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 |
|---|---|---|---|---|
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $20.55 | $75.00 | $8.25 – $77.71 | 21 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | not published | not published | $143.12 – $769.26 | 12 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $195.45 – $1,050.52 | 12 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | not published | not published | $287.52 – $2,628.88 | 12 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $192.68 – $1,035.66 | 12 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | not published | not published | $312.72 – $2,628.88 | 12 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | not published | not published | $629.30 – $3,382.49 | 12 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | not published | not published | $203.03 – $1,091.29 | 12 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $289.23 – $2,628.88 | 12 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | not published | not published | $378.95 – $2,628.88 | 12 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $295.34 – $1,587.44 | 12 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $159.78 – $858.82 | 12 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | not published | not published | $37.02 – $723.31 | 12 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | not published | not published | $29.65 – $686.61 | 12 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | not published | not published | $41.27 – $888.67 | 12 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $51.25 – $487.33 | 12 |
| Ghs cricothyroidotomy CPT 31605 | $206.05 | $752.00 | $78.76 – $716.00 | 19 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $38.44 – $655.48 | 12 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $44.32 – $259.48 | 12 |
| Ghs dislocation elbow closed treatment CPT 24600 | not published | not published | $254.44 – $1,367.61 | 12 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $818.44 | $2,987.00 | $93.43 – $2,361.35 | 19 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $26.06 – $436.25 | 12 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $521.97 | $1,905.00 | $102.69 – $1,519.73 | 19 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $303.87 | $1,109.00 | $121.99 – $1,047.14 | 19 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $53.83 – $656.27 | 12 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $60.67 – $656.27 | 12 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $121.46 – $1,685.51 | 12 |
| Ghs fb removal foot - deep - left CPT 28192 | not published | not published | $327.11 – $2,661.45 | 12 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $256.19 – $4,701.27 | 12 |
| Ghs fb removal - incisional CPT 10121 | not published | not published | $134.70 – $2,661.45 | 12 |
| Ghs fb removal - non-incisional CPT 20520 | not published | not published | $129.02 – $2,661.45 | 12 |
| Ghs fish cytogen CPT 88271 | $59.87 | $218.50 | $4.92 – $47.43 | 21 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $126.53 | $461.76 | $9.79 – $113.35 | 21 |
| Ghs gastric intub aspiration lavage CPT 43753 | not published | not published | $19.84 – $511.51 | 12 |
| Ghs hcv amplificaiton CPT 87521 | $10.64 | $38.80 | $4.27 – $77.71 | 21 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $4.70 | $17.12 | $1.89 – $34.31 | 21 |
| Ghs histoplasma antigen CPT 87385 | $2.77 | $10.10 | $1.12 – $29.33 | 21 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $219.16 – $3,364.94 | 12 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $1,073.81 | $3,919.00 | $205.06 – $3,097.56 | 19 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $165.72 – $1,155.74 | 12 |
| Ghs i and d pilonidal cyst simple CPT 10080 | not published | not published | $63.23 – $1,155.74 | 12 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | not published | not published | $114.52 – $1,178.01 | 12 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $95.27 – $512.06 | 12 |
| Ghs inf midline insertion CPT 36140 | $954.35 | $3,483.00 | $83.33 – $2,751.45 | 14 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $36.74 – $326.39 | 12 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $114.06 – $1,462.41 | 12 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,051.89 | $3,839.00 | $123.50 – $3,186.37 | 19 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $38.50 – $484.89 | 12 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | not published | not published | $61.75 – $865.73 | 7 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $133.49 – $1,462.41 | 12 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $57.77 – $655.48 | 12 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $129.88 – $698.09 | 12 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $181.57 – $1,005.50 | 12 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $330.03 – $3,004.74 | 9 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $52.89 | $193.00 | $20.46 – $160.74 | 14 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $133.62 – $833.53 | 12 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $37.54 | $137.00 | $15.07 – $113.71 | 18 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $329.63 | $1,203.00 | $126.06 – $1,146.00 | 19 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $85.87 – $655.48 | 12 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $259.21 | $946.00 | $96.98 – $785.18 | 19 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $107.66 – $656.27 | 12 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $108.08 – $656.27 | 12 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $113.64 – $656.27 | 12 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $114.50 – $656.27 | 12 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $123.46 – $663.61 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $119.19 – $656.27 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $124.32 – $1,005.50 | 12 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $179.00 – $962.13 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $140.98 – $1,005.50 | 12 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $266.16 – $1,430.59 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $185.42 – $1,005.50 | 12 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $395.44 – $2,195.29 | 12 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $355.53 – $3,004.74 | 12 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $429.81 – $2,319.26 | 12 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $2.61 | $9.50 | $1.05 – $19.05 | 21 |
| Ghs mbp CPT 83873 | $6.44 | $23.50 | $2.59 – $38.09 | 21 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $257.56 | $940.00 | $24.00 – $538.67 | 14 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $177.83 | $649.00 | $63.61 – $538.67 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $212.63 | $776.00 | $10.09 – $538.67 | 14 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $177.83 | $649.00 | $48.19 – $538.67 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $168.24 | $614.00 | $11.75 – $168.49 | 14 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $113.49 – $1,005.50 | 12 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $24.55 – $1,462.41 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $720.08 | $2,628.00 | $59.24 – $2,181.24 | 19 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $64.49 – $1,462.41 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $69.35 – $1,462.41 | 12 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $96.88 – $1,462.41 | 12 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $69.63 – $1,462.41 | 12 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $755.97 | $2,759.00 | $87.52 – $2,289.97 | 19 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $72.20 – $1,137.55 | 12 |
| Ghs nerve block suprascapular CPT 64418 | $678.15 | $2,475.00 | $55.22 – $2,054.25 | 19 |
| Ghs ng placement w fluoro guidance CPT 43752 | $606.91 | $2,215.00 | $39.37 – $1,764.58 | 19 |
| Ghs o2 saturation CPT 82810 | $147.96 | $540.00 | $7.82 – $448.20 | 21 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $33.03 – $1,015.58 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $131.83 – $2,551.73 | 12 |
| Ghs pacing - transcutaneous CPT 92953 | $248.80 | $908.00 | $0.89 – $1,074.90 | 19 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $809.67 | $2,955.00 | $60.04 – $2,452.65 | 14 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $971.33 | $3,545.00 | $51.72 – $2,237.68 | 14 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $83.73 – $450.07 | 12 |
| Ghs picc line insert < 5 CPT 36568 | $1,408.36 | $5,140.00 | $78.67 – $4,266.20 | 19 |
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.