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 |
|---|---|---|---|---|
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $158.45 – $3,116.04 | 12 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $295.52 – $3,116.04 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $58.94 – $1,540.06 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $85.13 – $3,116.04 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $226.43 – $9,778.24 | 12 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | $0.01 | $0.03 | $0.01 – $0.03 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $61.38 | $224.00 | $1.10 – $11.92 | 21 |
| Smear gram stain CPT 87205 | $38.91 | $142.00 | $3.46 – $117.86 | 21 |
| Smear nasal eosinophil CPT 89190 | $34.80 | $127.00 | $4.63 – $105.41 | 21 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $63.57 | $232.00 | $0.72 – $13.25 | 21 |
| Smear wet mount CPT 87210 | $53.16 | $194.00 | $3.56 – $161.02 | 21 |
| Snrpn/ube3a gene CPT 81331 | $91.79 | $335.00 | $36.85 – $278.05 | 21 |
| So cap design without jnts cf HCPCS L3671 | $55.08 | $201.00 | $22.11 – $201.00 | 17 |
| Socket insert w lock mech HCPCS L5673 | $768.57 | $2,805.00 | $308.55 – $2,384.25 | 17 |
| Sock fracture or equal each HCPCS L3995 | $53.43 | $195.00 | $21.45 – $165.75 | 17 |
| Sodium 24 hour urine CPT 84300 | $46.31 | $169.00 | $0.49 – $11.21 | 21 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $21.38 | $78.00 | $2.47 – $49.80 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $21.38 | $78.00 | $1.24 – $49.80 | 17 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $43.30 | $158.00 | $0.62 – $49.80 | 17 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $65.49 | $239.00 | $0.09 – $7.47 | 13 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $41.93 | $153.00 | $1.94 – $106.24 | 17 |
| Sodium serum/plasma/whole blood CPT 84295 | $38.91 | $142.00 | $3.51 – $117.86 | 21 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $117.28 | $428.00 | $7.92 – $72.00 | 9 |
| Soft interface below knee se HCPCS L2820 | $205.50 | $750.00 | $48.40 – $374.00 | 17 |
| Somatropin injection HCPCS J2941 | $600.34 | $2,191.00 | $60.63 – $972.76 | 17 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $148.67 – $799.12 | 7 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $160.21 – $861.10 | 7 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $159.16 – $159.16 | 1 |
| Special physics consult CPT 77370 | $231.26 | $844.00 | $92.84 – $14,317.00 | 20 |
| Specific gravity body fluid CPT 84315 | $2.47 | $9.00 | $0.31 – $7.26 | 21 |
| Speech evaluation complex CPT 70371 | $667.47 | $2,436.00 | $78.33 – $2,021.88 | 17 |
| Sperm antibody test CPT 89325 | $13.23 | $48.25 | $5.31 – $40.05 | 18 |
| Sperm washing 58323 CPT 58323 | not published | not published | $11.78 – $330.45 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $487.89 – $9,717.21 | 12 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $478.49 – $4,504.71 | 12 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.13 – $516.69 | 7 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $253.04 – $253.04 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $655.96 | $2,394.00 | $84.69 – $1,505.62 | 19 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $354.29 | $1,293.00 | $32.34 – $976.91 | 19 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $701.50 – $3,770.57 | 7 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,416.67 – $7,614.61 | 7 |
| Splicing of ureters CPT 50770 | not published | not published | $1,073.18 – $5,768.36 | 7 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $37.27 | $136.00 | $14.96 – $136.00 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $54.80 | $200.00 | $22.00 – $170.00 | 17 |
| Splint finger frog med HCPCS L3927 | $49.87 | $182.00 | $20.02 – $154.70 | 17 |
| Splint func pos polyflex ii med HCPCS L3999 | $4,834.73 | $17,645.00 | $9.35 – $72.25 | 16 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $34.53 | $126.00 | $7.15 – $55.25 | 17 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $532.32 – $6,013.60 | 12 |
| Split blood or products CPT 86985 | $31.79 | $116.00 | $4.62 – $57.48 | 16 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $96.98 – $521.25 | 7 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $531.27 – $2,284.46 | 7 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $531.27 – $2,284.46 | 7 |
| Srs cran les complex addl CPT 61799 | not published | not published | $198.06 – $851.66 | 7 |
| Srs cran les simple addl CPT 61797 | not published | not published | $143.34 – $616.36 | 7 |
| Srs spinal lesion CPT 63620 | not published | not published | $531.27 – $2,284.46 | 7 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $164.93 – $709.20 | 7 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $936.04 – $936.04 | 1 |
| Staph a dna amp probe CPT 87640 | $129.61 | $473.00 | $31.19 – $392.59 | 21 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $10,439.40 | $38,100.00 | $632.91 – $14,767.50 | 19 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $52,449.08 | $191,420.00 | $308.55 – $2,384.25 | 16 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $4,834.73 | $17,645.00 | $7.15 – $55.25 | 16 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $24,469.57 | $89,305.00 | $48.40 – $374.00 | 16 |
| Stent bronch dumon sil 10x40mm HCPCS C1875 | $6,285.56 | $22,940.00 | $882.75 – $6,821.25 | 16 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $8,335.36 | $30,421.00 | $431.87 – $24,269.20 | 19 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $6,231.31 | $22,742.00 | $182.43 – $10,296.15 | 14 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $948.62 – $4,079.07 | 7 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $8,098.62 | $29,557.00 | $594.56 – $14,778.75 | 19 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,196.22 – $6,429.69 | 7 |
| Sternal debridement CPT 21627 | not published | not published | $562.14 – $4,516.83 | 7 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $266.16 – $3,207.67 | 12 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $342.95 – $1,474.69 | 7 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $17.33 – $259.19 | 12 |
| Strapping of chest CPT 29200 | not published | not published | $18.09 – $259.19 | 12 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $18.82 – $174.49 | 12 |
| Strapping of hand or finger CPT 29280 | not published | not published | $19.75 – $321.47 | 12 |
| Strapping of hip CPT 29520 | not published | not published | $18.64 – $211.74 | 12 |
| Strapping of knee CPT 29530 | not published | not published | $18.27 – $211.74 | 12 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $10.97 – $103.31 | 12 |
| Strep b dna amp probe CPT 87653 | $53.43 | $195.00 | $21.45 – $161.85 | 21 |
| Streptomycin injection HCPCS J3000 | $24.66 | $90.00 | $5.50 – $84.38 | 14 |
| Streptozocin injection HCPCS J9320 | $459.50 | $1,677.00 | $34.10 – $828.57 | 17 |
| Stress test pulmonary CPT 94618 | $178.38 | $651.00 | $14.02 – $475.59 | 19 |
| Str markers specimen anal CPT 81265 | $64.15 | $234.12 | $25.76 – $516.16 | 21 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $96.98 – $1,137.55 | 12 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $52.31 – $326.39 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $102.16 – $1,005.50 | 9 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $113.44 – $700.37 | 7 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $511.17 – $5,329.67 | 12 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $485.11 – $11,734.48 | 12 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $450.11 – $5,329.67 | 12 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $623.60 – $21,135.36 | 12 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $774.13 – $4,160.94 | 7 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $114.26 | $417.00 | $0.99 – $41.50 | 17 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $4,536.66 – $6,013.60 | 8 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $4,536.66 – $6,013.60 | 8 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $4,536.66 – $6,013.60 | 8 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,266.77 – $3,004.74 | 8 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $6,432.98 | $23,478.00 | $0.01 – $0.03 | 9 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $50.15 | $183.00 | $5.50 – $50.00 | 9 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $123.58 | $451.00 | $5.50 – $87.78 | 13 |
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.