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 |
|---|---|---|---|---|
| Decompression of lower leg CPT 27600 | not published | not published | $265.31 – $5,329.67 | 12 |
| Decompression of lower leg CPT 27601 | not published | not published | $454.27 – $5,329.67 | 12 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $293.93 – $5,329.67 | 12 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $358.86 – $5,329.67 | 12 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $409.27 – $2,628.88 | 12 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $471.65 – $11,734.48 | 12 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $380.95 – $3,207.67 | 12 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $386.63 – $3,207.67 | 9 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,052.24 – $3,942.97 | 7 |
| Decompress optic nerve CPT 67570 | not published | not published | $576.32 – $6,194.34 | 12 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,514.50 – $11,734.48 | 12 |
| Decompress small bowel CPT 44021 | not published | not published | $691.24 – $3,715.43 | 7 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,303.88 – $11,734.48 | 12 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,548.26 – $11,734.48 | 12 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $192.94 – $1,205.58 | 7 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $306.91 – $1,869.19 | 7 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $125.17 – $4,701.27 | 12 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $137.28 | $501.00 | $5.50 – $41.50 | 17 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $1,002.57 | $3,659.00 | $0.66 – $1,675.77 | 20 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $580.60 – $15,718.36 | 12 |
| Delay flap arms/legs CPT 15610 | not published | not published | $213.61 – $3,004.74 | 12 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $290.51 – $3,004.74 | 12 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $290.51 – $3,004.74 | 12 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $193.53 – $6,013.60 | 12 |
| Delivery of placenta 59414 CPT 59414 | $1,555.50 | $5,677.00 | $86.09 – $5,222.78 | 20 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $781.35 – $3,359.79 | 7 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $1,331.14 – $1,331.14 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $582.28 – $2,503.80 | 7 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $193.72 | $707.00 | $15.32 – $1,867.00 | 20 |
| Denervation of hip joint CPT 27035 | not published | not published | $822.40 – $5,329.67 | 12 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,003.59 | $10,962.00 | $21.25 – $4,857.16 | 20 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $209.61 | $765.00 | $57.25 – $634.95 | 19 |
| Dermabrasion other than face CPT 15782 | not published | not published | $193.53 – $4,701.27 | 12 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $193.53 – $1,155.74 | 12 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $173.02 – $930.00 | 12 |
| Dermabrasion total face CPT 15780 | not published | not published | $520.78 – $4,701.27 | 12 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $512.67 – $6,013.60 | 12 |
| Dermagraft HCPCS Q4106 | $2,198.85 | $8,025.00 | $10.45 – $80.75 | 17 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $766.86 – $6,013.60 | 12 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $622.36 – $3,004.74 | 12 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,658.99 – $6,425.96 | 7 |
| Design custom breast implant CPT 19396 | not published | not published | $145.08 – $6,290.08 | 12 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $932.43 | $3,403.00 | $4.76 – $41.50 | 18 |
| Desoxycorticosterone CPT 82633 | $9.25 | $33.73 | $3.72 – $68.62 | 21 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $360.21 – $1,504.83 | 7 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $1,368.91 | $4,996.00 | $549.56 – $4,996.00 | 14 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,035.42 – $4,083.88 | 7 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $50.41 – $326.39 | 12 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $75.62 – $406.47 | 12 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $90.57 – $486.83 | 12 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $55.12 – $326.39 | 12 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $65.36 – $351.32 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $77.76 – $417.94 | 12 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $43.15 – $326.39 | 12 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $50.41 – $326.39 | 12 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $69.63 – $374.27 | 12 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $79.04 – $424.85 | 12 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,036.92 | $7,434.00 | $196.87 – $5,141.85 | 19 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,357.95 | $4,956.00 | $67.07 – $4,113.48 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $120.90 – $1,936.79 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $58.70 – $429.41 | 12 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $140.71 – $3,004.74 | 12 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $114.84 – $3,004.74 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $89.60 – $727.94 | 12 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $362.71 – $1,949.56 | 12 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $212.76 – $1,143.59 | 12 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $549.07 – $4,232.12 | 12 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.09 – $66.96 | 7 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $108.08 – $3,004.74 | 12 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $187.78 – $4,504.71 | 12 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $104.67 – $656.27 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $74.23 – $615.44 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $112.79 – $1,462.41 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,357.95 | $4,956.00 | $58.88 – $4,113.48 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,036.92 | $7,434.00 | $197.06 – $5,141.85 | 19 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.06 – $3,746.39 | 12 |
| Destruction ciliary body CPT 66720 | not published | not published | $290.51 – $3,832.17 | 12 |
| Destruction ciliary body CPT 66740 | not published | not published | $407.25 – $3,832.17 | 12 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $548.82 | 12 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $4,504.71 | 12 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $156.98 – $3,832.17 | 12 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $656.27 | 12 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $656.27 | 12 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $656.27 | 12 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $656.27 | 12 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $656.27 | 12 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $182.11 – $3,004.74 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $102.94 – $890.96 | 12 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $4,504.71 | 12 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $133.73 – $5,222.78 | 12 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $84.31 – $5,222.78 | 12 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $102.48 – $3,004.74 | 12 |
| Device ablt adv novasure HCPCS C1886 | $8,172.05 | $29,825.00 | $237.05 – $1,831.75 | 16 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $3,718.18 | $13,570.00 | $1,147.85 – $8,869.75 | 16 |
| Device intraute mirena HCPCS J7298 | $924.75 | $3,375.00 | $250.03 – $2,881.75 | 17 |
| Device sut capio slim opn HCPCS C2631 | $2,198.85 | $8,025.00 | $182.05 – $1,406.75 | 16 |
| Device tiss remov myosure reach HCPCS C1782 | $2,198.85 | $8,025.00 | $182.05 – $1,655.00 | 8 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,097.96 – $5,901.53 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $2.47 | $9.00 | $0.06 – $4.98 | 14 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $13.70 | $50.00 | $0.10 – $8.55 | 17 |
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.