Dignity Health · Carmichael, CA
32
In-network payers
296
Disclosed rate categories
384
Beds
3
Care quality
Mercy San Juan Medical Center is a 384-bed voluntary non-profit - private hospital in Carmichael, CA, affiliated with Dignity Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 296 disclosed rate categories.
CCN (Medicare provider number)
050516
NPI
1972541498
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
384
Care Quality
3
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Mercy San Juan Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$12,571 - $24,281
from 4 insurers · median $18,902
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,982 - $25,883
from 4 insurers · median $22,932
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 807
$12,571 - $24,281
from 4 insurers · median $18,902
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$239 - $10,911
from 4 insurers · median $3,961
Common here, based on CMS Medicare volume
CT imaging
CPT 74177
$506 - $4,579
from 4 insurers · median $1,438
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,445 - $15,803
from 4 insurers · median $5,441
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$948 - $15,803
from 3 insurers · median $6,101
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$492 - $15,803
from 4 insurers · median $4,209
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,067 - $15,803
from 4 insurers · median $5,616
Common here, based on CMS Medicare volume
Gynecology
CPT 58558
$1,491 - $21,182
from 4 insurers · median $4,767
11 Medicare claims in Level 4 Gynecologic Procedures (CMS 2024)
CT imaging
CPT 74176
$275 - $4,579
from 4 insurers · median $1,282
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$5,722 - $20,449
from 3 insurers · median $11,060
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$800 - $7,233
from 4 insurers · median $4,900
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$509 - $6,296
from 4 insurers · median $1,963
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 216
$31,034 - $141,601
from 3 insurers · median $61,556
Hospital reports cardiac thoracic surgery services to CMS
Medicine & Surgery
CPT 49505
$3,945 - $23,428
from 4 insurers · median $6,005
37 Medicare claims in Level 1 Abdominal/Peritoneal/Biliary and Related Procedures (CMS 2024)
Mammography
CPT 77067
$194 - $358
from 2 insurers · median $276
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,324 - $36,745
from 3 insurers · median $6,983
28 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 460
$23,032
negotiated rate
26 Medicare discharges for this DRG in CMS hospital data
X-ray and bone density
CPT 71046
$49 - $439
from 4 insurers · median $266
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$220 - $2,047
from 3 insurers · median $246
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$3,816 - $36,745
from 4 insurers · median $7,021
29 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
MRI imaging
CPT 74183
$509 - $6,296
from 4 insurers · median $1,979
Common here, based on CMS Medicare volume
Gynecology
CPT 57288
$6,038 - $29,395
from 2 insurers · median $17,717
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 585% | 12 | 5 |
| Insurer B* | 19 | 503% | 12 | 4 |
| Insurer C* | 19 | 289% | 6 | 9 |
| Insurer D* | 23 | 143% | 4 | 14 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Mercy San Juan Medical Center.
6501 Coyle Avenue, Carmichael, CA 95608
(916) 537-5000
The nearest hospitals of similar type and size. Their rates are compared with Mercy San Juan Medical Center for the same insurers and services above.
Sutter Medical Center - Sacramento
▼ Rates typically 9% lower than Mercy San Juan Medical Center (21 services)
Unversity Of California Davis Medical Center
▲ Rates typically 64% higher than Mercy San Juan Medical Center (20 services)
Sutter Roseville Medical Center
▼ Rates typically 9% lower than Mercy San Juan Medical Center (21 services)
Adventist Health Lodi Memorial
Rates about the same as Mercy San Juan Medical Center (20 services)
Adventist Health And Rideout
▼ Rates typically 32% lower than Mercy San Juan Medical Center (16 services)
Dameron Hospital
▼ Rates typically 26% lower than Mercy San Juan Medical Center (20 services)
Woodland Memorial Hospital
Mercy Hospital - Bakersfield
California Hospital Medical Center
Methodist Hospital Of Sacramento
About Mercy San Juan Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Mercy San Juan Medical Center range from $509 to $6,296 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $3,133. The median at nearby comparable hospitals is $2,362. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Mercy San Juan Medical Center range from $506 to $4,579 across 4 insurers. Anthem Blue Cross / Blue Shield of CA's rate is $2,047. The median at nearby comparable hospitals is $3,629. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Mercy San Juan Medical Center range from $1,445 to $15,803 across 4 insurers. Aetna's rate is $6,016. The median at nearby comparable hospitals is $3,283. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Mercy San Juan Medical Center range from $12,571 to $24,281 across 4 insurers. Cigna's rate is $12,571. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Mercy San Juan Medical Center range from $194 to $358 across 2 insurers. Aetna's rate is $194. The median at nearby comparable hospitals is $331. What a patient pays depends on their plan's deductible, coinsurance and network status.
Mercy San Juan Medical Center has 384 beds. Facility type: Short Term Acute Care Hospital.
Mercy San Juan Medical Center is located at 6501 Coyle Avenue, Carmichael, CA 95608. Its main phone number is (916) 537-5000.
Mercy San Juan Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 050516.
The National Provider Identifier (NPI) on file for Mercy San Juan Medical Center is 1972541498.
Mercy San Juan Medical Center is affiliated with Dignity Health.
Mercy San Juan Medical Center lists 32 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
296 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers