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 |
|---|---|---|---|---|
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $209.89 – $663.61 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $202.63 – $640.66 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $211.34 – $668.23 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $304.30 – $962.13 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $239.67 – $757.79 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $452.46 – $1,430.59 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $315.21 – $996.61 | 3 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $694.32 – $2,195.29 | 3 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $671.09 – $2,121.83 | 3 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $733.53 – $2,319.26 | 3 |
| Ghs mbp CPT 83873 | $18.29 | $23.50 | $12.22 – $23.03 | 12 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $252.08 | $324.00 | $23.28 – $97.00 | 12 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $400.67 | $515.00 | $106.52 – $504.70 | 12 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $400.67 | $515.00 | $86.51 – $504.70 | 12 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $400.67 | $515.00 | $13.72 – $95.06 | 12 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $400.67 | $515.00 | $65.54 – $504.70 | 12 |
| Ghs myocardial strain img spckl track CPT 93356 | $1,418.30 | $1,823.00 | $49.90 – $1,786.54 | 12 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $196.10 – $620.00 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,577.79 | $2,028.00 | $164.86 – $1,987.44 | 12 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,230.80 | $1,582.00 | $116.21 – $1,550.36 | 12 |
| Ghs nerve block axillary nerve CPT 64417 | $1,388.73 | $1,785.00 | $127.09 – $1,749.30 | 12 |
| Ghs nerve block brachial plexus CPT 64415 | $1,493.76 | $1,920.00 | $140.91 – $1,881.60 | 12 |
| Ghs nerve block celiac plexus CPT 64530 | not published | not published | $273.81 – $865.73 | 3 |
| Ghs nerve block interscaline CPT 64510 | $1,656.37 | $2,129.00 | $118.37 – $2,086.42 | 12 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,931.00 | $2,482.00 | $163.42 – $2,432.36 | 12 |
| Ghs nerve block sciatic nerve CPT 64445 | $1,032.41 | $1,327.00 | $153.26 – $1,300.46 | 12 |
| Ghs nerve block suprascapular CPT 64418 | $1,087.65 | $1,398.00 | $118.37 – $1,370.04 | 12 |
| Ghs ng placement w fluoro guidance CPT 43752 | $494.81 | $636.00 | $152.64 – $623.28 | 12 |
| Ghs opcc repair cvp without subq port CPT 36575 | $721.99 | $928.00 | $62.07 – $909.44 | 12 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,289.93 | $1,658.00 | $156.24 – $1,624.84 | 12 |
| Ghs pacing - transcutaneous CPT 92953 | $4,979.98 | $6,401.00 | $39.79 – $6,272.98 | 12 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $348.55 | $448.00 | $107.52 – $439.04 | 12 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,237.53 | $2,876.00 | $100.76 – $2,818.48 | 12 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $142.35 – $450.07 | 3 |
| Ghs picc line insert < 5 CPT 36568 | $3,660.49 | $4,705.00 | $93.24 – $4,610.90 | 12 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $264.37 – $835.88 | 3 |
| Ghs plt ct-manual CPT 85032 | $59.13 | $76.00 | $3.83 – $15.68 | 12 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $9.15 | $11.75 | $6.11 – $11.52 | 12 |
| Ghs protoporphyrins fract CPT 84202 | $41.17 | $52.91 | $8.32 – $15.68 | 12 |
| Ghs pr without cont pulse ox CPT 94625 | $118.26 | $152.00 | $36.48 – $148.96 | 11 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $9.40 | $12.07 | $6.28 – $12.07 | 12 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $109.67 – $346.76 | 3 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $289.79 – $916.24 | 3 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $582.46 – $1,841.62 | 3 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $634.77 – $2,006.98 | 3 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $32.68 | $42.00 | $2.92 – $13.91 | 12 |
| Ghs sensitivity (per antimicro) CPT 87184 | $45.91 | $59.00 | $4.23 – $27.44 | 12 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $199.00 – $629.19 | 3 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $304.30 – $962.13 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $268.72 – $849.63 | 3 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $635.49 – $2,009.26 | 3 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $180.84 – $571.77 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $164.14 – $518.97 | 3 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $220.06 – $695.80 | 3 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $549.07 – $1,736.02 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $741.53 – $2,344.55 | 3 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,899.10 | $2,441.00 | $364.03 – $2,392.18 | 12 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $118.37 – $374.27 | 3 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $69.73 – $220.44 | 3 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $136.93 | $176.00 | $21.65 – $172.48 | 12 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $334.10 – $1,056.32 | 3 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $245.48 – $776.17 | 3 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $3,415.42 | $4,390.00 | $207.71 – $4,302.20 | 12 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $249.83 – $789.93 | 3 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $292.17 – $923.77 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $20.23 | $26.00 | $12.48 – $23.52 | 12 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $1,061.78 – $3,357.08 | 3 |
| Ghs windowing of cast CPT 29730 | not published | not published | $55.19 – $174.49 | 3 |
| Gi inhouse confirmation CPT 87045 | $117.48 | $151.00 | $6.94 – $13.08 | 12 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $335.54 – $1,060.88 | 3 |
| Glaucoma surgery CPT 66150 | not published | not published | $987.02 – $3,120.72 | 3 |
| Glaucoma surgery CPT 66155 | not published | not published | $987.02 – $3,120.72 | 3 |
| Glaucoma surgery CPT 66160 | not published | not published | $987.02 – $3,120.72 | 3 |
| Glaucoma surgery CPT 66170 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,829.08 | $2,351.00 | $80.64 – $329.28 | 12 |
| Glucagon plasma - sendout CPT 82943 | $15.55 | $19.98 | $10.39 – $19.59 | 12 |
| Glucose 1 hr post dose CPT 82950 | $88.70 | $114.00 | $4.19 – $27.44 | 12 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $38.90 | $50.00 | $2.00 – $28.42 | 12 |
| Glucose blood quantitative CPT 82947 | $82.47 | $106.00 | $3.30 – $20.58 | 12 |
| Glucose body fluid CPT 82945 | $39.68 | $51.00 | $1.62 – $3.10 | 12 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $339.21 | $436.00 | $11.27 – $72.52 | 12 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $97.25 | $125.00 | $3.46 – $21.56 | 12 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $375.00 | $482.00 | $14.64 – $59.78 | 11 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $7.78 | $10.00 | $5.20 – $10.00 | 12 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $6.42 | $8.24 | $4.29 – $8.24 | 12 |
| Goniotomy CPT 65820 | not published | not published | $822.88 – $2,601.75 | 3 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $4,704.57 | $6,047.00 | $30.36 – $5,926.06 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,097.41 – $3,469.76 | 3 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $38,593.47 | $49,606.00 | $25.78 – $794.78 | 12 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $42,452.35 | $54,566.00 | $42.24 – $188.16 | 12 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $29,558.56 | $37,993.00 | $42.24 – $188.16 | 12 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $2,139.50 | $2,750.00 | $103.77 – $1,590.54 | 12 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,641.38 – $5,189.69 | 3 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $10,345.85 | $13,298.00 | $134.06 – $1,590.54 | 12 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | $2,139.50 | $2,750.00 | $660.00 – $2,695.00 | 12 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | $46,697.90 | $60,023.00 | $51.08 – $4,557.00 | 12 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $4,704.57 | $6,047.00 | $131.42 – $2,070.74 | 12 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $75,206.15 | $96,666.00 | $18.70 – $83.30 | 12 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,139.50 | $2,750.00 | $95.04 – $423.36 | 12 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,073.10 | $3,950.00 | $905.28 – $3,696.56 | 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.