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 |
|---|---|---|---|---|
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $30.69 | $112.00 | $8.28 – $92.96 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $74.26 | $271.00 | $1.87 – $31.86 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $34.25 | $125.00 | $9.12 – $103.75 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $22.75 | $83.00 | $1.24 – $22.86 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $49.32 | $180.00 | $19.80 – $149.40 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $40.01 | $146.00 | $1.03 – $26.54 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $57.54 | $210.00 | $1.39 – $26.54 | 21 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $2.42 | $8.82 | $0.98 – $26.54 | 21 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $111.80 | $408.00 | $3.30 – $77.71 | 21 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $72.34 | $264.00 | $3.44 – $77.71 | 21 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $110.70 | $404.00 | $3.59 – $82.55 | 21 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $210.16 | $767.00 | $31.46 – $922.99 | 21 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $16.85 | $61.46 | $5.50 – $77.71 | 21 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $117.82 | $430.00 | $13.56 – $102.26 | 21 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $103.58 | $378.00 | $4.27 – $92.30 | 21 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $72.34 | $264.00 | $3.47 – $77.71 | 21 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $43.30 | $158.00 | $8.23 – $76.97 | 20 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $73.44 | $268.00 | $29.48 – $222.44 | 21 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $34.25 | $125.00 | $13.75 – $125.00 | 9 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $332.64 | $1,214.00 | $133.54 – $1,007.62 | 21 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $10.93 | $39.86 | $4.39 – $94.88 | 21 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $10.51 | $38.33 | $4.22 – $94.88 | 21 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $10.67 | $38.94 | $4.26 – $94.88 | 21 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $16.44 | $60.00 | $6.60 – $188.48 | 21 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $200.30 | $731.00 | $16.50 – $315.86 | 21 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,536.05 | $5,606.00 | $30.52 – $1,892.40 | 20 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $1,244.79 | $4,543.00 | $15.91 – $3,770.69 | 20 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,494.55 – $13,408.19 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,378.34 – $12,783.57 | 7 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,209.17 | $4,413.00 | $36.79 – $3,662.79 | 20 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | $2,991.81 | $10,919.00 | $0.02 – $6,797.70 | 20 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $2,920.57 | $10,659.00 | $443.85 – $4,035.00 | 9 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $13.70 | $50.00 | $5.50 – $50.00 | 9 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $5,243.27 | $19,136.00 | $256.63 – $2,333.00 | 9 |
| Inj alymsys 10 mg HCPCS Q5126 | $3,780.66 | $13,798.00 | $379.50 – $3,450.00 | 9 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | $6,325.84 | $23,087.00 | $2,539.57 – $23,087.00 | 9 |
| Inj, artesunate, 1mg HCPCS J0391 | $3,274.85 | $11,952.00 | $1,314.72 – $11,952.00 | 9 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $6,343.93 | $23,153.00 | $167.76 – $19,216.99 | 20 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $4,997.76 | $18,240.00 | $39.87 – $15,139.20 | 20 |
| Inj, bupivacaine liposome HCPCS J0666 | $414.29 | $1,512.00 | $158.40 – $1,440.00 | 9 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $13.70 | $50.00 | $0.80 – $41.50 | 17 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $14.25 | $52.00 | $5.50 – $50.00 | 9 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $249.62 | $911.00 | $100.21 – $911.00 | 9 |
| Inj ceftolozane tazobactam HCPCS J0695 | $129.88 | $474.00 | $5.87 – $393.42 | 18 |
| Inj, clindamycin (baxter) HCPCS J0737 | $733.50 | $2,677.00 | $5.50 – $50.00 | 9 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $89.88 | $328.00 | $34.65 – $315.00 | 14 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,736.07 | $6,336.00 | $696.96 – $5,258.88 | 20 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $8.50 | $31.00 | $1.98 – $18.00 | 9 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $142.81 – $792.21 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $56.60 – $484.89 | 12 |
| Inj dx for sinogram CPT 20501 | $214.27 | $782.00 | $35.85 – $752.00 | 14 |
| Inject for sacroiliac joint HCPCS G0259 | $1,148.06 | $4,190.00 | $460.90 – $4,190.00 | 8 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $678.43 | $2,476.00 | $83.47 – $2,055.08 | 19 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $107.41 | $392.00 | $41.47 – $377.00 | 14 |
| Injection, cangrelor HCPCS C9460 | $1,038.46 | $3,790.00 | $20.02 – $2,984.68 | 20 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $57.15 – $484.89 | 12 |
| Injection, daratumumab 10 mg HCPCS J9145 | $2,786.86 | $10,171.00 | $57.21 – $2,110.69 | 20 |
| Injection during cath supravalvular aortography CPT 93567 | $882.56 | $3,221.00 | $35.28 – $2,673.43 | 14 |
| Injection epidural blood patch or clot CPT 62273 | $1,019.83 | $3,722.00 | $87.15 – $1,173.62 | 19 |
| Injection eye drug CPT 67028 | not published | not published | $94.46 – $2,245.80 | 12 |
| Injection for arthrography wrist (both sides) CPT 25246 | $93.99 | $343.00 | $36.30 – $330.00 | 14 |
| Injection for bladder x-ray CPT 51600 | $144.40 | $527.00 | $42.85 – $506.00 | 14 |
| Injection for hip x-ray CPT 27095 | $161.39 | $589.00 | $62.15 – $565.00 | 14 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $204.13 | $745.00 | $49.47 – $716.00 | 14 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $96.98 – $521.25 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $53.27 – $1,499.48 | 7 |
| Injection for ureter x-ray CPT 50684 | $79.19 | $289.00 | $30.47 – $277.00 | 14 |
| Injection for ureter x-ray CPT 50690 | $107.41 | $392.00 | $41.47 – $377.00 | 14 |
| Injection, fulvestrant HCPCS J9395 | $2,295.03 | $8,376.00 | $7.31 – $647.40 | 20 |
| Injection, inclisiran, 1 mg HCPCS J1306 | $4,274.40 | $15,600.00 | $1,716.00 – $15,600.00 | 9 |
| Injection into brain canal CPT 61026 | not published | not published | $111.57 – $1,137.55 | 12 |
| Injection into brain canal CPT 61055 | not published | not published | $115.50 – $872.58 | 12 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $1,497.60 | 12 |
| Injection into spinal artery CPT 62294 | not published | not published | $707.91 – $3,804.99 | 12 |
| Injection into vocal cord CPT 31513 | not published | not published | $133.45 – $810.59 | 12 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $532.72 | 7 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $44.81 – $845.07 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.32 – $2,433.19 | 12 |
| Injection,onabotulinumtoxina HCPCS J0585 | $761.72 | $2,780.00 | $6.65 – $2,097.41 | 20 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $399.50 | 12 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $202.49 | $739.00 | $31.61 – $660.05 | 18 |
| Injection, renflexis HCPCS Q5104 | $991.06 | $3,617.00 | $27.85 – $3,002.11 | 20 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $883.93 | $3,226.00 | $286.22 – $2,159.66 | 15 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $56.39 – $1,137.55 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $289.07 | $1,055.00 | $42.06 – $1,137.55 | 19 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,317.94 | $4,810.00 | $113.93 – $2,661.81 | 19 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $647.47 | $2,363.00 | $59.47 – $1,961.29 | 14 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,011.89 | $3,693.00 | $107.70 – $3,065.19 | 19 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,011.89 | $3,693.00 | $50.96 – $1,961.29 | 14 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,517.69 | $5,539.00 | $93.00 – $2,942.35 | 19 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,056.00 | $3,854.00 | $108.86 – $3,198.82 | 19 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,056.00 | $3,854.00 | $100.68 – $2,079.15 | 19 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $38.86 – $484.89 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $275.37 | $1,005.00 | $36.80 – $834.15 | 19 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $41.86 – $484.89 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $219.20 | $800.00 | $15.87 – $424.96 | 20 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $199.20 | $727.00 | $28.82 – $727.00 | 12 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $199.48 | $728.00 | $38.17 – $424.96 | 20 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $140.29 | $512.00 | $15.22 – $338.64 | 20 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $13.70 | $50.00 | $3.21 – $50.00 | 11 |
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.