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 |
|---|---|---|---|---|
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $5,559.39 | 7 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $11,734.48 | 12 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $21,135.36 | 12 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $11,734.48 | 12 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $1,690.58 | $6,170.00 | $63.25 – $488.75 | 15 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $1,690.58 | $6,170.00 | $36.85 – $284.75 | 15 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $453.47 | $1,655.00 | $36.85 – $284.75 | 15 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $92.07 | $336.00 | $3.72 – $49.80 | 17 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $10,190.34 | $37,191.00 | $172.70 – $1,303.10 | 20 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $3,542.55 | $12,929.00 | $315.48 – $3,885.12 | 20 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $104.12 | $380.00 | $0.05 – $41.50 | 17 |
| Levetiracetam therapeutic drug level CPT 80177 | $2.20 | $8.00 | $0.88 – $29.33 | 21 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $66.59 | $243.00 | $1.09 – $49.80 | 14 |
| Liberta rc ipg HCPCS C1820 | $39,406.68 | $143,820.00 | $882.75 – $6,821.25 | 16 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $98.64 | $360.00 | $5.50 – $50.00 | 9 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $22.20 | $81.00 | $5.50 – $50.00 | 9 |
| Lidocaine therapeutic drug level CPT 80176 | $113.71 | $415.00 | $1.76 – $32.54 | 21 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $5,155.21 | 7 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $5,170.16 | 12 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $5,170.16 | 12 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $305.99 | 7 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,147.52 – $6,167.92 | 7 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $437.03 – $5,170.16 | 12 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $374.49 – $5,170.16 | 12 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $376.20 – $5,222.78 | 12 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $173.45 – $2,661.45 | 12 |
| Ligation common iliac vein CPT 37660 | not published | not published | $683.55 – $3,674.11 | 7 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $232.41 – $5,170.16 | 12 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $427.22 – $5,170.16 | 12 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $427.22 – $5,170.16 | 12 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $303.32 – $5,170.16 | 12 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,112.84 – $1,219.19 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $387.26 – $633.65 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $521.38 – $5,170.16 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $5,170.16 | 12 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $886.91 – $4,767.12 | 7 |
| Ligation of femoral vein CPT 37650 | not published | not published | $435.48 – $5,170.16 | 12 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,327.62 – $8,879.54 | 12 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $5,170.16 | 12 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $5,327.15 | 12 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $659.04 | 7 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $5,170.16 | 12 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $5,170.16 | 12 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $5,170.16 | 12 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $5,170.16 | 12 |
| Liletta, 52 mg HCPCS J7297 | $1,000.10 | $3,650.00 | $401.50 – $3,029.50 | 17 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $211.14 – $1,288.23 | 7 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $28,375.44 | $103,560.00 | $3.47 – $76.36 | 17 |
| Lipase CPT 83690 | $82.20 | $300.00 | $0.69 – $15.26 | 21 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $365.74 – $5,327.15 | 12 |
| Lipoprotein blood high res frac & quant CPT 83701 | $14.98 | $54.64 | $6.02 – $74.99 | 21 |
| Lipoprotein blood quant CPT 83704 | $15.07 | $55.00 | $1.55 – $75.70 | 21 |
| Lipoprotein direct measurement hdl CPT 83718 | $18.36 | $67.00 | $6.75 – $55.61 | 21 |
| Lipoprotein direct measurement ldl CPT 83721 | $72.34 | $264.00 | $0.66 – $23.27 | 21 |
| Lip surgery procedure CPT 40799 | not published | not published | $287.77 – $381.45 | 8 |
| Lithium therapeutic drug level CPT 80178 | $77.27 | $282.00 | $5.88 – $234.06 | 21 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $7,027.83 | $25,649.00 | $2,821.39 – $25,649.00 | 8 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $3,400.87 | 7 |
| Liver Function Test CPT 80076 | $86.31 | $315.00 | $6.38 – $261.45 | 21 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $3,240.13 | 7 |
| Liver/spleen imag static only CPT 78215 | $1,390.83 | $5,076.00 | $124.10 – $4,213.08 | 20 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,390.83 | $5,076.00 | $121.13 – $4,213.08 | 20 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $5,329.67 | 12 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $105.49 | $385.00 | $0.55 – $208.33 | 15 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $13.70 | $50.00 | $1.16 – $41.50 | 17 |
| Low back disk surgery CPT 63030 | not published | not published | $927.66 – $11,734.48 | 12 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,032.54 | $7,418.00 | $157.04 – $6,156.94 | 20 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,682.74 | $9,791.00 | $128.24 – $8,126.53 | 20 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,354.93 | $4,945.00 | $94.78 – $4,104.35 | 20 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,182.41 | $7,965.00 | $241.35 – $6,610.95 | 20 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,182.41 | $7,965.00 | $212.56 – $6,610.95 | 20 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,426.45 | $5,206.00 | $139.09 – $5,397.00 | 20 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $321.95 | $1,175.00 | $32.34 – $975.25 | 20 |
| Lower jaw bone graft CPT 21215 | not published | not published | $829.78 – $9,717.21 | 12 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $17,101.72 | 12 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $17,101.72 | 12 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $698.74 – $17,101.72 | 12 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $865.95 – $17,101.72 | 12 |
| Lso flex no ri stays pre ots HCPCS L0628 | $157.55 | $575.00 | $52.74 – $488.75 | 17 |
| Lso sag-coronal panel custom HCPCS L0638 | $2,198.85 | $8,025.00 | $829.08 – $6,821.25 | 17 |
| Lso sagittal rigid panel cus HCPCS L0636 | $2,198.85 | $8,025.00 | $882.75 – $6,821.25 | 17 |
| Lumbar diskogram s&i CPT 72295 | $1,642.09 | $5,993.00 | $79.83 – $7,094.84 | 20 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,575.10 – $30,207.95 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $161.39 | $589.00 | $21.49 – $488.87 | 19 |
| Lung perfusion imaging CPT 78580 | $1,209.99 | $4,416.00 | $161.37 – $3,665.28 | 20 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $16,469.21 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $3,104.72 – $3,988.99 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $14,324.44 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $17,396.87 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $4,344.81 | 7 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | $8,723.89 | $31,839.00 | $205.04 – $26,426.37 | 20 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $13,577.53 | $49,553.00 | $43.72 – $13,709.11 | 20 |
| Lvad shower bag heartmate HCPCS Q0501 | $3,718.18 | $13,570.00 | $21.45 – $165.75 | 16 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $66.61 | 12 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $720.06 – $1,070.33 | 2 |
| Lymphatics/lymph node imaging CPT 78195 | $1,591.94 | $5,810.00 | $271.89 – $4,822.30 | 20 |
| Lymphocytotoxicity assay CPT 86806 | $89.05 | $325.00 | $35.75 – $269.75 | 21 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $836.51 | 12 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $5,222.78 | 12 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $3,364.94 | 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.