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 |
|---|---|---|---|---|
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $507.67 – $1,605.14 | 3 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $271.63 – $858.82 | 3 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $371.13 – $1,173.45 | 3 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $380.58 – $1,203.30 | 3 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $904.94 – $2,861.24 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $987.02 – $3,120.72 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $1,186.15 – $3,750.34 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $904.94 – $2,861.24 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $144.53 – $456.98 | 3 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $125.65 – $397.28 | 3 |
| Drop lock knee HCPCS L2182 | $256.74 | $330.00 | $79.20 – $323.40 | 12 |
| Drop lock retainer each HCPCS L2785 | $114.37 | $147.00 | $21.75 – $144.06 | 12 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,262.70 | $1,623.00 | $274.12 – $1,221.08 | 12 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $6,118.20 | $7,864.00 | $9.11 – $720.30 | 12 |
| Drug assay caffeine CPT 80155 | $27.56 | $35.42 | $15.40 – $35.42 | 12 |
| Drug assay posaconazole CPT 80187 | $44.35 | $57.00 | $21.69 – $55.86 | 12 |
| Drug assay vedolizumab CPT 80280 | $110.68 | $142.25 | $30.86 – $139.41 | 12 |
| Drug assay voriconazole CPT 80285 | $41.24 | $53.00 | $21.69 – $51.94 | 12 |
| Drug of abuse screen urine CPT 80305 | $9.81 | $12.60 | $6.56 – $12.60 | 12 |
| Drug test def 15-21 classes HCPCS G0482 | $77.80 | $100.00 | $20.80 – $40.00 | 12 |
| Drug test def 1-7 classes HCPCS G0480 | $332.67 | $427.59 | $7.80 – $14.99 | 12 |
| Drug test def 22+ classes HCPCS G0483 | $140.04 | $180.00 | $93.60 – $180.00 | 12 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $375.78 | $483.00 | $6.73 – $12.94 | 12 |
| Drvvt confirm - quest CPT 85597 | $83.40 | $107.19 | $15.98 – $105.05 | 12 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $965.95 – $1,579.85 | 3 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $2,979.74 | $3,830.00 | $510.00 – $3,753.40 | 12 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $243.30 – $769.26 | 3 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $199.72 – $631.47 | 3 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $260.74 – $824.40 | 3 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $338.44 – $1,070.07 | 3 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,067.72 – $6,537.63 | 3 |
| Duplex scan bilateral study 93985 CPT 93985 | $475.36 | $611.00 | $146.64 – $611.00 | 12 |
| Duplex scan unilateral study 93986 CPT 93986 | $228.74 | $294.00 | $70.56 – $294.00 | 12 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $508.82 | $654.00 | $139.97 – $640.92 | 12 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $457.47 | $588.00 | $141.12 – $588.00 | 12 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,182.56 | $1,520.00 | $181.44 – $1,489.60 | 12 |
| Dx bronchoscope/brush 31623 CPT 31623 | $1,529.55 | $1,966.00 | $412.53 – $1,926.68 | 12 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,529.55 | $1,966.00 | $416.16 – $1,926.68 | 12 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,203.30 | $2,832.00 | $321.75 – $2,775.36 | 12 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $61.40 – $193.72 | 3 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $87.75 – $276.96 | 3 |
| Dx gastr intub w/asp spec CPT 43754 | $689.31 | $886.00 | $37.22 – $868.28 | 12 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $67.28 – $212.94 | 3 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $197.55 – $624.63 | 3 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $187.84 – $851.91 | 3 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $71.90 – $227.35 | 3 |
| Ear cartilage graft CPT 21235 | not published | not published | $987.02 – $3,120.72 | 3 |
| Ear irrigation 69209 CPT 69209 | not published | not published | $15.69 – $49.62 | 3 |
| Ecg 12 lead tracing only CPT 93005 | $441.91 | $568.00 | $31.99 – $556.64 | 12 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $133.82 | $172.00 | $6.98 – $168.56 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $254.41 | $327.00 | $58.17 – $320.46 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $374.22 | $481.00 | $76.08 – $471.38 | 12 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $140.82 | $181.00 | $19.08 – $177.38 | 12 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $140.82 | $181.00 | $19.08 – $177.38 | 12 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,773.07 | $2,279.00 | $326.07 – $2,233.42 | 12 |
| Echocardiography doppler color flow mapping CPT 93325 | $276.97 | $356.00 | $84.48 – $352.00 | 12 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,720.16 | $2,211.00 | $530.64 – $2,166.78 | 11 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $438.02 | $563.00 | $133.68 – $545.86 | 12 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $781.12 | $1,004.00 | $240.96 – $983.92 | 11 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $182.06 | $234.00 | $55.44 – $231.00 | 12 |
| Echo exam of fetal heart CPT 76825 | $828.57 | $1,065.00 | $158.94 – $1,043.70 | 12 |
| Echo exam of fetal heart CPT 76826 | $394.45 | $507.00 | $116.17 – $496.86 | 12 |
| Echo exam of fetal heart CPT 76827 | $186.72 | $240.00 | $57.60 – $240.00 | 12 |
| Echo exam of fetal heart CPT 76828 | $186.72 | $240.00 | $57.60 – $235.20 | 12 |
| Echo stress CPT 93350 | $753.11 | $968.00 | $187.50 – $948.64 | 12 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,803.41 | $2,318.00 | $292.80 – $1,195.60 | 12 |
| Echo transthoracic CPT 93303 | $1,078.31 | $1,386.00 | $297.79 – $1,358.28 | 12 |
| Echo transthoracic CPT 93304 | $753.11 | $968.00 | $162.85 – $948.64 | 12 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,022.30 | $1,314.00 | $292.81 – $1,287.72 | 12 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | not published | not published | $222.28 – $702.79 | 3 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $4,563.75 | $5,866.00 | $228.36 – $5,748.68 | 12 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | not published | not published | $318.48 – $1,006.97 | 3 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | not published | not published | $288.61 – $912.50 | 3 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $831.90 – $2,630.27 | 3 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $781.77 – $2,471.77 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $459.24 – $1,452.02 | 3 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $411.14 – $1,299.93 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $446.08 – $1,410.40 | 3 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $399.49 – $1,263.08 | 3 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $513.41 – $1,623.29 | 3 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $483.55 – $1,528.87 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $272.91 – $862.88 | 3 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $184.81 – $584.33 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $265.32 – $838.89 | 3 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $220.25 – $696.39 | 3 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $477.97 – $1,511.24 | 3 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $468.86 – $1,482.43 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $234.94 – $742.83 | 3 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $184.31 – $582.74 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $218.73 – $691.57 | 3 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $177.72 – $561.92 | 3 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $290.86 – $918.91 | 3 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $130.71 | $168.00 | $36.26 – $164.64 | 12 |
| Eeg during surgery CPT 95955 | $1,212.13 | $1,558.00 | $216.85 – $1,526.84 | 12 |
| E equine encephalitis igg CPT 86652 | $13.50 | $17.34 | $8.57 – $16.16 | 12 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $273.92 – $866.06 | 3 |
| Egd control bleeding any CPT 43255 | not published | not published | $561.42 – $1,775.07 | 3 |
| Egd dilate stricture CPT 43245 | not published | not published | $472.08 – $1,492.64 | 3 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $329.12 – $1,040.60 | 3 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $272.41 – $861.29 | 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.