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 |
|---|---|---|---|---|
| Ghs sensitivity (per antimicro) CPT 87184 | $18.32 | $84.00 | $2.11 – $16.56 | 19 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $90.15 – $629.19 | 11 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $121.29 – $962.13 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $111.43 – $849.63 | 11 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $146.54 – $2,009.26 | 11 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $71.03 – $571.77 | 11 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $70.81 – $518.97 | 11 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $89.55 – $695.80 | 11 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $139.09 – $1,736.02 | 11 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $165.72 – $2,344.55 | 11 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $485.27 | $2,226.00 | $307.16 – $1,780.80 | 17 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $69.63 – $426.70 | 11 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $18.09 – $220.44 | 11 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $195.06 – $1,056.32 | 11 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $144.40 – $776.17 | 11 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,095.02 | $5,023.00 | $122.19 – $3,827.20 | 17 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $146.96 – $789.93 | 11 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $171.86 – $923.77 | 11 |
| Ghs urine, hydroxproline total CPT 83505 | $5.86 | $26.87 | $9.41 – $53.83 | 19 |
| Ghs urine, porphyrins quant CPT 84120 | $5.24 | $24.00 | $8.40 – $32.57 | 19 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $765.92 – $4,596.04 | 11 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $464.13 | $2,129.00 | $653.24 – $2,129.00 | 17 |
| Ghs windowing of cast CPT 29730 | not published | not published | $32.46 – $228.09 | 11 |
| Gi inhouse confirmation CPT 87045 | $28.34 | $130.00 | $7.85 – $104.00 | 19 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $197.37 – $4,687.89 | 11 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,302.77 | $5,976.00 | $657.54 – $4,780.80 | 17 |
| Gi wireless capsule measure CPT 91112 | $458.68 | $2,104.00 | $736.40 – $2,104.00 | 17 |
| Glaucoma surgery CPT 66150 | not published | not published | $580.60 – $5,815.08 | 11 |
| Glaucoma surgery CPT 66155 | not published | not published | $580.60 – $5,815.08 | 11 |
| Glaucoma surgery CPT 66160 | not published | not published | $580.60 – $3,296.82 | 11 |
| Glaucoma surgery CPT 66170 | not published | not published | $774.13 – $4,160.94 | 11 |
| Glove finger flexion right lg xl HCPCS L3912 | $52.98 | $243.00 | $55.89 – $216.27 | 16 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $293.87 | $1,348.00 | $78.72 – $443.71 | 18 |
| Glucagon plasma - sendout CPT 82943 | $4.36 | $19.98 | $7.00 – $31.65 | 19 |
| Glucose 1 hr post dose CPT 82950 | $32.49 | $149.00 | $4.19 – $119.20 | 19 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $21.59 | $99.00 | $5.38 – $79.20 | 19 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $37.50 | $172.00 | $2.00 – $137.60 | 19 |
| Glucose blood quantitative CPT 82947 | $27.91 | $128.00 | $3.30 – $21.28 | 19 |
| Glucose body fluid CPT 82945 | $32.92 | $151.00 | $1.23 – $8.69 | 19 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $28.78 | $132.00 | $11.27 – $105.60 | 19 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $10.25 | $47.00 | $3.46 – $37.60 | 19 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $59.95 | $275.00 | $12.50 – $50.00 | 8 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $1,902.93 | $8,729.00 | $10.77 – $6,983.20 | 18 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $2.18 | $10.00 | $3.20 – $41.16 | 19 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $1.99 | $9.12 | $2.89 – $41.02 | 19 |
| Goniotomy CPT 65820 | not published | not published | $484.05 – $5,815.08 | 11 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,994.27 | $9,148.00 | $501.27 – $1,640.16 | 18 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $2,274.83 | $10,435.00 | $30.36 – $7,142.25 | 16 |
| Graft axiofill 1000mg HCPCS J3590 | $2,958.26 | $13,570.00 | $1,542.50 – $6,170.00 | 11 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $1,034.41 | $4,745.00 | $67.44 – $1,472.95 | 16 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $645.54 – $4,690.11 | 11 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $19,468.49 | $89,305.00 | $25.78 – $667.50 | 16 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $2,274.83 | $10,435.00 | $311.36 – $9,287.15 | 16 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $14,626.71 | $67,095.00 | $58.65 – $226.95 | 15 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $13,296.91 | $60,995.00 | $44.85 – $173.55 | 15 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $10,989.38 | $50,410.00 | $39.06 – $2,496.45 | 16 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $6,501.85 | $29,825.00 | $103.77 – $1,917.95 | 16 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $965.52 – $5,189.69 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $10,989.38 | $50,410.00 | $134.06 – $4,223.05 | 16 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $28,502.41 | $130,745.00 | $71.36 – $4,223.05 | 15 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $3,846.61 | $17,645.00 | $39.75 – $5,491.30 | 16 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $19,468.49 | $89,305.00 | $26.45 – $102.35 | 15 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,345.06 | $6,170.00 | $58.65 – $226.95 | 15 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,827.35 – $15,197.01 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $75.62 – $406.47 | 11 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $518.61 – $2,644.17 | 11 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $513.77 – $5,291.97 | 11 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $148.03 – $686.80 | 7 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $424.05 – $5,291.97 | 11 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,094.11 – $5,880.87 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $907.42 – $4,877.41 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,197.51 – $6,436.59 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,167.60 – $6,275.86 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,162.58 – $4,999.10 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $555.39 – $2,985.21 | 11 |
| G-tube reposition CPT 43761 | $123.61 | $567.00 | $91.00 – $489.12 | 17 |
| Gu dilat ureter/urethra s&i CPT 74485 | $696.95 | $3,197.00 | $88.43 – $7,234.63 | 18 |
| Guided cath fluid drainage 10030 CPT 10030 | $825.35 | $3,786.00 | $132.75 – $2,908.00 | 17 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $17,698.33 | $81,185.00 | $10.35 – $40.05 | 15 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $1,749.45 | $8,025.00 | $14.95 – $57.85 | 15 |
| Gum graft CPT 41870 | not published | not published | $1,835.60 – $2,141.20 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $5,000.92 | $22,940.00 | $10.35 – $40.05 | 15 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $449.66 – $5,535.27 | 11 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $758.55 – $884.84 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $258.08 – $577.52 | 7 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $351.88 – $577.52 | 7 |
| Halo cervical into jckt vest HCPCS L0810 | $3,846.61 | $17,645.00 | $2,669.58 – $15,704.05 | 16 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $75.65 | $347.00 | $0.02 – $40.00 | 16 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $230.21 | $1,056.00 | $0.02 – $40.00 | 16 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $580.60 – $4,690.11 | 11 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $354.60 – $10,326.34 | 11 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $387.06 – $4,690.11 | 11 |
| Haptoglobin quantitative CPT 83010 | $75.21 | $345.00 | $9.31 – $27.87 | 19 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $77.76 – $291.37 | 7 |
| Harvest auto stem cells CPT 38206 | not published | not published | $79.04 – $2,369.60 | 11 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $126.87 – $2,644.17 | 11 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $172.83 – $3,372.31 | 11 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $251.73 – $942.90 | 7 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $51.07 – $631.95 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $291.70 – $650.50 | 2 |
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.