Mercy General Hospital
4001 J St., Sacramento, CA · CommonSpirit Health · · NPI 1487694857
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 |
|---|---|---|---|---|
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $102.48 – $2,644.17 | 11 |
| Device ablt adv novasure HCPCS C1886 | $6,501.85 | $29,825.00 | $495.65 – $1,917.95 | 15 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,958.26 | $13,570.00 | $2,400.05 – $9,287.15 | 15 |
| Device intraute mirena HCPCS J7298 | $495.52 | $2,273.00 | $931.93 – $2,881.75 | 16 |
| Device sut capio slim opn HCPCS C2631 | $1,749.45 | $8,025.00 | $380.65 – $1,472.95 | 15 |
| Device tiss remov myosure reach HCPCS C1782 | $1,749.45 | $8,025.00 | $380.65 – $1,655.00 | 7 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $22.89 | $105.00 | $0.05 – $7.20 | 13 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $11.56 | $53.00 | $0.10 – $40.00 | 16 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $1,543.44 | $7,080.00 | $39.76 – $1,532.80 | 16 |
| Dextran 40 infusion HCPCS J7100 | $30.09 | $138.00 | $29.08 – $106.15 | 12 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $17.01 | $78.00 | $1.21 – $48.00 | 16 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $13.08 | $60.00 | $1.05 – $48.00 | 12 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $113.15 | $519.00 | $1.82 – $48.00 | 16 |
| Dextrose 5 % IV bolus HCPCS J7070 | $17.01 | $78.00 | $3.64 – $48.00 | 16 |
| Diabetes (HbA1c) Test CPT 83036 | $118.60 | $544.00 | $1.75 – $21.50 | 19 |
| Diab manage trn ind/group HCPCS G0109 | $35.54 | $163.00 | $12.26 – $130.40 | 18 |
| Diag bronchoscope/catheter CPT 31643 | $1,029.84 | $4,724.00 | $167.04 – $3,779.20 | 17 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $268.73 – $8,433.62 | 11 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $94.71 – $576.82 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $124.45 – $1,704.37 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $25.21 – $186.33 | 11 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $52.33 – $365.14 | 11 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $143.88 | $660.00 | $71.55 – $528.00 | 17 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $475.46 | $2,181.00 | $190.14 – $2,181.00 | 13 |
| Dialysis one evaluation CPT 90945 | $532.14 | $2,441.00 | $82.81 – $1,776.80 | 17 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $55.16 | $253.00 | $0.07 – $0.80 | 14 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $25.95 | $119.00 | $6.13 – $40.00 | 16 |
| Dicyclomine injection HCPCS J0500 | $88.08 | $404.00 | $13.63 – $62.32 | 16 |
| Diffusing capacity CPT 94729 | $141.27 | $648.00 | $52.90 – $518.40 | 13 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $137.56 | $631.00 | $4.94 – $40.00 | 16 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $2,066.64 | $9,480.00 | $1,911.55 – $11,556.92 | 18 |
| Digoxin total therapeutic drug level CPT 80162 | $96.36 | $442.00 | $11.80 – $353.60 | 19 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $1,231.49 | $5,649.00 | $57.24 – $199.45 | 16 |
| Dilate biliary duct/ampulla CPT 47542 | $462.82 | $2,123.00 | $131.24 – $2,018.72 | 13 |
| Dilate esophagus CPT 43453 | not published | not published | $87.81 – $2,742.11 | 11 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $53.41 – $1,355.26 | 11 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $854.30 – $854.30 | 1 |
| Dilate tear duct opening CPT 68801 | not published | not published | $84.61 – $842.72 | 11 |
| Dilate urethra stricture CPT 53600 | not published | not published | $63.56 – $537.35 | 11 |
| Dilate urethra stricture CPT 53601 | not published | not published | $53.45 – $507.50 | 11 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $4,985.52 | 11 |
| Dilate urethra stricture CPT 53621 | not published | not published | $71.61 – $753.16 | 11 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $42.02 – $461.55 | 11 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $173.02 – $1,704.37 | 11 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $4,596.04 | 11 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $121.33 – $1,704.37 | 11 |
| Dilation of salivary duct CPT 42660 | not published | not published | $44.86 – $736.13 | 11 |
| Dilation of urethra CPT 53661 | not published | not published | $40.49 – $468.45 | 11 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $2,961.14 | 11 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $4,596.04 | 11 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $2,141.20 | 11 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $86.97 – $964.83 | 11 |
| Dilator fascial 10fx20cm HCPCS C2627 | $360.79 | $1,655.00 | $14.95 – $57.85 | 15 |
| Dilat xst trc ndurlgc px CPT 50436 | $1,965.49 | $9,016.00 | $131.42 – $7,212.80 | 17 |
| Dilat xst trc new access rcs CPT 50437 | $1,965.49 | $9,016.00 | $218.91 – $7,212.80 | 17 |
| Dimenhydrinate injection HCPCS J1240 | $10.90 | $50.00 | $6.70 – $40.00 | 13 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $10.90 | $50.00 | $0.62 – $40.00 | 16 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | $59.74 | $274.00 | $27.75 – $172.17 | 15 |
| Disability dlco CPT 94727 | $144.97 | $665.00 | $37.20 – $532.00 | 17 |
| Disaccharidases CPT 82657 | $28.78 | $132.00 | $6.89 – $49.09 | 19 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $2,644.17 | 11 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $7,414.83 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $194.17 – $1,203.30 | 7 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $786.88 – $7,813.99 | 11 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $8,551.15 | 11 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $342.48 – $2,726.34 | 7 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $247.21 – $1,063.00 | 7 |
| Dna antibody native/double stranded CPT 86225 | $2.71 | $12.39 | $3.50 – $30.42 | 19 |
| Dna gardnerella CPT 87510 | $75.87 | $348.00 | $6.40 – $44.39 | 19 |
| Dna probe gc CPT 87590 | $1.75 | $8.00 | $2.80 – $59.52 | 19 |
| Dna trichomonas CPT 87660 | $81.97 | $376.00 | $6.40 – $44.39 | 19 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $75.21 | $345.00 | $5.99 – $40.00 | 16 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $2,190.25 | $10,047.00 | $0.61 – $13.60 | 16 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $16.57 | $76.00 | $0.50 – $40.00 | 16 |
| Doppler echo complete CPT 93320 | $281.22 | $1,290.00 | $36.45 – $1,032.00 | 13 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,269.64 | $5,824.00 | $278.63 – $4,659.20 | 13 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $368.42 | $1,690.00 | $111.72 – $1,352.00 | 18 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $250.70 | $1,150.00 | $59.79 – $652.80 | 18 |
| Dornhoffer fixed part w/window HCPCS L8614 | $37,936.36 | $174,020.00 | $495.65 – $1,917.95 | 15 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $269.02 | $1,234.00 | $2.50 – $50.40 | 16 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $2,528.15 | $11,597.00 | $13.25 – $53.00 | 8 |
| Dpyd gene common variants CPT 81232 | $52.76 | $242.00 | $84.70 – $387.14 | 19 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $56.83 – $1,017.05 | 11 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $67.50 – $1,017.05 | 11 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $131.74 – $2,342.08 | 11 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $64.94 – $1,017.05 | 11 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $107.66 – $4,137.12 | 11 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $306.89 – $4,137.12 | 11 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $66.65 – $358.23 | 11 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $130.73 – $2,342.08 | 11 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $387.06 – $4,137.12 | 11 |
| Drainage of eye CPT 65800 | not published | not published | $90.15 – $3,296.82 | 11 |
| Drainage of eye CPT 65810 | not published | not published | $387.06 – $3,296.82 | 11 |
| Drainage of eye CPT 65815 | not published | not published | $261.46 – $3,296.82 | 11 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $389.32 – $2,528.23 | 11 |
| Drainage of kidney lesion CPT 50390 | $866.55 | $3,975.00 | $81.18 – $3,057.60 | 17 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $61.94 – $335.68 | 11 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $246.13 – $2,141.20 | 11 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $236.05 – $2,141.20 | 11 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $251.20 – $4,687.89 | 11 |
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.