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 |
|---|---|---|---|---|
| Internal nerve revision 64727 CPT 64727 | not published | not published | $181.48 – $1,086.17 | 7 |
| Interrogation vad in person CPT 93750 | $136.73 | $499.00 | $39.41 – $414.17 | 19 |
| Interrog dev eval icpms ip CPT 93290 | $33.43 | $122.00 | $13.42 – $117.82 | 19 |
| Interrog dev eval scrms ip CPT 93291 | $119.74 | $437.00 | $30.35 – $362.71 | 19 |
| Interrog device eval heart CPT 93289 | $124.40 | $454.00 | $39.44 – $376.82 | 19 |
| Interrog evl pm/ldls pm ip CPT 93288 | $124.40 | $454.00 | $38.02 – $362.71 | 19 |
| Interrog&prgrmg ipnss CPT 93151 | $926.40 | $3,381.00 | $371.91 – $3,381.00 | 8 |
| Interrog&prgrmg ipnss polysm CPT 93152 | $926.40 | $3,381.00 | $371.91 – $3,381.00 | 8 |
| Interrog without prgrmg ipnss CPT 93153 | $926.40 | $3,381.00 | $371.91 – $3,381.00 | 8 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $649.81 – $3,492.71 | 7 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,652.91 – $1,652.91 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $117.91 – $4,504.71 | 12 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $290.51 – $4,504.71 | 12 |
| Intra-atrial pacing CPT 93610 | $6,009.37 | $21,932.00 | $121.50 – $18,203.56 | 20 |
| Intracard echo interv w/s&i CPT 93662 | $2,805.22 | $10,238.00 | $310.47 – $8,497.54 | 14 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $1,446.10 – $1,446.10 | 1 |
| Intracranial angioplasty CPT 61630 | $3,500.90 | $12,777.00 | $1,323.24 – $12,777.00 | 11 |
| Intracranial complete study CPT 93886 | $841.73 | $3,072.00 | $224.78 – $2,549.76 | 20 |
| Intracranial limited study CPT 93888 | $563.90 | $2,058.00 | $131.77 – $1,708.14 | 20 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $1,922.92 – $10,335.71 | 7 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $3,750.15 – $20,157.07 | 7 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $2,500.53 – $13,440.33 | 7 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $3,953.94 – $21,252.43 | 7 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $1,927.20 – $10,358.71 | 7 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $3,143.93 – $16,898.62 | 7 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $41.44 – $2,433.19 | 12 |
| Intranasal reconstruction CPT 30620 | not published | not published | $434.91 – $9,717.21 | 12 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $140.39 – $526.71 | 7 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $65.79 – $836.51 | 12 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $335.16 – $1,910.51 | 12 |
| Intrinsic factor antibody CPT 86340 | $5.48 | $20.00 | $2.20 – $33.39 | 21 |
| Intro cath dialysis circuit CPT 36901 | $3,133.74 | $11,437.00 | $161.43 – $9,291.02 | 19 |
| Intro cath dialysis circuit w/pta CPT 36902 | $6,800.96 | $24,821.00 | $229.37 – $20,197.22 | 19 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $6,667.52 | $24,334.00 | $299.88 – $22,252.37 | 19 |
| Intro catheter aorta CPT 36200 | $1,524.27 | $5,563.00 | $130.23 – $4,571.64 | 14 |
| Intro cath svc/ivc CPT 36010 | $1,089.15 | $3,975.00 | $96.98 – $3,136.57 | 14 |
| Intro long gi tube CPT 44500 | not published | not published | $19.00 – $1,540.06 | 12 |
| Intro long gi tube w/mult fluo CPT 74340 | $383.06 | $1,398.00 | $90.63 – $1,104.73 | 15 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $143.58 – $2,832.66 | 12 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $4,631.43 | $16,903.00 | $83.55 – $9,236.24 | 14 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $3,859.57 | $14,086.00 | $66.70 – $11,224.09 | 14 |
| Intubation endotracheal emergency procedure CPT 31500 | $621.71 | $2,269.00 | $67.93 – $1,867.00 | 20 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $852.14 | $3,110.00 | $254.05 – $2,581.30 | 12 |
| Ionm in operatng room 15 min CPT 95940 | $252.36 | $921.00 | $27.05 – $764.43 | 14 |
| Ionm remote/>1 pt or per hr CPT 95941 | $229.62 | $838.00 | $92.18 – $838.00 | 11 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $139.20 | $508.00 | $0.11 – $1.00 | 15 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $644.73 | $2,353.00 | $0.11 – $0.83 | 15 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | $2,198.85 | $8,025.00 | $0.16 – $6,660.75 | 15 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $37,739.67 | $137,736.00 | $157.28 – $28,580.22 | 20 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $302.77 | $1,105.00 | $1.64 – $20.75 | 17 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $3,822.03 | $13,949.00 | $54.05 – $6,454.08 | 20 |
| Iron CPT 83540 | $68.78 | $251.00 | $0.64 – $14.34 | 21 |
| Iron binding capacity CPT 83550 | $24.39 | $89.00 | $6.89 – $73.87 | 21 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $49.32 | $180.00 | $14.74 – $111.22 | 20 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $80.56 | $294.00 | $0.24 – $197.54 | 17 |
| Irradiation of blood product each unit reference CPT 86945 | $14.53 | $53.00 | $5.83 – $65.14 | 20 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $102.48 | $374.00 | $20.31 – $310.42 | 19 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $73.91 – $2,433.19 | 12 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $25.10 – $156.30 | 12 |
| Island pedicle flap graft CPT 15740 | not published | not published | $580.60 – $3,120.72 | 12 |
| Ivc venogram s&i CPT 75825 | $1,749.49 | $6,385.00 | $68.24 – $11,566.70 | 20 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $121.39 | $443.00 | $29.72 – $367.69 | 20 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $86.04 | $314.00 | $20.45 – $169.32 | 17 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $137.55 | $502.00 | $21.53 – $416.66 | 20 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $319.76 | $1,167.00 | $65.33 – $968.61 | 20 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $104.26 – $655.48 | 12 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | $4,434.42 | $16,184.00 | $95.79 – $4,193.99 | 20 |
| Jak2 targeted sequence analysis CPT 81279 | $80.83 | $295.00 | $32.45 – $410.13 | 21 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $383.10 – $5,329.67 | 12 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $460.91 – $5,329.67 | 12 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $237.34 – $3,116.04 | 12 |
| J-tube placement CPT 44015 | not published | not published | $134.56 – $346.66 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,277.40 – $23,471.98 | 12 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $121.66 | $444.00 | $0.79 – $18.09 | 21 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $29.05 | $106.00 | $0.42 – $41.50 | 20 |
| Kidney endoscopy CPT 50551 | not published | not published | $199.94 – $8,350.49 | 12 |
| Kidney endoscopy CPT 50553 | not published | not published | $310.84 – $8,350.49 | 12 |
| Kidney endoscopy CPT 50570 | not published | not published | $251.63 – $5,665.36 | 12 |
| Kidney endoscopy CPT 50575 | not published | not published | $686.11 – $8,350.49 | 12 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $337.63 – $15,189.60 | 12 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $289.66 – $5,665.36 | 12 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $341.77 – $15,189.60 | 12 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $389.29 – $8,350.49 | 12 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $290.51 – $15,189.60 | 12 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $313.16 – $8,350.49 | 12 |
| Kidney imaging morphology CPT 78700 | $1,385.07 | $5,055.00 | $111.73 – $4,195.65 | 20 |
| Kidney imag w/bld flow multi CPT 78709 | $1,830.87 | $6,682.00 | $261.96 – $5,546.06 | 20 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,591.94 | $5,810.00 | $188.44 – $4,822.30 | 20 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $513.48 | $1,874.00 | $81.50 – $1,555.42 | 20 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,172.05 | $29,825.00 | $3,280.75 – $25,351.25 | 16 |
| Kit hfx iq ipg bundle HCPCS C1822 | $39,406.68 | $143,820.00 | $308.55 – $2,384.25 | 16 |
| Kit lead specify 5-6-5 HCPCS C1778 | $22,244.69 | $81,185.00 | $63.25 – $488.75 | 16 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,000.10 | $3,650.00 | $182.05 – $1,406.75 | 16 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | $18,384.03 | $67,095.00 | $11.87 – $11,534.50 | 17 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,300.13 | $4,745.00 | $521.95 – $4,033.25 | 16 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $547.70 – $5,329.67 | 12 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $387.06 – $5,329.67 | 12 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $319.56 – $5,329.67 | 12 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $567.67 – $5,329.67 | 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.