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 |
|---|---|---|---|---|
| Urinalysis (without microscopy) CPT 81003 | $29.60 | $108.00 | $1.96 – $88.81 | 21 |
| Urinary reflex study CPT 51792 | not published | not published | $73.61 – $654.48 | 12 |
| Urine Culture Test CPT 87086 | $55.35 | $202.00 | $5.65 – $167.66 | 21 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $6.16 – $211.74 | 12 |
| Urine pregnancy test CPT 81025 | $68.78 | $251.00 | $2.80 – $208.33 | 21 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,231.67 – $6,888.95 | 7 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | $2,104.32 | $7,680.00 | $12.81 – $6,374.40 | 20 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $180.02 | $657.00 | $60.72 – $552.00 | 9 |
| Vaccine dtap < 7 years im CPT 90700 | $41.38 | $151.00 | $11.99 – $90.47 | 16 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $235.37 | $859.00 | $73.70 – $556.10 | 16 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $16.72 | $61.00 | $6.05 – $45.65 | 16 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $45.49 | $166.00 | $17.60 – $132.80 | 16 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $81.66 | $298.00 | $27.28 – $205.84 | 21 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $60.83 | $222.00 | $0.01 – $72.71 | 21 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $27.13 | $99.00 | $10.45 – $78.85 | 21 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | $73.71 | $269.00 | $7.04 – $168.05 | 21 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $252.08 | $920.00 | $84.92 – $640.76 | 16 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $188.79 | $689.00 | $62.04 – $468.12 | 16 |
| Vaccine mmr live subcutaneous CPT 90707 | $108.23 | $395.00 | $43.45 – $327.85 | 16 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $153.99 | $562.00 | $28.38 – $305.01 | 21 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $354.83 | $1,295.00 | $131.45 – $1,195.00 | 9 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $46.31 | $169.00 | $14.52 – $116.53 | 16 |
| Vaccine rabies im CPT 90675 | $498.68 | $1,820.00 | $148.06 – $1,117.18 | 20 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $651.03 | $2,376.00 | $0.01 – $0.03 | 9 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | $0.01 | $0.03 | $0.01 – $0.03 | 9 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $118.10 | $431.00 | $33.11 – $301.00 | 16 |
| Vaccine tdap >=7 years im CPT 90715 | $66.04 | $241.00 | $18.70 – $141.10 | 16 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $107.14 | $391.00 | $9.24 – $105.02 | 16 |
| Vaccine varicella live subcutaneous CPT 90716 | $229.34 | $837.00 | $43.56 – $476.74 | 16 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | $0.01 | $0.03 | $0.01 – $0.03 | 9 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,690.58 | $6,170.00 | $308.55 – $2,384.25 | 16 |
| Vad cable power module dc input HCPCS Q0478 | $2,859.19 | $10,435.00 | $139.70 – $1,079.50 | 16 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $13,812.34 | $50,410.00 | $4,265.25 – $32,958.75 | 16 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $996.58 – $8,108.74 | 12 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.68 – $8,108.74 | 12 |
| Vag hyst including t/o CPT 58262 | not published | not published | $930.59 – $8,108.74 | 12 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $698.23 – $12,146.90 | 12 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $639.96 – $8,108.74 | 12 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $897.84 – $8,108.74 | 12 |
| Vaginal bx CPT 58999 | not published | not published | $249.29 – $330.45 | 8 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $780.72 – $5,222.78 | 12 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $1,994.02 – $8,574.27 | 7 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $843.58 – $8,108.74 | 12 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $1,751.98 – $7,713.23 | 12 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $1,751.98 – $7,728.84 | 7 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $906.68 – $4,375.40 | 7 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $107.48 – $4,822.26 | 7 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $912.12 – $4,902.63 | 7 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $822.40 – $4,420.42 | 7 |
| Valproic acid total therapeutic drug level CPT 80164 | $106.59 | $389.00 | $1.36 – $29.98 | 21 |
| Valvuloplasty aortic CPT 92986 | $5,774.83 | $21,076.00 | $1,108.37 – $17,493.08 | 19 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $1,614.29 – $6,941.45 | 7 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $1,912.88 – $8,225.38 | 7 |
| Valvuloplasty mitral CPT 92987 | $3,580.36 | $13,067.00 | $1,197.84 – $16,333.75 | 19 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $1,477.33 – $7,940.64 | 7 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $1,582.43 – $8,505.56 | 7 |
| Vancomycin hcl injection HCPCS J3370 | $39.19 | $143.00 | $2.07 – $41.50 | 14 |
| Vancomycin peak therapeutic drug level CPT 80202 | $151.53 | $553.00 | $12.04 – $458.99 | 21 |
| Varicella zoster antibody igg CPT 86787 | $4.19 | $15.26 | $0.55 – $28.52 | 21 |
| Varicella-zoster immue globin im CPT 90396 | $2,372.84 | $8,660.00 | $203.35 – $5,941.65 | 20 |
| Varus/valgus strap padded/li HCPCS L2270 | $91.79 | $335.00 | $36.85 – $284.75 | 17 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $543.93 – $5,329.67 | 12 |
| Vasectomy CPT 55250 | not published | not published | $240.36 – $3,364.94 | 12 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,820.46 | $6,644.00 | $5.50 – $50.00 | 9 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $1,994.02 – $8,574.27 | 7 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $1,113.05 – $1,113.05 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | $8,260.28 | $30,147.00 | $21.16 – $25,022.01 | 20 |
| Veeg cont 2-12 hrs CPT 95713 | $583.35 | $2,129.00 | $234.19 – $2,129.00 | 19 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $1,525.09 | $5,566.00 | $612.26 – $5,030.01 | 19 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $303.87 | $1,109.00 | $121.99 – $1,109.00 | 19 |
| Veeg unmon 12-26 hrs CPT 95714 | $583.35 | $2,129.00 | $234.19 – $1,767.07 | 19 |
| Veeg unmon 2-12 hrs CPT 95711 | $303.87 | $1,109.00 | $121.99 – $954.04 | 19 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $1,287.22 – $6,918.80 | 7 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $1,546.62 – $8,843.13 | 7 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $1,235.57 – $7,348.21 | 7 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $1,287.22 – $6,918.80 | 7 |
| Vein x-ray liver CPT 75891 | $1,875.81 | $6,846.00 | $81.13 – $11,566.70 | 19 |
| Vein x-ray liver w/hemodynam CPT 75885 | $2,029.25 | $7,406.00 | $81.13 – $11,566.70 | 20 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,875.81 | $6,846.00 | $80.76 – $11,566.70 | 19 |
| Vein x-ray liver without hemodyn CPT 75887 | $2,029.25 | $7,406.00 | $81.13 – $11,566.70 | 19 |
| Vein x-ray spleen/liver CPT 75810 | $1,678.25 | $6,125.00 | $562.57 – $11,566.70 | 20 |
| Ven blood coll snf/hha HCPCS G0471 | $6.31 | $23.00 | $2.53 – $19.09 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $9.00 – $66.61 | 8 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $8.82 – $144.64 | 7 |
| Venogram ext bil s&i CPT 75822 | $906.40 | $3,308.00 | $72.35 – $5,681.85 | 20 |
| Venous mech thrombectomy CPT 37187 | $4,729.79 | $17,262.00 | $375.95 – $11,005.00 | 19 |
| Venous m-thrombectomy add-on CPT 37188 | $1,844.57 | $6,732.00 | $269.17 – $6,387.00 | 19 |
| Venous sampling s&i CPT 75893 | $1,642.09 | $5,993.00 | $89.73 – $19,268.05 | 19 |
| Ventilator each subsequent day CPT 94003 | $2,667.94 | $9,737.00 | $35.30 – $8,081.71 | 20 |
| Ventilator initial day CPT 94002 | $2,774.53 | $10,126.00 | $44.80 – $8,404.58 | 20 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $96.98 – $1,462.41 | 12 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $1,606.36 – $8,634.16 | 7 |
| Version cephalic external CPT 59412 | $464.98 | $1,697.00 | $98.77 – $2,121.25 | 19 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $253.99 – $1,671.69 | 7 |
| Very long chain fatty acids CPT 82726 | $29.23 | $106.66 | $11.74 – $88.53 | 21 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $537.49 – $3,054.11 | 7 |
| Vest large holster HCPCS Q0498 | $768.57 | $2,805.00 | $237.05 – $1,831.75 | 16 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $290.51 – $5,327.15 | 12 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | $4.39 | $16.00 | $1.76 – $13.28 | 17 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $20.01 | $73.00 | $5.95 – $52.29 | 17 |
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.