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 |
|---|---|---|---|---|
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $82.75 | $302.00 | $28.93 – $263.92 | 19 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | $120.56 | $440.00 | $48.40 – $374.00 | 17 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $87.68 | $320.00 | $0.21 – $102.92 | 15 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $205.50 | $750.00 | $82.50 – $637.50 | 17 |
| Homocysteine CPT 83090 | $4.18 | $15.24 | $1.43 – $39.69 | 21 |
| Homogenization tissue CPT 87176 | $32.34 | $118.00 | $5.23 – $97.94 | 21 |
| Homovanillic acid (hva) CPT 83150 | $4.03 | $14.70 | $1.26 – $49.64 | 21 |
| Ho post-op hip abduction HCPCS L1686 | $1,690.58 | $6,170.00 | $521.95 – $4,033.25 | 17 |
| H pylori drug admin CPT 83014 | $12.06 | $44.00 | $4.84 – $36.52 | 21 |
| Htt gene detc abnor alleles CPT 81271 | $51.66 | $188.54 | $20.74 – $303.39 | 21 |
| Human epididymis protein 4 (he4) CPT 86305 | $6.21 | $22.66 | $2.50 – $46.10 | 21 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $73.44 | $268.00 | $10.23 – $93.00 | 14 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $140.02 | $511.00 | $4.67 – $41.50 | 17 |
| Hydration IV infusion each additional hour CPT 96361 | $121.39 | $443.00 | $12.91 – $367.69 | 20 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $319.76 | $1,167.00 | $33.91 – $968.61 | 20 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $60.28 | $220.00 | $5.19 – $50.00 | 17 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $54.80 | $200.00 | $5.50 – $50.00 | 9 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $393.47 | $1,436.00 | $5.50 – $50.00 | 12 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $13.70 | $50.00 | $5.50 – $50.00 | 17 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $12.24 | $44.66 | $4.92 – $44.66 | 21 |
| Hymenotomy CPT 56442 | not published | not published | $49.03 – $5,222.78 | 12 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $486.02 – $9,717.21 | 12 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $901.01 – $4,842.93 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $994.59 – $5,625.51 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,059.82 – $5,625.51 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $918.77 – $918.77 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $263.44 – $4,312.92 | 7 |
| Hysterosalpingography s&i CPT 74740 | $406.35 | $1,483.00 | $67.02 – $1,230.89 | 20 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $243.30 – $10,485.34 | 12 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $229.36 – $5,222.78 | 12 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $151.37 – $5,222.78 | 12 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $280.17 – $8,108.74 | 12 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $219.40 – $5,222.78 | 12 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $352.66 – $8,108.74 | 12 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $308.23 – $8,108.74 | 12 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $836.49 – $8,108.74 | 12 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $213.18 | $778.00 | $73.92 – $672.00 | 16 |
| I-123 ioflupane diag HCPCS A9584 | $3,684.21 | $13,446.00 | $1,479.06 – $11,160.18 | 18 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $36.99 | $135.00 | $14.85 – $252.05 | 15 |
| I131 iodide cap, rx HCPCS A9517 | $19.46 | $71.00 | $7.81 – $189.31 | 20 |
| Iaadi respiratory synctial virus CPT 87280 | $69.05 | $252.00 | $0.98 – $29.71 | 21 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $676.78 | $2,470.00 | $23.55 – $996.00 | 17 |
| Ibuprofen injection HCPCS J1741 | $803.37 | $2,932.00 | $2.98 – $1,369.50 | 17 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $594.86 | $2,171.00 | $164.12 – $1,238.36 | 17 |
| Icatibant injection HCPCS J1744 | $13,928.25 | $50,833.00 | $83.92 – $20,252.00 | 18 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $39,406.68 | $143,820.00 | $4,265.25 – $32,958.75 | 16 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $52,449.08 | $191,420.00 | $5,545.10 – $42,848.50 | 16 |
| Icd crtp serena MRI HCPCS C2621 | $16,712.63 | $60,995.00 | $2,523.40 – $19,040.20 | 14 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $10,624.35 | $38,775.00 | $1,147.85 – $8,869.75 | 16 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $2,830.39 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $5,327.15 | 12 |
| Idarubicin hcl injection HCPCS J9211 | $413.74 | $1,510.00 | $8.80 – $101.20 | 14 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $96.71 – $2,661.45 | 12 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $5,329.67 | 12 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $4,504.71 | 12 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.19 – $1,590.95 | 12 |
| I&d lacrimal sac CPT 68420 | not published | not published | $172.35 – $3,832.17 | 12 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $4,701.27 | 12 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $323.44 – $4,701.27 | 9 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $184.88 – $4,701.27 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $558.69 | $2,039.00 | $6.93 – $57.27 | 17 |
| Igh gene rearrange amp meth CPT 81261 | $73.83 | $269.43 | $29.64 – $438.45 | 18 |
| Igh@ var region somatic mutation analy CPT 81263 | $110.70 | $404.00 | $44.44 – $652.24 | 18 |
| Igk rearrangeabn clonal pop CPT 81264 | $55.68 | $203.21 | $22.36 – $382.50 | 18 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $161.39 | $589.00 | $5.50 – $136.42 | 16 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $34.25 | $125.00 | $13.75 – $298.90 | 20 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $175.91 | $642.00 | $5.50 – $150.21 | 20 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $3,770.57 | 7 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $12,289.89 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $909.68 | $3,320.00 | $12.63 – $3,320.00 | 10 |
| Iliac revasc add-on 37222 CPT 37222 | $5,745.78 | $20,970.00 | $160.46 – $9,070.24 | 14 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $877.85 – $5,327.48 | 7 |
| Immob elbow child sm HCPCS L3762 | $55.08 | $201.00 | $22.11 – $170.85 | 17 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $453.47 | $1,655.00 | $28.05 – $216.75 | 16 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $205.50 | $750.00 | $21.45 – $165.75 | 17 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,690.58 | $6,170.00 | $4.95 – $45.00 | 17 |
| Immobilizer shldr sling med HCPCS L3660 | $157.55 | $575.00 | $12.65 – $104.21 | 17 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $10,712.31 | 12 |
| Immune complex assay CPT 86332 | $35.45 | $129.36 | $1.78 – $53.97 | 21 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $3.02 | $11.00 | $1.21 – $46.10 | 21 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $54.26 | $198.00 | $2.11 – $46.10 | 21 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $3.64 | $13.25 | $0.62 – $26.54 | 21 |
| Immunodiffusion nes CPT 86329 | $4.16 | $15.15 | $1.67 – $31.11 | 21 |
| Immunofixation electrophoresis serum CPT 86334 | $5.49 | $20.03 | $1.42 – $49.47 | 21 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $32.22 | $117.59 | $5.85 – $201.56 | 16 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $47.35 | $172.79 | $8.90 – $265.17 | 20 |
| Immunoglobulin assay CPT 86023 | $3.72 | $13.56 | $1.50 – $27.60 | 21 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $2,859.19 | $10,435.00 | $521.95 – $4,033.25 | 16 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $3,718.18 | $13,570.00 | $308.55 – $2,384.25 | 16 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,470.48 – $8,664.02 | 7 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $5,795.93 | 7 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $7,162.19 | 7 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $6,115.06 | 7 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $149,640.99 | $546,135.00 | $7.15 – $55.25 | 16 |
| Implant cochlear device CPT 69930 | not published | not published | $1,240.83 – $52,248.33 | 12 |
| Implant cochlear osia osi300 HCPCS L8690 | $22,244.69 | $81,185.00 | $882.75 – $6,821.25 | 16 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $25,238.65 | 12 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $54.47 – $655.48 | 12 |
| Implant nerve end CPT 64787 | not published | not published | $231.87 – $1,421.40 | 7 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $265.77 – $265.77 | 1 |
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.