Mercy San Juan Medical Center — price list

← Hospital overviewVerified from Mercy San Juan Medical Center’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

431 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Allogeneic bone marrow transplant Inpatient	0071 APR-DRG	—	—	$52,578 – $52,578	—
Allogeneic bone marrow transplant Inpatient	0072 APR-DRG	—	—	$66,666 – $66,666	—
Allogeneic bone marrow transplant Inpatient	0073 APR-DRG	—	—	$84,634 – $84,634	—
Allogeneic bone marrow transplant Inpatient	0074 APR-DRG	—	—	$147,645 – $147,645	—
Allogeneic bone marrow transplant Inpatient	014 MS-DRG	—	—	$11,174 – $199,681	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0081 APR-DRG	—	—	$22,295 – $22,295	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0082 APR-DRG	—	—	$35,876 – $35,876	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0083 APR-DRG	—	—	$42,949 – $42,949	—
Autologous bone marrow transplant or t-cell immunotherapy Inpatient	0084 APR-DRG	—	—	$71,668 – $71,668	—
Autologous bone marrow transplant with cc/mcc Inpatient	016 MS-DRG	—	—	$11,174 – $92,531	—
Autologous bone marrow transplant without cc/mcc Inpatient	017 MS-DRG	—	—	$11,174 – $92,531	—
Bf resp bact/vir 22 trgts Inpatient	0202U CPT	$768	$210	$84.48 – $637	—
Bf resp bact/vir 22 trgts Outpatient	0202U CPT	$768	$210	$84.48 – $768	—
Cardiac services Inpatient	02100A9 ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	02100Z9 ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	02100ZC ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	02104J9 ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	02110KW ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02110Z8 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02110ZF ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02114AF ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	0212093 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	0212099 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	021209C ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	021209F ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02120A3 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02120J3 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02120J8 ICD	—	—	$6,631 – $26,642	—
Cardiac services Inpatient	02120KC ICD	—	—	$6,631 – $18,981	—
Cardiac services Inpatient	02124J9 ICD	—	—	$6,631 – $18,981	—