SUTTER NORTH VALLEY SURGICAL HOSPITAL — price list
← Hospital overviewVerified from SUTTER NORTH VALLEY SURGICAL HOSPITAL’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.
Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.
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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen-codeine 300-30 mg po tabs Inpatient | 81000000 CDM | $40.00 | $40.00 | — | — | |
| Acetazolamide 125 mg po tabs Inpatient | 81000000 CDM | $15.00 | $15.00 | — | — | |
| Acetic acid 3 % soln Inpatient | 81000000 CDM | $2.00 | $2.00 | — | — | |
| Acyclovir 200 mg po caps Inpatient | 81000000 CDM | $7.50 | $7.50 | — | — | |
| Albuterol sulfate hfa 108 (90 base) mcg/act in aers Inpatient | 81000000 CDM | $375 | $375 | — | — | |
| Allopurinol 100 mg po tabs Inpatient | 81000000 CDM | $7.22 | $7.22 | — | — | |
| Alprazolam 0.5 mg po tbdp Inpatient | 81000000 CDM | $38.75 | $38.75 | — | — | |
| Alvimopan 12 mg po caps Inpatient | 81000000 CDM | $622 | $622 | — | — | |
| Amiloride hcl 5 mg po tabs Inpatient | 81000000 CDM | $7.50 | $7.50 | — | — | |
| Amiodarone hcl 200 mg po tabs Inpatient | 81000000 CDM | $39.32 | $39.32 | — | — | |
| Amitriptyline hcl 10 mg po tabs Inpatient | 81000000 CDM | $7.50 | $7.50 | — | — | |
| Amitriptyline hcl 50 mg po tabs Inpatient | 81000000 CDM | $12.00 | $12.00 | — | — | |
| Amlodipine besylate 5 mg po tabs Inpatient | 81000000 CDM | $13.15 | $13.15 | — | — | |
| Amoxicillin-pot clavulanate 875-125 mg po tabs Inpatient | 81000000 CDM | $27.79 | $27.79 | — | — | |
| Apixaban 2.5 mg po tabs Inpatient | 81000000 CDM | $50.33 | $50.33 | — | — | |
| Aprepitant 40 mg po caps Inpatient | 80000003 CDM | $41.23 | $41.23 | — | — | |
| Aprepitant 40 mg po caps Outpatient | 80000003 CDM | $41.23 | $41.23 | — | — | |
| Aripiprazole 5 mg po tabs Inpatient | 81000000 CDM | $93.87 | $93.87 | — | — | |
| Artificial tears op oint - consolidated Inpatient | 81000000 CDM | $2.00 | $2.00 | — | — | |
| Atenolol 25 mg po tabs Inpatient | 81000000 CDM | $10.23 | $10.23 | — | — | |
| Atorvastatin calcium 20 mg po tabs Inpatient | 81000000 CDM | $10.20 | $10.20 | — | — | |
| Bacitracin 500 unit/gm ex oint Inpatient | 81000000 CDM | $1.43 | $1.43 | — | — | |
| Baclofen 10 mg po tabs Inpatient | 81000000 CDM | $11.00 | $11.00 | — | — | |
| Benzocaine-menthol 15-3.6 mg mt lozg Inpatient | 81000000 CDM | $2.00 | $2.00 | — | — | |
| Bimatoprost 0.01 % op soln Inpatient | 81000000 CDM | $1,200 | $1,200 | — | — | |
| Bisacodyl 10 mg pr supp Inpatient | 81000000 CDM | $2.00 | $2.00 | — | — | |
| Brimonidine tartrate 0.15 % op soln Inpatient | 81000000 CDM | $995 | $995 | — | — | |
| Brinzolamide 1 % op susp Inpatient | 81000000 CDM | $30.00 | $30.00 | — | — | |
| Budesonide-formoterol fumarate 160-4.5 mcg/act in aero Inpatient | 81000000 CDM | $1,209 | $1,209 | — | — | |
| Budesonide-formoterol fumarate 80-4.5 mcg/act in aero Inpatient | 81000000 CDM | $1,200 | $1,200 | — | — |