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 |
|---|---|---|---|---|
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $266.53 – $842.72 | 3 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $1,195.94 – $3,781.29 | 3 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,546.32 – $4,889.10 | 3 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $458.22 – $1,448.80 | 3 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $413.67 – $1,307.93 | 3 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $382.28 – $1,208.69 | 3 |
| Cytogenetics 25-99 CPT 88274 | $41.62 | $53.49 | $27.82 – $52.43 | 12 |
| Cytogenomic neo microra alys CPT 81277 | $1,128.10 | $1,450.00 | $754.00 – $1,421.00 | 12 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $40.85 | $52.50 | $4.55 – $8.74 | 12 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $7.78 | $10.00 | $5.03 – $9.66 | 12 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $27.53 | $35.38 | $18.00 – $34.68 | 12 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $318.98 | $410.00 | $28.92 – $173.46 | 12 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $221.73 | $285.00 | $25.82 – $126.42 | 12 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $188.28 | $242.00 | $28.29 – $237.16 | 12 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $220.18 | $283.00 | $50.16 – $204.82 | 12 |
| Cytopath smear other source CPT 88160 | $87.92 | $113.00 | $25.68 – $104.86 | 12 |
| Cytopath smear oth prep screen & interp CPT 88161 | $145.49 | $187.00 | $20.66 – $183.26 | 12 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $2,912.06 | $3,743.00 | $0.03 – $158.76 | 12 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $1,265.03 | $1,626.00 | $7.38 – $1,593.48 | 12 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $395.38 – $1,250.11 | 3 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $434.93 – $1,375.14 | 3 |
| Dch validity tests CPT 81002 | $31.12 | $40.00 | $2.15 – $12.74 | 12 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $2,138.87 – $6,762.63 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $395.09 – $1,249.19 | 3 |
| D&c of cervical stump CPT 57558 | not published | not published | $275.64 – $871.52 | 3 |
| Deamidated gliadin antibody iga CPT 86258 | $7.56 | $9.71 | $2.16 – $8.82 | 11 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $579.71 – $1,833.00 | 3 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | not published | not published | $38.49 – $121.69 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $153.27 | $197.00 | $47.28 – $197.00 | 12 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,690.06 | $4,743.00 | $395.09 – $4,648.14 | 12 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $708.76 | $911.00 | $42.53 – $892.78 | 12 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,844.64 | $2,371.00 | $73.93 – $2,323.58 | 12 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $798.23 | $1,026.00 | $141.26 – $1,005.48 | 12 |
| Debride nail1-5 11720 CPT 11720 | not published | not published | $38.49 – $121.69 | 3 |
| Debride nail6 or more 11721 CPT 11721 | not published | not published | $64.63 – $204.34 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $551.25 – $1,742.93 | 3 |
| Debride skin bone at fx site CPT 11012 | not published | not published | $750.98 – $2,374.40 | 3 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $461.20 – $1,458.43 | 3 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $617.33 – $1,951.47 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $459.02 | $590.00 | $19.86 – $578.20 | 12 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | not published | not published | $82.08 – $259.48 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | not published | not published | $439.39 – $1,389.26 | 3 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $20.33 – $64.27 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,429.97 | $1,838.00 | $305.77 – $1,801.24 | 12 |
| Decalcification CPT 88311 | $49.80 | $64.00 | $7.90 – $46.06 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $525.15 | $675.00 | $45.57 – $333.20 | 12 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $575.93 – $1,820.96 | 3 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $971.76 – $3,072.49 | 3 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,267.34 – $4,007.04 | 3 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $605.72 – $1,915.14 | 3 |
| Decompress fingers/hand CPT 26035 | not published | not published | $1,596.37 – $5,047.33 | 3 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $947.06 – $2,994.40 | 3 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $786.32 – $2,486.17 | 3 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,132.27 – $3,579.98 | 3 |
| Decompression of leg CPT 27892 | not published | not published | $505.48 – $1,598.23 | 3 |
| Decompression of leg CPT 27893 | not published | not published | $493.86 – $1,561.47 | 3 |
| Decompression of leg CPT 27894 | not published | not published | $658.00 – $2,080.44 | 3 |
| Decompression of lower leg CPT 27600 | not published | not published | $451.02 – $1,426.02 | 3 |
| Decompression of lower leg CPT 27601 | not published | not published | $846.11 – $2,675.21 | 3 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $499.68 – $1,579.85 | 3 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $610.07 – $1,928.89 | 3 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $695.76 – $2,199.85 | 3 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $801.82 – $2,535.14 | 3 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $724.09 – $2,289.41 | 3 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $458.40 – $458.40 | 1 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,247.08 – $3,942.97 | 3 |
| Decompress optic nerve CPT 67570 | not published | not published | $979.74 – $3,097.71 | 3 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,794.93 – $8,140.42 | 3 |
| Decompress small bowel CPT 44021 | not published | not published | $1,175.11 – $3,715.43 | 3 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $2,216.60 – $7,008.36 | 3 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $2,632.04 – $8,321.88 | 3 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $591.18 – $1,869.19 | 3 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $212.79 – $672.80 | 3 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $175.83 | $226.00 | $12.67 – $59.78 | 12 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $987.02 – $3,120.72 | 3 |
| Delay flap arms/legs CPT 15610 | not published | not published | $363.13 – $1,148.16 | 3 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $493.86 – $1,561.47 | 3 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $493.86 – $1,561.47 | 3 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $329.00 – $1,040.22 | 3 |
| Delivery of placenta 59414 CPT 59414 | $1,764.51 | $2,268.00 | $173.44 – $2,222.64 | 12 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $1,062.64 – $3,359.79 | 3 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $792.24 – $2,503.80 | 3 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $231.85 | $298.00 | $16.78 – $292.04 | 12 |
| Denervation of hip joint CPT 27035 | not published | not published | $1,398.09 – $4,420.42 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $5,446.00 | $7,000.00 | $32.27 – $6,860.00 | 12 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $97.32 – $307.72 | 3 |
| Dermabrasion other than face CPT 15782 | not published | not published | $329.00 – $1,040.22 | 3 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $329.00 – $1,040.22 | 3 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $294.14 – $930.00 | 3 |
| Dermabrasion total face CPT 15780 | not published | not published | $885.32 – $2,799.19 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $871.53 – $2,755.58 | 3 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $908.86 – $2,873.60 | 3 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $757.97 – $2,396.52 | 3 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $2,032.40 – $6,425.96 | 3 |
| Design custom breast implant CPT 19396 | not published | not published | $419.79 – $1,327.27 | 3 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $4,632.99 | $5,955.00 | $336.00 – $1,372.00 | 11 |
| Desoxycorticosterone CPT 82633 | $118.42 | $152.20 | $14.53 – $27.94 | 12 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $475.95 – $1,504.83 | 3 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,747.84 – $5,526.27 | 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.