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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52310 | $2,563.82 | $9,357.00 | $151.18 – $7,766.31 | 19 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $271.71 – $3,364.94 | 12 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $244.02 – $5,665.36 | 12 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $260.43 – $5,665.36 | 12 |
| Cystoscopy (Bladder Scope) CPT 52000 | $620.34 | $2,264.00 | $79.86 – $1,789.48 | 19 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $137.38 – $3,364.94 | 12 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $165.48 – $1,096.40 | 12 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $333.09 – $5,665.36 | 12 |
| Cystoscopy inject material CPT 52327 | not published | not published | $220.77 – $8,350.49 | 12 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $110.57 – $5,665.36 | 12 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $181.31 – $3,364.94 | 12 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $227.28 – $3,364.94 | 12 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $315.95 – $8,350.49 | 12 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $133.88 – $3,364.94 | 12 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $302.98 – $3,364.94 | 12 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $484.21 – $5,665.36 | 12 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $734.39 – $5,665.36 | 12 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $299.06 – $5,665.36 | 12 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $365.24 – $5,665.36 | 12 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $375.10 – $8,350.49 | 12 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $451.15 – $8,350.49 | 12 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $354.06 – $8,350.49 | 12 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $387.00 – $8,350.49 | 12 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $440.24 – $8,350.49 | 12 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $350.55 – $5,665.36 | 12 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $389.60 – $5,665.36 | 12 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $200.56 – $5,665.36 | 12 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $145.25 – $3,364.94 | 12 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $141.42 – $3,364.94 | 12 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $49.97 – $3,781.29 | 7 |
| Cystourethro w/implant CPT 52441 | not published | not published | $207.91 – $4,889.10 | 7 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $340.51 – $5,665.36 | 12 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $306.12 – $5,665.36 | 12 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $281.39 – $5,665.36 | 12 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $27.68 | $101.00 | $0.86 – $52.29 | 17 |
| Cytogenom microarray copy nmbr var CPT 81228 | $458.90 | $1,674.80 | $184.23 – $1,993.10 | 18 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $8.77 | $32.00 | $0.97 – $31.86 | 21 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $4.13 | $15.07 | $1.07 – $37.31 | 21 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | $2,310.65 | $8,433.00 | $465.41 – $4,214.74 | 20 |
| Cytopath fl nongyn filter CPT 88106 | $51.79 | $189.00 | $20.79 – $156.87 | 20 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $83.57 | $305.00 | $4.70 – $88.14 | 20 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $67.41 | $246.00 | $4.84 – $95.02 | 20 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $30.14 | $110.00 | $5.01 – $90.42 | 20 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $40.56 | $148.00 | $8.80 – $122.84 | 16 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $109.60 | $400.00 | $24.49 – $332.00 | 20 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $112.34 | $410.00 | $45.10 – $340.30 | 20 |
| Cytopath smear other source CPT 88160 | $13.98 | $51.00 | $5.61 – $104.22 | 20 |
| Cytopath smear other source CPT 88162 | $41.38 | $151.00 | $16.61 – $168.61 | 20 |
| Cytopath smear oth prep screen & interp CPT 88161 | $17.27 | $63.00 | $6.93 – $109.60 | 20 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $122.48 | $447.00 | $47.85 – $876.72 | 20 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $30.42 | $111.00 | $4.50 – $52.29 | 17 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $2,020.75 | $7,375.00 | $7.48 – $1,640.33 | 20 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $1,959.65 | $7,152.00 | $15.57 – $5,936.16 | 20 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $586.09 | $2,139.00 | $0.03 – $77.19 | 17 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | $9,961.55 | $36,356.00 | $56.17 – $30,175.48 | 20 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,089.83 | $18,576.00 | $3.09 – $15,418.08 | 20 |
| Darbepoetin alfa, esrd use HCPCS J0882 | $1,018.19 | $3,716.00 | $3.09 – $3,084.28 | 20 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | $14,161.42 | $51,684.00 | $195.93 – $31,802.28 | 20 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $176.46 | $644.00 | $24.49 – $273.07 | 20 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $185.12 – $5,222.78 | 12 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $237.88 – $5,222.78 | 12 |
| Dch pulmonary stress test CPT 94621 | $564.44 | $2,060.00 | $98.89 – $1,709.80 | 19 |
| Dch validity tests CPT 81002 | $12.33 | $45.00 | $2.15 – $37.35 | 21 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $624.54 – $4,592.63 | 12 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,258.16 – $6,762.63 | 12 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $232.41 – $3,207.67 | 12 |
| D&c of cervical stump CPT 57558 | not published | not published | $132.52 – $5,222.78 | 12 |
| Deamidated gliadin antibody iga CPT 86258 | $2.67 | $9.71 | $0.99 – $9.00 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $489.14 – $1,833.00 | 7 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $22.64 – $1,005.50 | 12 |
| Debridement (>20 cm) charge pt CPT 97598 | $124.40 | $454.00 | $23.99 – $376.82 | 14 |
| Debridement bone <= 20 sq cm CPT 11044 | $874.06 | $3,190.00 | $223.13 – $2,661.45 | 19 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $232.63 | $849.00 | $35.88 – $657.36 | 14 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $397.58 | $1,451.00 | $62.38 – $1,147.06 | 14 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $434.02 | $1,584.00 | $61.56 – $1,227.57 | 19 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $14.24 – $121.69 | 12 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $23.65 – $204.34 | 12 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $297.22 – $1,742.93 | 12 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $413.92 – $4,701.27 | 12 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $389.15 – $1,458.43 | 7 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $520.88 – $1,951.47 | 7 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $187.15 | $683.00 | $16.75 – $529.54 | 14 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $48.28 – $326.39 | 12 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $258.47 – $1,389.26 | 12 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $11.96 – $64.27 | 7 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $575.95 | $2,102.00 | $117.37 – $1,005.50 | 19 |
| Decalcification CPT 88311 | $30.14 | $110.00 | $7.90 – $91.30 | 16 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $2,138.30 | $7,804.00 | $1.77 – $398.40 | 17 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $167.97 | $613.00 | $33.51 – $544.84 | 19 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $338.78 – $5,329.67 | 12 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $571.63 – $3,072.49 | 12 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $931.87 – $4,007.04 | 12 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $356.30 – $5,329.67 | 12 |
| Decompress fingers/hand CPT 26035 | not published | not published | $898.88 – $5,329.67 | 12 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $557.10 – $5,329.67 | 12 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $578.18 – $5,329.67 | 12 |
| Decompression fasct forearm CPT 24495 | not published | not published | $666.04 – $11,734.48 | 12 |
| Decompression of leg CPT 27892 | not published | not published | $297.35 – $5,329.67 | 12 |
| Decompression of leg CPT 27893 | not published | not published | $290.51 – $11,734.48 | 12 |
| Decompression of leg CPT 27894 | not published | not published | $387.06 – $5,329.67 | 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.