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 |
|---|---|---|---|---|
| Place breast cath for rad CPT 19297 | not published | not published | $66.59 – $249.74 | 7 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $328.89 – $10,712.31 | 12 |
| Place cath intracranial art CPT 36228 | $831.32 | $3,034.00 | $181.31 – $2,416.96 | 14 |
| Place cath xtrnl carotid CPT 36227 | $2,131.18 | $7,778.00 | $88.61 – $6,254.05 | 14 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $207.86 – $3,832.55 | 12 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $237.17 – $4,703.43 | 12 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $685.26 – $3,683.30 | 7 |
| Place gastrostomy tube perc CPT 49440 | $1,117.65 | $4,079.00 | $201.12 – $3,916.00 | 19 |
| Placement bile duct support CPT 47801 | not published | not published | $775.40 – $4,167.79 | 7 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $220.85 | $806.00 | $88.66 – $1,007.50 | 19 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $178.93 | $653.00 | $48.73 – $651.58 | 14 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $220.85 | $806.00 | $82.94 – $1,007.50 | 19 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $3,757.37 | $13,713.00 | $201.23 – $7,284.08 | 19 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,179.57 | $4,305.00 | $440.44 – $4,004.00 | 8 |
| Placement of drain pancreas CPT 48001 | not published | not published | $892.46 – $4,796.98 | 7 |
| Placement of seton CPT 46020 | not published | not published | $117.91 – $4,504.71 | 12 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,115.78 | $25,970.00 | $392.40 – $18,628.30 | 19 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $246.09 – $5,329.67 | 12 |
| Place needles h&n for right CPT 41019 | not published | not published | $363.74 – $9,717.21 | 12 |
| Place needles pelvic for right CPT 55920 | not published | not published | $344.01 – $8,108.74 | 12 |
| Place non-slctv cath thoracic arta CPT 36221 | $6,926.45 | $25,279.00 | $173.86 – $20,174.81 | 19 |
| Place po breast cath for rad CPT 19296 | not published | not published | $204.84 – $19,093.81 | 12 |
| Place right device/marker pros CPT 55876 | not published | not published | $104.69 – $2,247.54 | 12 |
| Place slctv cath carotd art uni CPT 36224 | $6,660.12 | $24,307.00 | $280.71 – $19,368.05 | 19 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $6,726.70 | $24,550.00 | $237.90 – $14,727.52 | 19 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $6,726.70 | $24,550.00 | $256.89 – $14,525.83 | 19 |
| Place slctv cath subclavian art CPT 36225 | $6,726.70 | $24,550.00 | $255.77 – $14,727.52 | 19 |
| Place slctv cath vertebral art uni CPT 36226 | $6,660.12 | $24,307.00 | $281.46 – $19,368.05 | 19 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $191.80 | $700.00 | $18.59 – $140.27 | 20 |
| Plastic mod low ext pad/line HCPCS L2275 | $205.50 | $750.00 | $63.25 – $488.75 | 17 |
| Platelet aggregation each agent teg CPT 85576 | $147.96 | $540.00 | $11.90 – $151.20 | 21 |
| Platelet automated CPT 85049 | $45.49 | $166.00 | $3.77 – $137.78 | 21 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $59.05 – $718.13 | 8 |
| Platelet pheresis each unit HCPCS P9034 | $303.32 | $1,107.00 | $121.77 – $1,009.96 | 19 |
| Platelet pheresis irr ea HCPCS P9036 | $303.32 | $1,107.00 | $121.77 – $965.29 | 19 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $303.32 | $1,107.00 | $121.77 – $1,107.00 | 19 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $303.32 | $1,107.00 | $121.77 – $1,109.85 | 19 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,154.02 | $11,511.00 | $256.46 – $9,172.33 | 19 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $7,253.33 | $26,472.00 | $196.51 – $21,971.76 | 14 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $2,630.13 | $9,599.00 | $200.27 – $7,284.08 | 19 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $2,630.13 | $9,599.00 | $334.55 – $7,967.17 | 19 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $2,639.72 | $9,634.00 | $672.37 – $7,996.22 | 14 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $555.95 | $2,029.00 | $82.94 – $1,951.00 | 19 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $555.95 | $2,029.00 | $41.83 – $1,852.23 | 14 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $268.06 – $1,152.66 | 7 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $55.10 – $271.93 | 7 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $48.72 – $800.45 | 7 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $178.93 | $653.00 | $41.47 – $653.00 | 14 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $227.70 | $831.00 | $48.09 – $689.73 | 19 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $893.28 – $5,201.16 | 7 |
| Plmt access bil tree sm bwl CPT 47541 | $3,003.59 | $10,962.00 | $326.29 – $10,249.58 | 19 |
| Plmt biliary drainage cath CPT 47534 | $3,154.02 | $11,511.00 | $358.62 – $9,172.33 | 19 |
| Plmt nephroureteral catheter CPT 50433 | $2,504.91 | $9,142.00 | $249.56 – $7,587.86 | 19 |
| Plmt ureteral stent prq CPT 50694 | $2,630.13 | $9,599.00 | $261.29 – $7,663.39 | 19 |
| Pm device progr eval dual CPT 93280 | $165.77 | $605.00 | $46.17 – $502.15 | 19 |
| Pm device progr eval multi CPT 93281 | $130.98 | $478.00 | $46.21 – $396.74 | 19 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $75.19 – $1,015.58 | 12 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $212.63 | $776.00 | $11.85 – $644.08 | 21 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $19,728.00 | $72,000.00 | $132.73 – $12,806.07 | 20 |
| Positional change of finger CPT 26555 | not published | not published | $1,393.17 – $11,734.48 | 12 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $422.09 – $2,268.75 | 7 |
| Postpartum Care Only CPT 59430 | not published | not published | $171.14 – $171.14 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $470.37 – $2,528.23 | 7 |
| Potassium 24 hour urine CPT 84133 | $45.49 | $166.00 | $0.44 – $10.46 | 21 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $52.61 | $192.00 | $0.17 – $41.50 | 14 |
| Potassium hydroxide preps HCPCS Q0112 | $36.99 | $135.00 | $4.65 – $112.05 | 21 |
| Potassium serum/plasma/whole blood CPT 84132 | $121.66 | $444.00 | $3.44 – $137.78 | 21 |
| Pq biliary strict dil s&i CPT 74363 | $531.29 | $1,939.00 | $189.58 – $1,609.37 | 15 |
| Pq dr cath chg w cont s&i CPT 75984 | $1,050.79 | $3,835.00 | $63.75 – $3,031.16 | 15 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $11,040.83 | $40,295.00 | $435.59 – $32,106.89 | 19 |
| Pq thr inj ext pse CPT 36002 | $233.73 | $853.00 | $90.09 – $1,015.58 | 19 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $4,094.39 | $14,943.00 | $181.68 – $11,937.89 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $5,118.05 | $18,679.00 | $393.89 – $14,883.56 | 19 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $5,118.05 | $18,679.00 | $370.07 – $14,883.56 | 19 |
| Pralatrexate injection HCPCS J9307 | $14,316.50 | $52,250.00 | $266.45 – $21,683.75 | 20 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | not published | not published | $299.90 – $5,329.67 | 12 |
| Pr application of long arm splint CPT 29105 | not published | not published | $40.50 – $408.75 | 12 |
| Pr application splint static short arm CPT 29125 | not published | not published | $42.48 – $326.10 | 12 |
| Pr biopsy skin punch single lesion CPT 11104 | $1,037.09 | $3,785.00 | $47.15 – $613.75 | 19 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $459.69 – $21,135.36 | 12 |
| Pr correction hammertoe CPT 28285 | $1,665.10 | $6,077.00 | $232.41 – $5,329.67 | 19 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $35.08 | $128.00 | $7.59 – $57.27 | 19 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $238.64 – $1,026.15 | 7 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $208.49 – $896.51 | 7 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | not published | not published | $155.63 – $5,665.36 | 12 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $214.27 | $782.00 | $35.26 – $526.22 | 20 |
| Prealbumin CPT 84134 | $68.78 | $251.00 | $12.47 – $208.33 | 21 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $9.05 | $33.00 | $0.41 – $7.47 | 14 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.47 | $9.00 | $0.02 – $7.47 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,726.75 | $6,302.00 | $197.46 – $4,981.66 | 19 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $344.15 | $1,256.00 | $97.21 – $1,042.48 | 20 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $513.48 | $1,874.00 | $77.96 – $1,555.42 | 20 |
| Prenatal Care Only (4-6 visits) CPT 59425 | not published | not published | $415.20 – $415.20 | 1 |
| Prenatal Care Only (7+ visits) CPT 59426 | not published | not published | $761.09 – $761.09 | 1 |
| Preparation for bladder xray CPT 51605 | not published | not published | $39.13 – $1,614.33 | 7 |
| Preparation palate mold CPT 42280 | not published | not published | $109.37 – $836.51 | 12 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $1,666.69 – $11,814.53 | 7 |
| Prepare penis study CPT 54230 | not published | not published | $70.49 – $378.90 | 7 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $174.31 – $936.91 | 7 |
| Prep bk ptb thermopls molded HCPCS L5530 | $3,718.18 | $13,570.00 | $1,492.70 – $11,534.50 | 17 |
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.