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 |
|---|---|---|---|---|
| Tib/per revasc stent & ather 37231 CPT 37231 | $10,445.43 | $38,122.00 | $646.31 – $15,080.00 | 19 |
| Tib/per revasc stnt & ather CPT 37235 | $1,289.17 | $4,705.00 | $334.33 – $3,905.15 | 14 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $8,032.59 | $29,316.00 | $282.95 – $3,905.15 | 14 |
| Tigecycline injection HCPCS J3243 | $205.23 | $749.00 | $0.30 – $197.54 | 17 |
| Tilt table study CPT 93660 | $1,125.05 | $4,106.00 | $83.18 – $3,407.98 | 18 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $890.54 – $3,829.32 | 7 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $352.94 – $1,517.64 | 7 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $143.73 – $609.96 | 7 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $156.54 – $677.16 | 7 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $104.18 – $470.68 | 7 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $142.02 – $577.92 | 7 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | $4,834.73 | $17,645.00 | $32.14 – $8,869.75 | 16 |
| Tissue culture placenta CPT 88235 | $26.03 | $95.00 | $10.45 – $332.86 | 21 |
| Tissue culture skin/biopsy CPT 88233 | $54.26 | $198.00 | $10.45 – $311.64 | 21 |
| Tissue culture tumor CPT 88239 | $26.03 | $95.00 | $10.45 – $326.70 | 21 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $4,834.73 | $17,645.00 | $163.85 – $5,244.50 | 16 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $6,285.56 | $22,940.00 | $25.61 – $6,821.25 | 16 |
| Tissue transglutaminase iga CPT 86364 | $3.29 | $12.00 | $0.88 – $8.00 | 9 |
| Tl-201 thallium diag per mci HCPCS A9505 | $23.57 | $86.00 | $9.46 – $77.48 | 15 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $682.52 – $17,101.72 | 12 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $846.70 – $17,101.72 | 12 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $748.40 – $17,101.72 | 12 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $956.65 – $17,101.72 | 12 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | $1,300.13 | $4,745.00 | $521.95 – $4,033.25 | 17 |
| Tlso corset front HCPCS L0970 | $205.50 | $750.00 | $82.50 – $637.50 | 17 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $2,221.55 – $11,940.85 | 7 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $2,186.94 – $11,754.82 | 7 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $259.75 – $5,329.67 | 12 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $239.75 | $875.00 | $1.69 – $41.50 | 17 |
| Tobramycin peak therapeutic drug level CPT 80200 | $107.96 | $394.00 | $14.33 – $327.02 | 21 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $2,746.03 | $10,022.00 | $5.64 – $1,664.15 | 20 |
| Tocilizumab for covid-19 HCPCS Q0249 | $606.64 | $2,214.00 | $243.54 – $2,214.00 | 9 |
| Toe joint transfer CPT 26556 | not published | not published | $2,960.22 – $15,911.20 | 7 |
| Tongue and neck surgery CPT 41135 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Tongue base vol reduction CPT 41530 | not published | not published | $284.44 – $5,327.15 | 12 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $69.21 – $5,327.15 | 12 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,751.18 – $9,412.62 | 7 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,265.00 – $6,799.39 | 7 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,683.68 – $9,049.76 | 7 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,258.16 – $6,762.63 | 7 |
| Tongue suspension CPT 41512 | not published | not published | $434.10 – $9,717.21 | 12 |
| Tongue to lip surgery CPT 41510 | not published | not published | $427.22 – $5,327.15 | 12 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $232.41 – $5,327.15 | 12 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $193.53 – $9,717.21 | 12 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $1,431.65 | $5,225.00 | $1.27 – $107.07 | 17 |
| Torsion ank & half solid sti HCPCS L2375 | $205.50 | $750.00 | $82.50 – $637.50 | 17 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,357.42 – $6,397.43 | 7 |
| Total hip arthroplasty CPT 27132 | not published | not published | $1,687.79 – $3,149.78 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $1,301.42 – $21,135.36 | 12 |
| Total hysterectomy CPT 58150 | not published | not published | $1,023.73 – $5,000.46 | 7 |
| Total Knee Replacement CPT 27447 | not published | not published | $1,299.75 – $21,135.36 | 12 |
| Total lung lavage CPT 32997 | not published | not published | $329.78 – $329.78 | 1 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $1,995.21 – $8,579.39 | 7 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $1,231.20 – $30,207.95 | 12 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $927.40 – $3,987.82 | 7 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $422.56 – $1,817.01 | 7 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,945.56 – $10,457.40 | 7 |
| Toxoplasma antibody igg CPT 86777 | $2.74 | $9.99 | $0.97 – $31.86 | 21 |
| Toxoplasma antibody igm CPT 86778 | $2.74 | $10.00 | $1.07 – $31.92 | 21 |
| Tp53 gene trgt sequence alys CPT 81352 | $221.94 | $810.00 | $89.10 – $729.71 | 21 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | not published | not published | $165.86 – $14,966.71 | 12 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | $3,915.46 | $14,290.00 | $321.52 – $11,860.70 | 20 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $211.45 – $1,329.56 | 12 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $377.94 – $8,108.74 | 12 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | not published | not published | $118.05 – $1,047.13 | 12 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $2,418.83 – $10,400.97 | 7 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $1,326.79 – $7,371.16 | 7 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | not published | not published | $258.04 – $5,327.15 | 12 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $44.67 | $163.00 | $17.93 – $163.00 | 20 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $295.30 – $1,424.93 | 12 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $973.19 – $4,184.72 | 7 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $1,056.22 – $4,541.75 | 7 |
| Transcath biopsy CPT 37200 | $5,024.62 | $18,338.00 | $158.07 – $14,635.39 | 19 |
| Transcath closure of asd CPT 93580 | $13,128.44 | $47,914.00 | $603.92 – $39,768.62 | 19 |
| Transcatheter bx s&i CPT 75970 | $963.94 | $3,518.00 | $386.98 – $3,518.00 | 12 |
| Transcath mv repair addl prosthesis CPT 33419 | not published | not published | $372.67 – $1,602.48 | 7 |
| Transcath mv repair init prosthesis CPT 33418 | not published | not published | $1,594.56 – $6,856.61 | 7 |
| Transcath occlusion cns CPT 61624 | $3,591.87 | $13,109.00 | $957.83 – $10,880.47 | 14 |
| Transcath occlusion non-cns CPT 61626 | $1,400.69 | $5,112.00 | $562.32 – $6,390.00 | 19 |
| Trans cath replace aortic valve 33366 CPT 33366 | not published | not published | $1,477.83 – $6,911.05 | 7 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $2,318.32 | $8,461.00 | $441.18 – $7,022.63 | 19 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $2,031.44 – $10,919.01 | 7 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $2,146.79 – $11,539.01 | 7 |
| Transect artery sinus CPT 61611 | not published | not published | $348.18 – $1,871.47 | 7 |
| Transect pulmonary artery CPT 33922 | not published | not published | $1,333.86 – $7,391.82 | 7 |
| Transfer of abdominal muscle CPT 27100 | not published | not published | $725.85 – $11,734.48 | 12 |
| Transfer of embryo CPT 58976 | not published | not published | $209.85 – $499.68 | 9 |
| Transfer of iliopsoas muscle CPT 27110 | not published | not published | $871.11 – $11,734.48 | 12 |
| Transfer of iliopsoas muscle CPT 27111 | not published | not published | $803.17 – $5,329.67 | 12 |
| Transfer of spinal muscle CPT 27105 | not published | not published | $774.13 – $5,329.67 | 12 |
| Transferrin CPT 84466 | $94.53 | $345.00 | $11.01 – $286.35 | 21 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $253.69 – $3,004.74 | 12 |
| Transfer tendon to pelvis CPT 27098 | not published | not published | $692.95 – $5,329.67 | 12 |
| Transfusion blood/blood component(s) CPT 36430 | $849.40 | $3,100.00 | $47.66 – $2,573.00 | 16 |
| Transperi needle place pros CPT 55875 | not published | not published | $718.17 – $8,350.49 | 12 |
| Transpetrosal approach/skull CPT 61598 | not published | not published | $1,887.89 – $10,147.40 | 7 |
| Transpl allograft pancreas CPT 48554 | not published | not published | $1,489.57 – $6,405.15 | 7 |
| Transplantation heart/lung CPT 33935 | not published | not published | $3,923.18 – $21,087.07 | 7 |
| Transplantation of heart CPT 33945 | not published | not published | $4,591.36 – $5,803.30 | 2 |
| Transplantation of liver CPT 47135 | not published | not published | $5,288.39 – $69,857.86 | 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.