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 |
|---|---|---|---|---|
| Cryofibrinogen qualitative - sendout CPT 82585 | $2.56 | $9.34 | $1.03 – $31.31 | 21 |
| Cryoprecipitate each unit HCPCS P9012 | $33.43 | $122.00 | $13.42 – $104.43 | 19 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $111.72 – $718.13 | 8 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $203.26 – $6,290.08 | 9 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | not published | not published | $79.89 – $429.41 | 12 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $42.72 – $229.63 | 12 |
| Cryptococcus abs qn - sendout CPT 86641 | $2.77 | $10.10 | $1.12 – $31.92 | 21 |
| Crystal identification light microscopy CPT 89060 | $48.23 | $176.00 | $6.36 – $146.08 | 21 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $1,995.21 – $8,579.39 | 7 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $1,285.12 – $1,285.12 | 1 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $46.92 – $492.64 | 12 |
| CT 3d report other modality w/workstation CPT 76377 | $1,415.76 | $5,167.00 | $46.73 – $5,166.00 | 12 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,950.61 | $7,119.00 | $220.61 – $5,908.77 | 20 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,032.54 | $7,418.00 | $220.61 – $6,156.94 | 20 |
| Cta neck without &/or w/contrast CPT 70498 | $2,032.54 | $7,418.00 | $220.61 – $6,156.94 | 20 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,566.56 | $9,367.00 | $315.94 – $7,774.61 | 20 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $2,032.54 | $7,418.00 | $220.61 – $6,156.94 | 20 |
| CT Angiogram of the Head CPT 70496 | $2,032.54 | $7,418.00 | $220.61 – $6,156.94 | 20 |
| CT angio hrt w/3d image CPT 75574 | $1,945.13 | $7,099.00 | $241.16 – $5,892.17 | 19 |
| CT angio pelvis CPT 72191 | $1,940.20 | $7,081.00 | $220.61 – $5,877.23 | 20 |
| CT guidance for needle placement CPT 77012 | $1,182.04 | $4,314.00 | $64.12 – $3,925.00 | 16 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $876.26 | $3,198.00 | $62.63 – $3,925.00 | 16 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $297.26 – $394.04 | 8 |
| CT guid parench tis ablat CPT 77013 | $857.62 | $3,130.00 | $160.82 – $3,925.00 | 16 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $680.89 | $2,485.00 | $81.33 – $2,062.55 | 19 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,945.13 | $7,099.00 | $213.86 – $5,892.17 | 19 |
| CT hrt w/3d image CPT 75572 | $1,945.13 | $7,099.00 | $167.69 – $5,892.17 | 19 |
| CT limited or localized follow-up study CPT 76380 | $649.38 | $2,370.00 | $98.52 – $3,925.00 | 20 |
| CT neck soft tissue w/contrast CPT 70491 | $1,945.13 | $7,099.00 | $136.47 – $5,892.17 | 20 |
| CT neck soft tissue without contrast CPT 70490 | $1,303.15 | $4,756.00 | $103.01 – $3,947.48 | 20 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,945.13 | $7,099.00 | $166.01 – $5,892.17 | 20 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,945.13 | $7,099.00 | $171.99 – $5,892.17 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,945.13 | $7,099.00 | $145.45 – $5,892.17 | 20 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,303.15 | $4,756.00 | $112.91 – $3,947.48 | 20 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $130.12 – $732.50 | 12 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,566.56 | $9,367.00 | $278.37 – $7,774.61 | 20 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,566.56 | $9,367.00 | $246.78 – $7,774.61 | 20 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,719.63 | $6,276.00 | $117.03 – $5,209.08 | 20 |
| CT thoracic spine w/contrast CPT 72129 | $1,972.80 | $7,200.00 | $128.99 – $5,976.00 | 20 |
| CT thoracic spine without contrast CPT 72128 | $1,315.20 | $4,800.00 | $95.16 – $3,984.00 | 20 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $680.89 | $2,485.00 | $99.45 – $3,925.00 | 20 |
| CT t-spine w /wo contrast CPT 72130 | $1,972.80 | $7,200.00 | $158.91 – $5,976.00 | 20 |
| Cuffs adj lock with active con HCPCS L3740 | $750.22 | $2,738.00 | $301.18 – $2,327.30 | 17 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $632.72 – $6,013.60 | 12 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $633.57 – $3,004.74 | 12 |
| Culture aerobic additional method definitive id each CPT 87077 | $45.49 | $166.00 | $0.82 – $17.89 | 21 |
| Culture afb any source CPT 87116 | $96.45 | $352.00 | $1.87 – $23.92 | 21 |
| Culture anaerobic additional method definitive id each CPT 87076 | $27.13 | $99.00 | $0.82 – $17.89 | 21 |
| Culture anaerobic except blood CPT 87075 | $62.75 | $229.00 | $0.96 – $20.99 | 21 |
| Culture bact stool aero addl path ea CPT 87046 | $37.54 | $137.00 | $2.61 – $113.71 | 21 |
| Culture body fluid CPT 87070 | $106.59 | $389.00 | $3.89 – $29.31 | 21 |
| Culture fungi definitive id mold CPT 87107 | $33.43 | $122.00 | $1.24 – $22.86 | 21 |
| Culture fungi definitive id yeast CPT 87106 | $18.91 | $69.00 | $7.59 – $57.27 | 21 |
| Culture fungi other (except blood) CPT 87102 | $66.04 | $241.00 | $0.85 – $18.64 | 21 |
| Culture fungi skin/hair/nail CPT 87101 | $51.79 | $189.00 | $6.85 – $156.87 | 21 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $47.41 | $173.00 | $11.68 – $143.59 | 21 |
| Culture mycoplasma any source CPT 87109 | $9.87 | $36.00 | $2.64 – $34.07 | 21 |
| Culture quantitative aerobic other source CPT 87071 | $145.77 | $532.00 | $5.22 – $441.56 | 21 |
| Culture screening strep group a CPT 87081 | $52.34 | $191.00 | $0.65 – $14.68 | 21 |
| Culture typing added method CPT 87158 | $1.57 | $5.70 | $0.63 – $17.14 | 21 |
| Culture typing immunologic CPT 87147 | $39.19 | $143.00 | $3.63 – $118.69 | 21 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $58.09 | $212.00 | $2.54 – $77.71 | 21 |
| Culture urine each isolate CPT 87088 | $42.20 | $154.00 | $6.08 – $127.82 | 21 |
| Curette/treat cornea CPT 65435 | not published | not published | $48.28 – $1,590.95 | 12 |
| Curette/treat cornea CPT 65436 | not published | not published | $187.55 – $3,832.17 | 12 |
| Cutter lead HCPCS C1773 | $4,834.73 | $17,645.00 | $63.25 – $488.75 | 16 |
| Cv line/pic reposition CPT 36597 | $1,789.77 | $6,532.00 | $51.27 – $5,213.23 | 19 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $328.80 | $1,200.00 | $0.70 – $41.50 | 17 |
| Cyclic citrullinated peptide antibody CPT 86200 | $6.85 | $25.00 | $0.66 – $28.69 | 21 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $19.46 | $71.00 | $1.21 – $25.73 | 14 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $52.06 | $190.00 | $11.66 – $166.08 | 14 |
| Cyclosporine 2 hour CPT 80158 | $4.11 | $15.00 | $1.65 – $39.96 | 21 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $3.57 | $13.00 | $0.79 – $7.47 | 14 |
| Cyclosporine oral 100 mg HCPCS J7502 | $645.82 | $2,357.00 | $0.99 – $7.66 | 14 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $22,244.69 | $81,185.00 | $237.05 – $1,831.75 | 16 |
| Cyp2c19 gene com variants CPT 81225 | $80.40 | $293.40 | $32.28 – $645.22 | 21 |
| Cyp2c9 gene com variants CPT 81227 | $48.24 | $176.03 | $19.37 – $387.14 | 21 |
| Cystine urine quantitative CPT 82131 | $5.04 | $18.36 | $2.02 – $50.90 | 21 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $480.37 – $5,665.36 | 12 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $331.27 | $1,209.00 | $29.35 – $1,487.91 | 20 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $209.68 – $1,127.03 | 12 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $862.13 – $4,633.96 | 7 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $701.50 – $15,189.60 | 12 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $166.03 – $5,665.36 | 12 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $237.73 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $172.34 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $176.44 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $243.94 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $285.71 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $387.00 – $8,350.49 | 12 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $145.25 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $126.03 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $262.27 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $280.68 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $196.10 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $195.65 – $1,096.40 | 12 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $193.53 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $261.04 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $269.15 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.60 – $8,350.49 | 12 |
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.