19/100
#2,192 nationally
Mercy San Juan Medical Center
6501 Coyle Ave, Carmichael, CA 95608 · (916) 537-5000
Among the highest charge markups in the country
For every $1 of care Medicare actually paid for here, Mercy San Juan Medical Center billed $6.75 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 6.8x
- volume-weighted across all its priced work
- Procedures priced
- 129
- inpatient and outpatient combined
- Rank in CA
- #168
- lower markup ranks higher
- CMS quality stars
- 3/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 17% of U.S. hospitals.
Better than 30% of U.S. hospitals.
Better than 12% of U.S. hospitals.
Better than 21% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
568 | $36,639 | $3,477 | +89% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
400 | $121,886 | $20,997 | +87% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
242 | $86,958 | $13,990 | +100% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
130 | $25,802 | $4,071 | +35% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
121 | $53,700 | $4,168 | +113% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
116 | $119,777 | $16,773 | +92% |
|
Stroke (severe)
MS-DRG 064 · Inpatient stay |
108 | $161,122 | $21,920 | +111% |
|
Pneumonia (severe)
MS-DRG 193 · Inpatient stay |
106 | $102,850 | $13,902 | +121% |
|
Stroke (with complications)
MS-DRG 065 · Inpatient stay |
78 | $110,788 | $11,216 | +143% |
|
Respiratory Infection (severe)
MS-DRG 177 · Inpatient stay |
78 | $107,052 | $17,569 | +95% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Traumatic Stupor and Coma >1 Hour with Major Complications
MS-DRG 082 · Inpatient stay |
$309,809 | $35,560 | +220% |
|
Coronary Bypass with Cardiac Catheterization or Open Ablation with Major Complications
MS-DRG 233 · Inpatient stay |
$879,304 | $108,387 | +186% |
|
Major Chest Trauma with Complications
MS-DRG 184 · Inpatient stay |
$137,252 | $11,557 | +181% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$30,560 | $2,168 | +168% |
|
Level 4 Airway Endoscopy
APC 5154 · Hospital outpatient visit |
$58,658 | $4,783 | +158% |
|
Organic Disturbances and Intellectual Disability
MS-DRG 884 · Inpatient stay |
$127,311 | $18,897 | +155% |
|
Skin Infection (severe)
MS-DRG 602 · Inpatient stay |
$129,108 | $19,701 | +151% |
|
Seizures with Major Complications
MS-DRG 100 · Inpatient stay |
$202,906 | $21,953 | +151% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 3 Pacemaker and Similar Procedures
APC 5223 · Hospital outpatient visit |
$35,889 | $13,615 | -30% |
|
Other Circulatory System Operating Room Procedures
MS-DRG 264 · Inpatient stay |
$112,235 | $32,086 | -17% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$218,517 | $63,952 | about average |
|
Level 2 Pacemaker and Similar Procedures
APC 5222 · Hospital outpatient visit |
$39,114 | $10,839 | +3% |
|
Uterine and Adnexa Procedures for Non-ovarian and Non-adnexal Malignancy without
MS-DRG 741 · Inpatient stay |
$114,908 | $14,179 | +13% |
|
Other Vascular Procedures with Major Complications
MS-DRG 252 · Inpatient stay |
$170,865 | $34,265 | +18% |
|
Craniotomy with Major Device Implant or Acute Complex Central Nervous System Principal
MS-DRG 023 · Inpatient stay |
$283,361 | $53,616 | +24% |
|
Level 4 Endovascular Procedures
APC 5194 · Hospital outpatient visit |
$118,759 | $22,336 | +24% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.