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 |
|---|---|---|---|---|
| CT guid parench tis ablat CPT 77013 | $1,011.40 | $1,300.00 | $218.72 – $1,274.00 | 12 |
| CT neck soft tissue w/contrast CPT 70491 | $1,781.62 | $2,290.00 | $448.99 – $2,244.20 | 12 |
| CT neck soft tissue without contrast CPT 70490 | $1,478.98 | $1,901.00 | $413.59 – $1,862.98 | 12 |
| CT neck soft tissue without & w/contrast CPT 70492 | $2,120.05 | $2,725.00 | $448.99 – $2,670.50 | 12 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,782.40 | $2,291.00 | $448.99 – $2,245.18 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,616.69 | $2,078.00 | $448.99 – $2,036.44 | 12 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,381.73 | $1,776.00 | $413.59 – $1,740.48 | 12 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $231.68 – $732.50 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $5,225.05 | $6,716.00 | $434.17 – $6,581.68 | 12 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $4,504.62 | $5,790.00 | $383.25 – $5,674.20 | 12 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,972.74 | $3,821.00 | $237.06 – $3,744.58 | 12 |
| CT thoracic spine w/contrast CPT 72129 | $3,090.22 | $3,972.00 | $494.58 – $3,892.56 | 12 |
| CT thoracic spine without contrast CPT 72128 | $1,568.45 | $2,016.00 | $397.02 – $1,975.68 | 12 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $297.20 | $382.00 | $91.68 – $382.00 | 12 |
| CT t-spine w /wo contrast CPT 72130 | $3,482.33 | $4,476.00 | $494.58 – $4,386.48 | 12 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $749.88 – $2,370.93 | 3 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $750.88 – $2,374.12 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $63.02 | $81.00 | $6.65 – $40.32 | 12 |
| Culture afb any source CPT 87116 | $147.82 | $190.00 | $9.12 – $24.50 | 12 |
| Culture anaerobic additional method definitive id each CPT 87076 | $43.48 | $55.88 | $7.18 – $24.50 | 12 |
| Culture anaerobic except blood CPT 87075 | $141.60 | $182.00 | $8.42 – $34.61 | 12 |
| Culture bact stool aero addl path ea CPT 87046 | $15.56 | $20.00 | $2.61 – $13.07 | 12 |
| Culture body fluid CPT 87070 | $195.28 | $251.00 | $3.91 – $7.51 | 12 |
| Culture fungi definitive id mold CPT 87107 | $29.57 | $38.00 | $9.18 – $21.56 | 12 |
| Culture fungi definitive id yeast CPT 87106 | $86.36 | $111.00 | $8.12 – $21.56 | 12 |
| Culture fungi other (except blood) CPT 87102 | $24.12 | $31.00 | $7.44 – $16.49 | 12 |
| Culture fungi skin/hair/nail CPT 87101 | $21.79 | $28.00 | $6.85 – $14.70 | 12 |
| Culture mycoplasma any source CPT 87109 | $28.01 | $36.00 | $13.68 – $35.28 | 12 |
| Culture quantitative aerobic other source CPT 87071 | $131.49 | $169.00 | $5.22 – $34.30 | 12 |
| Culture screening strep group a CPT 87081 | $69.25 | $89.00 | $2.96 – $5.68 | 12 |
| Culture typing immunologic CPT 87147 | $59.13 | $76.00 | $2.04 – $3.91 | 12 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $534.49 | $687.00 | $110.40 – $450.80 | 11 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $132.48 | $170.28 | $23.05 – $166.88 | 12 |
| Curette/treat cornea CPT 65435 | not published | not published | $82.08 – $259.48 | 3 |
| Curette/treat cornea CPT 65436 | not published | not published | $318.84 – $1,008.08 | 3 |
| Cutter lead HCPCS C1773 | $7,955.83 | $10,226.00 | $210.32 – $936.88 | 12 |
| Cv line/pic reposition CPT 36597 | $1,289.93 | $1,658.00 | $60.76 – $1,624.84 | 12 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $1,633.80 | $2,100.00 | $5.13 – $59.78 | 12 |
| Cyclic citrullinated peptide antibody CPT 86200 | $85.58 | $110.00 | $3.12 – $6.00 | 12 |
| Cyclosporine 2 hour CPT 80158 | $11.67 | $15.00 | $7.80 – $15.00 | 12 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $10.90 | $14.00 | $2.16 – $8.82 | 11 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $35,084.69 | $45,096.00 | $464.86 – $2,070.74 | 12 |
| Cyp2c19 gene com variants CPT 81225 | $69.62 | $89.48 | $46.53 – $89.48 | 12 |
| Cyp2c9 gene com variants CPT 81227 | $69.62 | $89.48 | $34.67 – $66.66 | 12 |
| Cyp2d6 gene com variants CPT 81226 | $69.62 | $89.48 | $46.53 – $89.48 | 12 |
| Cyp3a4 gene common variants CPT 81230 | $69.62 | $89.48 | $46.53 – $89.48 | 11 |
| Cyp3a5 gene common variants CPT 81231 | $69.62 | $89.48 | $46.53 – $89.48 | 11 |
| Cystatin c CPT 82610 | $7.78 | $10.00 | $5.20 – $10.00 | 12 |
| Cystic fibrosis cftr CPT 81223 | $492.74 | $633.33 | $329.34 – $633.33 | 12 |
| Cystine urine quantitative CPT 82131 | $46.59 | $59.88 | $18.36 – $40.32 | 12 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $685.56 – $2,167.59 | 3 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $565.61 | $727.00 | $74.31 – $712.46 | 12 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $356.46 – $1,127.03 | 3 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $1,465.62 – $4,633.96 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $672.40 – $3,049.48 | 3 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $435.77 – $1,377.79 | 3 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $323.92 – $1,024.18 | 3 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $299.95 – $948.38 | 3 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $493.86 – $1,561.47 | 3 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $871.53 – $2,755.58 | 3 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $1,307.30 – $4,133.37 | 3 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $246.94 – $780.74 | 3 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $214.25 – $677.42 | 3 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $743.72 – $2,351.46 | 3 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $477.16 – $1,508.67 | 3 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $333.36 – $1,054.04 | 3 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $336.26 – $1,063.16 | 3 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $329.00 – $1,040.22 | 3 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $443.77 – $1,403.08 | 3 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $457.56 – $1,446.69 | 3 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $443.02 – $1,400.73 | 3 |
| Cystoscopy and treatment CPT 52310 | not published | not published | $575.21 – $1,818.67 | 3 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $716.67 – $2,265.91 | 3 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $508.40 – $1,607.42 | 3 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $818.52 – $2,587.94 | 3 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,236.25 | $1,589.00 | $169.22 – $1,557.22 | 12 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $186.84 – $590.73 | 3 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $296.33 – $936.91 | 3 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $641.29 – $2,027.64 | 3 |
| Cystoscopy inject material CPT 52327 | not published | not published | $300.25 – $949.31 | 3 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $150.38 – $475.45 | 3 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $329.00 – $1,040.22 | 3 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $386.38 – $1,221.62 | 3 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Cystoscopy & ureter catheter CPT 52005 | not published | not published | $296.33 – $936.91 | 3 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $871.53 – $2,755.58 | 3 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $1,053.12 – $3,329.69 | 3 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $1,248.47 – $3,947.35 | 3 |
| Cystouretero & or pyeloscope CPT 52351 | not published | not published | $354.43 – $1,120.62 | 3 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $489.61 – $1,548.04 | 3 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $444.56 – $1,405.58 | 3 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $534.68 – $1,690.55 | 3 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $481.52 – $1,522.46 | 3 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $482.02 – $1,524.05 | 3 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $587.34 – $1,857.04 | 3 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $416.70 – $1,317.52 | 3 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $522.02 – $1,650.51 | 3 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $237.70 – $750.82 | 3 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | not published | not published | $246.94 – $780.74 | 3 |
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.