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 |
|---|---|---|---|---|
| Treat thigh fx growth plate CPT 27517 | not published | not published | $377.24 – $2,628.88 | 12 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $803.17 – $4,317.05 | 7 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,161.19 – $6,241.38 | 7 |
| Treat thumb fracture CPT 26650 | not published | not published | $290.51 – $5,329.67 | 12 |
| Treat thumb fracture CPT 26665 | not published | not published | $484.05 – $5,329.67 | 12 |
| Treat toe dislocation CPT 28636 | not published | not published | $170.46 – $5,329.67 | 12 |
| Treat toe dislocation CPT 28665 | not published | not published | $102.96 – $553.39 | 12 |
| Treat toe dislocation CPT 28666 | not published | not published | $182.89 – $5,329.67 | 12 |
| Treat toe fracture CPT 28525 | not published | not published | $402.01 – $5,329.67 | 12 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $636.56 – $3,421.53 | 12 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,025.33 – $5,511.16 | 12 |
| Treat ulnar fracture CPT 24675 | not published | not published | $275.13 – $2,628.88 | 12 |
| Treat ulnar fracture CPT 24685 | not published | not published | $387.06 – $11,734.48 | 12 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $92.30 – $396.91 | 12 |
| Treat wrist bone fracture CPT 25635 | not published | not published | $264.45 – $2,628.88 | 12 |
| Treat wrist dislocation CPT 25675 | not published | not published | $263.60 – $1,416.83 | 12 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $51,292.80 | $187,200.00 | $20,592.00 – $187,200.00 | 9 |
| Treponema pallidum antibody CPT 86780 | $25.49 | $93.00 | $1.10 – $29.33 | 21 |
| Trg gene rearrangement anal CPT 81342 | $71.24 | $260.00 | $28.60 – $446.25 | 21 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $59.74 | $218.00 | $0.92 – $41.50 | 17 |
| Triglycerides CPT 84478 | $41.65 | $152.00 | $0.56 – $12.71 | 21 |
| Trimethobenzamide hcl inj HCPCS J3250 | $17.81 | $65.00 | $5.50 – $116.39 | 14 |
| Trim nondyst nails CPT 11719 | not published | not published | $7.36 – $97.58 | 9 |
| Triptorelin pamoate HCPCS J3315 | $7,210.86 | $26,317.00 | $476.09 – $9,720.13 | 20 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $651.62 – $6,608.05 | 9 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $752.45 – $8,475.46 | 9 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | not published | not published | $297.26 – $2,128.73 | 12 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $1,322.05 | $4,825.00 | $530.75 – $4,004.75 | 14 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $12,018.74 | $43,864.00 | $579.04 – $4,369.12 | 14 |
| Trnscath plc stnt ante carotid art CPT 37218 | not published | not published | $708.86 – $3,048.10 | 7 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $1,779.09 | $6,493.00 | $182.80 – $5,173.39 | 14 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $2,331.47 | $8,509.00 | $127.33 – $6,860.78 | 14 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $9,392.72 | $34,280.00 | $275.13 – $20,178.96 | 19 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $4,807.61 | $17,546.00 | $286.13 – $14,002.10 | 19 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $1,631.67 | $5,955.00 | $328.37 – $4,245.00 | 19 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $987.77 | $3,605.00 | $201.41 – $4,245.00 | 19 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $930.51 | $3,396.00 | $115.16 – $2,612.50 | 19 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $1,431.38 | $5,224.00 | $288.90 – $4,245.00 | 19 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | not published | not published | $888.68 – $6,013.60 | 12 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | not published | not published | $189.50 – $814.85 | 7 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $1,963.76 | $7,167.00 | $484.05 – $5,948.61 | 19 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | not published | not published | $850.17 – $4,569.69 | 12 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | not published | not published | $387.06 – $3,004.74 | 12 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | not published | not published | $334.94 – $3,004.74 | 12 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | not published | not published | $257.18 – $3,004.74 | 12 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $822.40 – $4,420.42 | 7 |
| Troponin quantitative CPT 84484 | $170.98 | $624.00 | $0.99 – $27.63 | 21 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $679.83 – $4,397.65 | 12 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $395.17 – $7,296.84 | 12 |
| Truss single with standard pad HCPCS L8300 | $157.55 | $575.00 | $63.25 – $488.75 | 17 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $376.94 – $9,583.66 | 12 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $43.09 – $718.13 | 8 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $598.41 – $12,146.90 | 12 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $1,070.71 – $6,500.62 | 7 |
| Tx atrial fib pulm vein isol CPT 93656 | $18,098.53 | $66,053.00 | $895.98 – $54,823.99 | 19 |
| Tx closed distal humerus fx CPT 24999 | not published | not published | $297.26 – $394.04 | 8 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $171.05 – $1,362.80 | 12 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $287.10 – $5,329.67 | 12 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $212.28 – $1,141.00 | 12 |
| Tx contour defects >10.0 cc CPT 11954 | not published | not published | $112.16 – $1,005.50 | 9 |
| Tx contour defects 1.1-5.0cc 11951 CPT 11951 | not published | not published | $72.77 – $1,005.50 | 9 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $923.50 – $4,275.42 | 7 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $876.80 – $5,187.96 | 7 |
| Tx l/r atrial fib addl CPT 93657 | $3,257.86 | $11,890.00 | $290.36 – $9,868.70 | 15 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $258.89 – $5,329.67 | 12 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $207.21 – $5,329.67 | 12 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $208.48 – $5,329.67 | 12 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $193.53 – $5,327.15 | 12 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $272.57 – $5,329.67 | 12 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $263.17 – $5,329.67 | 12 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $453.93 – $1,951.90 | 7 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $165.72 – $890.77 | 12 |
| Tympanic membrane repair CPT 69610 | not published | not published | $163.62 – $2,433.19 | 12 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $217.88 – $5,327.15 | 12 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $68.78 – $836.51 | 12 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $1,281.67 – $9,717.21 | 12 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,025.33 – $9,717.21 | 12 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | $12,932.80 | $47,200.00 | $5,192.00 – $47,200.00 | 9 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $487.72 | $1,780.00 | $85.45 – $1,477.40 | 20 |
| Ultrasound chest CPT 76604 | $513.48 | $1,874.00 | $34.58 – $1,555.42 | 20 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $539.24 | $1,968.00 | $22.99 – $1,633.44 | 20 |
| Ultrasound dx ophth b-scan CPT 76512 | $168.79 | $616.00 | $19.63 – $511.28 | 20 |
| Ultrasound encephalogram CPT 76506 | $590.47 | $2,155.00 | $88.80 – $1,788.65 | 20 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $527.18 | $1,924.00 | $110.40 – $1,596.92 | 20 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $590.47 | $2,155.00 | $55.33 – $1,788.65 | 20 |
| Ultrasound guidance for vascular access CPT 76937 | $382.23 | $1,395.00 | $27.85 – $949.52 | 15 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $512.11 | $1,869.00 | $32.34 – $1,162.83 | 15 |
| Ultrasound guide intraoperative CPT 76998 | $289.90 | $1,058.00 | $69.85 – $527.05 | 15 |
| Ultrasound hips infant dynamic CPT 76885 | $405.80 | $1,481.00 | $109.11 – $1,229.23 | 20 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $323.32 | $1,180.00 | $45.05 – $979.40 | 15 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $220.85 | $806.00 | $23.18 – $668.98 | 15 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $765.29 | $2,793.00 | $98.51 – $2,318.19 | 20 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $513.48 | $1,874.00 | $74.36 – $1,555.42 | 20 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $513.48 | $1,874.00 | $55.90 – $1,555.42 | 20 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $513.48 | $1,874.00 | $63.00 – $1,555.42 | 20 |
| Ultrasound retroperitoneal limited CPT 76775 | $513.48 | $1,874.00 | $37.20 – $1,555.42 | 20 |
| Ultrasound scrotum and contents CPT 76870 | $513.48 | $1,874.00 | $77.76 – $1,555.42 | 20 |
| Ultrasound spinal canal and contents CPT 76800 | $590.47 | $2,155.00 | $80.98 – $1,788.65 | 20 |
| Ultrasound transabd ea addl gest CPT 76812 | $244.96 | $894.00 | $98.34 – $742.02 | 15 |
| Ultrasound transvaginal non obstetric CPT 76830 | $513.48 | $1,874.00 | $94.97 – $1,555.42 | 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.