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 |
|---|---|---|---|---|
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $580.60 – $9,717.21 | 12 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $580.60 – $9,717.21 | 12 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $540.01 – $9,717.21 | 12 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $598.11 – $9,717.21 | 12 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $599.40 – $9,717.21 | 12 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $677.58 – $9,717.21 | 12 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $814.72 – $9,717.21 | 12 |
| Oprelvekin injection HCPCS J2355 | $335.38 | $1,224.00 | $134.64 – $1,135.06 | 13 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $615.20 – $11,734.48 | 12 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $548.55 – $11,734.48 | 12 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $548.55 – $11,734.48 | 12 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $636.13 – $11,734.48 | 12 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $435.33 – $11,734.48 | 12 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,201.88 – $9,717.21 | 12 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $1,531.59 – $8,232.32 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $580.60 – $3,120.72 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $1,232.96 – $6,627.18 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,375.88 – $5,916.27 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $304.18 – $5,329.67 | 12 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $556.24 – $11,734.48 | 12 |
| Optx lunate dislocation CPT 25695 | not published | not published | $401.59 – $11,734.48 | 12 |
| Optx medial ankle fx CPT 27766 | not published | not published | $435.33 – $11,734.48 | 12 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $580.60 – $9,717.21 | 12 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $683.55 – $9,717.21 | 12 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $424.23 – $9,717.21 | 12 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $241.81 – $9,717.21 | 12 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $560.52 – $9,717.21 | 12 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $605.37 – $3,253.89 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,009.52 – $21,135.36 | 12 |
| Optx post ankle fx CPT 27769 | not published | not published | $501.86 – $11,734.48 | 12 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $580.60 – $21,135.36 | 12 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $1,258.99 – $30,207.95 | 12 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $387.06 – $11,734.48 | 12 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $387.06 – $11,734.48 | 12 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $387.06 – $11,734.48 | 12 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $722.86 – $11,734.48 | 12 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $768.57 – $11,734.48 | 12 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $580.60 – $11,734.48 | 12 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $551.54 – $11,734.48 | 12 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $725.75 – $11,734.48 | 12 |
| Optx sho dislc fx CPT 23670 | not published | not published | $580.60 – $11,734.48 | 12 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $677.58 – $21,135.36 | 12 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $561.79 – $11,734.48 | 12 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $484.05 – $11,734.48 | 12 |
| Optx thigh fx CPT 27269 | not published | not published | $897.62 – $3,859.77 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $780.96 – $5,327.15 | 12 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $580.60 – $11,734.48 | 12 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $387.06 – $11,734.48 | 12 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $474.68 – $11,734.48 | 12 |
| Oral busulfan HCPCS J8510 | $15.35 | $56.00 | $1.98 – $325.90 | 17 |
| Oral everolimus HCPCS J7527 | $23.29 | $85.00 | $2.14 – $43.99 | 14 |
| Oral methotrexate (xatmep) HCPCS J8612 | $20.83 | $76.00 | $8.36 – $76.00 | 9 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $1,952.83 – $10,496.44 | 7 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $2,187.38 – $11,757.17 | 7 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $2,259.57 – $12,145.19 | 7 |
| Orchiectomy partial CPT 54522 | not published | not published | $590.00 – $5,665.36 | 12 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $597.69 – $5,796.93 | 12 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $438.56 – $5,796.93 | 12 |
| Organic acids total quant ea spec CPT 83918 | $4.91 | $17.91 | $1.98 – $52.26 | 21 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | $1,309.72 | $4,780.00 | $26.88 – $3,851.20 | 20 |
| Oropharyngeal biopsy 42800 CPT 42800 | not published | not published | $76.05 – $2,433.19 | 12 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | $32.88 | $120.00 | $6.38 – $48.14 | 17 |
| Ortho dvc repair per 15 min HCPCS L4205 | $53.43 | $195.00 | $21.45 – $165.75 | 17 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $147.69 | $539.00 | $59.29 – $458.15 | 17 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $590.47 | $2,155.00 | $237.05 – $1,831.75 | 17 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $655.14 | $2,391.00 | $263.01 – $2,032.35 | 17 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $138.65 | $506.00 | $55.66 – $430.10 | 17 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $164.13 | $599.00 | $65.89 – $509.15 | 17 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $138.65 | $506.00 | $55.66 – $430.10 | 17 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $768.57 | $2,805.00 | $237.05 – $1,831.75 | 17 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $55.08 | $201.00 | $4.95 – $45.00 | 17 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $506.90 | $1,850.00 | $203.50 – $1,572.50 | 17 |
| Oscillation chest wall mechanical per session CPT 94669 | $84.67 | $309.00 | $23.17 – $1,867.00 | 20 |
| Osmolality blood CPT 83930 | $50.42 | $184.00 | $5.88 – $152.72 | 21 |
| Osmolality urine CPT 83935 | $50.69 | $185.00 | $6.02 – $153.55 | 21 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $332.73 – $5,329.67 | 12 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $338.78 – $5,329.67 | 12 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $607.22 – $2,611.05 | 7 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $787.50 – $21,135.36 | 12 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $741.62 – $11,734.48 | 12 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $867.46 – $11,734.48 | 12 |
| Osteoplasty humerus CPT 24420 | not published | not published | $842.05 – $11,734.48 | 12 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $1,222.28 – $6,569.76 | 7 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $347.26 – $1,878.38 | 7 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $1,162.90 – $6,250.57 | 7 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $1,095.82 – $5,890.06 | 7 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $580.60 – $11,734.48 | 12 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $871.11 – $4,682.19 | 7 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $489.60 – $11,734.48 | 12 |
| Other bone graft microvasc CPT 20962 | not published | not published | $2,612.89 – $14,044.29 | 7 |
| Oth resp proc, group HCPCS G0239 | $363.05 | $1,325.00 | $14.76 – $1,867.00 | 17 |
| Oth resp proc, indiv HCPCS G0238 | $46.31 | $169.00 | $11.40 – $1,867.00 | 18 |
| Otoplasty 69300 CPT 69300 | not published | not published | $427.22 – $5,327.15 | 12 |
| Outflow tarct agmntj heart chamber 33478 CPT 33478 | not published | not published | $1,509.11 – $10,195.63 | 7 |
| Outrigger HCPCS L1080 | $157.55 | $575.00 | $41.81 – $488.75 | 17 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $774.28 – $8,108.74 | 12 |
| Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr HCPCS J2700 | $3,178.40 | $11,600.00 | $0.64 – $41.50 | 17 |
| Oxaliplatin 5 mg/ml desensitization HCPCS J9263 | $3,319.79 | $12,116.00 | $0.05 – $59.76 | 17 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $26.86 | $98.00 | $1.11 – $41.50 | 17 |
| Pacemaker leadless 19.5f 32.2mm ra HCPCS C1605 | $20,222.57 | $73,805.00 | $4,265.25 – $32,183.25 | 14 |
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.