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 |
|---|---|---|---|---|
| Part remove hip bone super CPT 27070 | not published | not published | $535.73 – $2,879.56 | 7 |
| Passy muir valve metal trach HCPCS L8501 | $205.50 | $750.00 | $48.40 – $374.00 | 16 |
| Pdgfra gene CPT 81314 | $137.00 | $500.00 | $44.47 – $729.71 | 21 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $666.04 – $3,579.98 | 12 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $362.71 – $3,004.74 | 12 |
| Pegaspargase injection HCPCS J9266 | $21,525.44 | $78,560.00 | $2,134.95 – $62,966.05 | 20 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $6,780.96 | $24,748.00 | $2,722.28 – $24,748.00 | 9 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $5,490.96 | $20,040.00 | $168.06 – $16,633.20 | 20 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,490.96 | $20,040.00 | $117.36 – $16,633.20 | 20 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $3,288.00 | $12,000.00 | $1,320.00 – $12,000.00 | 9 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | $34,248.36 | $124,994.00 | $490.25 – $55,776.00 | 20 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,945.13 | $7,099.00 | $220.61 – $5,892.17 | 20 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,945.13 | $7,099.00 | $196.67 – $5,892.17 | 20 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,296.85 | $4,733.00 | $94.04 – $3,928.39 | 20 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,003.67 – $10,769.74 | 7 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,611.22 | $9,530.00 | $266.03 – $7,909.90 | 20 |
| Pelvic MRI (with contrast) CPT 72196 | $2,611.22 | $9,530.00 | $214.05 – $7,909.90 | 20 |
| Pelvic MRI (without contrast) CPT 72195 | $1,697.43 | $6,195.00 | $182.09 – $5,397.00 | 20 |
| Pelvic Ultrasound (complete) CPT 76856 | $513.48 | $1,874.00 | $80.76 – $1,555.42 | 20 |
| Pelvic Ultrasound (limited) CPT 76857 | $226.05 | $825.00 | $29.72 – $684.75 | 20 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $6,620.39 | $24,162.00 | $0.01 – $138.05 | 20 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $4,448.94 | $16,237.00 | $3.77 – $109.56 | 20 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $424.16 | $1,548.00 | $6.85 – $362.71 | 20 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $1,165.60 | $4,254.00 | $0.82 – $41.50 | 17 |
| Penile injection CPT 54235 | not published | not published | $75.98 – $399.50 | 9 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $16,712.63 | $60,995.00 | $63.25 – $488.75 | 16 |
| Penile vascular study CPT 93980 | $539.24 | $1,968.00 | $64.87 – $1,633.44 | 20 |
| Penile vascular study CPT 93981 | $539.24 | $1,968.00 | $55.15 – $1,633.44 | 20 |
| Penile venous occlusion CPT 37790 | not published | not published | $493.93 – $5,665.36 | 9 |
| Penis plastic surgery CPT 54360 | not published | not published | $610.93 – $5,665.36 | 12 |
| Penis study CPT 54240 | not published | not published | $49.72 – $511.51 | 12 |
| Pentobarbital sodium inj HCPCS J2515 | $1,841.28 | $6,720.00 | $3.54 – $125.32 | 17 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | $2,668.22 | $9,738.00 | $609.84 – $6,218.40 | 18 |
| Perc cryo ablate renal tum CPT 50593 | $3,175.66 | $11,590.00 | $452.97 – $14,487.50 | 19 |
| Perc d-e cor revasc chro add HCPCS C9608 | $10,039.64 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $10,039.64 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $10,039.64 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $10,039.64 | $36,641.00 | $4,030.51 – $36,641.00 | 8 |
| Perc rf ablate renal tumor CPT 50592 | $3,017.02 | $11,011.00 | $90.44 – $9,583.66 | 18 |
| Percut ablate liver rf CPT 47382 | $3,153.74 | $11,510.00 | $553.98 – $9,583.66 | 19 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $227.97 | $832.00 | $44.39 – $384.29 | 17 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $193.22 – $830.85 | 7 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,549.53 – $8,328.73 | 7 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,065.96 | $7,540.00 | $200.67 – $4,255.41 | 19 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $799.15 – $4,771.75 | 7 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $484.05 – $6,290.08 | 12 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $276.01 – $5,222.78 | 12 |
| Peripheral vascular rehab CPT 93668 | $64.67 | $236.00 | $16.26 – $195.88 | 16 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $243.68 – $8,879.54 | 12 |
| Peritoneogram rs&i CPT 74190 | $647.47 | $2,363.00 | $49.53 – $1,961.29 | 20 |
| Perq art m-thrombect &/nfs CPT 61645 | $3,947.25 | $14,406.00 | $662.32 – $11,478.90 | 14 |
| Perq clsr tcat l atr apndge CPT 33340 | $7,495.55 | $27,356.00 | $678.70 – $22,705.48 | 13 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $118.76 – $1,155.74 | 12 |
| Perq dev breast 1st strtctc CPT 19283 | $231.81 | $846.00 | $93.06 – $1,057.50 | 19 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $8,589.08 | $31,347.00 | $725.85 – $26,018.01 | 19 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $648.52 – $15,189.60 | 12 |
| Perq plmt bile duct stent CPT 47538 | $3,311.84 | $12,087.00 | $228.50 – $11,621.00 | 19 |
| Perq plmt bile duct stent CPT 47539 | $3,311.84 | $12,087.00 | $410.28 – $12,087.00 | 19 |
| Perq plmt bile duct stent CPT 47540 | $3,311.84 | $12,087.00 | $425.07 – $11,621.00 | 19 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $147.96 | $540.00 | $56.87 – $517.00 | 19 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $392.78 – $5,329.67 | 12 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $320.18 – $5,329.67 | 12 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $83.31 – $83.31 | 1 |
| Perq transcath closure pda CPT 93582 | $6,992.76 | $25,521.00 | $565.27 – $29,496.16 | 19 |
| Perq transcath cls aortic CPT 93591 | $15,533.34 | $56,691.00 | $835.12 – $47,053.53 | 19 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $182.42 – $5,329.67 | 12 |
| Perq tx malar fracture CPT 21355 | not published | not published | $147.82 – $5,327.15 | 12 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $381.94 – $9,717.21 | 12 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $776.51 – $5,327.15 | 12 |
| Pertussis ag if CPT 87265 | $69.05 | $252.00 | $1.12 – $26.54 | 21 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $6,592.72 | $24,061.00 | $12.89 – $19,970.63 | 20 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $16,712.36 | $60,994.00 | $66.77 – $33,748.63 | 20 |
| Pet CT whole body initial CPT 78816 | $1,130.80 | $4,127.00 | $453.97 – $7,727.00 | 20 |
| Pet fdg brain metoblic eval sb CPT 78608 | $1,761.00 | $6,427.00 | $706.97 – $7,727.00 | 18 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $52,449.08 | $191,420.00 | $9.35 – $72.25 | 16 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $214.90 – $5,329.67 | 12 |
| Ph body fluid CPT 83986 | $8.50 | $31.00 | $0.38 – $7.94 | 21 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $167.97 | $613.00 | $5.30 – $68.48 | 17 |
| Phenobarbital therapeutic drug level CPT 80184 | $79.46 | $290.00 | $1.17 – $33.90 | 21 |
| Phentolaine mesylate inj HCPCS J2760 | $552.39 | $2,016.00 | $49.73 – $1,045.07 | 20 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $9,557.12 | $34,880.00 | $5.50 – $50.00 | 9 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $13.70 | $50.00 | $0.52 – $41.50 | 17 |
| Phenytoin total therapeutic drug level CPT 80185 | $92.89 | $339.00 | $1.36 – $29.33 | 21 |
| Phlebotomy therapeutic CPT 99195 | $155.91 | $569.00 | $18.82 – $472.27 | 20 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $230.45 – $5,170.16 | 12 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $288.53 – $5,170.16 | 12 |
| Phosphorus CPT 84100 | $35.90 | $131.00 | $4.21 – $108.73 | 21 |
| Phosphorus 24 hour urine CPT 84105 | $59.46 | $217.00 | $4.62 – $180.11 | 21 |
| Photopheresis CPT 36522 | not published | not published | $97.14 – $12,727.10 | 12 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $60.83 | $222.00 | $2.59 – $41.50 | 17 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $382.23 | $1,395.00 | $153.45 – $1,395.00 | 8 |
| Pik3ca gene trgt seq alys CPT 81309 | $111.25 | $406.00 | $44.66 – $608.63 | 21 |
| Pin caspar distraction 12mm HCPCS C1821 | $8,172.05 | $29,825.00 | $2,523.40 – $19,499.00 | 16 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $182.00 – $1,005.50 | 12 |
| Pin finger dislocation CPT 26776 | not published | not published | $237.54 – $5,329.67 | 12 |
| Pin finger fracture each CPT 26756 | not published | not published | $419.11 – $5,329.67 | 12 |
| Pin hand dislocation CPT 26676 | not published | not published | $265.31 – $5,329.67 | 12 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $204.64 – $5,329.67 | 12 |
| Pinworm exam CPT 87172 | $13.16 | $48.00 | $3.80 – $39.84 | 21 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $716.79 | $2,616.00 | $1.19 – $41.50 | 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.