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 |
|---|---|---|---|---|
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $867.90 – $2,744.11 | 3 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $393.65 – $1,244.62 | 3 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $567.23 – $1,793.45 | 3 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $1,480.88 – $4,682.19 | 3 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $987.02 – $3,120.72 | 3 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $2,264.52 – $7,159.91 | 3 |
| Excise pharynx lesion CPT 42808 | not published | not published | $384.93 – $1,217.05 | 3 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $167.77 – $530.44 | 3 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $1,154.04 – $3,648.82 | 3 |
| Excise sublingual gland CPT 42450 | not published | not published | $452.46 – $1,430.59 | 3 |
| Excise submaxillary gland CPT 42440 | not published | not published | $792.36 – $2,505.29 | 3 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | not published | not published | $486.08 – $1,536.86 | 3 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $574.31 – $1,815.42 | 3 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $726.28 – $2,296.32 | 3 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $235.32 – $744.04 | 3 |
| Excision aural polyp CPT 69540 | not published | not published | $101.67 – $321.47 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | not published | not published | $145.26 – $459.26 | 3 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | not published | not published | $144.53 – $456.98 | 3 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | not published | not published | $140.16 – $443.17 | 3 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | not published | not published | $376.92 – $1,191.77 | 3 |
| Excision breast lesion CPT 19125 | not published | not published | $469.19 – $1,483.45 | 3 |
| Excision coa w/graft CPT 33845 | not published | not published | $2,730.80 – $8,634.16 | 3 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $348.61 – $1,102.21 | 3 |
| Excision graft abdomen CPT 35907 | not published | not published | $1,434.39 – $4,535.21 | 3 |
| Excision graft extremity CPT 35903 | not published | not published | $968.13 – $3,061.02 | 3 |
| Excision graft neck CPT 35901 | not published | not published | $895.51 – $2,831.38 | 3 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $1,393.71 – $4,406.61 | 3 |
| Excision gum each quadrant CPT 41820 | not published | not published | $367.83 – $367.83 | 1 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $1,382.11 – $4,369.91 | 3 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $290.51 – $918.53 | 3 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $538.90 – $1,703.89 | 3 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $132.91 – $420.22 | 3 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $185.93 – $587.86 | 3 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $1,581.83 – $5,001.38 | 3 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,873.06 – $5,922.19 | 3 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $2,367.66 – $7,486.00 | 3 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $1,196.19 – $3,782.05 | 3 |
| Excision of brain tumor CPT 61545 | not published | not published | $2,486.04 – $7,860.27 | 3 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $1,379.92 – $4,363.00 | 3 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Excision of gum flap CPT 41821 | not published | not published | $293.96 – $293.96 | 1 |
| Excision of gum lesion CPT 41822 | not published | not published | $311.58 – $985.14 | 3 |
| Excision of gum lesion CPT 41823 | not published | not published | $423.42 – $1,338.75 | 3 |
| Excision of gum lesion CPT 41826 | not published | not published | $305.77 – $966.76 | 3 |
| Excision of gum lesion CPT 41827 | not published | not published | $435.77 – $1,377.79 | 3 |
| Excision of gum lesion CPT 41828 | not published | not published | $385.66 – $1,219.34 | 3 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $217.89 – $688.89 | 3 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $1,083.61 – $3,426.09 | 3 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $395.09 – $1,249.19 | 3 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $822.88 – $2,601.75 | 3 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $493.86 – $1,561.47 | 3 |
| Excision of neck cyst CPT 42815 | not published | not published | $822.88 – $2,601.75 | 3 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $329.00 – $1,040.22 | 3 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $235.32 – $744.04 | 3 |
| Excision of rectal lesion CPT 45160 | not published | not published | $1,351.60 – $4,273.44 | 3 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Excision of rectal stricture CPT 45150 | not published | not published | $713.93 – $2,257.27 | 3 |
| Excision of salivary cyst CPT 42408 | not published | not published | $531.62 – $1,680.88 | 3 |
| Excision of skull/sutures CPT 61558 | not published | not published | $2,467.90 – $7,802.91 | 3 |
| Excision of skull/sutures CPT 61559 | not published | not published | $3,453.45 – $10,919.01 | 3 |
| Excision of skull tumor CPT 61563 | not published | not published | $1,584.02 – $5,008.29 | 3 |
| Excision of skull tumor CPT 61564 | not published | not published | $2,459.18 – $7,775.34 | 3 |
| Excision of stomach lesion CPT 43610 | not published | not published | $1,078.53 – $3,410.06 | 3 |
| Excision of stomach lesion CPT 43611 | not published | not published | $1,300.04 – $4,110.43 | 3 |
| Excision of tongue lesion CPT 41112 | not published | not published | $373.31 – $1,180.29 | 3 |
| Excision of tongue lesion CPT 41114 | not published | not published | $908.58 – $2,872.71 | 3 |
| Excision of tongue lesion w/closure 41113 CPT 41113 | not published | not published | $290.25 – $290.25 | 1 |
| Excision of tonsil tags CPT 42860 | not published | not published | $230.23 – $727.94 | 3 |
| Excision of uvula CPT 42140 | not published | not published | $158.33 – $500.59 | 3 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $316.38 – $1,000.07 | 3 |
| Excision olecranon bursa CPT 24105 | not published | not published | $395.09 – $1,249.19 | 3 |
| Excision perinephric cyst CPT 50290 | not published | not published | $1,418.41 – $4,484.69 | 3 |
| Excision radial head CPT 24130 | not published | not published | $658.00 – $2,080.44 | 3 |
| Excision tongue lesion without closure 41110 CPT 41110 | not published | not published | $260.74 – $824.40 | 3 |
| Excision tumor soft tissue back/flank subcutaneous >= 3 cm CPT 21931 | not published | not published | $525.07 – $1,660.14 | 3 |
| Excis partial tal calc CPT 28120 | not published | not published | $540.34 – $1,708.45 | 3 |
| Excis uppr jaw cyst w/repair CPT 21049 | not published | not published | $765.97 – $2,422.15 | 3 |
| Exc leg/ankle tum dep 5 cm/ > 27634 CPT 27634 | not published | not published | $754.43 – $2,385.34 | 3 |
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $719.74 – $2,275.65 | 3 |
| Exc les conjunctiva <1 cm CPT 68110 | not published | not published | $292.70 – $925.43 | 3 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $303.58 – $959.85 | 3 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $461.91 – $1,460.44 | 3 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | not published | not published | $246.94 – $780.74 | 3 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | not published | not published | $363.13 – $1,148.16 | 3 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | not published | not published | $544.72 – $1,722.27 | 3 |
| Exc malig feenl >4cm 11646 CPT 11646 | not published | not published | $691.41 – $2,186.10 | 3 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | not published | not published | $164.86 – $521.25 | 3 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | not published | not published | $246.94 – $780.74 | 3 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | not published | not published | $358.05 – $1,132.06 | 3 |
| Exc malig tal <0.5cm 11600 CPT 11600 | not published | not published | $135.09 – $427.13 | 3 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | not published | not published | $154.70 – $489.12 | 3 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | not published | not published | $164.86 – $521.25 | 3 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | not published | not published | $328.28 – $1,037.94 | 3 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | not published | not published | $354.42 – $1,120.59 | 3 |
| Exc mandible 21025 CPT 21025 | not published | not published | $577.39 – $1,825.58 | 3 |
| Exc neck tum deep < 5 cm CPT 21556 | not published | not published | $565.04 – $2,461.68 | 3 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $823.29 – $2,603.05 | 3 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $340.54 – $340.54 | 1 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,192.56 – $3,770.57 | 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.