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 |
|---|---|---|---|---|
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $14.80 | $54.00 | $5.50 – $50.00 | 9 |
| Buprenorphine hydrochloride HCPCS J0592 | $18.09 | $66.00 | $1.55 – $41.50 | 14 |
| Buprenorphine oral 1mg HCPCS J0571 | $13.70 | $50.00 | $0.02 – $7.47 | 17 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $484.05 – $2,601.75 | 7 |
| Burr hole implant ventricular cath/other device CPT 61210 | $2,996.47 | $10,936.00 | $345.05 – $8,644.45 | 14 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $924.07 – $4,966.90 | 7 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $1,110.78 – $5,970.42 | 7 |
| Bur rotalink 2.15mm HCPCS C1724 | $6,285.56 | $22,940.00 | $521.95 – $4,033.25 | 16 |
| Butorphanol tartrate 1 mg HCPCS J0595 | $13.70 | $50.00 | $2.80 – $41.50 | 17 |
| Buttock fasciotomy CPT 27027 | not published | not published | $649.66 – $11,734.48 | 12 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $720.03 – $3,096.13 | 12 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $139.70 – $2,661.45 | 12 |
| Bx bone trocar/ndl deep CPT 20225 | $1,482.89 | $5,412.00 | $129.47 – $4,312.68 | 19 |
| Bx breast 1st lesion mr imag CPT 19085 | not published | not published | $166.42 – $2,661.45 | 12 |
| Bx breast 1st lesion strtctc CPT 19081 | not published | not published | $160.89 – $2,718.33 | 12 |
| Bx breast add lesion mr imag CPT 19086 | not published | not published | $77.44 – $332.99 | 7 |
| Bx breast add lesion strtctc CPT 19082 | not published | not published | $80.52 – $2,265.24 | 7 |
| Bx breast add lesion Ultrasound imag CPT 19084 | not published | not published | $76.05 – $2,178.81 | 7 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $66.05 – $2,661.45 | 12 |
| Bx breast pq tomo guide CPT 19499 | $5,225.18 | $19,070.00 | $2,097.70 – $15,828.10 | 17 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | not published | not published | $98.85 – $531.30 | 12 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $1,766.56 – $9,495.27 | 7 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | $3,246.36 | $11,848.00 | $165.76 – $9,833.84 | 19 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | not published | not published | $110.22 – $6,290.08 | 12 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $1,304.73 – $7,012.93 | 7 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $301.19 – $4,701.27 | 12 |
| Bx liver with other CPT 47001 | not published | not published | $55.96 – $300.81 | 7 |
| Bx muscle CPT 20200 | not published | not published | $62.38 – $2,661.45 | 12 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $149.92 – $5,327.15 | 12 |
| Bx of breast open 19101 CPT 19101 | not published | not published | $225.73 – $6,290.08 | 12 |
| Bx of cervix w/scope leep 57460 CPT 57460 | not published | not published | $159.24 – $5,222.78 | 12 |
| Bx pancreas pq ndl CPT 48102 | $1,635.24 | $5,968.00 | $232.63 – $4,762.54 | 19 |
| Bx perianal mass CPT 46999 | not published | not published | $1,129.79 – $1,497.60 | 8 |
| Bx pleura pq ndl CPT 32400 | $1,089.15 | $3,975.00 | $82.14 – $3,142.38 | 19 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $297.47 – $5,665.36 | 12 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $214.04 – $4,701.27 | 12 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $96.55 – $2,661.45 | 12 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $95.90 | $350.00 | $30.74 – $290.50 | 14 |
| Bx skin punch ea sep/ addl les CPT 11105 | $997.09 | $3,639.00 | $25.49 – $290.50 | 14 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $95.90 | $350.00 | $22.03 – $290.50 | 14 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $88.86 – $2,661.45 | 12 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $988.05 | $3,606.00 | $156.79 – $2,877.61 | 19 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $988.05 | $3,606.00 | $348.62 – $2,992.98 | 19 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $308.88 – $2,661.45 | 12 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | not published | not published | $88.00 – $2,661.45 | 12 |
| Bx spinal cord pq ndl CPT 62269 | not published | not published | $260.96 – $2,661.45 | 12 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | $2,601.91 | $9,496.00 | $144.40 – $7,881.68 | 19 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,037.37 | $3,786.00 | $61.09 – $3,017.05 | 19 |
| Bx vag mucos smpl (sep proc) CPT 57100 | not published | not published | $47.09 – $1,430.30 | 12 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | not published | not published | $58.57 – $1,430.30 | 12 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | not published | not published | $28.44 – $215.63 | 7 |
| Bypass temp external fem-fem CPT 37799 | $556.77 | $2,032.00 | $223.52 – $1,686.56 | 17 |
| C1 esterase inhibitor func - sendout CPT 86161 | $5.48 | $20.00 | $1.16 – $26.57 | 21 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $18,884.63 | $68,922.00 | $194.63 – $57,205.26 | 20 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $2,089.45 – $12,983.35 | 7 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $2,319.21 – $14,418.56 | 7 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $2,495.81 – $15,858.34 | 7 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $1,780.38 – $11,545.85 | 7 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $1,837.27 – $11,176.15 | 7 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $488.30 – $3,561.60 | 7 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $2,017.53 – $12,296.80 | 7 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $2,293.52 – $13,394.44 | 7 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $2,341.75 – $14,489.74 | 7 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $174.28 – $1,093.02 | 7 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $383.03 – $2,188.38 | 7 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $505.71 – $3,281.46 | 7 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $606.87 – $4,374.47 | 7 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $681.49 – $5,469.83 | 7 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $768.82 – $6,565.20 | 7 |
| Cable cath 22-pin diag HCPCS C1730 | $3,718.18 | $13,570.00 | $21.45 – $165.75 | 16 |
| Cable centrimag pressure HCPCS Q0508 | $8,172.05 | $29,825.00 | $12.65 – $97.75 | 16 |
| Cad breast MRI w/r&i HCPCS C8937 | $54.26 | $198.00 | $21.78 – $5,397.00 | 9 |
| Cadd pump refill CPT 96521 | $185.78 | $678.00 | $13.22 – $562.74 | 20 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $50.15 | $183.00 | $1.70 – $41.50 | 13 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $4,119.59 | $15,035.00 | $5.50 – $3,558.78 | 20 |
| Calcium 24 hour urine CPT 82340 | $17.81 | $65.00 | $0.73 – $13.36 | 21 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $2.47 | $9.00 | $0.99 – $9.00 | 9 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $13.70 | $50.00 | $5.50 – $50.00 | 9 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $548.00 | $2,000.00 | $10.45 – $95.00 | 9 |
| Calcium ionized CPT 82330 | $161.66 | $590.00 | $1.01 – $30.29 | 21 |
| Calcium total CPT 82310 | $57.27 | $209.00 | $0.46 – $11.41 | 21 |
| Calprotectin fecal CPT 83993 | $10.96 | $40.00 | $4.40 – $43.47 | 21 |
| Candida dna CPT 87480 | $103.03 | $376.00 | $2.01 – $44.39 | 21 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $131.22 – $8,879.54 | 9 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $123,669.90 | $451,350.00 | $4.95 – $38.25 | 16 |
| Canthotomy 67715 CPT 67715 | not published | not published | $36.32 – $3,832.17 | 12 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $48.23 | $176.00 | $4.95 – $45.00 | 9 |
| Cap nerve 2x15mm HCPCS C1763 | $39,406.68 | $143,820.00 | $16.50 – $127.50 | 16 |
| Capsular contracture release CPT 23020 | not published | not published | $532.32 – $5,329.67 | 12 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $190.11 – $2,628.88 | 12 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $226.43 – $5,329.67 | 12 |
| Cap trach decann 15mm HCPCS C1750 | $3,718.18 | $13,570.00 | $4.95 – $38.25 | 16 |
| Carbamazepine total therapeutic drug level CPT 80156 | $91.52 | $334.00 | $12.61 – $277.22 | 21 |
| Carbohydrate deficient transf - sendout CPT 82373 | $79.85 | $291.40 | $1.03 – $40.00 | 21 |
| Carbon dioxide CPT 82374 | $21.10 | $77.00 | $0.15 – $10.80 | 21 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $29.60 | $108.00 | $1.98 – $14.94 | 17 |
| Carboxyhemoglobin quantitative CPT 82375 | $106.86 | $390.00 | $8.25 – $62.25 | 21 |
| Carcinoembryonic ag (cea) CPT 82378 | $286.06 | $1,044.00 | $1.91 – $41.97 | 21 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $2,651.50 | $9,677.00 | $176.60 – $8,031.91 | 20 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,316.40 | $8,454.00 | $201.93 – $7,016.82 | 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.