26/100
#2,004 nationally
Sierra Nevada Memorial Hospital
155 Glasson Way, Grass Valley, CA 95945 · (530) 274-6000
Charges far above the national norm
For every $1 of care Medicare actually paid for here, Sierra Nevada Memorial Hospital billed $5.88 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 5.9x
- volume-weighted across all its priced work
- Procedures priced
- 55
- inpatient and outpatient combined
- Rank in CA
- #131
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 24% of U.S. hospitals.
Better than 43% of U.S. hospitals.
Better than 19% of U.S. hospitals.
Better than 11% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
539 | $41,154 | $3,491 | +112% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
318 | $99,589 | $19,480 | +53% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
154 | $9,258 | $2,057 | -8% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
121 | $71,068 | $16,773 | +14% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
89 | $75,041 | $12,885 | +73% |
|
Respiratory Failure
MS-DRG 189 · Inpatient stay |
74 | $68,804 | $12,485 | +42% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
67 | $12,848 | $3,629 | -27% |
|
Sepsis (without major complications)
MS-DRG 872 · Inpatient stay |
61 | $68,604 | $10,364 | +75% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
55 | $75,350 | $13,206 | +62% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
42 | $90,915 | $16,350 | +65% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$40,990 | $2,045 | +378% |
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
$41,154 | $3,491 | +112% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$63,021 | $7,671 | +106% |
|
Other Factors Influencing Health Status
MS-DRG 951 · Inpatient stay |
$43,646 | $6,099 | +99% |
|
Transient Ischemia without Thrombolytic
MS-DRG 069 · Inpatient stay |
$81,020 | $8,259 | +96% |
|
Gastrointestinal Obstruction without Complications/mcc
MS-DRG 390 · Inpatient stay |
$44,249 | $5,935 | +84% |
|
Fainting
MS-DRG 312 · Inpatient stay |
$67,160 | $8,925 | +83% |
|
Kidney Failure (with complications)
MS-DRG 683 · Inpatient stay |
$60,207 | $9,130 | +83% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$12,848 | $3,629 | -27% |
|
Level 1 Breast/lymphatic Surgery and Related Procedures
APC 5091 · Hospital outpatient visit |
$17,788 | $4,868 | -25% |
|
Level 2 Musculoskeletal Procedures
APC 5112 · Hospital outpatient visit |
$8,939 | $2,053 | -20% |
|
Level 2 Breast/lymphatic Surgery and Related Procedures
APC 5092 · Hospital outpatient visit |
$32,223 | $8,327 | -18% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
$31,226 | $7,369 | -11% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
$9,258 | $2,057 | -8% |
|
Level 4 Musculoskeletal Procedures
APC 5114 · Hospital outpatient visit |
$37,974 | $9,132 | -5% |
|
Infection Needing Surgery (severe)
MS-DRG 853 · Inpatient stay |
$181,487 | $45,084 | about average |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.