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 |
|---|---|---|---|---|
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $259.75 – $821.26 | 3 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $701.58 – $2,218.23 | 3 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $671.09 – $2,121.83 | 3 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,152.46 | $4,052.00 | $72.33 – $3,970.96 | 12 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $2,884.05 | $3,707.00 | $11.53 – $908.46 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $5.26 | $6.75 | $3.12 – $6.00 | 12 |
| Epstein barr nuclear antigen antibody CPT 86664 | $6.23 | $8.00 | $3.51 – $6.75 | 12 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $6.23 | $8.00 | $2.60 – $5.00 | 12 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $622.42 – $1,783.38 | 3 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $467.85 – $1,479.24 | 3 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $532.15 – $1,682.55 | 3 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $748.79 – $2,367.49 | 3 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $507.67 – $1,471.20 | 3 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $520.74 – $1,646.46 | 3 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $586.84 – $1,855.45 | 3 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $602.81 – $1,905.95 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $907.15 | $1,166.00 | $13.64 – $448.84 | 12 |
| ER Visit (level 1, minor) CPT 99281 | $609.18 | $783.00 | $29.61 – $767.34 | 12 |
| ER Visit (level 2) CPT 99282 | $1,162.34 | $1,494.00 | $47.56 – $1,464.12 | 12 |
| ER Visit (level 3) CPT 99283 | $1,715.49 | $2,205.00 | $87.00 – $2,160.90 | 12 |
| ER Visit (level 4) CPT 99284 | $3,763.97 | $4,838.00 | $133.33 – $4,741.24 | 12 |
| ER Visit (level 5, high severity) CPT 99285 | $5,534.70 | $7,114.00 | $210.84 – $5,019.56 | 12 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $100.76 – $318.59 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | $2,517,219.00 | $3,235,500.00 | $14.64 – $59.78 | 11 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $152.33 – $481.86 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,992.39 – $9,461.25 | 3 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $233.87 – $730.01 | 3 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $111.90 – $353.80 | 3 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $287.08 – $907.69 | 3 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $224.81 – $710.79 | 3 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $270.38 – $854.88 | 3 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $348.61 – $1,102.21 | 3 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $336.26 – $1,063.16 | 3 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $353.70 – $1,118.31 | 3 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $345.70 – $1,040.22 | 3 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $153.74 – $345.70 | 3 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $435.77 – $1,377.79 | 3 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $355.88 – $770.04 | 3 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $386.38 – $1,221.62 | 3 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $318.48 – $1,006.97 | 3 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $213.17 – $673.98 | 3 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $150.38 – $475.45 | 3 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $660.76 – $2,089.16 | 3 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $277.44 – $877.20 | 3 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $314.43 – $994.16 | 3 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $232.41 – $734.83 | 3 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $212.66 – $672.39 | 3 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $178.73 – $565.11 | 3 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $190.89 – $603.55 | 3 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $345.70 – $1,093.02 | 3 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $435.05 – $1,375.51 | 3 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $348.61 – $1,102.21 | 3 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $927.66 – $2,932.82 | 3 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $1,344.43 – $4,250.38 | 3 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $544.72 – $1,722.27 | 3 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $284.81 – $901.28 | 3 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $4,137.46 – $13,080.86 | 3 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $4,328.17 – $13,684.41 | 3 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $3,634.21 – $11,489.60 | 3 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $3,391.72 – $10,723.79 | 3 |
| Essure 58565 CPT 58565 | not published | not published | $1,003.35 – $3,172.37 | 3 |
| Establish access to aorta CPT 36160 | not published | not published | $217.89 – $688.89 | 3 |
| Establish access to artery CPT 36100 | not published | not published | $363.13 – $1,148.16 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Established Patient Office Visit (level 1) CPT 99211 | $126.04 | $162.00 | $7.44 – $31.00 | 12 |
| Established Patient Office Visit (level 2) CPT 99212 | $80.92 | $104.00 | $24.96 – $104.00 | 12 |
| Established Patient Office Visit (level 3) CPT 99213 | $115.93 | $149.00 | $35.76 – $149.00 | 12 |
| Established Patient Office Visit (level 4) CPT 99214 | $2,289.66 | $2,943.00 | $73.15 – $2,884.14 | 12 |
| Established Patient Office Visit (level 5) CPT 99215 | $210.06 | $270.00 | $64.80 – $270.00 | 12 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $251.25 – $251.25 | 1 |
| Estradiol total CPT 82670 | $53.63 | $68.93 | $4.68 – $9.00 | 12 |
| Estrogens total-sendout CPT 82672 | $113.59 | $146.00 | $11.95 – $22.53 | 12 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,069.08 – $3,380.21 | 3 |
| Ethylene glycol -sendout CPT 82693 | $139.24 | $178.97 | $13.25 – $31.09 | 12 |
| Euglobulin lysis CPT 85360 | $71.58 | $92.00 | $7.47 – $90.16 | 12 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $593.08 – $1,875.17 | 3 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $273.08 | $351.00 | $95.20 – $182.52 | 11 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $9,273.76 | $11,920.00 | $986.01 – $11,681.60 | 12 |
| Evasc prlng admn rx agnt add CPT 61651 | $9,273.76 | $11,920.00 | $418.20 – $11,681.60 | 12 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $1,420.36 – $4,490.49 | 3 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $1,401.36 – $4,429.65 | 3 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $2,092.63 – $6,614.86 | 3 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $2,610.44 – $8,252.60 | 3 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $505.99 – $1,599.30 | 3 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $1,571.11 – $4,965.94 | 3 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $2,613.13 – $8,260.60 | 3 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $1,305.40 – $4,127.10 | 3 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $2,098.09 – $6,632.49 | 3 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $424.01 | $545.00 | $34.92 – $534.10 | 12 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $185.31 – $586.09 | 3 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $146.30 – $462.53 | 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.