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 |
|---|---|---|---|---|
| Albumin (human), 5%, 250 ml HCPCS P9045 | $243.59 | $889.00 | $11.22 – $110.46 | 20 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $17.81 | $65.00 | $7.15 – $77.80 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $16.44 | $60.00 | $5.08 – $49.80 | 21 |
| Albumin serum plasma or whole blood CPT 82040 | $31.24 | $114.00 | $0.83 – $10.97 | 21 |
| Alcohol/subs interv >30 min HCPCS G0397 | $57.00 | $208.00 | $22.88 – $260.00 | 17 |
| Aldesleukin injection HCPCS J9015 | $7,301.56 | $26,648.00 | $433.95 – $14,377.47 | 20 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $26,624.58 | $97,170.00 | $2,061.35 – $80,651.10 | 20 |
| Alkaline phosphatase CPT 84075 | $31.24 | $114.00 | $0.46 – $11.48 | 21 |
| Allergen alpha lactalbumin ige CPT 86008 | $1.21 | $4.40 | $0.49 – $39.69 | 21 |
| Allergen egg white ige CPT 86003 | $12.33 | $45.00 | $0.49 – $11.55 | 21 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $2.02 | $7.35 | $0.63 – $17.65 | 18 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $689.06 – $21,135.36 | 12 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $3,718.18 | $13,570.00 | $39.66 – $6,821.25 | 16 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $6,285.56 | $22,940.00 | $87.73 – $4,033.25 | 17 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $10,624.35 | $38,775.00 | $107.25 – $828.75 | 16 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $6,285.56 | $22,940.00 | $107.25 – $828.75 | 16 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $18,384.03 | $67,095.00 | $7.15 – $55.25 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $16,712.63 | $60,995.00 | $151.60 – $1,406.75 | 17 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $6,285.56 | $22,940.00 | $95.72 – $5,244.50 | 17 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,198.85 | $8,025.00 | $308.55 – $2,384.25 | 16 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $3,718.18 | $13,570.00 | $136.14 – $6,821.25 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $4,834.73 | $17,645.00 | $223.73 – $6,821.25 | 17 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $504.16 | $1,840.00 | $3.98 – $1,527.20 | 20 |
| Alpha-fetoprotein tumor marker CPT 82105 | $2.20 | $8.00 | $0.88 – $37.14 | 21 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $10,215.82 | $37,284.00 | $38.50 – $290.50 | 20 |
| Alt/sgpt CPT 84460 | $31.24 | $114.00 | $2.93 – $22.08 | 21 |
| Aluminum - quest CPT 82108 | $5.41 | $19.72 | $2.17 – $56.42 | 21 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $220.01 – $5,327.15 | 12 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $74.26 | $271.00 | $0.64 – $41.50 | 17 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $3,419.52 | $12,480.00 | $5.50 – $50.00 | 9 |
| Aminolevulinic acid delta CPT 82135 | $12.09 | $44.11 | $4.86 – $44.11 | 21 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $16.44 | $60.00 | $3.43 – $41.50 | 14 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $57.54 | $210.00 | $15.95 – $145.00 | 9 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $43.57 | $159.00 | $0.35 – $41.50 | 14 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $3,927.79 | $14,335.00 | $1,576.85 – $14,335.00 | 9 |
| Ammonia CPT 82140 | $107.69 | $393.00 | $12.95 – $326.19 | 21 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $414.57 | $1,513.00 | $65.71 – $1,430.30 | 19 |
| Amniocentesis therapeutic CPT 59001 | $466.35 | $1,702.00 | $111.88 – $1,412.66 | 19 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $356.73 – $5,329.67 | 12 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $50.15 | $183.00 | $10.78 – $116.46 | 17 |
| Amphotericin b lipid complex HCPCS J0287 | $263.04 | $960.00 | $10.30 – $749.49 | 20 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $335.11 | $1,223.00 | $23.31 – $651.55 | 20 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $41.10 | $150.00 | $0.63 – $9.51 | 17 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $40.83 | $149.00 | $1.67 – $41.50 | 14 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $290.51 – $5,329.67 | 12 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $705.32 – $4,358.44 | 7 |
| Amputate hand at wrist CPT 25922 | not published | not published | $314.43 – $2,628.88 | 12 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $390.05 – $5,329.67 | 12 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $701.50 – $3,770.57 | 7 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $299.90 – $5,329.67 | 12 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $421.24 – $5,329.67 | 12 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $442.17 – $11,734.48 | 12 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $306.32 – $3,004.74 | 12 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $484.05 – $5,329.67 | 12 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $302.90 – $5,329.67 | 12 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $580.48 – $5,329.67 | 12 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $580.60 – $3,120.72 | 7 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $646.94 – $3,830.28 | 7 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $580.60 – $11,734.48 | 12 |
| Amputation of lower leg CPT 27882 | not published | not published | $507.96 – $2,730.29 | 7 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $484.05 – $2,601.75 | 7 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $484.05 – $5,329.67 | 12 |
| Amputation toe interphalangeal joint CPT 28825 | not published | not published | $173.47 – $5,329.67 | 12 |
| Amputation toe metatarsophalangeal joint CPT 28820 | not published | not published | $177.74 – $5,329.67 | 12 |
| Amylase CPT 82150 | $120.29 | $439.00 | $0.65 – $14.34 | 21 |
| Ana ds-dna CPT 86226 | $3.62 | $13.18 | $1.45 – $26.81 | 21 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $30.84 – $447.79 | 12 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $72.63 – $399.50 | 12 |
| Analysis gene f2 20210g>a variant CPT 81240 | $10.96 | $40.00 | $4.40 – $145.48 | 18 |
| Analysis gene f5 leiden variant CPT 81241 | $9.59 | $35.00 | $3.85 – $162.48 | 18 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $967.66 – $5,201.16 | 7 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,064.63 – $5,722.41 | 7 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,014.99 – $5,970.42 | 7 |
| Anca screen with reflex to titer -quest CPT 86021 | $17.23 | $62.86 | $6.92 – $52.18 | 21 |
| An cholangiogram percutaneous compl CPT 47531 | $2,382.16 | $8,694.00 | $70.14 – $6,927.18 | 19 |
| An fluoro guide for cvp CPT 77001 | $634.04 | $2,314.00 | $63.56 – $1,920.62 | 15 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $6,667.52 | $24,334.00 | $139.70 – $20,197.22 | 14 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,607.07 | $27,763.00 | $389.43 – $9,805.62 | 19 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $7,607.07 | $27,763.00 | $353.31 – $19,611.24 | 19 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $5,718.66 | $20,871.00 | $171.63 – $3,905.15 | 14 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $20,839.62 | $76,057.00 | $0.99 – $9.00 | 12 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $7,503.49 | $27,385.00 | $475.43 – $14,778.75 | 19 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $6,734.10 | $24,577.00 | $164.37 – $20,197.22 | 14 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $6,734.10 | $24,577.00 | $327.95 – $20,197.22 | 19 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $6,667.52 | $24,334.00 | $138.28 – $20,197.22 | 14 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $6,734.10 | $24,577.00 | $283.54 – $20,197.22 | 19 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $622.89 – $5,329.67 | 12 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $650.23 – $11,734.48 | 12 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $484.05 – $5,329.67 | 12 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $409.71 – $5,329.67 | 12 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $430.64 – $5,329.67 | 12 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $477.21 – $5,329.67 | 12 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $738.27 – $11,734.48 | 12 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | not published | not published | $45.26 – $492.64 | 12 |
| Anorectal myomectomy CPT 45108 | not published | not published | $382.88 – $4,504.71 | 12 |
| Anoscopy CPT 46611 | not published | not published | $81.31 – $1,497.60 | 12 |
| Anoscopy ablation lesion 46615 CPT 46615 | not published | not published | $91.74 – $4,504.71 | 12 |
| Anoscopy and biopsy CPT 46606 | not published | not published | $33.32 – $1,936.79 | 12 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $45.28 – $1,936.79 | 12 |
| Anoscopy control bleeding 46614 CPT 46614 | not published | not published | $65.88 – $1,936.79 | 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.