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 |
|---|---|---|---|---|
| Bone marrow imaging body CPT 78104 | $1,321.23 | $4,822.00 | $210.87 – $4,002.26 | 19 |
| Bone marrow imaging ltd CPT 78102 | $1,321.23 | $4,822.00 | $133.76 – $4,002.26 | 20 |
| Bone marrow interpretation CPT 85097 | $191.53 | $699.00 | $35.25 – $873.75 | 20 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $2,926.04 – $15,727.46 | 12 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $2,550.94 – $13,711.29 | 12 |
| Bone survey-lead poisoning CPT 77074 | $370.18 | $1,351.00 | $49.91 – $1,121.33 | 20 |
| Bone tendon board add on HCPCS C9356 | $6,285.56 | $22,940.00 | $137.45 – $11,534.50 | 16 |
| Bone void filler nanoss 10cc HCPCS C9362 | $2,198.85 | $8,025.00 | $40.70 – $4,033.25 | 17 |
| Boot j walker l HCPCS L4386 | $205.50 | $750.00 | $9.35 – $85.00 | 17 |
| Boot mlti podous univ xlg HCPCS L4396 | $267.15 | $975.00 | $9.35 – $85.00 | 17 |
| Boot softgait shrt m HCPCS L4387 | $205.50 | $750.00 | $82.50 – $637.50 | 17 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $453.47 | $1,655.00 | $16.50 – $150.00 | 17 |
| Borrelia antibody CPT 86619 | $25.24 | $92.10 | $10.14 – $76.45 | 21 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $13.70 | $50.00 | $2.75 – $37.72 | 21 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $2,108.43 | $7,695.00 | $2.65 – $167.66 | 17 |
| Bowel imaging CPT 78290 | $1,390.83 | $5,076.00 | $155.12 – $4,213.08 | 20 |
| Brace afo lg left 6607 HCPCS L1930 | $453.47 | $1,655.00 | $107.25 – $828.75 | 17 |
| Brace afopos solid ankle cust HCPCS L1960 | $1,000.10 | $3,650.00 | $308.55 – $2,384.25 | 17 |
| Brace ank air stirrup univ HCPCS L4350 | $157.55 | $575.00 | $7.15 – $65.00 | 17 |
| Brace ankle joint dflxn assist HCPCS L2210 | $91.79 | $335.00 | $36.85 – $284.75 | 17 |
| Brace ankle stablizing lg HCPCS L1902 | $120.56 | $440.00 | $4.95 – $38.25 | 16 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $590.47 | $2,155.00 | $182.05 – $1,406.75 | 17 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,198.85 | $8,025.00 | $139.70 – $1,079.50 | 17 |
| Brace back t-lso custom HCPCS L0486 | $2,859.19 | $10,435.00 | $1,147.85 – $8,869.75 | 17 |
| Brace cust back lso HCPCS L0631 | $1,690.58 | $6,170.00 | $645.31 – $5,244.50 | 17 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $453.47 | $1,655.00 | $139.70 – $1,079.50 | 17 |
| Brace halo bremer l2830 HCPCS L2830 | $205.50 | $750.00 | $48.40 – $374.00 | 17 |
| Brace kafo dbl upright cust HCPCS L2036 | $2,859.19 | $10,435.00 | $1,147.85 – $8,869.75 | 17 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,000.10 | $3,650.00 | $16.50 – $150.00 | 17 |
| Brace knee hing pat open med HCPCS L1820 | $205.50 | $750.00 | $12.65 – $115.00 | 17 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $157.55 | $575.00 | $63.25 – $488.75 | 17 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,690.58 | $6,170.00 | $107.25 – $836.56 | 17 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,300.13 | $4,745.00 | $521.95 – $4,033.25 | 17 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $347.98 | $1,270.00 | $9.35 – $72.25 | 16 |
| Brace wrist classic lft sm HCPCS L3908 | $91.79 | $335.00 | $4.95 – $45.00 | 17 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $826.93 – $4,701.27 | 9 |
| Brach/thor cath 1st CPT 36215 | $599.79 | $2,189.00 | $206.22 – $1,726.40 | 14 |
| Brach/thor cath 2nd CPT 36216 | $799.54 | $2,918.00 | $251.20 – $2,301.59 | 14 |
| Brach/thor cath 3rd CPT 36217 | $997.36 | $3,640.00 | $301.61 – $2,877.61 | 14 |
| Brach/thor cath addl CPT 36218 | $997.36 | $3,640.00 | $49.56 – $2,877.61 | 14 |
| Brachy source i-125 injection HCPCS C2638 | $50.42 | $184.00 | $11.00 – $83.00 | 19 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $50.42 | $184.00 | $11.00 – $83.00 | 19 |
| Brachy source palladium HCPCS C2640 | $52.06 | $190.00 | $20.90 – $157.70 | 19 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $52.06 | $190.00 | $20.90 – $157.70 | 19 |
| Brachy source yttrium-90 HCPCS C2616 | $21,920.00 | $80,000.00 | $8,800.00 – $66,400.00 | 19 |
| Brachy src nonstrand c-131 HCPCS C2643 | $84.94 | $310.00 | $34.10 – $257.30 | 19 |
| Brachy src stranded c-131 HCPCS C2642 | $106.86 | $390.00 | $42.90 – $323.70 | 19 |
| Braf gene CPT 81210 | $21.92 | $80.00 | $8.58 – $388.43 | 21 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,372.20 – $7,463.06 | 7 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,208.54 – $7,348.21 | 7 |
| Brain flow imaging only CPT 78610 | $1,739.36 | $6,348.00 | $57.69 – $5,268.84 | 20 |
| Brain image w/flow < 4 views CPT 78601 | $1,390.83 | $5,076.00 | $193.30 – $4,213.08 | 20 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,979.48 | $10,874.00 | $296.87 – $9,025.42 | 20 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,979.48 | $10,874.00 | $195.73 – $9,025.42 | 20 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,947.32 | $7,107.00 | $181.90 – $5,898.81 | 20 |
| Brain MRI (with and without contrast) CPT 70553 | $2,378.05 | $8,679.00 | $241.35 – $7,203.57 | 20 |
| Brain MRI (with contrast) CPT 70552 | $2,378.05 | $8,679.00 | $213.68 – $7,203.57 | 20 |
| Brain MRI (without contrast) CPT 70551 | $1,554.13 | $5,672.00 | $145.45 – $5,397.00 | 20 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $120.56 | $440.00 | $9.35 – $72.25 | 17 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $640.15 – $15,718.36 | 12 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,588.11 | $5,796.00 | $151.37 – $4,323.47 | 19 |
| Breast punct aspir cyst, bil CPT 19000 | not published | not published | $40.16 – $1,155.74 | 12 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $813.43 – $28,578.96 | 12 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $1,209.89 – $6,503.15 | 7 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,585.52 – $8,638.73 | 7 |
| Breast reduction CPT 19318 | not published | not published | $1,118.66 – $10,712.31 | 12 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | $9,294.63 | $33,922.00 | $158.81 – $28,155.26 | 20 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $1,791.42 | $6,538.00 | $125.61 – $5,426.54 | 19 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | not published | not published | $65.26 – $553.93 | 7 |
| Bronch ebus samplng 1/2 node CPT 31652 | $1,962.39 | $7,162.00 | $216.41 – $6,056.28 | 19 |
| Bronch ebus samplng 3/> node CPT 31653 | $3,337.32 | $12,180.00 | $239.46 – $10,109.40 | 19 |
| Bronchial allergy tests CPT 95070 | $492.93 | $1,799.00 | $39.06 – $1,493.17 | 19 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $104.84 – $1,442.06 | 12 |
| Bronchial challenge CPT 94070 | $343.60 | $1,254.00 | $40.37 – $1,040.82 | 16 |
| Bronchial valve init insert CPT 31647 | not published | not published | $185.03 – $11,371.02 | 12 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $61.80 – $2,832.66 | 12 |
| Bronchial valve remov init CPT 31648 | not published | not published | $193.79 – $6,056.28 | 12 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $163.18 – $11,371.02 | 12 |
| Bronchoscopy clear airways 31645 CPT 31645 | $2,083.23 | $7,603.00 | $145.15 – $6,310.49 | 19 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $194.65 – $6,056.28 | 12 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $222.16 – $11,371.02 | 12 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $630.48 | $2,301.00 | $47.49 – $1,909.83 | 14 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $1,109.98 | $4,051.00 | $172.97 – $5,063.75 | 19 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $809.67 | $2,955.00 | $61.46 – $2,452.65 | 14 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $1,199.03 | $4,376.00 | $183.55 – $5,470.00 | 19 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $181.41 – $11,371.02 | 12 |
| Bronchoscopy treat blockage CPT 31641 | $1,294.38 | $4,724.00 | $241.81 – $5,905.00 | 19 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,404.53 | $5,126.00 | $153.39 – $4,254.58 | 19 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $2,041.30 | $7,450.00 | $172.51 – $6,183.50 | 19 |
| Bronchoscopy w/markers CPT 31626 | not published | not published | $193.69 – $11,371.02 | 12 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $241.81 – $6,056.28 | 12 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $185.21 – $11,371.02 | 12 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $195.79 – $11,371.02 | 12 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $185.40 – $11,371.02 | 12 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | not published | not published | $240.58 – $318.90 | 8 |
| Br punct aspir ea add, l CPT 19001 | not published | not published | $20.38 – $128.60 | 7 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $748.90 – $3,220.27 | 7 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $33.43 | $122.00 | $5.50 – $50.00 | 9 |
| Bundled special stain group 1 microorganisms CPT 88312 | $83.85 | $306.00 | $1.47 – $195.43 | 20 |
| Bundled special stain group 2 CPT 88313 | $65.22 | $238.00 | $1.47 – $155.56 | 20 |
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.