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 |
|---|---|---|---|---|
| Lap enterolysis CPT 44180 | not published | not published | $780.11 – $9,583.66 | 12 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $133.66 – $574.74 | 7 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $728.75 – $9,583.66 | 9 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $1,175.59 – $4,405.65 | 7 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $1,088.27 – $4,077.48 | 7 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $911.69 – $3,416.31 | 7 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $15,453.16 – $20,484.04 | 8 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $379.70 – $9,583.66 | 12 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $463.00 – $9,583.66 | 12 |
| Lap ins device for right CPT 49327 | not published | not published | $107.97 – $464.27 | 7 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $311.62 – $9,583.66 | 12 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $550.26 – $9,583.66 | 12 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $178.15 – $667.58 | 7 |
| Lap myotomy heller CPT 43279 | not published | not published | $860.76 – $3,701.27 | 7 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,272.52 – $17,101.72 | 12 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,430.00 – $17,101.72 | 12 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,192.18 – $4,468.09 | 7 |
| Lap place gastr adj device CPT 43770 | not published | not published | $923.65 – $17,101.72 | 12 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,311.99 – $4,916.32 | 7 |
| Lap radical hyst CPT 58548 | not published | not published | $1,513.51 – $6,508.09 | 7 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,661.04 – $6,224.25 | 7 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $1,804.15 – $6,760.55 | 7 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,062.50 – $9,583.66 | 12 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $195.83 – $842.07 | 7 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,062.08 – $3,979.82 | 7 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $12,901.54 – $17,101.72 | 8 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $335.07 – $9,583.66 | 12 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $812.15 – $6,249.41 | 12 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $809.16 – $6,249.41 | 12 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $698.81 – $17,101.72 | 12 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $554.35 – $17,101.72 | 12 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,060.60 – $4,615.36 | 7 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $994.04 – $17,101.72 | 12 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,093.88 – $17,101.72 | 12 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $1,593.06 – $6,850.16 | 7 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,018.63 – $3,816.51 | 7 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,013.99 – $4,472.30 | 7 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $152.27 – $654.76 | 7 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $182.68 – $6,056.28 | 12 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $151.36 – $4,082.29 | 12 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $151.36 – $6,056.28 | 9 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $135.31 – $936.91 | 12 |
| Largsc w/ther injection CPT 31573 | not published | not published | $150.81 – $2,832.66 | 12 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,115.48 – $9,717.21 | 12 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $1,382.06 – $9,717.21 | 12 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $1,236.04 – $9,717.21 | 12 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $1,255.77 – $9,717.21 | 12 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $1,370.81 – $9,717.21 | 12 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $1,449.36 – $9,717.21 | 12 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $980.90 – $9,717.21 | 12 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $916.23 – $9,717.21 | 12 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $229.89 – $6,056.28 | 12 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $311.94 – $11,371.02 | 12 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $249.62 – $6,056.28 | 12 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $146.18 – $6,056.28 | 12 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $162.51 – $6,056.28 | 12 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $161.96 – $2,832.66 | 12 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $196.77 – $6,056.28 | 12 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $122.75 – $969.04 | 12 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $191.04 – $6,056.28 | 12 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $211.36 – $6,056.28 | 12 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $242.15 – $6,056.28 | 12 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $211.79 – $6,056.28 | 12 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $199.50 – $2,832.66 | 12 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $122.13 – $2,832.66 | 9 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $86.29 – $6,056.28 | 12 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $80.74 – $637.85 | 12 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $340.06 – $11,371.02 | 12 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $263.54 – $6,056.28 | 12 |
| Laser surgery eye strands CPT 67031 | not published | not published | $278.55 – $1,497.20 | 12 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $151.59 – $5,222.78 | 12 |
| Laser surgery of prostate CPT 52647 | not published | not published | $567.78 – $8,350.49 | 12 |
| Laser surgery of prostate CPT 52648 | not published | not published | $671.16 – $8,350.49 | 12 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $75.62 – $3,004.74 | 12 |
| Laser treatment of retina CPT 67039 | not published | not published | $989.63 – $7,807.48 | 12 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,054.81 – $6,608.05 | 12 |
| Lateral canthopexy CPT 21282 | not published | not published | $425.76 – $5,327.15 | 12 |
| Lateral thoracic extension HCPCS L1210 | $453.47 | $1,655.00 | $182.05 – $1,406.75 | 17 |
| Lat retinacular release open CPT 27425 | not published | not published | $387.06 – $5,329.67 | 12 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $63.23 – $381.45 | 12 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $710.39 – $17,101.72 | 12 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $760.83 – $4,701.27 | 9 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $6,285.56 | $22,940.00 | $82.50 – $637.50 | 16 |
| Lead capillary CPT 83655 | $2.95 | $10.75 | $0.55 – $26.81 | 21 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $6,285.56 | $22,940.00 | $36.85 – $278.05 | 14 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $8,172.05 | $29,825.00 | $1,147.85 – $8,869.75 | 16 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,192.80 – $9,717.21 | 12 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $1,236.81 – $9,717.21 | 12 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $1,281.67 – $6,888.95 | 7 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $1,285.93 – $9,717.21 | 12 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $1,412.39 – $9,717.21 | 12 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $725.85 – $5,170.16 | 12 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $789.40 | $2,881.00 | $170.31 – $2,391.23 | 20 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $387.06 – $5,329.67 | 12 |
| Lengthening of palate CPT 42227 | not published | not published | $726.28 – $9,717.21 | 12 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $726.28 – $9,717.21 | 12 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $1,180.41 – $6,344.69 | 7 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $290.51 – $11,734.48 | 12 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $387.06 – $11,734.48 | 12 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $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.