SIERRA VISTA HOSPITAL, INC. — price list

← Hospital overviewVerified from SIERRA VISTA HOSPITAL, INC.’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

280 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acute hepatitis panel Outpatient	0074 CDM	$853	$76.77	$5.53 – $6,292	$493
Addition to halo procedure, magnetic resonance image compatible systems, rings and pins, any material Outpatient	0083 CDM	$8,427	$758	$30.56 – $10,955	$1,424
Addition to knee joint, drop lock, each Outpatient	0091 CDM	$731	$65.79	$105 – $950	$287
Addition to lower extremity orthosis, soft interface for molded plastic, above knee section Outpatient	0048 CDM	$3,920	$353	$35.04 – $8,859	$2,430
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section Outpatient	0050 CDM	$1,108	$99.72	$11.22 – $1,440	$687
Addition to lower extremity, dorsiflexion assist (plantar flexion resist), each joint Outpatient	0051 CDM	$742	$66.78	$103 – $965	$291
Addition to lower extremity, lacer molded to patient model, for custom fabricated orthosis only Outpatient	0094 CDM	$4,209	$379	$602 – $5,472	$2,610
Addition to lower extremity, limited ankle motion, each joint Outpatient	0049 CDM	$711	$63.99	$35.04 – $8,859	$279
Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each Outpatient	0098 CDM	$6,408	$577	$4.08 – $15,018	$3,973
Addition to lower extremity, pelvic control, hip joint, heavy duty, each Outpatient	0099 CDM	$2,866	$258	$410 – $8,859	$1,399
Addition to lower extremity, varus/valgus correction ('t') strap, padded/lined or malleolus pad Outpatient	0080 CDM	$801	$72.09	$54.91 – $1,647	$391
Adhesion barrier Outpatient	0009 CDM	$2,405	$216	$9.18 – $3,127	$943
Administration of hepatitis b vaccine Outpatient	0010 CDM	$188	$16.92	$21.77 – $3,772	$117
Administration of hepatitis b vaccine Outpatient	0031 CDM	$112	$10.08	$13.54 – $9,303	$69.44
Administration of influenza virus vaccine Outpatient	0008 CDM	$92.00	$8.28	$24.48 – $120	$36.06
Administration of pneumococcal vaccine Outpatient	0009 CDM	$86.00	$7.74	$9.18 – $3,127	$53.32
Administration of pneumococcal vaccine Outpatient	0028 CDM	$83.00	$7.47	$28.22 – $3,550	$51.46
Analysis for antibody to helminth (intestinal worm) Outpatient	0050 CDM	$33.00	$2.97	$11.22 – $1,440	$12.94
Analysis of substance using immunoassay technique, multiple step method Outpatient	0054 CDM	$42.00	$3.78	$11.53 – $569	$14.28
Analysis of substance using immunoassay technique, multiple step method Outpatient	0203 CDM	$27.94	$2.51	$4.08 – $44.20	$16.14
Analysis of substance using immunoassay technique, multiple step method Outpatient	0205 CDM	$235	$21.15	$0.19 – $15,572	$92.12
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) Outpatient	0005 CDM	$3,478	$313	$1,183 – $4,521	$2,156
withrad 15m Outpatient	0023 CDM	$1,249	$112	$38.57 – $15,572	$490
withrad init Outpatient	0020 CDM	$2,917	$263	$242 – $16,610	$1,143
Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf Outpatient	0012 CDM	$959	$86.31	$4.42 – $12,681	$595
Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf Outpatient	0009 CDM	$1,802	$162	$9.18 – $3,127	$706
Ankle foot orthosis, plastic or other material, prefabricated, includes fitting and adjustment Outpatient	0079 CDM	$3,545	$319	$25.50 – $4,609	$1,390
Ankle foot orthosis, plastic with ankle joint, custom fabricated Outpatient	0063 CDM	$8,686	$782	$37.95 – $11,292	$2,345
Ankle foot orthosis, posterior solid ankle, plastic, custom fabricated Outpatient	0065 CDM	$7,082	$637	$19.04 – $9,207	$4,391
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf Outpatient	0061 CDM	$747	$67.23	$31.06 – $971	$293