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 |
|---|---|---|---|---|
| Prep corneal endo allograft CPT 65757 | not published | not published | $1,697.69 – $1,697.69 | 1 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $364.89 – $364.89 | 1 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $260.34 – $260.34 | 1 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $364.34 – $364.34 | 1 |
| Prep donor liver/venous CPT 47146 | not published | not published | $311.98 – $311.98 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $223.95 – $223.95 | 1 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $137.75 – $592.33 | 7 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $181.26 – $181.26 | 1 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $172.19 – $172.19 | 1 |
| Prep renal graft/venous CPT 50327 | not published | not published | $206.33 – $206.33 | 1 |
| Prep skin to 100cm2 other CPT 15004 | not published | not published | $261.82 – $1,397.59 | 12 |
| Prep skin to 100cm2 trk/ext CPT 15002 | not published | not published | $219.86 – $3,004.74 | 12 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $43.30 – $257.74 | 7 |
| Pressure max expiratory/inspiratory CPT 94799 | $160.29 | $585.00 | $64.35 – $485.55 | 17 |
| Pressure treatment esophagus CPT 43460 | not published | not published | $105.53 – $567.20 | 7 |
| Pressure velocity wire add ves CPT 93572 | $1,595.78 | $5,824.00 | $322.41 – $4,833.92 | 14 |
| Pre-tibial shell molded to p HCPCS L2340 | $768.57 | $2,805.00 | $308.55 – $2,384.25 | 17 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $47.95 | $175.00 | $16.65 – $218.75 | 20 |
| Pretreat rbc absorption reference CPT 86978 | $34.25 | $125.00 | $9.24 – $97.58 | 20 |
| Pretreat rbc density gradient separation reference CPT 86972 | $100.84 | $368.00 | $16.65 – $305.44 | 20 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $27.40 | $100.00 | $11.00 – $97.58 | 20 |
| Pretreat rbc w enzyme reference CPT 86971 | $41.10 | $150.00 | $16.50 – $187.50 | 20 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | not published | not published | $61.09 – $2,661.45 | 12 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | not published | not published | $101.68 – $2,661.45 | 12 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | not published | not published | $96.98 – $656.27 | 12 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $628.88 – $3,380.21 | 7 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $152.62 | $557.00 | $39.82 – $462.31 | 19 |
| Prgrmg eval implantable dfb CPT 93282 | $102.21 | $373.00 | $41.03 – $309.59 | 19 |
| Prgrmg eval implantable dfb CPT 93283 | $121.39 | $443.00 | $46.21 – $367.69 | 19 |
| Prgrmg eval implantable dfb CPT 93284 | $130.70 | $477.00 | $34.65 – $315.00 | 19 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,007.98 | $10,978.00 | $338.28 – $10,978.00 | 11 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $3,040.03 | $11,095.00 | $409.40 – $13,452.50 | 19 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,219.13 | $8,099.00 | $153.48 – $3,686.86 | 14 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $181.12 | $661.00 | $72.71 – $656.27 | 19 |
| Pr incision & drainage abscess simple/single CPT 10060 | $180.57 | $659.00 | $48.70 – $542.82 | 19 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | not published | not published | $130.10 – $559.43 | 12 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $259.21 | $946.00 | $59.38 – $785.18 | 19 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $257.56 | $940.00 | $11.90 – $538.67 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $512.67 – $3,207.67 | 12 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $10,624.35 | $38,775.00 | $182.05 – $1,406.75 | 16 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $134.63 – $1,145.88 | 12 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $128.59 – $3,832.17 | 12 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $232.84 – $3,832.17 | 12 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $163.25 – $3,832.17 | 12 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $558.96 | $2,040.00 | $24.09 – $661.37 | 20 |
| Procalcitonin CPT 84145 | $130.70 | $477.00 | $2.45 – $60.27 | 21 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $24.39 | $89.00 | $3.09 – $41.50 | 17 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $104.17 – $4,504.71 | 12 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $98.69 – $1,936.79 | 12 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $46.99 – $1,936.79 | 12 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | not published | not published | $41.44 – $1,497.60 | 12 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $84.04 – $4,504.71 | 12 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $89.24 – $1,936.79 | 12 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $104.84 – $1,936.79 | 12 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $99.97 – $4,504.71 | 12 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $58.10 – $1,936.79 | 12 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | not published | not published | $88.86 – $4,504.71 | 12 |
| Proctosigmoidoscopy w/stent CPT 45327 | not published | not published | $89.29 – $9,778.24 | 12 |
| Progesterone CPT 84144 | $106.86 | $390.00 | $2.07 – $46.20 | 21 |
| Prolactin CPT 84146 | $3.29 | $12.00 | $1.32 – $42.93 | 21 |
| Prolonged IV inf, req pump HCPCS C8957 | $427.44 | $1,560.00 | $171.60 – $4,379.00 | 16 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $226.22 – $2,512.19 | 12 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $226.22 – $2,296.32 | 12 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $879.22 – $21,135.36 | 12 |
| Prophylactic tx radius CPT 25490 | not published | not published | $749.43 – $11,734.48 | 12 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $937.00 – $6,071.45 | 12 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $768.84 – $21,135.36 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $164.40 | $600.00 | $0.09 – $41.50 | 17 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $15.90 | $58.00 | $5.50 – $41.50 | 17 |
| Prostate biopsy, any mthd HCPCS G0416 | $108.23 | $395.00 | $43.45 – $493.75 | 20 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $734.82 – $8,350.49 | 12 |
| Prostate laser enucleation CPT 52649 | not published | not published | $798.58 – $8,350.49 | 12 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $370.29 – $8,100.51 | 12 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $395.17 – $7,437.75 | 12 |
| Prosthetic sock multi ply bk HCPCS L8420 | $31.51 | $115.00 | $12.65 – $97.75 | 17 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $35.62 | $130.00 | $1.40 – $41.50 | 17 |
| Protect body sock ea pre ots HCPCS L0984 | $91.79 | $335.00 | $36.85 – $284.75 | 17 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $3,718.18 | $13,570.00 | $678.70 – $5,244.50 | 16 |
| Protein c activity CPT 85303 | $4.94 | $18.00 | $1.66 – $30.66 | 21 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $4.09 | $14.90 | $0.55 – $23.78 | 21 |
| Protein s total CPT 85305 | $3.29 | $12.00 | $1.32 – $25.72 | 21 |
| Protein total 24 hour urine CPT 84156 | $62.48 | $228.00 | $0.37 – $8.14 | 21 |
| Protein total body fluid CPT 84157 | $62.48 | $228.00 | $0.38 – $8.86 | 21 |
| Protein total serum plasma whole blood CPT 84155 | $25.21 | $92.00 | $0.55 – $8.14 | 21 |
| Prothrombin complex kcentra HCPCS J7168 | $1,076.55 | $3,929.00 | $0.44 – $4.00 | 9 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $15.07 | $55.00 | $3.51 – $45.65 | 21 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $376.02 – $1,616.89 | 7 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $475.92 – $5,796.93 | 12 |
| Prq cardiac angio addl art CPT 92921 | $3,011.81 | $10,992.00 | $1,209.12 – $10,992.00 | 11 |
| Prq card stent w/angio addl CPT 92929 | $9,939.35 | $36,275.00 | $1,919.63 – $36,275.00 | 11 |
| Prq revasc byp graft addl CPT 92938 | $9,939.35 | $36,275.00 | $1,919.63 – $36,275.00 | 11 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $521.64 – $11,734.48 | 12 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $366.13 – $2,628.88 | 12 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $484.05 – $11,734.48 | 12 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $453.28 – $11,734.48 | 12 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $154.23 – $11,734.48 | 12 |
| Pr removal drug delivery implant CPT 11982 | not published | not published | $71.79 – $655.48 | 12 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | not published | not published | $39.73 – $213.53 | 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.