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 |
|---|---|---|---|---|
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $224.33 | $1,029.00 | $12.50 – $50.00 | 8 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $174.40 | $800.00 | $12.50 – $50.00 | 11 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $9.74 | $44.66 | $15.58 – $44.66 | 19 |
| Hymenotomy CPT 56442 | not published | not published | $48.71 – $4,596.04 | 11 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $486.02 – $8,551.15 | 11 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $901.01 – $4,842.93 | 7 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $994.59 – $5,625.51 | 7 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,059.82 – $5,625.51 | 7 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $918.77 – $918.77 | 1 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $263.44 – $4,312.92 | 7 |
| Hysterosalpingography s&i CPT 74740 | $323.30 | $1,483.00 | $67.02 – $1,186.40 | 18 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $243.30 – $10,485.34 | 11 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $229.36 – $4,596.04 | 11 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $151.37 – $4,596.04 | 11 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $280.17 – $7,135.69 | 11 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $219.40 – $4,596.04 | 11 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $352.66 – $7,135.69 | 11 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $308.23 – $7,135.69 | 11 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $836.49 – $7,135.69 | 11 |
| I-123 ioflupane diag HCPCS A9584 | $2,931.23 | $13,446.00 | $1,720.03 – $10,756.80 | 16 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $29.43 | $135.00 | $47.25 – $252.05 | 14 |
| I131 iodide cap, rx HCPCS A9517 | $15.48 | $71.00 | $24.85 – $189.31 | 18 |
| Iaadi respiratory synctial virus CPT 87280 | $54.94 | $252.00 | $3.10 – $29.71 | 19 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | $538.46 | $2,470.00 | $23.55 – $960.00 | 16 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $473.28 | $2,171.00 | $263.10 – $1,193.60 | 16 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $31,352.76 | $143,820.00 | $8,918.25 – $34,509.75 | 15 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $41,729.56 | $191,420.00 | $11,594.30 – $44,864.90 | 15 |
| Icd crtp serena MRI HCPCS C2621 | $13,296.91 | $60,995.00 | $5,276.20 – $18,352.00 | 13 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $8,452.95 | $38,775.00 | $2,400.05 – $9,287.15 | 15 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $2,830.39 | 7 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $4,687.89 | 11 |
| Idarubicin hcl injection HCPCS J9211 | $329.18 | $1,510.00 | $32.80 – $101.20 | 13 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $96.71 – $2,342.08 | 11 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $522.92 – $4,690.11 | 11 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $3,964.15 | 11 |
| I&d lacrimal gland CPT 68400 | not published | not published | $137.19 – $1,400.04 | 11 |
| I&d lacrimal sac CPT 68420 | not published | not published | $172.35 – $3,372.31 | 11 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $186.27 – $4,137.12 | 11 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $323.44 – $4,137.12 | 7 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $184.88 – $4,137.12 | 7 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $444.51 | $2,039.00 | $24.62 – $57.27 | 16 |
| Igh gene rearrange amp meth CPT 81261 | $58.74 | $269.43 | $94.31 – $438.45 | 16 |
| Igh@ var region somatic mutation analy CPT 81263 | $88.08 | $404.00 | $141.40 – $652.24 | 16 |
| Igk rearrangeabn clonal pop CPT 81264 | $44.30 | $203.21 | $71.13 – $382.50 | 16 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $128.41 | $589.00 | $17.50 – $136.42 | 15 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $27.25 | $125.00 | $43.75 – $298.90 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $139.96 | $642.00 | $17.50 – $150.21 | 18 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $701.50 – $3,770.57 | 7 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $12,289.89 | 7 |
| Iliac/fem angio cath insert HCPCS G0278 | $723.76 | $3,320.00 | $12.63 – $3,320.00 | 9 |
| Iliac revasc add-on 37222 CPT 37222 | $4,571.46 | $20,970.00 | $160.46 – $8,742.40 | 13 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $877.85 – $5,327.48 | 7 |
| Immob elbow child sm HCPCS L3762 | $43.82 | $201.00 | $46.23 – $178.89 | 16 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $360.79 | $1,655.00 | $58.65 – $226.95 | 15 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $163.50 | $750.00 | $44.85 – $173.55 | 16 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $1,345.06 | $6,170.00 | $10.35 – $45.00 | 16 |
| Immobilizer shldr sling med HCPCS L3660 | $125.35 | $575.00 | $26.45 – $104.21 | 16 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $9,426.83 | 11 |
| Immune complex assay CPT 86332 | $28.21 | $129.36 | $5.66 – $53.97 | 19 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $1,367.08 | $6,271.00 | $43.63 – $5,016.80 | 18 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $2,381.87 | $10,926.00 | $66.97 – $1,939.20 | 18 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $1,016.54 | $4,663.00 | $41.63 – $1,952.80 | 18 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $2.40 | $11.00 | $3.85 – $46.10 | 19 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $43.17 | $198.00 | $6.72 – $46.10 | 19 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $2.89 | $13.25 | $1.96 – $26.54 | 19 |
| Immunodiffusion nes CPT 86329 | $3.31 | $15.15 | $5.31 – $31.11 | 19 |
| Immunofixation electrophoresis serum CPT 86334 | $4.37 | $20.03 | $4.49 – $49.47 | 19 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $25.64 | $117.59 | $18.60 – $201.56 | 15 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $37.67 | $172.79 | $28.31 – $265.17 | 18 |
| Immunoglobulin assay CPT 86023 | $2.96 | $13.56 | $4.75 – $27.60 | 19 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $2,274.83 | $10,435.00 | $1,091.35 – $4,223.05 | 15 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $2,958.26 | $13,570.00 | $645.15 – $2,496.45 | 15 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,470.48 – $8,664.02 | 7 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $5,795.93 | 7 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $7,162.19 | 7 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $6,115.06 | 7 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $119,057.43 | $546,135.00 | $14.95 – $57.85 | 15 |
| Implant cochlear device CPT 69930 | not published | not published | $1,240.83 – $45,978.53 | 11 |
| Implant cochlear osia osi300 HCPCS L8690 | $17,698.33 | $81,185.00 | $1,845.75 – $7,142.25 | 15 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $22,210.01 | 11 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $54.47 – $576.82 | 11 |
| Implant nerve end CPT 64787 | not published | not published | $231.87 – $1,421.40 | 7 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $265.77 – $265.77 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $303.76 – $1,138.25 | 7 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,482.87 – $1,482.87 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $916.39 – $3,433.89 | 7 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $848.75 – $30,998.08 | 11 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $163.20 – $18,025.95 | 11 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $331.94 – $9,486.74 | 7 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $304.55 – $9,486.74 | 11 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $977.13 – $977.13 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,526.86 – $1,526.86 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $434.49 – $44,049.87 | 11 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $268.89 – $268.89 | 1 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $6,501.85 | $29,825.00 | $6,859.75 – $26,544.25 | 15 |
| Implant pulse generator remede el HCPCS C1823 | $31,352.76 | $143,820.00 | $33,078.60 – $127,999.80 | 15 |
| Implant single ventricular device 33975 CPT 33975 | $10,897.61 | $49,989.00 | $1,192.80 – $39,991.20 | 13 |
| Implant spinal canal cath CPT 62351 | not published | not published | $442.60 – $10,326.34 | 11 |
| Implant spine infusion pump CPT 62361 | not published | not published | $229.85 – $25,548.12 | 11 |
| Implant spine infusion pump CPT 62362 | not published | not published | $300.76 – $25,548.12 | 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.