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 |
|---|---|---|---|---|
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $243.60 – $12,627.81 | 12 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $174.87 – $12,282.05 | 12 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | $105.77 | $386.00 | $21.94 – $239.87 | 14 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | $26.58 | $97.00 | $4.01 – $63.08 | 14 |
| Npsy indiv hlth intrv ea addl 15 min CPT 96159 | $62.75 | $229.00 | $20.11 – $187.58 | 14 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | $420.59 | $1,535.00 | $106.88 – $1,274.05 | 19 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | $420.59 | $1,535.00 | $75.63 – $1,274.05 | 14 |
| Nras gene variants exon 2&3 CPT 81311 | $93.16 | $340.00 | $37.40 – $655.03 | 21 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $796.77 – $10,519.49 | 12 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $687.40 – $10,519.49 | 12 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $743.36 – $10,519.49 | 12 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $707.91 – $10,519.49 | 12 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $839.92 – $10,519.49 | 12 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $908.70 – $10,519.49 | 12 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $882.21 – $10,519.49 | 12 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,004.40 – $10,519.49 | 12 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $675.72 – $10,519.49 | 12 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $133.28 – $573.10 | 7 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $699.37 – $11,371.02 | 12 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $638.27 – $11,371.02 | 12 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $403.20 – $11,371.02 | 12 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $177.59 – $11,371.02 | 12 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $255.58 – $15,551.04 | 12 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $149.29 – $11,371.02 | 12 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $800.19 – $11,371.02 | 12 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $144.97 – $11,371.02 | 12 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $427.03 – $11,371.02 | 12 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $380.49 – $11,371.02 | 12 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $520.78 – $6,056.28 | 12 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $380.12 – $2,832.66 | 12 |
| Ntrk translocation analysis CPT 81194 | $221.94 | $810.00 | $89.10 – $1,147.75 | 21 |
| Nuclear rx intra-arterial CPT 79445 | $652.40 | $2,381.00 | $200.51 – $1,976.23 | 20 |
| Nuclear rx intracav admin CPT 79200 | $532.66 | $1,944.00 | $58.50 – $1,613.52 | 20 |
| Nuclear rx IV admin CPT 79101 | $371.00 | $1,354.00 | $59.82 – $1,123.82 | 20 |
| Nuclear Stress Test (Heart) CPT 78452 | $2,790.97 | $10,186.00 | $348.12 – $8,454.38 | 20 |
| Nushield 1 square cm HCPCS Q4160 | $6,285.56 | $22,940.00 | $93.93 – $1,831.75 | 17 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | $11,327.71 | $41,342.00 | $69.71 – $34,313.86 | 20 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $1,463.35 – $11,481.58 | 7 |
| Observation direct referral from physician office for admission HCPCS G0379 | $290.17 | $1,059.00 | $38.00 – $1,007.09 | 16 |
| Observation per hour HCPCS G0378 | $101.66 | $371.00 | $38.00 – $307.93 | 10 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $1,042.15 – $1,042.15 | 1 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $513.48 | $1,874.00 | $64.87 – $1,555.42 | 20 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $424.98 | $1,551.00 | $30.10 – $1,287.33 | 15 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $256.85 – $5,222.78 | 12 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | $27,147.10 | $99,077.00 | $57.81 – $82,233.91 | 20 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $170.43 | $622.00 | $0.63 – $41.50 | 17 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $8,399.20 | $30,654.00 | $138.70 – $6,925.52 | 20 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $211.89 – $1,251.90 | 12 |
| Ocular reconst transplant CPT 65780 | not published | not published | $359.72 – $6,194.34 | 12 |
| Ocular reconst transplant CPT 65781 | not published | not published | $613.22 – $8,475.46 | 12 |
| Ocular reconst transplant CPT 65782 | not published | not published | $521.86 – $6,194.34 | 12 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | $7,704.61 | $28,119.00 | $63.27 – $1,959.63 | 20 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $768.57 | $2,805.00 | $237.05 – $1,831.75 | 16 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $56.72 | $207.00 | $11.99 – $109.00 | 9 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $1,398.77 | $5,105.00 | $26.97 – $4,237.15 | 20 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $739.96 – $2,772.73 | 7 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $338.10 – $1,944.99 | 7 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $29.32 | $107.00 | $0.09 – $8.55 | 17 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,215.78 – $5,519.24 | 7 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $920.70 – $3,959.01 | 7 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $931.49 – $4,005.41 | 7 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,627.02 – $6,875.83 | 7 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,748.13 – $7,431.35 | 7 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,790.76 – $7,431.35 | 7 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $376.40 – $6,290.08 | 12 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $626.58 – $2,694.29 | 7 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $214.08 – $1,690.07 | 7 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $636.56 – $9,717.21 | 12 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $553.25 – $9,717.21 | 12 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $290.51 – $6,290.08 | 12 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,354.72 – $7,281.60 | 7 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $206.77 – $2,628.88 | 12 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $405.01 – $8,879.54 | 12 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $818.56 – $4,399.76 | 7 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $405.87 – $9,717.21 | 12 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $726.28 – $5,327.15 | 12 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $570.11 – $11,734.48 | 12 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $691.61 – $11,734.48 | 12 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $941.79 – $3,613.20 | 12 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $563.24 – $3,887.64 | 7 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $666.42 – $2,865.61 | 7 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $666.42 – $2,865.61 | 7 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $46.54 – $200.12 | 7 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $152.07 | $555.00 | $47.30 – $460.65 | 20 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,068.48 – $4,003.82 | 7 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $253.54 – $1,090.22 | 7 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $226.73 – $974.94 | 7 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $358.51 – $1,616.89 | 7 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $549.89 – $50,056.67 | 12 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $321.81 – $35,225.09 | 9 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $313.16 – $20,484.04 | 12 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $544.30 – $10,780.39 | 12 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $628.88 – $9,717.21 | 12 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $636.99 – $9,717.21 | 12 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $933.05 – $5,015.14 | 7 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $317.00 – $9,717.21 | 12 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,081.45 – $9,717.21 | 12 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $580.60 – $9,717.21 | 12 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $534.46 – $2,872.71 | 7 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $580.60 – $9,717.21 | 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.