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 |
|---|---|---|---|---|
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $68.28 – $688.89 | 7 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $387.06 – $3,004.74 | 12 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $30.97 | $113.00 | $5.50 – $50.00 | 9 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,463.24 – $7,864.90 | 7 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,025.33 – $5,511.16 | 7 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,015.51 – $5,458.36 | 7 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $774.13 – $4,160.94 | 7 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,083.01 – $5,821.16 | 7 |
| Fuse/graft added joint CPT 26863 | not published | not published | $145.25 – $780.74 | 7 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,151.79 – $2,735.51 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,330.79 – $7,153.00 | 7 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,300.44 – $5,591.89 | 7 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $919.38 – $4,941.68 | 7 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $788.22 – $4,236.68 | 7 |
| Fuse upper gi structures CPT 47721 | not published | not published | $885.63 – $4,760.28 | 7 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $405.01 – $5,329.67 | 12 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $484.05 – $11,734.48 | 12 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $822.40 – $21,135.36 | 12 |
| Fusion of big toe joint CPT 28750 | not published | not published | $343.49 – $11,734.48 | 12 |
| Fusion of big toe joint CPT 28755 | not published | not published | $235.83 – $11,734.48 | 12 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,110.78 – $5,970.42 | 7 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $100.82 – $574.11 | 7 |
| Fusion of finger joint CPT 26860 | not published | not published | $304.61 – $5,329.67 | 12 |
| Fusion of finger tendons CPT 26471 | not published | not published | $338.78 – $5,329.67 | 12 |
| Fusion of finger tendons CPT 26474 | not published | not published | $328.96 – $2,628.88 | 12 |
| Fusion of foot bones CPT 28730 | not published | not published | $532.32 – $21,135.36 | 12 |
| Fusion of foot bones CPT 28735 | not published | not published | $677.58 – $21,135.36 | 12 |
| Fusion of foot bones CPT 28740 | not published | not published | $435.33 – $11,734.48 | 12 |
| Fusion of hand joint CPT 26843 | not published | not published | $413.55 – $11,734.48 | 12 |
| Fusion of knee CPT 27580 | not published | not published | $967.66 – $5,201.16 | 7 |
| Fusion of knuckle CPT 26850 | not published | not published | $377.66 – $11,734.48 | 12 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $381.50 – $5,329.67 | 12 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $507.96 – $5,329.67 | 12 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $604.95 – $11,734.48 | 12 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $433.20 – $11,734.48 | 12 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,848.59 – $9,936.15 | 7 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $811.59 – $3,364.94 | 9 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $1,066.93 – $5,665.36 | 9 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $387.06 – $5,329.67 | 12 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $387.06 – $5,329.67 | 12 |
| Fusion of thumb CPT 26841 | not published | not published | $388.34 – $11,734.48 | 12 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $713.03 – $21,135.36 | 12 |
| Fusion of toes CPT 28280 | not published | not published | $236.25 – $5,329.67 | 12 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,281.67 – $6,888.95 | 7 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,024.48 – $5,506.60 | 7 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,064.63 – $5,722.41 | 7 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $51.79 | $189.00 | $20.79 – $320.34 | 15 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $1,005.58 | $3,670.00 | $63.31 – $3,046.10 | 18 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $138.37 | $505.00 | $1.58 – $34.86 | 15 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $1,323.15 | $4,829.00 | $0.13 – $223.27 | 13 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $179.75 | $656.00 | $14.75 – $539.50 | 15 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $534.88 – $9,583.66 | 12 |
| Gallium illuccix 1 millicure HCPCS A9596 | $940.10 | $3,431.00 | $377.41 – $3,431.00 | 8 |
| Gallium nitrate injection HCPCS J1457 | $1,315.20 | $4,800.00 | $2.13 – $3,984.00 | 11 |
| Gamma globulin 1 cc inj HCPCS J1460 | $53.71 | $196.00 | $15.51 – $122.17 | 20 |
| Gammaglobulin iga CPT 82784 | $5.64 | $20.57 | $0.66 – $20.61 | 21 |
| Gammaglobulin ige CPT 82785 | $4.08 | $14.88 | $0.66 – $36.45 | 21 |
| Gamma glutamyltransferase CPT 82977 | $62.48 | $228.00 | $2.93 – $22.08 | 21 |
| Gamunex-c/gammaked HCPCS J1561 | $5,081.88 | $18,547.00 | $48.35 – $385.12 | 20 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $156.46 | $571.00 | $27.39 – $206.67 | 14 |
| Gastroduodenostomy CPT 43810 | not published | not published | $631.86 – $3,396.24 | 7 |
| Gastroesophageal reflux study CPT 78262 | $1,269.99 | $4,635.00 | $155.12 – $3,847.05 | 20 |
| Gastroesophageal reflux test CPT 91034 | $1,368.91 | $4,996.00 | $77.61 – $4,146.68 | 19 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,855.43 – $9,972.91 | 7 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,149.78 – $11,555.04 | 7 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $663.47 – $3,566.17 | 7 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $813.86 – $4,374.47 | 7 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,919.94 – $2,378.34 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $387.06 – $2,080.44 | 12 |
| Gated heart multiple CPT 78473 | $1,390.83 | $5,076.00 | $217.60 – $4,213.08 | 20 |
| Gel-one HCPCS J7326 | $3,616.80 | $13,200.00 | $538.48 – $4,581.60 | 20 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $931.06 | $3,398.00 | $2.98 – $52.29 | 17 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $9,668.37 | $35,286.00 | $202.71 – $29,287.38 | 20 |
| General health panel CPT 80050 | $138.37 | $505.00 | $54.43 – $419.15 | 12 |
| Generator barostim neo2 2014 HCPCS C1767 | $57,693.44 | $210,560.00 | $5,545.10 – $42,848.50 | 16 |
| Generator emblem MRI sicd subq HCPCS C1722 | $35,824.13 | $130,745.00 | $3,280.75 – $25,351.25 | 16 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $39,406.68 | $143,820.00 | $15,820.20 – $122,247.00 | 16 |
| Genioplasty augmentation CPT 21120 | not published | not published | $534.99 – $9,717.21 | 12 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $854.44 – $5,327.15 | 12 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $559.55 – $5,327.15 | 12 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $779.30 – $9,717.21 | 12 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $13.70 | $50.00 | $2.33 – $41.50 | 17 |
| Gentamicin peak therapeutic drug level CPT 80170 | $117.82 | $430.00 | $14.56 – $356.90 | 21 |
| G-esoph reflx tst w/electrod CPT 91035 | $621.98 | $2,270.00 | $102.43 – $1,884.10 | 19 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $143.34 – $667.58 | 7 |
| Ghs abscess perianal iandd CPT 46050 | not published | not published | $91.42 – $1,497.60 | 12 |
| Ghs abscess postoperative iandd complex CPT 10180 | $2,104.32 | $7,680.00 | $135.01 – $6,374.40 | 19 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $4.11 | $14.99 | $1.65 – $21.74 | 21 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $4.87 | $17.77 | $1.67 – $37.89 | 21 |
| Ghs antibodies (torch) igm CPT 86694 | $4.47 | $16.28 | $0.88 – $31.86 | 21 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $38.37 – $399.50 | 12 |
| Ghs bladder cath - complex-foley CPT 51703 | $166.60 | $608.00 | $55.11 – $464.27 | 19 |
| Ghs bleeding time (ivy) CPT 85002 | $21.10 | $77.00 | $4.01 – $63.91 | 21 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $55.08 – $1,137.55 | 12 |
| Ghs central line insert < age 5, failed CPT 36555 | not published | not published | $82.41 – $5,170.16 | 12 |
| Ghs change cysto/gastrost CPT 43762 | $266.88 | $974.00 | $36.03 – $517.00 | 19 |
| Ghs chemo >8 hrs CPT 96416 | $492.11 | $1,796.00 | $53.00 – $1,490.68 | 20 |
| Ghs chemo infusion >8 hrs CPT 96425 | $317.57 | $1,159.00 | $126.28 – $952.84 | 20 |
| Ghs chemo IV push, ea addtl CPT 96411 | $185.50 | $677.00 | $20.61 – $203.35 | 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.