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 |
|---|---|---|---|---|
| Dup scan/hemodialysis access 93990 CPT 93990 | $501.97 | $1,832.00 | $82.33 – $1,520.56 | 20 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $926.12 | $3,380.00 | $122.12 – $2,805.40 | 20 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $783.92 | $2,861.00 | $106.73 – $2,374.63 | 20 |
| Duragen 1x1 5ea/bx HCPCS C9354 | $13,812.34 | $50,410.00 | $32.40 – $5,244.50 | 16 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $4,678.83 | $17,076.00 | $76.84 – $3,402.17 | 20 |
| Dx bronchoscope/brush 31623 CPT 31623 | $821.46 | $2,998.00 | $130.27 – $2,832.66 | 19 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,220.95 | $4,456.00 | $132.32 – $3,550.74 | 19 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,220.95 | $4,456.00 | $130.26 – $3,550.74 | 19 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $51.81 – $1,540.06 | 12 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $74.04 – $1,540.06 | 12 |
| Dx gastr intub w/asp spec CPT 43754 | $277.57 | $1,013.00 | $31.41 – $800.95 | 19 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $56.77 – $257.00 | 12 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $116.21 – $637.85 | 12 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $158.50 – $2,832.66 | 12 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $117.45 – $399.50 | 9 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $42.30 – $2,433.19 | 12 |
| Ear cartilage graft CPT 21235 | not published | not published | $580.60 – $9,717.21 | 12 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $13.24 – $97.58 | 12 |
| Ecg 12 lead tracing only CPT 93005 | $157.55 | $575.00 | $6.91 – $477.25 | 19 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $72.07 | $263.00 | $5.89 – $218.29 | 19 |
| Ecg external < 48 hours recording CPT 93225 | $115.08 | $420.00 | $20.00 – $332.00 | 19 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $153.17 | $559.00 | $12.89 – $463.97 | 19 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $153.17 | $559.00 | $12.89 – $463.97 | 19 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,334.93 | $4,872.00 | $141.14 – $3,680.22 | 19 |
| Echocardiography doppler color flow mapping CPT 93325 | $353.46 | $1,290.00 | $22.06 – $1,070.70 | 14 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,708.67 | $6,236.00 | $621.72 – $4,691.16 | 15 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $553.76 | $2,021.00 | $81.50 – $1,408.51 | 19 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $653.49 | $2,385.00 | $262.35 – $1,979.55 | 15 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $353.46 | $1,290.00 | $19.82 – $1,070.70 | 14 |
| Echo exam of fetal heart CPT 76827 | $539.24 | $1,968.00 | $46.17 – $1,633.44 | 20 |
| Echo guidance radiotherapy CPT 76965 | $244.96 | $894.00 | $31.22 – $742.02 | 15 |
| Echo guide for artery repair CPT 76936 | $564.72 | $2,061.00 | $184.14 – $1,710.63 | 17 |
| Echo stress CPT 93350 | $1,197.93 | $4,372.00 | $128.62 – $3,628.76 | 19 |
| Echo tee guidance CPT 93355 | $1,403.43 | $5,122.00 | $193.26 – $4,251.26 | 14 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,497.41 | $5,465.00 | $143.38 – $4,127.59 | 19 |
| Echo transesophageal CPT 93313 | $1,437.68 | $5,247.00 | $10.93 – $4,355.01 | 16 |
| Echo transthoracic CPT 93304 | $1,197.93 | $4,372.00 | $95.79 – $3,628.76 | 19 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $464.98 | $1,697.00 | $103.19 – $1,408.51 | 19 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $163.44 – $702.79 | 7 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $1,668.66 | $6,090.00 | $167.91 – $4,814.00 | 14 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $234.18 – $1,006.97 | 7 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $212.21 – $912.50 | 7 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $611.69 – $2,630.27 | 7 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $574.83 – $2,471.77 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $337.68 – $1,452.02 | 7 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $302.31 – $1,299.93 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $328.00 – $1,410.40 | 7 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $293.74 – $1,263.08 | 7 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $377.51 – $1,623.29 | 7 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $355.55 – $1,528.87 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $200.67 – $862.88 | 7 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $135.89 – $584.33 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $195.09 – $838.89 | 7 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $161.95 – $696.39 | 7 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $351.45 – $1,511.24 | 7 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $344.75 – $1,482.43 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $172.75 – $742.83 | 7 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $135.52 – $582.74 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $160.83 – $691.57 | 7 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $130.68 – $561.92 | 7 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $245.42 – $3,746.39 | 12 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | $8,579.22 | $31,311.00 | $3,444.21 – $31,311.00 | 9 |
| Edetate calcium disodium inj HCPCS J0600 | $6,558.47 | $23,936.00 | $40.92 – $15,026.03 | 18 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $46.04 | $168.00 | $18.48 – $139.44 | 14 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $655.96 | $2,394.00 | $93.89 – $1,987.02 | 19 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $515.67 | $1,882.00 | $46.84 – $1,562.06 | 19 |
| Eeg during surgery CPT 95955 | $163.31 | $596.00 | $65.56 – $596.00 | 14 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $495.40 | $1,808.00 | $86.73 – $1,500.64 | 19 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $786.93 | $2,872.00 | $127.76 – $2,383.76 | 19 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $726.93 | $2,653.00 | $74.60 – $2,004.45 | 19 |
| Eeg recording awake and asleep CPT 95819 | $564.72 | $2,061.00 | $74.60 – $1,710.63 | 19 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $303.87 | $1,109.00 | $121.99 – $1,109.00 | 19 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $303.87 | $1,109.00 | $121.99 – $954.04 | 19 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $583.35 | $2,129.00 | $234.19 – $2,129.00 | 19 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $583.35 | $2,129.00 | $234.19 – $2,129.00 | 19 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $303.87 | $1,109.00 | $121.99 – $1,109.00 | 19 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $583.35 | $2,129.00 | $234.19 – $1,767.07 | 19 |
| E equine encephalitis igg CPT 86652 | $4.00 | $14.58 | $1.61 – $29.20 | 21 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $201.41 – $3,116.04 | 12 |
| Egd control bleeding any CPT 43255 | not published | not published | $199.59 – $3,116.04 | 12 |
| Egd dilate stricture CPT 43245 | not published | not published | $174.72 – $3,116.04 | 12 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $242.00 – $3,116.04 | 12 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $200.30 – $9,778.24 | 12 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $372.67 – $17,101.72 | 12 |
| Egd guide wire insertion CPT 43248 | not published | not published | $165.55 – $1,540.06 | 12 |
| Egd injection varices CPT 43243 | not published | not published | $235.02 – $3,116.04 | 12 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $141.98 – $3,116.04 | 9 |
| Egd lesion ablation CPT 43270 | not published | not published | $210.72 – $3,116.04 | 12 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $167.59 – $3,116.04 | 9 |
| Egd remove foreign body CPT 43247 | not published | not published | $175.58 – $1,575.29 | 12 |
| Egd remove lesion snare CPT 43251 | not published | not published | $194.89 – $3,116.04 | 9 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $169.00 – $3,116.04 | 12 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $224.96 – $3,116.04 | 12 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $231.21 – $3,116.04 | 9 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $260.52 – $3,116.04 | 12 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $233.43 – $3,116.04 | 12 |
| Egd varices ligation CPT 43244 | not published | not published | $243.15 – $3,116.04 | 12 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $207.67 – $6,249.41 | 12 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $387.29 – $9,778.24 | 12 |
| Egfr gene com variants CPT 81235 | $124.55 | $454.55 | $34.65 – $718.81 | 21 |
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.