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 |
|---|---|---|---|---|
| Fetal biophys profile w/nst 76818 CPT 76818 | $590.47 | $2,155.00 | $77.20 – $1,788.65 | 17 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $498.68 | $1,820.00 | $38.70 – $1,510.60 | 20 |
| Fetal cord puncture prenatal CPT 59012 | not published | not published | $191.85 – $925.06 | 12 |
| Fetal fibronectin CPT 82731 | $296.20 | $1,081.00 | $56.19 – $897.23 | 21 |
| Fetal fluid drainage w/us CPT 59074 | not published | not published | $295.30 – $1,350.85 | 12 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $82.20 | $300.00 | $6.28 – $249.00 | 21 |
| Fetal hemoglobin rosette CPT 85461 | $31.79 | $116.00 | $4.17 – $96.28 | 21 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $39.58 – $459.39 | 7 |
| Fetal monitor w/report CPT 59050 | not published | not published | $47.37 – $500.03 | 7 |
| Fetal non stress test CPT 59025 | $255.10 | $931.00 | $22.62 – $463.97 | 20 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $82.13 – $499.68 | 12 |
| Fetal shunt placement w/us CPT 59076 | not published | not published | $284.26 – $1,222.32 | 12 |
| Fibrin degradation d dimer quantitative CPT 85379 | $84.12 | $307.00 | $1.01 – $22.55 | 21 |
| Fibrin degradation products CPT 85362 | $94.26 | $344.00 | $3.89 – $29.31 | 21 |
| Fibrinogen activity CPT 85384 | $80.83 | $295.00 | $7.63 – $244.85 | 21 |
| Fibrinolytic antiplasmin CPT 85410 | $2.30 | $8.39 | $0.93 – $17.07 | 21 |
| Fibrinolytic plasminogen CPT 85415 | $5.13 | $18.72 | $2.06 – $38.06 | 21 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $1.68 | $6.12 | $0.68 – $14.45 | 21 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,460.72 – $14,303.78 | 7 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | $460.87 | $1,682.00 | $0.30 – $873.16 | 20 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | $414.29 | $1,512.00 | $1.04 – $862.37 | 20 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $577.60 | $2,108.00 | $0.35 – $1,027.54 | 20 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $577.18 – $3,102.34 | 12 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,285.56 | $22,940.00 | $521.95 – $4,033.25 | 16 |
| Filter vena cava fem denali HCPCS C1880 | $3,718.18 | $13,570.00 | $401.50 – $3,102.50 | 16 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $823.33 – $823.33 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $554.58 | $2,024.00 | $87.89 – $1,612.69 | 19 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $399.22 | $1,457.00 | $50.22 – $1,209.31 | 14 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $216.19 | $789.00 | $42.95 – $654.87 | 14 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $415.94 | $1,518.00 | $49.47 – $1,209.31 | 14 |
| Fine needle asp without image guide 10021 CPT 10021 | $354.83 | $1,295.00 | $54.74 – $1,074.85 | 19 |
| Finger tendon transfer CPT 26497 | not published | not published | $484.05 – $5,329.67 | 12 |
| Finger tendon transfer CPT 26498 | not published | not published | $725.85 – $5,329.67 | 12 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,101.47 – $6,250.57 | 7 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $681.11 – $3,975.35 | 7 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $43.61 – $330.45 | 12 |
| Fixation of ankle joint CPT 27860 | not published | not published | $107.66 – $5,329.67 | 12 |
| Fixation of knee joint CPT 27570 | not published | not published | $89.29 – $2,628.88 | 12 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $1,000.34 – $11,734.48 | 12 |
| Fix g/colon tube w/device CPT 49460 | $525.26 | $1,917.00 | $49.79 – $1,835.00 | 19 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $520.10 – $5,329.67 | 12 |
| Flebogamma injection HCPCS J1572 | $1,872.79 | $6,835.00 | $50.27 – $2,836.94 | 20 |
| Flecainide (tambocor)-sendout CPT 80181 | $6.91 | $25.21 | $2.78 – $41.29 | 21 |
| Fl exam g/colon tube w contrast CPT 49465 | $156.46 | $571.00 | $29.87 – $530.00 | 19 |
| Flexible keel foot HCPCS L5972 | $590.47 | $2,155.00 | $237.05 – $1,831.75 | 17 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $58.12 – $1,497.60 | 12 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $387.06 – $11,734.48 | 12 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $387.06 – $11,734.48 | 12 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $96.90 – $2,661.45 | 12 |
| Flow cytometry marker each additional CPT 88185 | $31.43 | $114.68 | $1.10 – $49.06 | 16 |
| Flow cytometry one marker technical component CPT 88184 | $32.88 | $120.00 | $2.55 – $153.28 | 20 |
| Floxuridine injection HCPCS J9200 | $164.40 | $600.00 | $60.06 – $9,276.86 | 20 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $139.74 | $510.00 | $3.79 – $41.50 | 14 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $402.51 | $1,469.00 | $49.94 – $376.82 | 20 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $91.18 – $1,155.74 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $39.32 | $143.50 | $1.15 – $26.68 | 21 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $634.04 | $2,314.00 | $56.88 – $1,844.26 | 15 |
| Fluoroguide needle placement CPT 77002 | $817.89 | $2,985.00 | $66.51 – $2,382.10 | 15 |
| Fluoroscopy up to 1 hour CPT 76000 | $667.47 | $2,436.00 | $31.22 – $2,021.88 | 20 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $76.45 | $279.00 | $2.21 – $52.29 | 17 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $197.28 | $720.00 | $0.02 – $79.68 | 17 |
| Fna bx w/ct gdn 1st les CPT 10009 | $554.58 | $2,024.00 | $106.87 – $1,842.64 | 19 |
| Fna bx w/ct gdn ea addl CPT 10010 | $415.94 | $1,518.00 | $69.83 – $1,259.94 | 14 |
| Fna bx w/mr gdn 1st les CPT 10011 | not published | not published | $871.89 – $1,155.74 | 8 |
| Folic acid CPT 82746 | $226.05 | $825.00 | $13.07 – $684.75 | 21 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $84.12 | $307.00 | $9.79 – $89.00 | 9 |
| Follow-up angiography CPT 75898 | $1,041.75 | $3,802.00 | $149.03 – $11,566.70 | 20 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $511.38 – $3,832.17 | 12 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $2,277.49 | $8,312.00 | $1.88 – $3,759.90 | 20 |
| Fondaparinux sodium HCPCS J1652 | $172.35 | $629.00 | $0.91 – $97.94 | 14 |
| Fo nontorsion joint cf HCPCS L3935 | $112.89 | $412.00 | $45.32 – $350.20 | 17 |
| Foot longitud/metatarsal sup HCPCS L3020 | $267.15 | $975.00 | $107.25 – $828.75 | 16 |
| Foot plate molded stirrup at HCPCS L2250 | $590.47 | $2,155.00 | $237.05 – $1,831.75 | 17 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $1,690.58 | $6,170.00 | $678.70 – $5,244.50 | 17 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $896.50 – $6,013.60 | 12 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | not published | not published | $56.63 – $399.50 | 9 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $440.32 | $1,607.00 | $0.12 – $157.70 | 17 |
| Foscarnet sodium injection HCPCS J1455 | $621.98 | $2,270.00 | $19.31 – $366.03 | 20 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $631.30 | $2,304.00 | $3.28 – $41.50 | 13 |
| _fragile x methylation-sendout CPT 81244 | $21.94 | $80.07 | $8.81 – $99.42 | 21 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $583.91 – $5,665.36 | 12 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $2,125.00 – $11,421.88 | 7 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $701.50 – $3,770.57 | 7 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $3,950.48 – $3,950.48 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $2,121.58 – $11,403.50 | 7 |
| Free omental flap microvasc CPT 49906 | not published | not published | $3,159.85 – $3,159.85 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,287.22 – $6,918.80 | 7 |
| Free skin flap microvasc CPT 15757 | not published | not published | $2,135.68 – $11,479.30 | 7 |
| Frenectomy 41115 CPT 41115 | not published | not published | $153.39 – $2,433.19 | 9 |
| Frenotomy 40806 CPT 40806 | not published | not published | $32.03 – $836.51 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $155.25 – $3,364.94 | 12 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $33.43 | $122.00 | $13.42 – $122.00 | 19 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $100.01 | $365.00 | $40.15 – $302.95 | 19 |
| Fresh frozen plasma thawing ea un CPT 86927 | $91.25 | $333.00 | $16.42 – $281.48 | 18 |
| Frozen blood thaw CPT 86931 | $67.96 | $248.00 | $27.28 – $281.48 | 18 |
| Fructosamine glycated protein CPT 82985 | $2.59 | $9.42 | $1.04 – $37.10 | 21 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $135.53 – $1,148.16 | 7 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $75.23 – $473.02 | 7 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $484.05 – $3,004.74 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $338.36 – $3,004.74 | 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.