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 |
|---|---|---|---|---|
| Support clav 29.6-40.5in med HCPCS L3650 | $120.56 | $440.00 | $4.95 – $45.00 | 17 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $96.13 – $4,504.71 | 12 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $798.82 – $4,375.40 | 7 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $798.53 – $4,375.40 | 7 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $220.45 – $5,665.36 | 12 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $701.50 – $3,770.57 | 7 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $633.57 – $11,734.48 | 12 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $720.72 – $11,734.48 | 12 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $865.98 – $11,734.48 | 12 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $532.32 – $11,734.48 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $556.67 – $8,350.49 | 12 |
| Surgical opening esophagus CPT 43351 | not published | not published | $677.58 – $3,641.97 | 7 |
| Surgical opening esophagus CPT 43352 | not published | not published | $677.58 – $3,641.97 | 7 |
| Surgical opening of stomach CPT 43510 | not published | not published | $627.59 – $3,373.30 | 12 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $499.42 – $2,684.40 | 7 |
| Surgical opening of throat CPT 42955 | not published | not published | $554.96 – $2,982.93 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $131.80 | $481.00 | $8.37 – $399.23 | 20 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $169.61 | $619.00 | $20.94 – $513.77 | 20 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $231.53 | $845.00 | $30.48 – $701.35 | 20 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $269.07 | $982.00 | $3.66 – $76.62 | 20 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $721.45 | $2,633.00 | $87.64 – $2,185.39 | 20 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $1,073.81 | $3,919.00 | $185.47 – $3,252.77 | 20 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $848.04 – $4,558.22 | 7 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $983.03 – $5,283.81 | 7 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.44 – $4,592.63 | 7 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $158.93 – $4,504.71 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $7.13 | $26.00 | $1.16 – $21.58 | 21 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $24.66 | $90.00 | $1.21 – $29.05 | 21 |
| Susceptibility mic per plate CPT 87186 | $63.02 | $230.00 | $0.86 – $19.15 | 21 |
| Suscept studies macrobroth dilution ea CPT 87188 | $12.30 | $44.88 | $0.80 – $14.72 | 21 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $818.56 – $4,399.76 | 7 |
| Suspension of testis CPT 54620 | not published | not published | $193.53 – $5,665.36 | 12 |
| Suspension of uterus CPT 58410 | not published | not published | $818.62 – $818.62 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $472.09 – $472.09 | 1 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $785.24 – $4,220.65 | 7 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,012.09 – $5,439.98 | 7 |
| Svc venogram s&i CPT 75827 | $559.79 | $2,043.00 | $72.35 – $5,681.85 | 20 |
| Sweat collection by iontophoresis CPT 89230 | $70.15 | $256.00 | $2.20 – $212.48 | 20 |
| Sympathectomy cervical CPT 64802 | not published | not published | $619.48 – $3,329.69 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $455.84 – $3,207.67 | 12 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $640.83 – $3,444.47 | 7 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $5,329.67 | 12 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $854.44 – $4,592.63 | 7 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $10.36 | $37.80 | $0.44 – $9.74 | 21 |
| System cardiomems hosp electronics HCPCS C2624 | $32,567.64 | $118,860.00 | $2,584.45 – $83,499.75 | 16 |
| System pacing micra av HCPCS C1786 | $24,469.57 | $89,305.00 | $882.75 – $6,660.75 | 14 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $20,222.57 | $73,805.00 | $1,147.85 – $8,661.05 | 14 |
| System recell skin grafting/harvesting HCPCS C1832 | $10,624.35 | $38,775.00 | $4,265.25 – $32,958.75 | 16 |
| System sealant biosentry tract HCPCS C2613 | $453.47 | $1,655.00 | $182.05 – $1,406.75 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $62.48 | $228.00 | $1.69 – $37.51 | 21 |
| T3 (triiodothyronine) total CPT 84480 | $219.48 | $801.00 | $0.55 – $31.41 | 21 |
| T4 (thyroxine) free CPT 84439 | $210.71 | $769.00 | $0.89 – $19.97 | 21 |
| T4 (thyroxine) total CPT 84436 | $133.99 | $489.00 | $5.18 – $141.93 | 21 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $39.46 | $144.00 | $0.21 – $7.47 | 14 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $197.56 | $721.00 | $79.31 – $598.43 | 18 |
| Tacrolimus therapeutic drug level CPT 80197 | $3.29 | $12.00 | $1.32 – $30.39 | 21 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $7,198.80 | 7 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $6,623.59 | 7 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,233.80 – $5,969.31 | 7 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $73.77 – $313.73 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $58.57 – $123.39 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $712.40 | $2,600.00 | $88.00 – $1,682.00 | 18 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $808.30 | $2,950.00 | $209.00 – $6,465.60 | 21 |
| Target gsa panel organ neop CPT 81445 | $397.30 | $1,450.00 | $159.50 – $1,369.21 | 21 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $2,697.52 | 7 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $132.96 – $1,005.50 | 9 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $4,639.40 | 7 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $301.95 | $1,102.00 | $0.37 – $905.53 | 20 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $20.55 | $75.00 | $3.30 – $137.27 | 21 |
| Tc-99m bicisate HCPCS A9557 | $1,035.72 | $3,780.00 | $339.34 – $8,698.43 | 20 |
| Tc-99m disofenin HCPCS A9510 | $93.44 | $341.00 | $34.83 – $283.03 | 15 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $2,859.19 | $10,435.00 | $656.81 – $4,955.93 | 18 |
| Tc-99m exametazime diag HCPCS A9521 | $1,547.01 | $5,646.00 | $454.09 – $4,686.18 | 20 |
| Tc-99m labeled rbc HCPCS A9560 | $152.62 | $557.00 | $51.80 – $462.31 | 15 |
| Tc-99m maa HCPCS A9540 | $163.58 | $597.00 | $30.00 – $495.51 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $41.65 | $152.00 | $16.72 – $131.23 | 15 |
| Tc-99m medronate HCPCS A9503 | $26.86 | $98.00 | $10.78 – $81.34 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $290.44 | $1,060.00 | $116.60 – $879.80 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $25.21 | $92.00 | $10.12 – $76.36 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $109.60 | $400.00 | $33.63 – $332.00 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $1.10 | $4.00 | $0.44 – $4.02 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $46.86 | $171.00 | $18.81 – $151.96 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $71.24 | $260.00 | $28.60 – $230.90 | 15 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $499.23 | $1,822.00 | $101.30 – $1,512.26 | 15 |
| Tc-99m sulfur colloid HCPCS A9541 | $97.82 | $357.00 | $12.43 – $634.32 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $77.00 | $281.00 | $30.91 – $233.23 | 15 |
| Tc-99m tilmanocept diag HCPCS A9520 | $1,000.10 | $3,650.00 | $386.06 – $3,650.00 | 12 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $1,127.50 | 12 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $43.09 – $718.13 | 8 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $6.17 | $22.50 | $1.71 – $104.05 | 21 |
| T cells absolute cd 4 count CPT 86361 | $7.68 | $28.00 | $2.70 – $59.32 | 21 |
| T cells total count CPT 86359 | $6.17 | $22.50 | $1.71 – $83.54 | 21 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $1,820.96 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $954.74 – $7,348.21 | 7 |
| Temozolomide HCPCS J8700 | $788.85 | $2,879.00 | $0.41 – $30.71 | 14 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $1,319.31 | $4,815.00 | $8.07 – $3,996.45 | 20 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $2,094.46 | $7,644.00 | $30.32 – $5,139.36 | 20 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $5,329.67 | 12 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $5,329.67 | 12 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $5,329.67 | 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.