Mercy San Juan Medical Center
6501 Coyle Avenue, Carmichael, CA · CommonSpirit Health · · NPI 1972541498
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $7.66 | $27.94 | $3.08 – $64.84 | 21 |
| 17-hydroxypregnenolone CPT 84143 | $8.22 | $30.00 | $3.30 – $50.53 | 21 |
| 17-ketosteroids CPT 83586 | $7.17 | $26.16 | $2.88 – $28.35 | 21 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $943.39 | $3,443.00 | $378.73 – $2,857.69 | 15 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,035.45 | $3,779.00 | $415.69 – $3,136.57 | 15 |
| 2nd order venous cath CPT 36012 | $838.99 | $3,062.00 | $130.30 – $2,515.73 | 14 |
| 3d ech img cgen car anomal CPT 93319 | $256.47 | $936.00 | $102.96 – $936.00 | 8 |
| 3d recon without postprocess indpndt CPT 76376 | $488.27 | $1,782.00 | $18.13 – $3,925.00 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $3.39 | $12.35 | $1.36 – $24.70 | 21 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $38.91 | $142.00 | $15.62 – $117.86 | 16 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,326.65 – $12,505.77 | 7 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,923.48 | $7,020.00 | $32.05 – $3,905.15 | 20 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $3.29 | $12.00 | $1.32 – $26.61 | 21 |
| Abciximab injection HCPCS J0130 | $1,773.33 | $6,472.00 | $446.27 – $3,471.84 | 13 |
| Abd aorta w/runoff s&i CPT 75630 | $2,774.53 | $10,126.00 | $71.03 – $11,566.70 | 20 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $577.18 – $3,102.34 | 7 |
| Abd/low ext cath 1st CPT 36245 | $719.53 | $2,626.00 | $224.78 – $2,071.68 | 14 |
| Abd/low ext cath 2nd CPT 36246 | $801.45 | $2,925.00 | $236.48 – $2,308.23 | 14 |
| Abd/low ext cath 3rd CPT 36247 | $999.28 | $3,647.00 | $282.77 – $2,877.61 | 14 |
| Abd/low ext cath addl CPT 36248 | $989.42 | $3,611.00 | $46.61 – $2,877.61 | 14 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,950.61 | $7,119.00 | $220.61 – $5,908.77 | 20 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,950.61 | $7,119.00 | $195.18 – $5,908.77 | 20 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,287.53 | $4,699.00 | $92.54 – $3,925.00 | 20 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,424.90 | $8,850.00 | $267.53 – $7,345.50 | 20 |
| Abdominal MRI (with contrast) CPT 74182 | $2,424.90 | $8,850.00 | $252.20 – $7,345.50 | 20 |
| Abdominal MRI (without contrast) CPT 74181 | $1,576.33 | $5,753.00 | $145.45 – $5,397.00 | 20 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,153.54 | $4,210.00 | $103.10 – $3,354.86 | 19 |
| Abdominal Ultrasound (complete) CPT 76700 | $513.48 | $1,874.00 | $86.37 – $1,555.42 | 20 |
| Abdominal Ultrasound (limited) CPT 76705 | $513.48 | $1,874.00 | $65.99 – $1,555.42 | 20 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $1,198.70 – $10,712.31 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,153.54 | $4,210.00 | $67.21 – $2,376.29 | 19 |
| Abl1 gene CPT 81170 | $178.71 | $652.19 | $46.20 – $664.37 | 21 |
| Ablate arrhythmia add on CPT 93655 | $3,257.86 | $11,890.00 | $289.98 – $9,868.70 | 15 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,165.67 – $5,012.38 | 7 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,674.23 – $7,199.19 | 7 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $519.73 – $2,234.84 | 7 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,592.70 – $6,848.61 | 7 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $338.46 – $11,734.48 | 12 |
| Ablate bone tumor(s) perq CPT 20982 | $6,699.58 | $24,451.00 | $359.80 – $14,626.25 | 19 |
| Ablate heart dysrhythm focus CPT 93650 | $9,522.05 | $34,752.00 | $552.60 – $28,844.16 | 20 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $93.99 – $2,433.19 | 12 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $65.79 – $2,433.19 | 12 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $428.23 – $24,760.95 | 12 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $427.86 – $11,135.80 | 12 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $4,791.44 | $17,487.00 | $70.51 – $532.03 | 17 |
| Ablation cryo abd perit om CPT 49999 | $1,721.00 | $6,281.00 | $69.19 – $786.25 | 17 |
| Ablation cryo adrenal tumor CPT 60699 | not published | not published | $7,229.91 – $9,583.66 | 8 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | not published | not published | $297.26 – $394.04 | 8 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $416.98 – $17,101.72 | 12 |
| Ablation cryo retro lymph node CPT 38999 | not published | not published | $541.75 – $718.13 | 8 |
| Ablation cryo thigh/knee CPT 27599 | not published | not published | $297.26 – $394.04 | 8 |
| Ablation of upper extremity nerves rf CPT 64999 | $269.07 | $982.00 | $108.02 – $815.06 | 17 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $837.68 – $15,189.60 | 12 |
| Abortion CPT 59850 | not published | not published | $386.99 – $2,023.45 | 7 |
| Abortion (mpr) CPT 59866 | not published | not published | $228.65 – $499.68 | 9 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $11.96 – $64.27 | 7 |
| Abrasion lesion single CPT 15786 | not published | not published | $73.91 – $397.28 | 12 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,694.97 | $6,186.00 | $184.29 – $3,446.99 | 19 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $107.59 – $462.64 | 7 |
| Access thoracic lymph duct CPT 38794 | $707.20 | $2,581.00 | $193.53 – $2,142.23 | 14 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $49.32 | $180.00 | $0.05 – $41.50 | 17 |
| Acetaminophen level CPT 80143 | $20.01 | $73.00 | $8.03 – $60.59 | 21 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $54.80 | $200.00 | $17.49 – $131.97 | 17 |
| Acetone qualitative CPT 82009 | $29.32 | $107.00 | $3.76 – $88.81 | 21 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $383.60 | $1,400.00 | $0.45 – $147.74 | 17 |
| Acid perfusion of esophagus CPT 91030 | $1,393.02 | $5,084.00 | $46.43 – $4,219.72 | 19 |
| Acne surgery 10040 CPT 10040 | not published | not published | $52.81 – $326.39 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $17.54 | $64.00 | $7.04 – $59.81 | 20 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $411.41 – $5,329.67 | 12 |
| Acute hepatitis panel CPT 80074 | $91.79 | $335.00 | $34.86 – $278.05 | 21 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $59.19 | $216.00 | $0.04 – $41.50 | 17 |
| #acylcarnitineprfl CPT 82017 | $20.55 | $75.00 | $8.25 – $62.25 | 21 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,198.85 | $8,025.00 | $82.50 – $637.50 | 16 |
| Adding walker to prev cast CPT 29440 | not published | not published | $28.02 – $312.28 | 12 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $429.64 | $1,568.00 | $0.39 – $41.50 | 17 |
| Adenovirus antibody,serum - quest CPT 86603 | $21.65 | $79.00 | $8.69 – $65.57 | 21 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $908.42 – $4,375.40 | 7 |
| Adh-sendout CPT 84588 | $12.33 | $45.00 | $4.95 – $75.16 | 21 |
| Adj gastric band via subq port CPT 43999 | $1,894.71 | $6,915.00 | $196.79 – $1,540.06 | 17 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $322.98 – $11,734.48 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $484.05 – $3,004.74 | 12 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $181.12 | $661.00 | $0.22 – $11.62 | 17 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $127.96 | $467.00 | $21.49 – $387.61 | 20 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $195.09 | $712.00 | $32.81 – $590.96 | 20 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $492.11 | $1,796.00 | $32.81 – $1,490.68 | 20 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $319.76 | $1,167.00 | $20.61 – $620.01 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $140.02 | $511.00 | $12.23 – $241.53 | 20 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $194.54 | $710.00 | $12.23 – $424.13 | 20 |
| Administration immunization 1 vaccine CPT 90471 | $76.72 | $280.00 | $4.46 – $232.40 | 19 |
| Administration immunization each additional vaccine CPT 90472 | $76.72 | $280.00 | $8.47 – $280.00 | 10 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $6,287.76 | $22,948.00 | $32.27 – $11,903.86 | 20 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,064.63 – $5,722.41 | 7 |
| _afb id by dna probe rflx ast CPT 87149 | $48.23 | $176.00 | $1.79 – $44.39 | 21 |
| #afb mycobacteria suscep. #1 CPT 87190 | $22.75 | $83.00 | $4.56 – $68.89 | 21 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $43.71 | $159.50 | $11.47 – $255.46 | 21 |
| After cataract laser surgery CPT 66821 | not published | not published | $213.61 – $1,148.16 | 12 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $7,448.15 | $27,183.00 | $187.29 – $3,223.72 | 20 |
| Air injection into abdomen 49400 CPT 49400 | $1,074.91 | $3,923.00 | $48.28 – $3,256.09 | 14 |
| Albumin body fluid quantitative each specimen CPT 82042 | $54.80 | $200.00 | $0.32 – $17.24 | 21 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $1,826.49 | $6,666.00 | $24.31 – $183.43 | 16 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.