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 |
|---|---|---|---|---|
| Drainage of forearm bursa CPT 25031 | not published | not published | $395.31 – $2,628.88 | 12 |
| Drainage of kidney lesion CPT 50390 | $1,089.15 | $3,975.00 | $81.18 – $3,172.26 | 19 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $61.94 – $381.45 | 12 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $246.13 – $2,433.19 | 12 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $236.05 – $2,433.19 | 12 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $251.20 – $5,327.15 | 12 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $263.17 – $1,414.55 | 12 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $153.80 – $836.51 | 12 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $281.97 – $9,717.21 | 12 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $290.51 – $5,327.15 | 12 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $352.04 – $2,433.19 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $71.34 – $383.46 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $75.62 – $836.51 | 12 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $343.91 – $2,628.88 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $710.83 – $5,329.67 | 12 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $387.06 – $5,665.36 | 12 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $387.06 – $5,665.36 | 12 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $598.11 – $5,665.36 | 12 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $145.25 – $1,936.79 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $232.41 – $4,504.71 | 12 |
| Drainage of salivary gland CPT 42305 | not published | not published | $449.83 – $5,327.15 | 12 |
| Drainage of salivary gland CPT 42320 | not published | not published | $101.68 – $836.51 | 12 |
| Drainage of spinal cyst CPT 63172 | not published | not published | $1,191.52 – $6,404.40 | 7 |
| Drainage of spinal cyst CPT 63173 | not published | not published | $1,440.60 – $7,743.21 | 7 |
| Drainage of throat abscess CPT 42725 | not published | not published | $702.78 – $9,717.21 | 12 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $310.59 – $5,665.36 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $168.63 – $3,364.94 | 12 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $289.66 – $1,556.91 | 12 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $660.69 – $4,385.95 | 12 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $50.31 – $1,671.19 | 12 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $22.48 – $211.74 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $997.09 | $3,639.00 | $200.75 – $3,020.37 | 19 |
| Drain cath image guided visceral pq CPT 49405 | $1,141.21 | $4,165.00 | $183.92 – $3,318.34 | 19 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $89.20 – $1,137.55 | 12 |
| Drain chest lesion CPT 21502 | not published | not published | $296.50 – $5,329.67 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $120.05 – $645.29 | 12 |
| Drain lower leg bursa CPT 27604 | not published | not published | $268.73 – $5,329.67 | 12 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $404.93 – $4,701.27 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $293.08 – $4,701.27 | 12 |
| Drain open lung lesion 32200 CPT 32200 | not published | not published | $677.58 – $3,641.97 | 7 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $436.40 – $5,222.78 | 12 |
| Drain ovary abscess open CPT 58820 | not published | not published | $329.25 – $5,222.78 | 12 |
| Drain pancreatic pseudocyst 48510 CPT 48510 | not published | not published | $729.70 – $3,922.12 | 7 |
| Drain penis lesion CPT 54015 | not published | not published | $252.91 – $2,661.45 | 12 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $708.17 – $4,702.85 | 12 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $158.93 – $4,701.27 | 12 |
| Drain shoulder lesion CPT 23030 | not published | not published | $264.67 – $4,701.27 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $404.16 – $4,701.27 | 12 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $77.76 – $2,433.19 | 12 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $667.32 – $3,586.83 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $69.21 – $371.99 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $36.32 – $326.39 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $186.05 | $679.00 | $74.69 – $656.27 | 19 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $43.83 – $1,005.50 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $8,172.05 | $29,825.00 | $18.85 – $8,869.75 | 17 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | not published | not published | $580.60 – $3,120.72 | 7 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $706.10 | $2,577.00 | $269.94 – $2,036.82 | 14 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $89.27 – $339.40 | 7 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $89.27 – $364.98 | 7 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $338.78 – $1,820.96 | 7 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $293.93 – $5,329.67 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $122.66 – $769.26 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $162.78 – $2,661.45 | 12 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $64.09 – $1,155.74 | 12 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $176.02 – $946.10 | 12 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $324.01 – $5,222.78 | 12 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $520.95 – $5,329.67 | 12 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $298.63 – $5,329.67 | 12 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $159.78 – $1,936.79 | 12 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $218.32 – $5,327.15 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $174.47 – $2,661.45 | 12 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $532.32 – $2,861.24 | 7 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $580.60 – $3,120.72 | 7 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $719.91 – $3,750.34 | 7 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $532.32 – $2,861.24 | 7 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $85.02 – $2,433.19 | 12 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $73.91 – $836.51 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $13.70 | $50.00 | $4.98 – $41.50 | 17 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $4,834.73 | $17,645.00 | $82.50 – $637.50 | 16 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $347.98 | $1,270.00 | $4.97 – $147.90 | 17 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $590.47 | $2,155.00 | $2.53 – $19.55 | 17 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $18,384.03 | $67,095.00 | $11.87 – $6,821.25 | 17 |
| Drug admin & hemodynmic meas CPT 93463 | $459.50 | $1,677.00 | $96.34 – $1,391.91 | 14 |
| Drug assay caffeine CPT 80155 | $4.22 | $15.40 | $1.70 – $85.41 | 21 |
| Drug assay voriconazole CPT 80285 | $14.53 | $53.00 | $5.83 – $60.03 | 21 |
| Drug test def 15-21 classes HCPCS G0482 | $34.25 | $125.00 | $8.25 – $440.12 | 21 |
| Drug test def 1-7 classes HCPCS G0480 | $176.46 | $644.00 | $1.08 – $253.41 | 21 |
| Drug test def 22+ classes HCPCS G0483 | $49.32 | $180.00 | $19.80 – $546.82 | 21 |
| Drug test def 8-14 classes HCPCS G0481 | $110.97 | $405.00 | $44.55 – $346.76 | 21 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $203.86 | $744.00 | $1.43 – $137.61 | 21 |
| Drvvt confirm - quest CPT 85597 | $5.37 | $19.57 | $2.16 – $39.83 | 21 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $263.48 – $6,194.34 | 12 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,792.51 | $6,542.00 | $150.60 – $5,429.86 | 19 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $143.12 – $769.26 | 12 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $117.48 – $656.27 | 12 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $153.38 – $1,005.50 | 12 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $199.08 – $1,070.07 | 12 |
| Duodenal exclusion CPT 48547 | not published | not published | $1,216.30 – $6,537.63 | 7 |
| Duplex scan bilateral study 93985 CPT 93985 | $747.75 | $2,729.00 | $232.93 – $2,265.07 | 20 |
| Duplex scan unilateral study 93986 CPT 93986 | $501.97 | $1,832.00 | $131.77 – $1,520.56 | 20 |
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.