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 |
|---|---|---|---|---|
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $34.45 | $158.00 | $26.18 – $76.97 | 18 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $58.43 | $268.00 | $30.54 – $214.40 | 19 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $27.25 | $125.00 | $43.75 – $125.00 | 8 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $264.66 | $1,214.00 | $210.39 – $971.20 | 19 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $8.69 | $39.86 | $13.96 – $94.88 | 19 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $8.36 | $38.33 | $13.42 – $94.88 | 19 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $8.49 | $38.94 | $13.54 – $94.88 | 19 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $13.08 | $60.00 | $21.00 – $188.48 | 19 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $159.36 | $731.00 | $52.50 – $315.86 | 19 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $1,222.11 | $5,606.00 | $30.52 – $1,824.00 | 18 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | $990.38 | $4,543.00 | $15.91 – $3,634.40 | 18 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $2,494.55 – $13,408.19 | 7 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $2,378.34 – $12,783.57 | 7 |
| Initiation & management bipap/cpap initial day CPT 94660 | $962.04 | $4,413.00 | $36.79 – $3,530.40 | 18 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $2,323.67 | $10,659.00 | $1,008.75 – $4,035.00 | 8 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | $10.90 | $50.00 | $12.50 – $50.00 | 8 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $4,171.65 | $19,136.00 | $583.25 – $2,333.00 | 8 |
| Inj, artesunate, 1mg HCPCS J0391 | $2,605.54 | $11,952.00 | $2,988.00 – $11,952.00 | 8 |
| Inj., benralizumab, 1 mg HCPCS J0517 | $5,047.36 | $23,153.00 | $163.49 – $18,522.40 | 18 |
| Inj, bezlotoxumab, 10 mg HCPCS J0565 | $3,976.32 | $18,240.00 | $32.83 – $14,592.00 | 18 |
| Inj, bupivacaine liposome HCPCS J0666 | $329.62 | $1,512.00 | $360.00 – $1,440.00 | 8 |
| Inj calcitriol per 0.1 mcg HCPCS J0636 | $10.90 | $50.00 | $0.74 – $40.00 | 16 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $13.08 | $60.00 | $15.00 – $60.00 | 8 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $10.90 | $50.00 | $12.50 – $50.00 | 8 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | $198.60 | $911.00 | $227.75 – $911.00 | 8 |
| Inj ceftolozane tazobactam HCPCS J0695 | $103.34 | $474.00 | $5.87 – $379.20 | 16 |
| Inj, clindamycin (baxter) HCPCS J0737 | $583.59 | $2,677.00 | $12.50 – $50.00 | 8 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $71.51 | $328.00 | $39.90 – $315.00 | 13 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $1,381.25 | $6,336.00 | $1,043.55 – $5,068.80 | 18 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $6.76 | $31.00 | $4.50 – $18.00 | 8 |
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $142.81 – $792.21 | 7 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $56.60 – $426.70 | 11 |
| Inj dx for sinogram CPT 20501 | $170.48 | $782.00 | $35.85 – $752.00 | 13 |
| Inject for sacroiliac joint HCPCS G0259 | $913.42 | $4,190.00 | $1,466.50 – $4,190.00 | 7 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $539.77 | $2,476.00 | $83.47 – $1,980.80 | 17 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $85.46 | $392.00 | $67.69 – $377.00 | 13 |
| Injection, cangrelor HCPCS C9460 | $826.22 | $3,790.00 | $20.02 – $2,876.80 | 18 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | not published | not published | $57.15 – $426.70 | 11 |
| Injection, daratumumab 10 mg HCPCS J9145 | $2,217.28 | $10,171.00 | $56.04 – $2,034.40 | 18 |
| Injection during cath supravalvular aortography CPT 93567 | $702.18 | $3,221.00 | $35.28 – $2,576.80 | 13 |
| Injection epidural blood patch or clot CPT 62273 | $811.40 | $3,722.00 | $87.15 – $1,131.20 | 17 |
| Injection eye drug CPT 67028 | not published | not published | $94.46 – $2,245.80 | 11 |
| Injection for arthrography wrist (both sides) CPT 25246 | $74.78 | $343.00 | $72.15 – $330.00 | 13 |
| Injection for bladder x-ray CPT 51600 | $114.89 | $527.00 | $42.85 – $506.00 | 13 |
| Injection for hip x-ray CPT 27095 | $128.41 | $589.00 | $81.08 – $565.00 | 13 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $162.41 | $745.00 | $49.47 – $716.00 | 13 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $96.98 – $521.25 | 7 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $53.27 – $1,499.48 | 7 |
| Injection for ureter x-ray CPT 50684 | $63.01 | $289.00 | $52.30 – $277.00 | 13 |
| Injection for ureter x-ray CPT 50690 | $85.46 | $392.00 | $71.81 – $377.00 | 13 |
| Injection, fulvestrant HCPCS J9395 | $1,825.97 | $8,376.00 | $7.31 – $624.00 | 18 |
| Injection glatiramer acetate HCPCS J1595 | $5,047.79 | $23,155.00 | $49.68 – $695.20 | 15 |
| Injection into brain canal CPT 61026 | not published | not published | $108.46 – $1,001.04 | 11 |
| Injection into brain canal CPT 61055 | not published | not published | $115.50 – $872.58 | 11 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $83.73 – $1,317.89 | 11 |
| Injection into spinal artery CPT 62294 | not published | not published | $707.91 – $3,804.99 | 11 |
| Injection into vocal cord CPT 31513 | not published | not published | $133.45 – $810.59 | 11 |
| Injection intraop add-on CPT 48400 | not published | not published | $99.11 – $532.72 | 7 |
| Injection, isavuconazonium HCPCS J1833 | $330.06 | $1,514.00 | $0.89 – $1,211.20 | 15 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $44.81 – $845.07 | 7 |
| Injection of sinus tract CPT 20500 | not published | not published | $94.32 – $2,141.20 | 11 |
| Injection,onabotulinumtoxina HCPCS J0585 | $606.04 | $2,780.00 | $5.58 – $2,021.60 | 18 |
| Injection px peyronie ds CPT 54200 | not published | not published | $66.65 – $358.23 | 11 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $161.11 | $739.00 | $31.61 – $739.00 | 16 |
| Injection, renflexis HCPCS Q5104 | $788.51 | $3,617.00 | $27.85 – $2,893.60 | 18 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $703.27 | $3,226.00 | $858.17 – $2,602.00 | 13 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | not published | not published | $56.39 – $1,001.04 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $229.99 | $1,055.00 | $42.06 – $1,001.04 | 17 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,048.58 | $4,810.00 | $113.93 – $2,565.60 | 17 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $515.14 | $2,363.00 | $59.47 – $1,890.40 | 13 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $805.08 | $3,693.00 | $107.70 – $2,954.40 | 17 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $805.08 | $3,693.00 | $50.96 – $1,890.40 | 13 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,207.51 | $5,539.00 | $93.00 – $2,836.00 | 17 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $840.18 | $3,854.00 | $108.86 – $3,083.20 | 17 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $840.18 | $3,854.00 | $100.68 – $2,004.00 | 17 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | not published | not published | $38.86 – $426.70 | 11 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $219.09 | $1,005.00 | $36.80 – $804.00 | 17 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $41.86 – $426.70 | 11 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $174.40 | $800.00 | $15.87 – $409.60 | 18 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $158.49 | $727.00 | $91.70 – $727.00 | 11 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $158.71 | $728.00 | $38.17 – $409.60 | 18 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $111.62 | $512.00 | $15.01 – $326.40 | 18 |
| Injection torsemide 10 mg/ml HCPCS J3265 | $10.90 | $50.00 | $3.21 – $50.00 | 10 |
| Injection treatment of eye CPT 66020 | not published | not published | $96.98 – $3,296.82 | 11 |
| Injection treatment of eye CPT 66030 | not published | not published | $65.79 – $3,296.82 | 11 |
| Injection treatment of nerve CPT 64605 | not published | not published | $182.42 – $2,822.75 | 11 |
| Injection treatment of nerve CPT 64610 | not published | not published | $235.40 – $2,822.75 | 11 |
| Injection treatment of nerve CPT 64681 | not published | not published | $226.22 – $1,701.73 | 11 |
| Injection treatment of nose CPT 30200 | not published | not published | $36.32 – $736.13 | 11 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $84.75 – $1,811.76 | 7 |
| Inject/treat eye socket CPT 67500 | not published | not published | $65.58 – $920.81 | 11 |
| Inject/treat eye socket CPT 67505 | not published | not published | $73.45 – $744.04 | 11 |
| Inject/treat eye socket CPT 67515 | not published | not published | $48.05 – $704.99 | 11 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $98.76 – $1,001.04 | 11 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | not published | not published | $78.30 – $1,286.92 | 11 |
| Inj., eravacycline, 1 mg HCPCS J0122 | $102.68 | $471.00 | $0.95 – $376.80 | 16 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $10.90 | $50.00 | $12.50 – $50.00 | 8 |
| Inj for ext venography CPT 36005 | $434.04 | $1,991.00 | $45.52 – $750.00 | 13 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $74.83 – $1,194.11 | 7 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $702.18 | $3,221.00 | $44.28 – $2,576.80 | 13 |
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.