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 |
|---|---|---|---|---|
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $60.68 – $1,137.55 | 12 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | not published | not published | $91.21 – $1,137.55 | 12 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $217.03 – $1,936.79 | 12 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $95.70 – $514.40 | 12 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $174.31 – $936.91 | 12 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $50.83 – $484.89 | 12 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $40.54 – $484.89 | 12 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $119.19 – $484.89 | 12 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $90.47 – $484.89 | 12 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $68.80 – $484.89 | 12 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $98.66 – $1,137.55 | 12 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $113.92 – $1,137.55 | 12 |
| Chemo ia infuse each addl hr CPT 96423 | $40.83 | $149.00 | $16.39 – $123.67 | 20 |
| Chemo ia infusion up to 1 hr CPT 96422 | $204.68 | $747.00 | $42.63 – $620.01 | 20 |
| Chemo ia push tecnique CPT 96420 | $317.57 | $1,159.00 | $48.39 – $952.84 | 20 |
| Chemotx admn pertl cav impl CPT 96446 | $266.88 | $974.00 | $19.06 – $808.42 | 20 |
| Chest 2 vws w oblique CPT 71048 | $320.58 | $1,170.00 | $34.58 – $971.10 | 20 |
| Chest apical lordotic proj CPT 71047 | $288.80 | $1,054.00 | $32.34 – $874.82 | 20 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,945.13 | $7,099.00 | $157.04 – $5,892.17 | 20 |
| Chest CT scan (with contrast) CPT 71260 | $1,945.13 | $7,099.00 | $128.24 – $5,892.17 | 20 |
| Chest CT scan (without contrast) CPT 71250 | $1,303.15 | $4,756.00 | $94.41 – $3,947.48 | 20 |
| Chest X-ray CPT 71046 | $288.80 | $1,054.00 | $25.98 – $874.82 | 20 |
| Chest X-ray (single view) CPT 71045 | $288.80 | $1,054.00 | $17.65 – $874.82 | 20 |
| Chg pr pul rehab for copd patients CPT 94626 | $168.79 | $616.00 | $67.76 – $511.28 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $430.73 | $1,572.00 | $83.94 – $1,304.76 | 20 |
| Chlamydia culture CPT 87110 | $6.17 | $22.50 | $1.29 – $43.41 | 21 |
| Chlamydia type CPT 87140 | $6.17 | $22.50 | $0.67 – $12.33 | 21 |
| Chloramphenicol sodium injec HCPCS J0720 | $39.46 | $144.00 | $9.06 – $125.28 | 17 |
| Chloride CPT 82435 | $21.10 | $77.00 | $3.01 – $63.91 | 21 |
| Chloride 24 hour urine CPT 82436 | $48.23 | $176.00 | $0.49 – $12.74 | 21 |
| Chloroprocaine hcl injection HCPCS J2401 | $30.69 | $112.00 | $7.70 – $70.00 | 9 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $682.26 | $2,490.00 | $15.69 – $152.19 | 17 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $65.76 | $240.00 | $0.02 – $67.55 | 17 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $448.82 | $1,638.00 | $140.18 – $1,359.54 | 20 |
| Cholangiogram percutaneous compl CPT 47532 | $3,720.92 | $13,580.00 | $205.99 – $10,820.71 | 19 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $635.41 | $2,319.00 | $62.08 – $1,924.77 | 15 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,246.95 – $1,921.11 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $709.19 – $3,811.90 | 7 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $701.50 – $3,770.57 | 7 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,860.56 | $10,440.00 | $340.83 – $8,318.26 | 19 |
| Cholesterol CPT 82465 | $60.01 | $219.00 | $2.93 – $22.08 | 21 |
| Cholesterol body fluid CPT 84999 | $16.22 | $59.18 | $1.11 – $78.33 | 14 |
| Cholesterol (Lipid) Test CPT 80061 | $93.44 | $341.00 | $0.88 – $29.64 | 21 |
| Cholinesterase CPT 82480 | $3.31 | $12.08 | $0.96 – $17.44 | 21 |
| Chorion biopsy CPT 59015 | not published | not published | $125.92 – $1,430.30 | 12 |
| Chrom analysis CPT 88273 | $40.33 | $147.18 | $13.09 – $98.77 | 21 |
| Chromatography CPT 83021 | $4.94 | $18.00 | $1.70 – $40.00 | 21 |
| Chromo high res and frag x - sendout CPT 81243 | $22.91 | $83.60 | $9.20 – $126.33 | 21 |
| Chromosome analysis 15-20 cell count CPT 88262 | $280.58 | $1,024.00 | $12.17 – $277.91 | 21 |
| Chromosome analysis 5 CPT 88261 | $49.32 | $180.00 | $19.80 – $585.39 | 21 |
| Chromosome count additional CPT 88285 | $9.59 | $35.00 | $3.85 – $59.59 | 21 |
| Chromosome karyotype study CPT 88280 | $10.42 | $38.00 | $4.18 – $74.14 | 21 |
| Cidofovir injection HCPCS J0740 | $973.25 | $3,552.00 | $390.72 – $2,948.16 | 20 |
| Cilastatin sodium injection HCPCS J0743 | $75.35 | $275.00 | $5.61 – $42.33 | 14 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $285.39 – $3,832.17 | 12 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $40.01 | $146.00 | $0.01 – $67.23 | 17 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $17.27 | $63.00 | $1.37 – $41.50 | 14 |
| Circum 28 days or older CPT 54161 | not published | not published | $181.57 – $3,364.94 | 12 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | not published | not published | $147.83 – $1,096.40 | 9 |
| Circumcision (newborn) CPT 54150 | $1,974.17 | $7,205.00 | $95.19 – $5,980.15 | 16 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $17.27 | $63.00 | $2.86 – $52.29 | 17 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $110.77 | $404.25 | $27.50 – $729.71 | 21 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $572.12 | $2,088.00 | $10.20 – $1,394.40 | 20 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $13,812.34 | $50,410.00 | $308.55 – $2,384.25 | 16 |
| Claviculectomy partial CPT 23120 | not published | not published | $411.41 – $5,329.67 | 12 |
| Claviculectomy total CPT 23125 | not published | not published | $710.04 – $5,329.67 | 12 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $128.17 – $836.51 | 12 |
| Clearance of airways CPT 31720 | not published | not published | $52.96 – $334.09 | 12 |
| Clearance of tear duct CPT 68530 | not published | not published | $262.12 – $3,047.20 | 12 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $559.51 | $2,042.00 | $5.50 – $50.00 | 9 |
| Clip ligating vesolock lg HCPCS C1760 | $1,690.58 | $6,170.00 | $82.50 – $637.50 | 16 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,166.28 – $5,456.76 | 12 |
| Cllr miami j sm HCPCS L0174 | $453.47 | $1,655.00 | $4.95 – $45.00 | 17 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $58.09 | $212.00 | $10.56 – $79.68 | 17 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,637.97 – $8,804.09 | 7 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $237.54 – $1,276.76 | 12 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $264.02 – $2,628.88 | 12 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $459.69 – $2,470.81 | 7 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $297.26 – $2,615.51 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $247.78 – $2,628.88 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $158.05 – $849.51 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $308.88 – $2,628.88 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $70.07 – $394.04 | 12 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $338.78 – $2,433.19 | 12 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $185.37 – $1,253.81 | 12 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $300.34 – $2,433.19 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $529.33 – $2,845.14 | 12 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $149.96 – $5,327.15 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $114.64 – $1,019.56 | 12 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $231.84 – $1,770.44 | 12 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $456.70 – $5,329.67 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $78.61 – $422.50 | 12 |
| Close mastoid fistula CPT 69700 | not published | not published | $338.78 – $2,433.19 | 12 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $662.41 – $5,003.66 | 7 |
| Close tear duct opening CPT 68760 | not published | not published | $153.49 – $847.35 | 12 |
| Close tear duct opening CPT 68761 | not published | not published | $123.59 – $773.89 | 12 |
| Close tear system fistula CPT 68770 | not published | not published | $411.41 – $3,832.17 | 12 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $60.81 – $2,433.19 | 12 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $484.05 – $2,601.75 | 7 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,188.96 – $6,390.64 | 7 |
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.