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 |
|---|---|---|---|---|
| Flecainide (tambocor)-sendout CPT 80181 | $19.62 | $25.21 | $13.11 – $24.71 | 12 |
| Fl exam g/colon tube w contrast CPT 49465 | $313.54 | $403.00 | $96.72 – $403.00 | 12 |
| Flexible keel foot HCPCS L5972 | $1,643.92 | $2,113.00 | $103.68 – $423.36 | 12 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $106.76 – $337.57 | 3 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $658.00 – $2,080.44 | 3 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $658.00 – $2,080.44 | 3 |
| Floor of mouth biopsy 41108 CPT 41108 | not published | not published | $189.56 – $599.34 | 3 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $2,895.72 | $3,722.00 | $893.28 – $3,647.56 | 11 |
| Flow cytometry marker each additional CPT 88185 | $9.34 | $12.00 | $2.40 – $10.00 | 12 |
| Flow cytometry one marker technical component CPT 88184 | $93.36 | $120.00 | $9.60 – $40.00 | 12 |
| Flt3 gene CPT 81245 | $116.70 | $150.00 | $56.06 – $107.80 | 12 |
| Flt3 gene analysis CPT 81246 | $116.70 | $150.00 | $56.06 – $105.65 | 12 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $694.76 | $893.00 | $14.64 – $59.78 | 11 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $104.56 – $104.56 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $257.72 | $331.25 | $2.88 – $11.76 | 12 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $1,727.16 | $2,220.00 | $77.36 – $387.10 | 12 |
| Fluoroguide needle placement CPT 77002 | $1,520.99 | $1,955.00 | $90.45 – $1,302.42 | 12 |
| Fluoroscopy up to 1 hour CPT 76000 | $592.06 | $761.00 | $84.43 – $745.78 | 12 |
| Fmri brain by tech CPT 70554 | $1,847.75 | $2,375.00 | $508.61 – $2,327.50 | 12 |
| Fna bx w/ct gdn 1st les CPT 10009 | $433.35 | $557.00 | $133.68 – $557.00 | 12 |
| Fna bx w/ct gdn ea addl CPT 10010 | $324.43 | $417.00 | $100.08 – $417.00 | 12 |
| Folic acid CPT 82746 | $147.82 | $190.00 | $2.60 – $5.00 | 12 |
| Folic acid 5 mg/ml injection solution HCPCS J1808 | $417.79 | $537.00 | $14.64 – $59.78 | 11 |
| Follow-up angiography CPT 75898 | $1,122.66 | $1,443.00 | $202.68 – $1,414.14 | 12 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $869.35 – $2,748.67 | 3 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $5,446.00 | $7,000.00 | $15.00 – $6,860.00 | 12 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,219.43 – $3,854.95 | 3 |
| Fracture assessment via dxa CPT 77086 | $178.94 | $230.00 | $41.10 – $225.40 | 12 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $1,307.30 – $4,133.37 | 3 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $3,612.50 – $11,421.88 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $2,827.71 – $2,827.71 | 1 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $3,606.69 – $11,403.50 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $2,261.79 – $2,261.79 | 1 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $2,188.27 – $6,918.80 | 3 |
| Free skin flap microvasc CPT 15757 | not published | not published | $3,630.66 – $11,479.30 | 3 |
| Frenulotomy of penis CPT 54164 | not published | not published | $211.14 – $667.58 | 3 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $361.77 | $465.00 | $57.12 – $233.24 | 12 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $709.54 | $912.00 | $67.03 – $893.76 | 12 |
| Fresh frozen plasma thawing ea un CPT 86927 | $225.62 | $290.00 | $11.75 – $225.40 | 11 |
| Fructosamine glycated protein CPT 82985 | $7.33 | $9.42 | $4.90 – $9.42 | 12 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $363.13 – $1,148.16 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $149.60 – $473.02 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $33.07 | $42.50 | $22.10 – $42.50 | 12 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $822.88 – $2,601.75 | 3 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $575.21 – $1,818.67 | 3 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $217.89 – $688.89 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $658.00 – $2,080.44 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $153.27 | $197.00 | $14.64 – $59.78 | 11 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,487.51 – $7,864.90 | 3 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,974.01 – $6,241.38 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,726.37 – $5,458.36 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,841.11 – $5,821.16 | 3 |
| Fuse/graft added joint CPT 26863 | not published | not published | $246.94 – $780.74 | 3 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,958.05 – $1,958.05 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $2,262.35 – $7,153.00 | 3 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,768.53 – $5,591.89 | 3 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,339.98 – $4,236.68 | 3 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,505.57 – $4,760.28 | 3 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $688.51 – $2,176.91 | 3 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $822.88 – $2,601.75 | 3 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $1,398.09 – $4,420.42 | 3 |
| Fusion of big toe joint CPT 28750 | not published | not published | $583.93 – $1,846.24 | 3 |
| Fusion of big toe joint CPT 28755 | not published | not published | $400.90 – $1,267.57 | 3 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,888.32 – $5,970.42 | 3 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $181.57 – $574.11 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $517.83 – $1,637.27 | 3 |
| Fusion of finger tendons CPT 26471 | not published | not published | $575.93 – $1,820.96 | 3 |
| Fusion of finger tendons CPT 26474 | not published | not published | $559.23 – $1,768.16 | 3 |
| Fusion of foot bones CPT 28730 | not published | not published | $904.94 – $2,861.24 | 3 |
| Fusion of foot bones CPT 28735 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Fusion of foot bones CPT 28740 | not published | not published | $740.07 – $2,339.92 | 3 |
| Fusion of hand joint CPT 26843 | not published | not published | $703.04 – $2,222.86 | 3 |
| Fusion of knee CPT 27580 | not published | not published | $1,645.02 – $5,201.16 | 3 |
| Fusion of knuckle CPT 26850 | not published | not published | $642.03 – $2,029.92 | 3 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $648.56 – $2,050.59 | 3 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $863.53 – $2,730.29 | 3 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,028.42 – $3,251.60 | 3 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $736.44 – $2,328.45 | 3 |
| Fusion of skull arteries CPT 61711 | not published | not published | $3,142.59 – $9,936.15 | 3 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $658.00 – $2,080.44 | 3 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $658.00 – $2,080.44 | 3 |
| Fusion of thumb CPT 26841 | not published | not published | $660.18 – $2,087.35 | 3 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $1,212.15 – $3,832.56 | 3 |
| Fusion of toes CPT 28280 | not published | not published | $401.62 – $1,269.85 | 3 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,741.62 – $5,506.60 | 3 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| G6pc gene CPT 81250 | $31.60 | $40.61 | $21.12 – $40.61 | 12 |
| G6pd full gene sequence CPT 81249 | $700.20 | $900.00 | $220.52 – $424.06 | 11 |
| G6pd gene alys cmn variant CPT 81247 | $110.92 | $142.56 | $74.14 – $142.56 | 11 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $813.79 | $1,046.00 | $0.33 – $1,025.08 | 12 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $73.91 | $95.00 | $1.58 – $59.78 | 12 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $84.07 | $108.05 | $18.73 – $105.89 | 12 |
| Galectin-3 CPT 82777 | $78.58 | $101.00 | $44.25 – $98.98 | 11 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $909.30 – $2,874.99 | 3 |
| Gamma globulin 1 cc inj HCPCS J1460 | $266.86 | $343.00 | $53.35 – $242.06 | 12 |
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.