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 |
|---|---|---|---|---|
| Rebuild eardrum structures CPT 69632 | not published | not published | $939.89 – $9,717.21 | 12 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $939.89 – $9,717.21 | 12 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,025.33 – $9,717.21 | 12 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $725.85 – $9,717.21 | 12 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $774.13 – $9,717.21 | 12 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,367.11 – $7,348.21 | 7 |
| Rechanneling of artery CPT 35306 | not published | not published | $404.69 – $1,740.17 | 7 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,404.28 – $7,547.99 | 7 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,369.67 – $7,361.97 | 7 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,084.14 – $4,661.80 | 7 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,280.61 – $9,185.27 | 7 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,127.70 – $4,849.11 | 7 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,347.60 – $9,185.27 | 7 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $908.40 – $6,429.69 | 7 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,084.14 – $4,661.80 | 7 |
| Recipient nephrectomy CPT 50340 | not published | not published | $854.44 – $4,592.63 | 7 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $1,196.22 – $9,717.21 | 12 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $1,281.67 – $9,717.21 | 12 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,064.63 – $9,717.21 | 12 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,025.33 – $9,717.21 | 12 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,364.85 – $8,459.61 | 7 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $996.65 – $6,650.13 | 7 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $508.40 – $9,717.21 | 12 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,025.76 – $9,717.21 | 12 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $986.33 – $30,207.95 | 12 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,337.77 – $9,088.80 | 7 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,024.05 – $11,734.48 | 12 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $774.13 – $9,717.21 | 12 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $854.44 – $5,327.15 | 12 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $939.89 – $9,717.21 | 12 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $683.55 – $9,717.21 | 12 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $602.92 – $9,717.21 | 12 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $726.28 – $9,717.21 | 12 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $1,693.51 – $9,102.62 | 7 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $1,693.51 – $9,102.62 | 7 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $1,693.51 – $9,102.62 | 7 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $811.72 – $11,734.48 | 12 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $982.19 – $30,207.95 | 12 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $1,087.91 – $21,135.36 | 9 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $818.69 – $11,734.48 | 12 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $818.69 – $21,135.36 | 12 |
| Reconstruct extra finger CPT 26587 | not published | not published | $500.54 – $5,329.67 | 9 |
| Reconstruct finger joint CPT 26545 | not published | not published | $387.06 – $5,329.67 | 12 |
| Reconstruct finger joint CPT 26548 | not published | not published | $425.09 – $5,329.67 | 12 |
| Reconstruct head of radius CPT 24365 | not published | not published | $616.91 – $21,135.36 | 12 |
| Reconstruct head of radius CPT 24366 | not published | not published | $532.32 – $21,135.36 | 12 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $1,050.11 – $5,644.33 | 7 |
| Reconstruction knee CPT 27427 | not published | not published | $736.91 – $11,734.48 | 9 |
| Reconstruction knee CPT 27428 | not published | not published | $976.63 – $21,135.36 | 12 |
| Reconstruction knee CPT 27429 | not published | not published | $1,101.38 – $21,135.36 | 12 |
| Reconstruction of anus CPT 46753 | not published | not published | $402.45 – $4,504.71 | 12 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $967.66 – $5,201.16 | 7 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $580.60 – $3,832.17 | 12 |
| Reconstruction of eyelid CPT 67973 | not published | not published | $725.85 – $3,901.46 | 12 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $830.52 – $6,194.34 | 12 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $328.53 – $3,832.17 | 12 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $967.66 – $5,201.16 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $911.69 – $9,717.21 | 12 |
| Reconstruction of jaw CPT 21246 | not published | not published | $818.99 – $9,717.21 | 12 |
| Reconstruction of jaw CPT 21248 | not published | not published | $731.83 – $9,717.21 | 12 |
| Reconstruction of jaw CPT 21249 | not published | not published | $1,151.73 – $9,717.21 | 12 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $1,014.22 – $9,717.21 | 12 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $955.26 – $9,717.21 | 12 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $1,354.29 – $30,207.95 | 12 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $902.72 – $9,717.21 | 12 |
| Reconstruction of midface CPT 21188 | not published | not published | $1,397.87 – $7,513.58 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $565.65 – $9,717.21 | 12 |
| Reconstruction of mouth CPT 40842 | not published | not published | $565.21 – $9,717.21 | 12 |
| Reconstruction of mouth CPT 40843 | not published | not published | $743.79 – $9,717.21 | 12 |
| Reconstruction of mouth CPT 40844 | not published | not published | $955.70 – $9,717.21 | 12 |
| Reconstruction of mouth CPT 40845 | not published | not published | $1,134.70 – $9,717.21 | 12 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $187.13 – $3,004.74 | 12 |
| Reconstruction of nose CPT 30410 | not published | not published | $846.76 – $9,717.21 | 12 |
| Reconstruction of nose CPT 30420 | not published | not published | $967.66 – $9,717.21 | 12 |
| Reconstruction of orbit CPT 21256 | not published | not published | $1,273.63 – $9,717.21 | 12 |
| Reconstruction of throat CPT 42950 | not published | not published | $298.21 – $9,717.21 | 12 |
| Reconstruction of urethra CPT 53410 | not published | not published | $774.13 – $8,350.49 | 12 |
| Reconstruction of urethra CPT 53415 | not published | not published | $967.66 – $5,201.16 | 7 |
| Reconstruction of urethra CPT 53430 | not published | not published | $677.58 – $8,350.49 | 12 |
| Reconstruction of urethra CPT 54308 | not published | not published | $726.89 – $8,350.49 | 12 |
| Reconstruction of urethra CPT 54312 | not published | not published | $829.23 – $5,665.36 | 12 |
| Reconstruction of urethra CPT 54316 | not published | not published | $871.11 – $15,189.60 | 12 |
| Reconstruction of urethra CPT 54318 | not published | not published | $628.88 – $5,665.36 | 12 |
| Reconstruction of urethra CPT 54322 | not published | not published | $774.13 – $5,665.36 | 12 |
| Reconstruction of urethra CPT 54324 | not published | not published | $774.13 – $5,665.36 | 12 |
| Reconstruction of urethra CPT 54326 | not published | not published | $774.13 – $5,665.36 | 12 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $266.41 – $5,327.15 | 12 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $2,300.59 – $12,365.69 | 7 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $641.68 – $9,717.21 | 12 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $571.24 – $5,327.15 | 9 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $1,281.67 – $9,717.21 | 12 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $1,421.36 – $7,639.83 | 7 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $1,548.26 – $9,717.21 | 12 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $967.66 – $21,135.36 | 12 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $1,464.55 – $30,207.95 | 9 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $455.42 – $11,734.48 | 12 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $1,011.13 – $9,717.21 | 12 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $883.10 – $8,350.49 | 12 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $848.28 – $8,350.49 | 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.