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 |
|---|---|---|---|---|
| Revision of nose CPT 30460 | not published | not published | $572.90 – $9,717.21 | 12 |
| Revision of nose CPT 30462 | not published | not published | $1,145.81 – $9,717.21 | 12 |
| Revision of pelvis CPT 27158 | not published | not published | $1,420.45 – $2,126.29 | 2 |
| Revision of penis CPT 54300 | not published | not published | $387.06 – $5,665.36 | 12 |
| Revision of penis CPT 54304 | not published | not published | $641.26 – $5,665.36 | 12 |
| Revision of penis CPT 54420 | not published | not published | $561.37 – $5,665.36 | 12 |
| Revision of penis CPT 54430 | not published | not published | $561.37 – $3,017.35 | 7 |
| Revision of penis CPT 54435 | not published | not published | $426.97 – $5,665.36 | 12 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,021.06 – $9,717.21 | 12 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $1,587.56 – $8,533.13 | 7 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $1,403.43 – $7,543.43 | 7 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $2,067.13 – $11,481.58 | 7 |
| Revision of radius CPT 25350 | not published | not published | $484.05 – $11,734.48 | 12 |
| Revision of radius CPT 25355 | not published | not published | $580.60 – $5,329.67 | 12 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $509.25 – $3,207.67 | 12 |
| Revision of scrotum CPT 55175 | not published | not published | $299.06 – $5,665.36 | 12 |
| Revision of scrotum CPT 55180 | not published | not published | $616.48 – $8,350.49 | 12 |
| Revision of spinal shunt CPT 63744 | not published | not published | $484.05 – $10,519.49 | 12 |
| Revision of testis CPT 54660 | not published | not published | $371.61 – $8,350.49 | 9 |
| Revision of thigh muscles CPT 27430 | not published | not published | $694.66 – $11,734.48 | 12 |
| Revision of toe CPT 28312 | not published | not published | $224.72 – $5,329.67 | 12 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $2,167.72 – $11,651.51 | 7 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $2,136.11 – $11,481.58 | 7 |
| Revision of ulna CPT 25360 | not published | not published | $484.05 – $11,734.48 | 12 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $701.07 – $11,734.48 | 12 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $709.61 – $11,734.48 | 12 |
| Revision of upper arm CPT 24940 | not published | not published | $1,796.85 – $1,796.85 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $867.69 – $4,663.81 | 7 |
| Revision of urethra CPT 53450 | not published | not published | $208.91 – $5,665.36 | 12 |
| Revision of urethra CPT 53460 | not published | not published | $235.40 – $5,665.36 | 12 |
| Revision of urethra CPT 57220 | not published | not published | $357.31 – $8,108.74 | 12 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,093.38 – $6,888.95 | 7 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $709.19 – $8,879.54 | 12 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $868.09 – $9,717.21 | 12 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $726.28 – $11,734.48 | 12 |
| Revision tips CPT 37183 | $3,500.90 | $12,777.00 | $249.81 – $10,604.91 | 19 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,356.29 – $21,135.36 | 12 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,463.51 – $6,293.09 | 7 |
| Revita, per sq cm HCPCS Q4180 | $6,285.56 | $22,940.00 | $166.13 – $4,033.25 | 17 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,145.49 – $8,879.54 | 12 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,106.36 – $8,879.54 | 12 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $725.85 – $9,717.21 | 12 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,025.33 – $9,717.21 | 12 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,557.66 – $5,836.86 | 7 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,064.63 – $8,350.49 | 12 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $893.75 – $9,717.21 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $304.21 – $5,649.00 | 12 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $141.83 – $5,649.00 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $108.34 – $5,649.00 | 12 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $1,492.55 – $6,417.97 | 7 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,143.33 – $4,916.32 | 7 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,247.48 | $22,801.00 | $235.67 – $3,905.15 | 14 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $1,466.73 | $5,353.00 | $200.88 – $4,442.99 | 19 |
| Rheumatoid factor quantitative CPT 86431 | $6.85 | $25.00 | $0.77 – $12.57 | 21 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $580.60 – $9,717.21 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $219.75 | $802.00 | $5.18 – $605.07 | 17 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $2,452.85 | $8,952.00 | $32.51 – $4,973.36 | 20 |
| Rho d immune globulin inj HCPCS J2790 | $155.36 | $567.00 | $14.52 – $179.47 | 17 |
| Rib cartilage graft CPT 21230 | not published | not published | $765.54 – $9,717.21 | 12 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $235.10 | $858.00 | $34.10 – $310.00 | 9 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $13,812.34 | $50,410.00 | $21.45 – $165.75 | 16 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $12,496.87 | $45,609.00 | $5,016.99 – $45,609.00 | 9 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,536.05 | $5,606.00 | $0.02 – $990.19 | 20 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $6,178.43 | $22,549.00 | $76.43 – $3,743.30 | 20 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $8,649.64 | $31,568.00 | $39.78 – $26,201.44 | 20 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $5,560.56 | $20,294.00 | $34.76 – $3,368.97 | 20 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $4,713.90 | $17,204.00 | $378.51 – $3,441.00 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $4,713.90 | $17,204.00 | $24.94 – $2,856.03 | 20 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $551.97 – $2,966.83 | 7 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $90.59 – $1,155.74 | 12 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $559.57 – $9,583.66 | 12 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $230.27 – $2,628.88 | 12 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $426.42 – $4,701.27 | 12 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $236.25 – $1,936.79 | 12 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $126.88 – $2,661.45 | 12 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $103.50 – $445.05 | 7 |
| Rmvl icd by tv extr CPT 33244 | $3,439.53 | $12,553.00 | $626.73 – $10,418.99 | 19 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $4,997.49 | $18,239.00 | $313.48 – $22,798.75 | 19 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $4,997.49 | $18,239.00 | $325.02 – $22,798.75 | 19 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $4,997.49 | $18,239.00 | $301.56 – $22,798.75 | 19 |
| Rmvl icd pulse gen only CPT 33241 | $3,577.07 | $13,055.00 | $172.17 – $10,835.65 | 19 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $86.37 – $371.39 | 7 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $337.30 – $1,450.39 | 7 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $953.55 – $5,125.36 | 7 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $535.67 | $1,955.00 | $157.70 – $1,560.40 | 19 |
| Rmvl perm pm pulse gen CPT 33233 | $2,823.85 | $10,306.00 | $178.58 – $12,882.50 | 19 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $134.40 – $577.92 | 7 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $3,220.05 | $11,752.00 | $1,292.72 – $11,752.00 | 8 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $11,849.96 | $43,248.00 | $4,757.28 – $35,895.84 | 8 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $4,224.81 | $15,419.00 | $301.56 – $19,273.75 | 19 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $4,224.81 | $15,419.00 | $278.11 – $13,594.34 | 19 |
| Rmvl pq iabp CPT 33968 | not published | not published | $30.77 – $165.36 | 7 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $3,322.80 | $12,127.00 | $166.05 – $10,065.41 | 14 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $319.56 – $5,329.67 | 12 |
| Rmvl sq defib electrode CPT 33272 | $3,035.65 | $11,079.00 | $316.08 – $9,195.57 | 19 |
| Rmvl subq card rhythm mntr CPT 33286 | $3,537.34 | $12,910.00 | $82.13 – $10,179.95 | 19 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $188.84 – $4,701.27 | 12 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $70.07 – $655.48 | 12 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $1,366.34 – $5,875.26 | 7 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $1,111.32 – $4,778.68 | 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.