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 |
|---|---|---|---|---|
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $93.69 – $296.25 | 3 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $111.11 – $351.32 | 3 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $132.18 – $417.94 | 3 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $73.34 – $231.91 | 3 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $85.69 – $270.96 | 3 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $118.37 – $374.27 | 3 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $134.37 – $424.85 | 3 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $2,043.81 | $2,627.00 | $271.16 – $2,574.46 | 12 |
| Destroy cth facet jnt addl 64634 CPT 64634 | not published | not published | $80.17 – $252.93 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $143.29 – $453.05 | 3 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $94.93 – $429.41 | 3 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $239.21 – $756.31 | 3 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $156.18 – $493.80 | 3 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $160.51 – $727.94 | 3 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $616.61 – $1,949.56 | 3 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $361.69 – $1,143.59 | 3 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,338.53 – $4,232.12 | 3 |
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $23.91 – $47.93 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $183.75 – $580.96 | 3 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $460.47 – $1,455.88 | 3 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $177.93 – $562.58 | 3 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $135.70 – $615.44 | 3 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $191.75 – $606.24 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $69.78 – $220.93 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $265.66 – $840.48 | 3 |
| Destruction ciliary body CPT 66700 | not published | not published | $658.00 – $2,080.44 | 3 |
| Destruction ciliary body CPT 66720 | not published | not published | $493.86 – $1,561.47 | 3 |
| Destruction ciliary body CPT 66740 | not published | not published | $871.53 – $2,755.58 | 3 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $173.58 – $548.82 | 3 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $209.89 – $663.61 | 3 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $275.97 – $872.58 | 3 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $156.14 – $493.68 | 3 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $196.10 – $620.00 | 3 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $146.70 – $463.83 | 3 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $176.49 – $558.01 | 3 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $118.37 – $374.27 | 3 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $358.33 – $1,132.99 | 3 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $323.19 – $890.96 | 3 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $860.65 – $2,721.16 | 3 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $181.87 – $575.04 | 3 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $114.66 – $362.55 | 3 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $247.66 – $783.02 | 3 |
| Device ablt adv novasure HCPCS C1886 | $13,450.85 | $17,289.00 | $1,116.00 – $4,557.00 | 12 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,704.57 | $6,047.00 | $1,116.00 – $4,557.00 | 12 |
| Device sut capio slim opn HCPCS C2631 | $3,617.70 | $4,650.00 | $464.86 – $2,070.74 | 12 |
| Device tiss remov myosure reach HCPCS C1782 | $4,704.57 | $6,047.00 | $507.12 – $2,070.74 | 11 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,866.53 – $5,901.53 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $142.38 | $183.00 | $0.96 – $3.92 | 11 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $47.46 | $61.00 | $4.55 – $59.78 | 12 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $70.80 | $91.00 | $1.25 – $87.22 | 12 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $706.43 | $908.00 | $1.82 – $87.22 | 12 |
| Dextrose 5 % IV bolus HCPCS J7070 | $69.25 | $89.00 | $3.64 – $87.22 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $4.67 | $6.00 | $3.12 – $6.00 | 12 |
| Diabetes (HbA1c) Test CPT 83036 | $229.51 | $295.00 | $2.60 – $5.00 | 12 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $350.78 – $1,109.12 | 3 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $456.84 – $1,444.40 | 3 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $142.88 – $142.88 | 1 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $189.57 – $189.57 | 1 |
| Diagnostic anoscopy spx 46600 CPT 46600 | not published | not published | $42.85 – $135.51 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $115.49 – $365.14 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $150.35 – $475.36 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $546.94 | $703.00 | $168.72 – $688.94 | 12 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $1,058.86 | $1,361.00 | $326.64 – $1,361.00 | 12 |
| Dialysis one evaluation CPT 90945 | $4,301.57 | $5,529.00 | $140.77 – $5,418.42 | 12 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $165.72 | $213.00 | $0.08 – $43.12 | 12 |
| Dicyclomine injection HCPCS J0500 | $549.27 | $706.00 | $17.32 – $118.58 | 12 |
| Diffusing capacity CPT 94729 | $468.36 | $602.00 | $65.55 – $589.96 | 12 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $156.88 – $496.02 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $858.92 | $1,104.00 | $9.34 – $59.78 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $5,446.00 | $7,000.00 | $1,680.00 – $6,860.00 | 12 |
| Digoxin total therapeutic drug level CPT 80162 | $179.72 | $231.00 | $6.91 – $13.28 | 12 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $5,446.00 | $7,000.00 | $58.80 – $240.10 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $638.48 – $2,018.72 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $196.10 – $620.00 | 3 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $90.79 – $287.05 | 3 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $1,551.34 | $1,994.00 | $478.56 – $1,954.12 | 11 |
| Dilate ic vasospasm init CPT 61640 | $3,103.45 | $3,989.00 | $611.50 – $3,909.22 | 11 |
| Dilate tear duct opening CPT 68801 | not published | not published | $266.53 – $842.72 | 3 |
| Dilate urethra stricture CPT 53600 | not published | not published | $169.95 – $537.35 | 3 |
| Dilate urethra stricture CPT 53601 | not published | not published | $160.51 – $507.50 | 3 |
| Dilate urethra stricture CPT 53605 | not published | not published | $57.38 – $181.40 | 3 |
| Dilate urethra stricture CPT 53621 | not published | not published | $238.20 – $753.16 | 3 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $145.98 – $461.55 | 3 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $294.14 – $930.00 | 3 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $67.22 – $212.55 | 3 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $206.26 – $652.13 | 3 |
| Dilation of salivary duct CPT 42660 | not published | not published | $76.26 – $241.10 | 3 |
| Dilation of urethra CPT 53661 | not published | not published | $148.16 – $468.45 | 3 |
| Dilation of urethra CPT 53665 | not published | not published | $34.14 – $107.94 | 3 |
| Dilation of vagina CPT 57400 | not published | not published | $117.63 – $371.93 | 3 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $58.83 – $186.02 | 3 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $247.66 – $783.02 | 3 |
| Dilator fascial 10fx20cm HCPCS C2627 | $969.39 | $1,246.00 | $14.08 – $62.72 | 12 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $291.75 – $565.11 | 3 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $326.84 – $941.31 | 3 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $47.46 | $61.00 | $5.12 – $59.78 | 12 |
| Dipyridamole injection HCPCS J1245 | $71.58 | $92.00 | $9.12 – $37.24 | 11 |
| Disability dlco CPT 94727 | $414.68 | $533.00 | $51.16 – $522.34 | 12 |
| Disaccharidases CPT 82657 | $260.63 | $335.00 | $17.74 – $60.59 | 12 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $658.00 – $2,080.44 | 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.