Mercy Medical Center Mt. Shasta
914 Pine St, Mt Shasta, CA · CommonSpirit Health · · NPI 1518085430
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $118.42 | $152.20 | $14.53 – $27.94 | 12 |
| 17-hydroxypregnenolone CPT 84143 | $118.42 | $152.20 | $15.60 – $29.40 | 12 |
| 17-ketosteroids CPT 83586 | $20.36 | $26.16 | $11.38 – $25.64 | 12 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,043.30 | $1,341.00 | $321.84 – $1,314.18 | 11 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $781.12 | $1,004.00 | $240.96 – $983.92 | 11 |
| 2nd order venous cath CPT 36012 | $740.66 | $952.00 | $221.52 – $932.96 | 12 |
| 3d ech img cgen car anomal CPT 93319 | $1,820.52 | $2,340.00 | $561.60 – $2,293.20 | 11 |
| 3d recon without postprocess indpndt CPT 76376 | $158.72 | $204.00 | $43.68 – $178.36 | 11 |
| 5' nucleotidase - sendout CPT 83915 | $9.61 | $12.35 | $6.43 – $12.11 | 12 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $204.62 | $263.00 | $23.28 – $95.06 | 12 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $3,955.32 – $12,505.77 | 3 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $9.34 | $12.00 | $6.24 – $12.00 | 12 |
| Abd aorta w/runoff s&i CPT 75630 | $5,541.70 | $7,123.00 | $452.88 – $6,980.54 | 12 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $981.20 – $3,102.34 | 3 |
| Abd/low ext cath 1st CPT 36245 | $926.60 | $1,191.00 | $285.84 – $1,191.00 | 12 |
| Abd/low ext cath 2nd CPT 36246 | $683.09 | $878.00 | $210.72 – $878.00 | 12 |
| Abd/low ext cath 3rd CPT 36247 | $813.01 | $1,045.00 | $250.80 – $1,045.00 | 12 |
| Abd/low ext cath addl CPT 36248 | $478.47 | $615.00 | $90.07 – $602.70 | 12 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $3,780.31 | $4,859.00 | $494.58 – $4,761.82 | 12 |
| Abdominal CT scan (with contrast) CPT 74160 | $3,287.83 | $4,226.00 | $494.58 – $4,141.48 | 12 |
| Abdominal CT scan (without contrast) CPT 74150 | $2,137.17 | $2,747.00 | $417.72 – $2,692.06 | 12 |
| Abdominal MRI (with and without contrast) CPT 74183 | $4,241.66 | $5,452.00 | $453.59 – $5,342.96 | 12 |
| Abdominal MRI (with contrast) CPT 74182 | $3,690.06 | $4,743.00 | $406.94 – $4,648.14 | 12 |
| Abdominal MRI (without contrast) CPT 74181 | $2,544.84 | $3,271.00 | $608.08 – $3,205.58 | 12 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,401.96 | $1,802.00 | $122.20 – $1,765.96 | 12 |
| Abdominal Ultrasound (complete) CPT 76700 | $662.86 | $852.00 | $162.30 – $834.96 | 12 |
| Abdominal Ultrasound (limited) CPT 76705 | $2,349.56 | $3,020.00 | $118.50 – $641.90 | 12 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $869.03 | $1,117.00 | $79.66 – $1,094.66 | 12 |
| Abl1 gene CPT 81170 | $507.41 | $652.19 | $240.00 – $639.15 | 12 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,585.56 – $5,012.38 | 3 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $2,277.03 – $7,199.19 | 3 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $706.83 – $2,234.84 | 3 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $2,165.98 – $6,848.61 | 3 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $6,861.96 | $8,820.00 | $466.33 – $8,643.60 | 12 |
| Ablate bone tumor(s) perq CPT 20982 | $16,496.72 | $21,204.00 | $5,002.26 – $20,779.92 | 12 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $159.79 – $505.21 | 3 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $111.83 – $353.61 | 3 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $7,831.74 – $24,760.95 | 3 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $3,522.14 – $11,135.80 | 3 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $567.09 – $1,793.01 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $539.94 | $694.00 | $131.46 – $680.12 | 11 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $1,139.24 – $3,602.02 | 3 |
| Abortion CPT 59850 | not published | not published | $457.12 – $2,023.45 | 3 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $20.33 – $64.27 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $125.65 – $397.28 | 3 |
| Abscess drain retroperitoneal surg code CPT 49406 | $7,262.63 | $9,335.00 | $409.12 – $9,148.30 | 12 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $146.73 – $462.64 | 3 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $329.00 – $1,040.22 | 3 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $271.53 | $349.00 | $23.52 – $180.32 | 12 |
| Acetone qualitative CPT 82009 | $52.13 | $67.00 | $2.36 – $4.52 | 12 |
| Acetylcholine receptor modulating antibody CPT 86043 | $17.90 | $23.00 | $5.52 – $22.54 | 11 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $1,906.10 | $2,450.00 | $0.45 – $304.78 | 12 |
| Acne surgery 10040 CPT 10040 | not published | not published | $93.69 – $296.25 | 3 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $699.39 – $2,211.32 | 3 |
| Acute hepatitis panel CPT 80074 | $25.68 | $33.00 | $17.16 – $33.00 | 12 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $294.09 | $378.00 | $0.04 – $0.98 | 12 |
| #acylcarnitineprfl CPT 82017 | $58.35 | $75.00 | $14.99 – $73.50 | 12 |
| Adapter b 8 channel 10cm HCPCS C1883 | $6,118.20 | $7,864.00 | $124.08 – $552.72 | 12 |
| Adding walker to prev cast CPT 29440 | not published | not published | $98.76 – $312.28 | 3 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $235.74 | $303.00 | $0.39 – $59.78 | 12 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,383.84 – $4,375.40 | 3 |
| Adh-sendout CPT 84588 | $35.01 | $45.00 | $23.40 – $44.10 | 12 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $549.07 – $1,736.02 | 3 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $822.88 – $2,601.75 | 3 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $651.97 | $838.00 | $4.86 – $59.78 | 12 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $2,265.54 | $2,912.00 | $38.88 – $2,853.76 | 12 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $477.70 | $614.00 | $38.88 – $601.72 | 12 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,262.70 | $1,623.00 | $24.43 – $1,590.54 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $332.21 | $427.00 | $14.50 – $345.94 | 12 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $332.21 | $427.00 | $14.50 – $345.94 | 12 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Aep hearing status deter i&r CPT 92651 | $424.01 | $545.00 | $109.64 – $534.10 | 12 |
| _afb id by dna probe rflx ast CPT 87149 | $97.25 | $125.00 | $8.45 – $16.24 | 12 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $116.56 | $149.82 | $54.22 – $104.26 | 12 |
| After cataract laser surgery CPT 66821 | not published | not published | $363.13 – $1,148.16 | 3 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $82.08 – $259.48 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $466.80 | $600.00 | $51.16 – $588.00 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $39.68 | $51.00 | $2.83 – $7.00 | 12 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $5,446.00 | $7,000.00 | $53.08 – $379.26 | 12 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $16.34 | $21.00 | $2.34 – $4.50 | 12 |
| Albumin serum plasma or whole blood CPT 82040 | $87.92 | $113.00 | $3.90 – $7.35 | 12 |
| Alkaline phosphatase CPT 84075 | $106.59 | $137.00 | $2.60 – $5.00 | 12 |
| Allergen alpha lactalbumin ige CPT 86008 | $28.79 | $37.00 | $0.98 – $1.87 | 12 |
| Allergen egg white ige CPT 86003 | $44.35 | $57.00 | $2.29 – $4.40 | 12 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $6.21 | $7.97 | $2.97 – $5.70 | 11 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $816.65 – $2,582.24 | 3 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | $7,955.83 | $10,226.00 | $2,454.24 – $10,021.48 | 12 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $13,450.85 | $17,289.00 | $507.12 – $2,070.74 | 12 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $13,450.85 | $17,289.00 | $1,116.00 – $4,557.00 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $22,736.28 | $29,224.00 | $30.59 – $7,706.72 | 12 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $29,558.56 | $37,993.00 | $151.60 – $2,695.00 | 12 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $7,955.83 | $10,226.00 | $95.72 – $10,021.48 | 12 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $4,704.57 | $6,047.00 | $464.86 – $2,070.74 | 12 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $77.03 | $99.00 | $51.48 – $97.02 | 12 |
| Alpha-fetoprotein tumor marker CPT 82105 | $6.23 | $8.00 | $4.16 – $8.00 | 12 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $5,770.43 | $7,417.00 | $91.46 – $599.76 | 12 |
| Alt/sgpt CPT 84460 | $101.14 | $130.00 | $2.76 – $5.30 | 12 |
| Aluminum - quest CPT 82108 | $9.39 | $12.06 | $6.28 – $12.06 | 12 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $374.03 – $1,182.58 | 3 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $327.54 | $421.00 | $101.04 – $412.58 | 12 |
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.