Sierra Nevada Memorial Hospital
Sierra Nevada Memorial Hospital in Grass Valley, CA charges 7.0x the Medicare reimbursement rate across 38 analyzed procedures at this nonprofit-private facility.
Grass Valley, CA 95945 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.
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Pricing grade
D
High
Avg markup vs Medicare
6.98x
Charge / Medicare rate
Max markup
12.24x
Worst procedure
Procedures analyzed
38
With pricing data
Outlier procedures
10.5%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $71,457 | $35,728 | — | 12.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $50,991 | $25,495 | — | 11.6x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $65,217 | $32,608 | — | 10.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $78,680 | $39,340 | — | 9.1x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $42,642 | $21,321 | — | 8.8x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $59,302 | $29,651 | — | 8.7x |
| RENAL FAILURE WITH CC | 683 | $62,483 | $31,241 | — | 8x |
| RENAL FAILURE WITH MCC | 682 | $107,682 | $53,841 | — | 7.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $83,071 | $41,535 | — | 7.8x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $69,192 | $34,596 | — | 7.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $53,205 | $26,603 | — | 7.7x |
| POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | 917 | $105,913 | $52,956 | — | 7.7x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $51,038 | $25,519 | — | 7.6x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $89,121 | $44,560 | — | 7.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $64,368 | $32,184 | — | 7.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $48,282 | $24,141 | — | 7.1x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $82,908 | $41,454 | — | 6.9x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $135,952 | $67,976 | — | 6.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $66,840 | $33,420 | — | 6.7x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $127,754 | $63,877 | — | 6.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $54,520 | $27,260 | — | 6.4x |
| COAGULATION DISORDERS | 813 | $93,227 | $46,613 | — | 6.3x |
| CELLULITIS WITHOUT MCC | 603 | $48,389 | $24,194 | — | 6.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $74,143 | $37,072 | — | 6.2x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $74,403 | $37,201 | — | 6.2x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $74,572 | $37,286 | — | 6.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $161,739 | $80,870 | — | 5.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $63,907 | $31,954 | — | 5.7x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $131,802 | $65,901 | — | 5.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $103,479 | $51,739 | — | 5.7x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | 699 | $51,724 | $25,862 | — | 5.6x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $278,416 | $139,208 | — | 5.5x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $82,619 | $41,310 | — | 5.5x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $75,508 | $37,754 | — | 5.4x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $93,411 | $46,705 | — | 5.3x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $80,264 | $40,132 | — | 4.8x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $78,149 | $39,075 | — | 4.3x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $191,705 | $95,853 | — | 4.3x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use