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 |
|---|---|---|---|---|
| Great toe-hand transfer CPT 26551 | not published | not published | $4,806.50 – $15,197.01 | 3 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $128.56 – $406.47 | 3 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $705.43 – $2,230.02 | 3 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $699.05 – $2,209.21 | 3 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $217.44 – $686.80 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $577.16 – $1,823.42 | 3 |
| Growth hormone antibody CPT 86277 | $92.66 | $119.10 | $13.99 – $116.72 | 12 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,859.99 – $5,880.87 | 3 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,542.62 – $4,877.41 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $2,035.76 – $6,436.59 | 3 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,984.92 – $6,275.86 | 3 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,581.11 – $4,999.10 | 3 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $944.17 – $2,985.21 | 3 |
| G-tube reposition CPT 43761 | $982.62 | $1,263.00 | $154.70 – $1,237.74 | 12 |
| Guided cath fluid drainage 10030 CPT 10030 | $388.23 | $499.00 | $119.76 – $499.00 | 12 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,617.70 | $4,650.00 | $4.62 – $20.58 | 12 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,782.13 | $3,576.00 | $24.86 – $110.74 | 12 |
| Gw stiffened micro access kit HCPCS C1894 | $6,118.20 | $7,864.00 | $4.62 – $20.58 | 12 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $622.27 – $1,967.51 | 3 |
| Halo cervical into jckt vest HCPCS L0810 | $17,487.89 | $22,478.00 | $2,454.24 – $10,021.48 | 12 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $112.04 | $144.00 | $0.01 – $59.78 | 12 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $987.02 – $3,120.72 | 3 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $602.81 – $1,905.95 | 3 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $658.00 – $2,080.44 | 3 |
| Haptoglobin quantitative CPT 83010 | $36.80 | $47.29 | $4.16 – $8.00 | 12 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $92.15 – $291.37 | 3 |
| Harvest auto stem cells CPT 38206 | not published | not published | $93.68 – $296.18 | 3 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $293.16 – $926.91 | 3 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $204.83 – $648.35 | 3 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $298.34 – $942.90 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $36.56 – $36.56 | 1 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $465.62 – $465.62 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | $363.72 | $467.50 | $243.10 – $467.50 | 12 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $272.30 | $350.00 | $161.92 – $343.00 | 12 |
| Hbb full gene sequence CPT 81364 | $700.20 | $900.00 | $190.67 – $359.33 | 12 |
| Hbb gene dup/del variants CPT 81363 | $358.50 | $460.79 | $161.92 – $451.58 | 12 |
| Hcg qualitative CPT 84703 | $159.49 | $205.00 | $6.46 – $32.34 | 12 |
| Hcg quantitative CPT 84702 | $287.86 | $370.00 | $7.28 – $14.00 | 12 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $45.13 | $58.00 | $13.92 – $56.84 | 12 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $164.86 – $521.25 | 3 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $784.82 – $2,481.40 | 3 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $473.91 – $1,498.42 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $717.10 – $2,266.87 | 3 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $92.66 – $292.96 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $438.98 – $1,387.95 | 3 |
| Head CT scan (with and without contrast) CPT 70470 | $2,392.35 | $3,075.00 | $448.99 – $3,013.50 | 12 |
| Head CT scan (with contrast) CPT 70460 | $1,998.69 | $2,569.00 | $448.99 – $2,517.62 | 12 |
| Head CT scan (without contrast) CPT 70450 | $1,458.75 | $1,875.00 | $322.48 – $1,837.50 | 12 |
| Helicobacter pylori antibody igm CPT 86677 | $13.11 | $16.85 | $8.77 – $16.85 | 12 |
| Hematocrit CPT 85014 | $68.47 | $88.00 | $2.11 – $9.80 | 12 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $757.47 – $2,394.93 | 3 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $575.93 – $1,820.96 | 3 |
| Hemodialysis one evaluation CPT 90935 | $1,704.60 | $2,191.00 | $110.42 – $2,147.18 | 12 |
| Hemoglobin CPT 85018 | $67.69 | $87.00 | $2.07 – $9.80 | 12 |
| Hemoglobin plasma CPT 83051 | $10.90 | $14.00 | $6.50 – $13.72 | 12 |
| Hemoglobin urine CPT 83069 | $11.92 | $15.31 | $3.51 – $15.01 | 12 |
| Hemolysins/agglutinins auto CPT 86940 | $73.53 | $94.50 | $7.29 – $62.23 | 12 |
| Hemolysins and agglutinins incubated CPT 86941 | $49.40 | $63.49 | $10.58 – $62.23 | 12 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $530.90 – $1,677.73 | 3 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | not published | not published | $150.35 – $475.36 | 3 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $246.60 – $779.63 | 3 |
| Heparin assay CPT 85520 | $147.05 | $189.00 | $11.47 – $44.10 | 12 |
| Heparin bolus from bag HCPCS J1644 | $360.22 | $463.00 | $4.68 – $59.78 | 12 |
| Heparin neutralization CPT 85525 | $23.97 | $30.80 | $10.10 – $30.19 | 12 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $52.13 | $67.00 | $0.96 – $4.48 | 12 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Hepatitis a antibody igm CPT 86709 | $6.23 | $8.00 | $4.16 – $8.00 | 12 |
| Hepatitis b core antibody igm CPT 86705 | $7.78 | $10.00 | $5.20 – $10.00 | 12 |
| Hepatitis b core antibody total CPT 86704 | $4.67 | $6.00 | $3.12 – $6.00 | 12 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | $4,416.71 | $5,677.00 | $147.68 – $1,271.06 | 12 |
| Hepatitis b surface antibody CPT 86706 | $7.78 | $10.00 | $3.38 – $6.50 | 12 |
| Hepatitis c antibody CPT 86803 | $223.29 | $287.00 | $4.16 – $8.00 | 12 |
| Hepatitis d quantification CPT 87523 | $154.05 | $198.00 | $47.52 – $194.04 | 11 |
| Hepatobiliary system imaging CPT 78226 | $739.10 | $950.00 | $228.00 – $950.00 | 12 |
| Hereditary colon ca dsordrs CPT 81435 | $1,744.67 | $2,242.50 | $584.90 – $2,197.65 | 12 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $671.09 – $2,121.83 | 3 |
| Herpes simplex 1 ag if CPT 87274 | $28.22 | $36.26 | $10.10 – $23.77 | 12 |
| Herpes simplex 2 ag if CPT 87273 | $28.22 | $36.27 | $10.10 – $23.77 | 12 |
| Herpes simplex type 1 antibody igg CPT 86695 | $17.21 | $22.11 | $7.02 – $13.23 | 12 |
| Herpes simplex type 2 antibody igg CPT 86696 | $17.21 | $22.11 | $7.02 – $13.50 | 12 |
| Herpes simplex virus isolation CPT 87255 | $19.43 | $24.97 | $12.99 – $24.97 | 12 |
| Heterophile antibodies screening CPT 86308 | $120.59 | $155.00 | $4.49 – $30.38 | 12 |
| Hexa gene CPT 81255 | $177.58 | $228.25 | $21.12 – $40.61 | 11 |
| Hhv-6 dna quant CPT 87533 | $58.35 | $75.00 | $37.12 – $73.50 | 12 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $403.54 – $1,275.90 | 3 |
| Hip adj flex ext abduct cont HCPCS L2624 | $1,262.70 | $1,623.00 | $389.52 – $1,590.54 | 12 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $1,183.10 – $3,740.72 | 3 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $1,143.16 – $3,614.40 | 3 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $1,202.78 – $3,803.69 | 3 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $762.61 – $2,411.16 | 3 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $1,109.75 – $3,508.74 | 3 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $1,180.59 – $3,733.26 | 3 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $1,202.78 – $3,803.69 | 3 |
| Hip joint adjustable flexion HCPCS L2622 | $969.39 | $1,246.00 | $299.04 – $1,221.08 | 12 |
| Histamine CPT 83088 | $18.76 | $24.11 | $12.54 – $24.11 | 12 |
| Histochemical stains add-on CPT 88314 | $272.62 | $350.40 | $6.00 – $25.00 | 12 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | $235.06 | $302.13 | $46.63 – $296.09 | 12 |
| Hla class i high defin qual CPT 86832 | $252.85 | $325.00 | $10.27 – $323.75 | 12 |
| Hla class i&ii antibody qual CPT 86828 | $206.17 | $265.00 | $43.09 – $259.70 | 12 |
| Hla class i semiquant panel CPT 86834 | $194.50 | $250.00 | $10.27 – $250.00 | 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.