility

RC

Administration, Processing and Storage for Blood and Blood Components

Range: 0390 - 0399

Percentage of Bill Charged

Aetna

Facility

RC

Respiratory Services

Range: 0410 - 0419

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Alcohol and Drug Abuse Treatment

Range: H0001 - H2037

Per Diem

Very High

Aetna

Facility

RC

EKG/ECG Electrocardiogram

Range: 0730 - 0739

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Chemotherapy Drugs

Range: J9000 - J9999

Percentage of Bill Charged

Aetna

Outpatient

HCPCS

Orthotic Procedures and services

Range: L0112 - L4631

Percentage of Bill Charged

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COMPLEMENTARY MARKET OVERVIEW

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