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 |
|---|---|---|---|---|
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $84.55 – $454.45 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $171.34 – $920.93 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $265.31 – $2,628.88 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $109.92 – $590.83 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $223.43 – $2,628.88 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $273.00 – $2,628.88 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $168.33 – $2,628.88 | 12 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $142.69 – $5,329.67 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $30.61 – $436.32 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $98.58 – $553.39 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $209.96 – $1,128.54 | 12 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $299.06 – $2,628.88 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $163.52 – $878.93 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $157.22 – $845.07 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $187.79 – $1,009.38 | 12 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $179.44 – $964.48 | 12 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $290.51 – $1,561.47 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $297.26 – $1,917.42 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $177.34 – $953.19 | 12 |
| Clsr 1 vsd w/wo patch w/vlvt CPT 33684 | not published | not published | $1,785.94 – $10,675.56 | 7 |
| Clsr 1vsd w/wo ptch rmvl bnd CPT 33688 | not published | not published | $1,771.86 – $9,644.53 | 7 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $297.26 – $2,581.09 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $270.86 – $2,628.88 | 12 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $338.78 – $1,820.96 | 7 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | not published | not published | $241.81 – $2,628.88 | 12 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | not published | not published | $190.48 – $1,023.81 | 12 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | not published | not published | $308.88 – $2,628.88 | 12 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | not published | not published | $297.26 – $1,869.19 | 12 |
| Cltx lunate dislc w/mnpj CPT 25690 | not published | not published | $266.16 – $2,628.88 | 12 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | not published | not published | $387.06 – $9,717.21 | 12 |
| Cltx mndblr fx w/mnpj CPT 21451 | not published | not published | $434.91 – $2,433.19 | 12 |
| Cltx mndblr/max alv ridge fx CPT 21440 | not published | not published | $152.52 – $5,327.15 | 12 |
| Cltx palatal/max fx wire fix CPT 21421 | not published | not published | $338.78 – $5,327.15 | 12 |
| Cltx post ankle fx CPT 27767 | not published | not published | $219.16 – $821.26 | 12 |
| Cltx post ankle fx w/mnpj CPT 27768 | not published | not published | $334.94 – $2,628.88 | 12 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | not published | not published | $186.27 – $2,628.88 | 12 |
| Cltx strnclav dislc w/mnpj CPT 23525 | not published | not published | $163.62 – $879.48 | 12 |
| Cltx thigh fx CPT 27267 | not published | not published | $353.31 – $5,329.67 | 12 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $434.49 – $1,628.11 | 7 |
| Cltx tmprmand dislc comp CPT 21485 | not published | not published | $281.11 – $2,433.19 | 12 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $783.13 – $8,108.74 | 12 |
| C motor evoked upr&lwr limbs CPT 95939 | $495.12 | $1,807.00 | $198.77 – $1,786.82 | 19 |
| Cmp rpr tof wo plm atrs ptch CPT 33694 | not published | not published | $1,843.67 – $11,481.58 | 7 |
| #cmvcul-virus inoculation shell CPT 87254 | $1.49 | $5.41 | $0.60 – $43.30 | 21 |
| Cmv pcr-sendout CPT 87496 | $10.96 | $40.00 | $4.40 – $77.71 | 21 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $3.02 | $11.00 | $0.02 – $9.13 | 20 |
| Coagulation time activated teg CPT 85347 | $81.93 | $299.00 | $3.65 – $248.17 | 21 |
| Cocaine 4 % nasal solution HCPCS C9046 | $472.38 | $1,724.00 | $2.02 – $878.97 | 13 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | $13.70 | $50.00 | $1.37 – $41.50 | 10 |
| Cold agglutinin screen (arc) CPT 86156 | $19.18 | $70.00 | $4.84 – $36.52 | 21 |
| Cold agglutinin titer CPT 86157 | $3.39 | $12.35 | $1.36 – $17.85 | 21 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $1,006.54 – $5,410.13 | 7 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $1,451.70 – $7,802.91 | 7 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $871.11 – $4,682.19 | 7 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $1,887.94 – $2,134.78 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $1,325.67 – $7,125.49 | 7 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $1,222.58 – $1,794.95 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $1,083.87 – $5,825.79 | 7 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $967.66 – $5,201.16 | 7 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $1,752.42 – $7,535.41 | 7 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $1,797.09 – $7,727.49 | 7 |
| Colistimethate sodium inj HCPCS J0770 | $62.48 | $228.00 | $12.66 – $112.05 | 14 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $41.10 | $150.00 | $4.95 – $38.25 | 17 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $17.81 | $65.00 | $7.15 – $60.83 | 17 |
| Collar cerv ascend 172 reg HCPCS L0172 | $590.47 | $2,155.00 | $4.95 – $45.00 | 17 |
| Collar extrication adult univ HCPCS L0200 | $1,000.10 | $3,650.00 | $308.55 – $2,384.25 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $135.63 | $495.00 | $30.84 – $410.85 | 16 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $137.00 | $500.00 | $33.09 – $415.00 | 16 |
| Collection of venous blood by venipuncture CPT 36415 | $14.80 | $54.00 | $3.60 – $44.82 | 18 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $183.76 – $1,820.96 | 12 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $247.42 – $1,936.79 | 9 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $224.94 – $2,312.41 | 12 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $228.18 – $1,936.79 | 12 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $201.65 – $1,497.60 | 12 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $196.61 – $1,936.79 | 12 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $300.99 – $1,936.79 | 9 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $223.09 – $1,936.79 | 12 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $199.75 – $1,936.79 | 12 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $155.04 – $1,497.60 | 12 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $267.36 – $1,936.79 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $210.68 – $3,429.12 | 12 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $231.91 – $1,936.79 | 9 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $256.87 – $2,562.71 | 12 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $230.16 – $1,497.60 | 9 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $182.78 – $1,936.79 | 9 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $194.68 – $1,936.79 | 12 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $246.71 – $1,936.79 | 12 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $286.51 – $9,778.24 | 9 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $236.70 – $2,266.46 | 12 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $170.69 – $1,936.79 | 9 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $240.40 – $1,936.79 | 9 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $199.75 – $2,036.83 | 12 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $170.69 – $1,936.79 | 12 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $251.99 – $2,468.52 | 12 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $273.05 – $1,936.79 | 9 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $328.92 – $4,504.71 | 9 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $259.15 – $9,778.24 | 9 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $228.08 – $1,936.79 | 9 |
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.