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 |
|---|---|---|---|---|
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $379.76 | $1,742.00 | $54.64 – $1,393.60 | 18 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $255.50 | $1,172.00 | $61.12 – $937.60 | 18 |
| X-ray exam of eye sockets CPT 70200 | $282.53 | $1,296.00 | $38.32 – $1,036.80 | 18 |
| X-ray exam of sinuses CPT 70210 | $241.33 | $1,107.00 | $26.73 – $885.60 | 18 |
| X-ray exam thorac spine4/>vw CPT 72074 | $256.15 | $1,175.00 | $36.83 – $940.00 | 18 |
| X-ray facial bones complete > 3 views CPT 70150 | $231.96 | $1,064.00 | $38.32 – $851.20 | 18 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $255.06 | $1,170.00 | $34.21 – $936.00 | 18 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $255.06 | $1,170.00 | $43.85 – $936.00 | 18 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $255.06 | $1,170.00 | $51.04 – $936.00 | 18 |
| X-ray knee ap standing bilateral CPT 73565 | $243.51 | $1,117.00 | $27.28 – $893.60 | 18 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $256.15 | $1,175.00 | $33.46 – $940.00 | 18 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $256.15 | $1,175.00 | $43.93 – $940.00 | 18 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $256.15 | $1,175.00 | $52.16 – $940.00 | 18 |
| X-ray mandible complete > 4 views CPT 70110 | $280.57 | $1,287.00 | $35.33 – $1,029.60 | 18 |
| X-ray mandible ltd <4 views CPT 70100 | $252.45 | $1,158.00 | $33.46 – $926.40 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $252.67 | $1,159.00 | $32.71 – $927.20 | 18 |
| X-ray neck soft tissue CPT 70360 | $229.78 | $1,054.00 | $24.82 – $843.20 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $229.78 | $1,054.00 | $22.99 – $843.20 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $256.15 | $1,175.00 | $21.87 – $940.00 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $256.15 | $1,175.00 | $33.46 – $940.00 | 18 |
| Xray place dist ext thor ao CPT 75959 | $717.66 | $3,292.00 | $163.19 – $2,633.60 | 14 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $606.70 | $2,783.00 | $60.01 – $2,226.40 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $256.15 | $1,175.00 | $33.46 – $940.00 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $256.15 | $1,175.00 | $41.31 – $940.00 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $255.06 | $1,170.00 | $31.96 – $936.00 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $229.78 | $1,054.00 | $27.10 – $843.20 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $241.33 | $1,107.00 | $30.47 – $885.60 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $515.14 | $2,363.00 | $39.44 – $1,952.35 | 18 |
| X-ray skull < 4 views CPT 70250 | $256.15 | $1,175.00 | $30.47 – $940.00 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $256.15 | $1,175.00 | $34.96 – $940.00 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $417.69 | $1,916.00 | $91.79 – $1,532.80 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $501.19 | $2,299.00 | $54.03 – $1,839.20 | 14 |
| X-ray spine single view CPT 72020 | $229.78 | $1,054.00 | $18.50 – $843.20 | 18 |
| X-ray sternum > 2 views CPT 71120 | $229.78 | $1,054.00 | $26.73 – $843.20 | 18 |
| X-ray surgical specimen CPT 76098 | $383.68 | $1,760.00 | $20.77 – $1,952.35 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $379.76 | $1,742.00 | $74.46 – $1,393.60 | 18 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $241.33 | $1,107.00 | $46.55 – $885.60 | 18 |
| X-ray thoracic spine 2 views CPT 72070 | $256.15 | $1,175.00 | $25.98 – $940.00 | 18 |
| X-ray thoracic spine 3 views CPT 72072 | $256.15 | $1,175.00 | $31.96 – $940.00 | 18 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $229.78 | $1,054.00 | $27.48 – $843.20 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $229.99 | $1,055.00 | $34.21 – $844.00 | 18 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $255.50 | $1,172.00 | $56.31 – $937.60 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $342.70 | $1,572.00 | $105.63 – $1,257.60 | 18 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $379.76 | $1,742.00 | $92.54 – $1,393.60 | 18 |
| Xylose absorption test blood &/or urine CPT 84620 | $2.82 | $12.90 | $4.52 – $28.58 | 19 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | $37,136.74 | $170,352.00 | $59,623.20 – $158,495.36 | 18 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $30.74 | $141.00 | $0.02 – $91.20 | 13 |
| Zika virus dna/rna amp probe CPT 87662 | $28.78 | $132.00 | $45.61 – $113.62 | 19 |
| Zika virus igm antibody CPT 86794 | $16.31 | $74.80 | $14.97 – $59.84 | 19 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $57.34 | $263.00 | $5.49 – $40.00 | 16 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $4,534.40 | $20,800.00 | $9.24 – $84.80 | 16 |
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.