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 |
|---|---|---|---|---|
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,137.26 – $6,112.78 | 12 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $566.07 – $4,701.27 | 12 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $801.46 – $4,701.27 | 12 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $734.83 – $6,013.60 | 12 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $814.28 – $4,376.76 | 12 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $57.25 – $1,936.79 | 12 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $844.18 – $5,329.67 | 12 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $338.78 – $5,329.67 | 12 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $266.16 – $5,329.67 | 12 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,280.34 – $5,505.46 | 7 |
| Excise inferior turbinate CPT 30130 | not published | not published | $137.56 – $5,327.15 | 12 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $683.55 – $3,674.11 | 7 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,556.79 – $11,734.48 | 12 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,675.99 – $9,008.43 | 7 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,292.77 – $11,734.48 | 12 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,576.45 – $8,473.43 | 7 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,356.43 – $11,734.48 | 12 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,523.90 – $8,190.94 | 7 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,814.41 – $9,752.47 | 7 |
| Excise lesion testis CPT 54512 | not published | not published | $518.22 – $5,665.36 | 12 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $209.34 – $2,433.19 | 12 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $686.48 – $9,717.21 | 12 |
| Excise mandible lesion CPT 21040 | not published | not published | $213.61 – $5,327.15 | 12 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $231.12 – $9,717.21 | 12 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $510.53 – $9,717.21 | 12 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $231.56 – $1,244.62 | 12 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $333.66 – $9,717.21 | 12 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $701.50 – $9,717.21 | 12 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $871.11 – $9,717.21 | 12 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $580.60 – $9,717.21 | 12 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,332.08 – $7,159.91 | 7 |
| Excise pharynx lesion CPT 42808 | not published | not published | $173.56 – $5,327.15 | 12 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $98.69 – $2,433.19 | 12 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $678.85 – $3,648.82 | 7 |
| Excise sublingual gland CPT 42450 | not published | not published | $266.16 – $9,717.21 | 12 |
| Excise submaxillary gland CPT 42440 | not published | not published | $431.07 – $9,717.21 | 12 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $345.60 – $2,661.45 | 12 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $422.19 – $5,329.67 | 12 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $412.29 – $2,628.88 | 12 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $138.43 – $744.04 | 7 |
| Excision aural polyp CPT 69540 | not published | not published | $59.81 – $2,433.19 | 12 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $85.44 – $1,155.74 | 12 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $85.02 – $2,661.45 | 12 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $82.45 – $1,155.74 | 12 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $221.72 – $2,661.45 | 12 |
| Excision breast lesion CPT 19125 | not published | not published | $275.99 – $6,290.08 | 12 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,287.52 – $8,634.16 | 7 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $205.06 – $5,327.15 | 12 |
| Excision graft abdomen CPT 35907 | not published | not published | $843.76 – $4,535.21 | 7 |
| Excision graft extremity CPT 35903 | not published | not published | $538.19 – $5,170.16 | 12 |
| Excision graft neck CPT 35901 | not published | not published | $455.38 – $2,831.38 | 7 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $819.83 – $4,406.61 | 7 |
| Excision gum each quadrant CPT 41820 | not published | not published | $513.87 – $5,327.15 | 8 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $813.01 – $5,329.67 | 12 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $169.74 – $5,327.15 | 12 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $317.00 – $9,717.21 | 12 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $78.18 – $2,433.19 | 12 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $109.37 – $4,504.71 | 12 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $930.49 – $5,001.38 | 7 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,101.80 – $5,922.19 | 7 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,392.75 – $7,486.00 | 7 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $703.64 – $3,782.05 | 7 |
| Excision of brain tumor CPT 61545 | not published | not published | $1,462.38 – $7,860.27 | 7 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $656.01 – $4,363.00 | 7 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $919.38 – $4,941.68 | 7 |
| Excision of gum flap CPT 41821 | not published | not published | $410.69 – $2,433.19 | 8 |
| Excision of gum lesion CPT 41822 | not published | not published | $183.28 – $2,433.19 | 12 |
| Excision of gum lesion CPT 41823 | not published | not published | $249.07 – $9,717.21 | 12 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.86 – $5,327.15 | 12 |
| Excision of gum lesion CPT 41827 | not published | not published | $256.33 – $9,717.21 | 12 |
| Excision of gum lesion CPT 41828 | not published | not published | $226.85 – $2,433.19 | 12 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $128.17 – $5,327.15 | 12 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $637.41 – $3,426.09 | 7 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $232.41 – $9,717.21 | 12 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $484.05 – $2,601.75 | 7 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $290.51 – $5,327.15 | 12 |
| Excision of neck cyst CPT 42815 | not published | not published | $484.05 – $9,717.21 | 12 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $193.53 – $5,327.15 | 12 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $137.50 – $3,004.74 | 12 |
| Excision of rectal lesion CPT 45160 | not published | not published | $795.06 – $4,504.71 | 12 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,110.78 – $5,970.42 | 7 |
| Excision of rectal stricture CPT 45150 | not published | not published | $419.96 – $2,257.27 | 12 |
| Excision of salivary cyst CPT 42408 | not published | not published | $312.72 – $5,327.15 | 12 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,451.70 – $7,802.91 | 7 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,031.44 – $10,919.01 | 7 |
| Excision of skull tumor CPT 61563 | not published | not published | $931.77 – $5,008.29 | 7 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,446.58 – $7,775.34 | 7 |
| Excision of stomach lesion CPT 43610 | not published | not published | $634.43 – $3,410.06 | 7 |
| Excision of stomach lesion CPT 43611 | not published | not published | $764.73 – $4,110.43 | 7 |
| Excision of tongue lesion CPT 41112 | not published | not published | $219.59 – $5,327.15 | 12 |
| Excision of tongue lesion CPT 41114 | not published | not published | $534.46 – $5,327.15 | 12 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $279.01 – $5,327.15 | 9 |
| Excision of tonsil tags CPT 42860 | not published | not published | $135.43 – $5,327.15 | 12 |
| Excision of umbilicus 49250 CPT 49250 | not published | not published | $602.48 – $5,796.93 | 9 |
| Excision of uvula CPT 42140 | not published | not published | $93.13 – $5,327.15 | 12 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $177.76 – $5,222.78 | 12 |
| Excision olecranon bursa CPT 24105 | not published | not published | $232.41 – $5,329.67 | 12 |
| Excision perinephric cyst CPT 50290 | not published | not published | $834.36 – $4,484.69 | 7 |
| Excision radial head CPT 24130 | not published | not published | $387.06 – $5,329.67 | 12 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $136.37 – $5,327.15 | 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.