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 |
|---|---|---|---|---|
| Macroscopic exam arthropod CPT 87168 | $7.98 | $29.10 | $3.19 – $24.07 | 21 |
| Macroscopic exam parasite CPT 87169 | $20.55 | $75.00 | $0.52 – $9.54 | 21 |
| Magnesium CPT 83735 | $55.90 | $204.00 | $0.67 – $14.85 | 21 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $157.83 | $576.00 | $0.52 – $41.50 | 17 |
| Male sling procedure CPT 53440 | not published | not published | $762.81 – $21,341.67 | 12 |
| Mammosite ced HCPCS C1728 | $4,834.73 | $17,645.00 | $48.40 – $374.00 | 16 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $9,022.25 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $229.34 – $2,628.88 | 12 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $298.21 – $2,628.88 | 12 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $103.58 | $378.00 | $20.84 – $1,867.00 | 20 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $151.25 | $552.00 | $28.03 – $1,867.00 | 20 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $2,628.88 | 12 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $2,628.88 | 12 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $394.04 | 12 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $16.44 | $60.00 | $2.26 – $49.80 | 17 |
| Manual diff wbc count b-coat CPT 85009 | $17.27 | $63.00 | $4.05 – $52.29 | 21 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $111.32 – $478.68 | 7 |
| Map tachycard site(s) CPT 93609 | $1,034.08 | $3,774.00 | $337.32 – $3,132.42 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,859.19 | $10,435.00 | $4.95 – $38.25 | 16 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $3,329.69 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $333.58 – $6,290.08 | 12 |
| Mast mod rad CPT 19307 | not published | not published | $919.21 – $10,712.31 | 12 |
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $9,717.21 | 12 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $9,717.21 | 12 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $9,717.21 | 12 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $10,712.31 | 12 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $3,742.89 | 7 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $3,910.98 | 7 |
| Mast simple complete CPT 19303 | not published | not published | $762.84 – $10,712.31 | 12 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $10,624.35 | $38,775.00 | $12.76 – $284.75 | 17 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $9,717.21 | 12 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $4.32 | $15.74 | $1.21 – $32.03 | 21 |
| Mayo aathr protein s free CPT 85306 | $12.06 | $44.00 | $1.84 – $33.93 | 21 |
| Mayo activated protein c resistance assay CPT 85307 | $5.76 | $21.00 | $2.31 – $33.93 | 21 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $8.22 | $30.00 | $3.30 – $32.74 | 21 |
| Mayo alpha 1 antitrypsin CPT 82103 | $4.01 | $14.63 | $0.99 – $29.78 | 21 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $19.18 | $70.00 | $7.70 – $58.10 | 21 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $78.09 | $285.00 | $22.00 – $269.36 | 21 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $194.82 | $711.00 | $7.30 – $202.99 | 21 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $396.62 | $1,447.50 | $88.00 – $2,568.88 | 18 |
| Mayo androstenedione CPT 82157 | $6.58 | $24.00 | $2.64 – $64.84 | 21 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $5.48 | $20.00 | $0.55 – $32.33 | 21 |
| Mayo antithrombin iii antigen CPT 85301 | $5.11 | $18.64 | $2.06 – $23.95 | 21 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $9.33 | $34.03 | $0.62 – $33.32 | 21 |
| Mayo avwpr vw factor activity CPT 85397 | $11.79 | $43.00 | $4.73 – $68.34 | 21 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $3.04 | $11.08 | $1.22 – $22.55 | 21 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $19.82 | $72.30 | $7.96 – $320.77 | 21 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $3.31 | $12.06 | $1.20 – $28.58 | 21 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $3.94 | $14.36 | $1.58 – $29.20 | 21 |
| Mayo brcmg brucella antibody igm CPT 86622 | $3.40 | $12.38 | $1.06 – $19.76 | 21 |
| Mayo c1 esterase inhibitor CPT 83883 | $7.29 | $26.60 | $1.36 – $30.12 | 21 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $4.12 | $15.02 | $1.66 – $37.37 | 21 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $7.99 | $29.15 | $3.15 – $59.32 | 21 |
| Mayo ceruloplasmin CPT 82390 | $1.92 | $7.00 | $0.77 – $23.78 | 21 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $44.77 | $163.36 | $1.78 – $31.28 | 21 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $26.09 | $95.20 | $1.20 – $28.52 | 21 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $4.12 | $15.02 | $1.42 – $26.17 | 21 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $11.37 | $41.46 | $1.55 – $28.07 | 21 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $55.08 | $201.00 | $10.45 – $257.98 | 21 |
| Mayo chromium CPT 82495 | $3.84 | $14.00 | $1.54 – $44.90 | 21 |
| Mayo coccidioides antibody CPT 86635 | $23.84 | $87.00 | $1.07 – $25.42 | 21 |
| Mayo cocou cortisone urine CPT 82542 | $41.38 | $151.00 | $1.83 – $53.35 | 21 |
| Mayo cortisol free CPT 82530 | $4.46 | $16.26 | $1.79 – $37.00 | 21 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $39.46 | $144.00 | $3.03 – $41.25 | 20 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $7.96 | $29.04 | $1.46 – $26.85 | 21 |
| Mayo cyanide CPT 82600 | $23.29 | $85.00 | $9.35 – $70.55 | 21 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $122.48 | $447.00 | $46.75 – $1,267.57 | 20 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $2.51 | $9.13 | $1.01 – $29.33 | 21 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $3.02 | $11.00 | $1.21 – $55.98 | 21 |
| Mayo efpo chloride stool CPT 82438 | $2.11 | $7.68 | $0.59 – $11.07 | 21 |
| Mayo estriol CPT 82677 | $3.23 | $11.77 | $1.30 – $53.56 | 21 |
| Mayo estrone CPT 82679 | $6.85 | $25.00 | $2.75 – $55.26 | 21 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $4.11 | $14.99 | $1.65 – $36.18 | 21 |
| Mayo everolimus therapeutic drug level CPT 80169 | $5.48 | $20.00 | $2.20 – $30.39 | 21 |
| Mayo factor ii CPT 85210 | $10.40 | $37.93 | $4.18 – $37.90 | 21 |
| Mayo factor v CPT 85220 | $5.80 | $21.16 | $2.33 – $39.08 | 21 |
| Mayo factor vii CPT 85230 | $7.25 | $26.44 | $2.91 – $39.66 | 21 |
| Mayo factor viii vw factor antigen CPT 85246 | $6.58 | $24.00 | $2.64 – $50.80 | 21 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $17.18 | $62.68 | $2.75 – $50.80 | 21 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $7.13 | $26.00 | $2.86 – $50.80 | 21 |
| Mayo factor x CPT 85260 | $6.77 | $24.68 | $2.72 – $39.66 | 21 |
| Mayo factor xi CPT 85270 | $11.61 | $42.35 | $4.66 – $42.35 | 21 |
| Mayo fat/lipids feces quantitative CPT 82710 | $7.78 | $28.38 | $2.02 – $37.20 | 21 |
| Mayo fbl culture fungi blood CPT 87103 | $96.45 | $352.00 | $8.01 – $292.16 | 21 |
| Mayo ffspg allergen clam igg CPT 86001 | $1.56 | $5.68 | $0.63 – $17.31 | 21 |
| Mayo fibrinogen antigen CPT 85385 | $2.54 | $9.25 | $1.02 – $32.03 | 21 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $3.96 | $14.43 | $1.59 – $48.00 | 21 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,370.00 | $5,000.00 | $9.02 – $372.15 | 13 |
| Mayo hemosiderin qualitative urine CPT 83070 | $2.91 | $10.59 | $1.17 – $10.59 | 21 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $16.16 | $58.96 | $6.49 – $77.71 | 21 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $16.16 | $58.96 | $6.49 – $77.71 | 21 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $3.73 | $13.61 | $1.14 – $30.53 | 21 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $7.40 | $27.00 | $2.97 – $57.17 | 21 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $149.88 | $547.00 | $2.75 – $25.00 | 21 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $6.85 | $25.00 | $2.75 – $29.95 | 21 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $6.60 | $24.08 | $2.65 – $60.17 | 21 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $33.76 | $123.20 | $1.27 – $38.26 | 21 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $27.65 | $100.88 | $1.52 – $33.18 | 21 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $3.25 | $11.86 | $0.99 – $46.10 | 21 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $6.85 | $25.00 | $2.04 – $46.10 | 21 |
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.