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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 | |
| Butalb-acetamin-caff 50-300-40 Outpatient | 0012 CDM | $3,250 | $293 | $4.42 – $12,681 | $2,015 | |
| Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extr Outpatient | 0012 CDM | $801 | $72.09 | $4.42 – $12,681 | $314 | |
| Nursery - newborn - level ii Inpatient | 0012 CDM | $21,466 | $1,932 | $4.42 – $12,681 | $2,383 | |
| Prescription drug, oral, non chemotherapeutic, nos Outpatient | 0012 CDM | $13.00 | $1.17 | $4.42 – $12,681 | $5.10 |