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 |
|---|---|---|---|---|
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $394.76 – $5,329.67 | 12 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $6.85 | $25.00 | $0.88 – $6.64 | 17 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $32.58 – $5,222.78 | 12 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $1,406.17 | $5,132.00 | $0.75 – $9.72 | 17 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $580.34 | $2,118.00 | $5.83 – $43.99 | 20 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,406.17 | $5,132.00 | $6.82 – $51.46 | 20 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $61.65 | $225.00 | $8.14 – $61.42 | 14 |
| Epstein barr early antigen antibody CPT 86663 | $1.85 | $6.75 | $0.75 – $29.06 | 21 |
| Epstein barr nuclear antigen antibody CPT 86664 | $1.85 | $6.75 | $0.75 – $33.87 | 21 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $2.20 | $8.00 | $0.72 – $40.17 | 21 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $2,137.20 | $7,800.00 | $3.48 – $119.52 | 13 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $1,966.23 | $7,176.00 | $19.32 – $5,956.08 | 20 |
| Ercp biliary & pancreas CPT 74330 | $711.31 | $2,596.00 | $165.14 – $2,154.68 | 15 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $414.74 – $9,778.24 | 12 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $344.01 – $6,249.41 | 12 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $391.29 – $6,249.41 | 12 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $427.17 – $9,778.24 | 9 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $360.20 – $6,249.41 | 12 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $342.14 – $3,116.04 | 12 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $306.32 – $3,116.04 | 12 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $431.50 – $9,778.24 | 12 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $319.22 – $6,249.41 | 12 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,854.44 | $6,768.00 | $118.75 – $3,386.40 | 20 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $182.76 | $667.00 | $9.73 – $217.46 | 17 |
| ER Visit (level 1, minor) CPT 99281 | $152.35 | $556.00 | $11.15 – $461.48 | 20 |
| ER Visit (level 2) CPT 99282 | $372.64 | $1,360.00 | $34.97 – $1,128.80 | 20 |
| ER Visit (level 3) CPT 99283 | $711.58 | $2,597.00 | $63.97 – $2,155.51 | 20 |
| ER Visit (level 4) CPT 99284 | $5,505.49 | $20,093.00 | $98.04 – $3,540.78 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $10,198.01 | $37,219.00 | $155.03 – $5,131.89 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $263.04 | $960.00 | $5.50 – $153.42 | 17 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $79.89 – $318.59 | 7 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2,364,072.00 | $8,628,000.00 | $5.50 – $50.00 | 9 |
| Esophageal dilat s&i CPT 74360 | $283.59 | $1,035.00 | $113.85 – $859.05 | 15 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $106.88 – $481.86 | 7 |
| Esophageal motility CPT 78258 | $1,390.83 | $5,076.00 | $182.45 – $4,213.08 | 20 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,200.29 – $9,461.25 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $169.77 – $3,116.04 | 12 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $1,540.06 | 12 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $3,116.04 | 12 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $165.30 – $9,778.24 | 12 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $155.74 – $3,116.04 | 12 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $118.71 – $3,116.04 | 12 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $164.50 – $3,116.04 | 12 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $103.39 – $3,116.04 | 12 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $88.32 – $1,540.06 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $1,540.06 | 12 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $140.65 – $3,116.04 | 12 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $179.08 – $6,249.41 | 12 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $134.35 – $3,116.04 | 12 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $3,116.04 | 12 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $6,249.41 | 12 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $3,116.04 | 12 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $9,717.21 | 12 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $160.01 – $3,116.04 | 12 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $197.43 – $3,116.04 | 12 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $3,116.04 | 12 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $3,116.04 | 12 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $3,116.04 | 12 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $3,116.04 | 12 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $919.38 – $4,941.68 | 7 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $140.90 – $3,116.04 | 12 |
| Esophagus motility study CPT 91010 | $1,925.13 | $7,026.00 | $79.31 – $5,831.58 | 19 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $153.04 – $3,116.04 | 12 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $130.04 – $3,116.04 | 12 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $2,932.82 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $4,250.38 | 7 |
| Esoph imped function test CPT 91037 | $1,389.73 | $5,072.00 | $130.86 – $4,209.76 | 19 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $133.83 – $3,116.04 | 9 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $135.73 – $3,116.04 | 12 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $104.32 – $3,116.04 | 12 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $13,080.86 | 7 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $13,684.41 | 7 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $2,672.00 – $11,489.60 | 7 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $1,995.12 – $10,723.79 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $464.05 – $8,108.74 | 12 |
| Establish access to aorta CPT 36160 | not published | not published | $118.30 – $688.89 | 7 |
| Establish access to artery CPT 36100 | $1,418.50 | $5,177.00 | $142.30 – $4,296.91 | 14 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,027.27 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $1,367.11 – $7,348.21 | 7 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $929.30 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $986.35 – $5,970.42 | 7 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $1,351.21 – $7,348.21 | 7 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $958.57 – $5,970.42 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | $80.01 | $292.00 | $8.82 – $211.65 | 16 |
| Established Patient Office Visit (level 2) CPT 99212 | $88.23 | $322.00 | $32.25 – $267.26 | 16 |
| Established Patient Office Visit (level 3) CPT 99213 | $101.38 | $370.00 | $40.70 – $307.10 | 16 |
| Established Patient Office Visit (level 4) CPT 99214 | $126.32 | $461.00 | $46.86 – $353.58 | 16 |
| Established Patient Office Visit (level 5) CPT 99215 | $133.72 | $488.00 | $53.68 – $438.17 | 16 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $177.97 – $351.01 | 2 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $31.79 | $116.00 | $7.74 – $89.64 | 17 |
| Estrogens total-sendout CPT 82672 | $6.11 | $22.29 | $2.46 – $48.07 | 21 |
| Etanercept injection HCPCS J1438 | $1,962.39 | $7,162.00 | $102.52 – $2,419.25 | 17 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $403.06 | $1,471.00 | $44.11 – $1,157.65 | 18 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $628.88 – $5,327.15 | 12 |
| Ethylene glycol -sendout CPT 82693 | $8.70 | $31.72 | $1.67 – $33.01 | 21 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $17.27 | $63.00 | $1.07 – $52.29 | 17 |
| Etoposide 50 mg cap HCPCS J8560 | $77.82 | $284.00 | $21.01 – $177.85 | 14 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $436.09 – $5,222.78 | 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.