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 |
|---|---|---|---|---|
| Pr removal intrauterine device CPT 58301 | not published | not published | $55.82 – $499.68 | 12 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | not published | not published | $105.10 – $656.27 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | not published | not published | $54.17 – $450.07 | 12 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | not published | not published | $55.25 – $489.12 | 12 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $139.47 | $509.00 | $43.71 – $431.69 | 19 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | not published | not published | $57.07 – $459.26 | 12 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $304.61 – $3,004.74 | 12 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $341.78 – $5,329.67 | 12 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $349.04 – $11,734.48 | 12 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $91.96 – $718.13 | 12 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $445.59 – $11,734.48 | 12 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $473.79 – $11,734.48 | 12 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,474.95 | $5,383.00 | $150.17 – $2,551.73 | 19 |
| PSA (Prostate) Test CPT 84153 | $58.64 | $214.00 | $1.82 – $40.71 | 21 |
| Psychotherapy group therapy CPT 90853 | $85.49 | $312.00 | $3.98 – $207.50 | 19 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $305.24 | $1,114.00 | $50.16 – $378.48 | 19 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $164.95 | $602.00 | $62.48 – $471.44 | 19 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $244.14 | $891.00 | $82.06 – $619.18 | 19 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $420.59 | $1,535.00 | $23.43 – $1,274.05 | 19 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $210.16 | $767.00 | $17.81 – $636.61 | 14 |
| Pten gene full sequence CPT 81321 | $113.71 | $415.00 | $45.65 – $1,328.73 | 21 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $582.73 – $9,717.21 | 12 |
| Pt prgrm for implt neurostim HCPCS L8681 | $2,198.85 | $8,025.00 | $521.95 – $4,033.25 | 16 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,645.23 – $8,843.13 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $677.58 – $3,641.97 | 7 |
| Pulmonary vent imaging CPT 78579 | $1,385.07 | $5,055.00 | $157.92 – $4,195.65 | 20 |
| Pulse ox continuous overnight monitoring CPT 94762 | $803.92 | $2,934.00 | $27.48 – $2,435.22 | 16 |
| Pulse ox multiple CPT 94761 | $161.39 | $589.00 | $4.29 – $589.00 | 9 |
| Pulse ox single CPT 94760 | $104.95 | $383.00 | $3.92 – $317.89 | 14 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $347.98 | $1,270.00 | $82.50 – $750.00 | 8 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $56.60 – $1,137.55 | 12 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $121.93 | $445.00 | $14.53 – $346.94 | 20 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $419.77 | $1,532.00 | $53.83 – $656.27 | 19 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $47.74 – $5,327.15 | 12 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,115.18 | $4,070.00 | $61.96 – $2,205.31 | 19 |
| Puraply 1 sq cm HCPCS Q4195 | $8,172.05 | $29,825.00 | $71.23 – $4,033.25 | 17 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $47.59 – $318.59 | 7 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $79.91 – $1,137.55 | 12 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $76.39 – $1,137.55 | 12 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,048.83 – $2,490.98 | 2 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $927.07 – $4,983.00 | 7 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $885.21 – $4,758.00 | 7 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $954.84 – $5,132.26 | 7 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $604.51 – $3,249.26 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $20.01 | $73.00 | $4.75 – $41.50 | 14 |
| Pyruvate CPT 84210 | $6.77 | $24.68 | $2.72 – $32.06 | 21 |
| Pyruvate kinase CPT 84220 | $9.59 | $35.00 | $3.85 – $29.05 | 21 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,830.87 | $6,682.00 | $257.99 – $5,546.06 | 20 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,209.44 | $4,414.00 | $165.44 – $3,663.62 | 20 |
| Quest t3 uptake CPT 84479 | $1.60 | $5.83 | $0.65 – $14.34 | 21 |
| Quinupristin/dalfopristin HCPCS J2770 | $334.01 | $1,219.00 | $5.28 – $1,105.62 | 17 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,262.90 | $15,558.00 | $122.45 – $2,829.47 | 20 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,830.45 – $9,375.86 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $956.13 – $5,139.17 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,088.56 – $5,851.01 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $949.29 – $5,102.41 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $933.91 – $11,734.48 | 12 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $1,344.31 – $7,472.19 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $968.51 – $4,701.27 | 12 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,138.87 – $4,897.14 | 12 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $168.79 | $616.00 | $67.76 – $511.28 | 20 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,443.16 | $5,267.00 | $222.19 – $5,280.13 | 20 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,536.70 | $9,258.00 | $189.70 – $7,684.14 | 20 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,124.23 | $4,103.00 | $451.33 – $5,280.13 | 20 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,519.06 | $5,544.00 | $323.05 – $5,280.13 | 17 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,594.96 | $5,821.00 | $127.83 – $4,831.43 | 20 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,045.41 – $11,734.48 | 12 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,074.89 – $5,777.55 | 12 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,051.38 – $4,701.27 | 12 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $1,033.37 – $4,701.27 | 9 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $726.21 – $4,701.27 | 12 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,094.93 – $4,708.20 | 12 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $778.70 – $4,701.27 | 12 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $878.26 – $4,701.27 | 12 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $723.72 – $11,734.48 | 12 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $767.71 – $4,701.27 | 12 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $7,297.45 | $26,633.00 | $60.82 – $4,421.41 | 20 |
| Rapid Strep Test CPT 87880 | $83.85 | $306.00 | $6.99 – $253.98 | 21 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $1,123.68 | $4,101.00 | $176.49 – $3,403.83 | 18 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $30,882.82 | $112,711.00 | $220.32 – $25,514.20 | 20 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $59.05 – $718.13 | 8 |
| Rbc irradiated each unit HCPCS P9038 | $160.84 | $587.00 | $64.57 – $487.21 | 19 |
| Rbc osmotic fragility CPT 85555 | $19.93 | $72.73 | $5.98 – $60.37 | 21 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $1,693.51 – $9,717.21 | 12 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $1,451.70 – $7,802.91 | 7 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,442.73 – $7,754.68 | 7 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,064.63 – $5,722.41 | 7 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,166.74 – $6,271.23 | 7 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $1,548.26 – $8,321.88 | 7 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $1,548.26 – $8,321.88 | 7 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $769.00 – $5,327.15 | 12 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $939.89 – $9,717.21 | 12 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $939.89 – $9,717.21 | 12 |
| Realignment of knee CPT 27457 | not published | not published | $677.58 – $3,641.97 | 7 |
| Realignment of knee CPT 27455 | not published | not published | $580.60 – $3,120.72 | 7 |
| Realignment of tendons CPT 26437 | not published | not published | $636.13 – $5,329.67 | 12 |
| Realignment of thigh bone CPT 27454 | not published | not published | $967.66 – $5,201.16 | 7 |
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.