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 |
|---|---|---|---|---|
| Hla ii typing 1 loc hr CPT 81382 | $190.61 | $245.00 | $65.00 – $123.68 | 12 |
| Hla i low res one antigen equiv ea CPT 81374 | $151.71 | $195.00 | $31.20 – $60.00 | 12 |
| Hla i typing 1 locus hr CPT 81380 | $190.61 | $245.00 | $127.40 – $240.10 | 12 |
| Hla i typing complete hr CPT 81379 | $490.14 | $630.00 | $298.12 – $617.40 | 12 |
| Hla i typing complete lr CPT 81372 | $311.20 | $400.00 | $208.00 – $400.00 | 12 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $112.81 | $145.00 | $52.00 – $100.00 | 12 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $434.91 | $559.00 | $0.21 – $212.66 | 12 |
| Ho flex pavlik harns pre cst HCPCS L1620 | $149.38 | $192.00 | $46.08 – $188.16 | 12 |
| Homocysteine CPT 83090 | $170.43 | $219.05 | $6.76 – $13.00 | 12 |
| Homogenization tissue CPT 87176 | $73.91 | $95.00 | $3.34 – $6.29 | 12 |
| Homovanillic acid (hva) CPT 83150 | $11.56 | $14.85 | $7.73 – $14.85 | 12 |
| Ho post-op hip abduction HCPCS L1686 | $3,617.70 | $4,650.00 | $507.12 – $2,070.74 | 12 |
| H pylori (c-13) breath CPT 83013 | $47.93 | $61.60 | $32.04 – $61.60 | 12 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $1,983.90 | $2,550.00 | $543.24 – $1,470.00 | 12 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,377.06 | $1,770.00 | $519.91 – $1,734.60 | 12 |
| Htt gene detc abnor alleles CPT 81271 | $146.69 | $188.54 | $98.05 – $184.77 | 12 |
| Human epididymis protein 4 (he4) CPT 86305 | $38.90 | $50.00 | $18.50 – $41.75 | 12 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $522.82 | $672.00 | $14.64 – $59.78 | 11 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $696.31 | $895.00 | $8.86 – $59.78 | 12 |
| Hydration IV infusion each additional hour CPT 96361 | $164.16 | $211.00 | $23.36 – $206.78 | 12 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $592.84 | $762.00 | $82.08 – $746.76 | 12 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $102.70 | $132.00 | $14.64 – $59.78 | 12 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $136.93 | $176.00 | $14.64 – $59.78 | 11 |
| Hydromorphone 20-0.9 mg/100ml-% soln 100 ml cartridge HCPCS J7999 | $451.24 | $580.00 | $139.20 – $568.40 | 11 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $34.75 | $44.66 | $15.58 – $43.77 | 12 |
| Hymenotomy CPT 56442 | not published | not published | $118.47 – $374.75 | 3 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $576.01 – $1,821.82 | 3 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $1,531.71 – $4,842.93 | 3 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,779.23 – $5,625.51 | 3 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,779.23 – $5,625.51 | 3 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $1,364.08 – $4,312.92 | 3 |
| Hysterosalpingography s&i CPT 74740 | $445.02 | $572.00 | $91.15 – $560.56 | 12 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,311.97 – $10,485.34 | 3 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $342.01 – $1,081.36 | 3 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $314.32 – $993.84 | 3 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $513.02 – $1,622.04 | 3 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $355.84 – $1,125.09 | 3 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $742.33 – $2,347.08 | 3 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $535.74 – $1,693.90 | 3 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,383.84 – $4,375.40 | 3 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $1,058.86 | $1,361.00 | $219.97 – $1,152.48 | 12 |
| I-123 ioflupane diag HCPCS A9584 | $10,460.99 | $13,446.00 | $3,227.04 – $13,177.08 | 11 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $252.85 | $325.00 | $78.00 – $318.50 | 12 |
| Iaadi respiratory synctial virus CPT 87280 | $6.65 | $8.54 | $4.45 – $8.54 | 12 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $25.29 | $32.50 | $16.90 – $32.50 | 12 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $90,998.77 | $116,965.00 | $7,013.76 – $28,639.52 | 12 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $110,107.23 | $141,526.00 | $9,118.32 – $37,233.14 | 12 |
| Icd crtp serena MRI HCPCS C2621 | $29,558.56 | $37,993.00 | $4,149.36 – $16,943.22 | 12 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $17,487.89 | $22,478.00 | $1,887.36 – $7,706.72 | 12 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $895.19 – $2,830.39 | 3 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $338.44 – $1,070.07 | 3 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $240.39 – $760.07 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $888.98 – $2,810.72 | 3 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $241.11 – $762.35 | 3 |
| I&d lacrimal gland CPT 68400 | not published | not published | $355.88 – $1,125.21 | 3 |
| I&d lacrimal sac CPT 68420 | not published | not published | $390.02 – $1,233.15 | 3 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $316.65 – $1,001.18 | 3 |
| Igh gene rearrange amp meth CPT 81261 | $80.92 | $104.00 | $54.08 – $104.00 | 11 |
| Igh@ var region somatic mutation analy CPT 81263 | $316.65 | $407.00 | $205.92 – $388.08 | 11 |
| Igk rearrangeabn clonal pop CPT 81264 | $99.59 | $128.00 | $66.56 – $128.00 | 11 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $151.71 | $195.00 | $6.00 – $25.00 | 12 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $275.42 | $354.00 | $27.12 – $110.74 | 12 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $331.43 | $426.00 | $6.00 – $25.00 | 12 |
| Ikbkap gene CPT 81260 | $31.60 | $40.61 | $21.12 – $39.80 | 12 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,887.03 – $12,289.89 | 3 |
| Iliac revasc add-on 37222 CPT 37222 | $11,360.36 | $14,602.00 | $218.02 – $14,309.96 | 12 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,684.97 – $5,327.48 | 3 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $256.74 | $330.00 | $42.24 – $188.16 | 12 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $195.28 | $251.00 | $15.36 – $62.72 | 12 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $66.13 | $85.00 | $11.76 – $48.02 | 12 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Immune complex assay CPT 86332 | $56.61 | $72.76 | $6.19 – $11.89 | 12 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $33.15 | $42.60 | $5.72 – $11.00 | 12 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $5.45 | $7.00 | $3.64 – $7.00 | 12 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $28.01 | $36.00 | $2.91 – $5.58 | 12 |
| Immunofixation electrophoresis serum CPT 86334 | $23.79 | $30.57 | $2.01 – $8.34 | 12 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $89.05 | $114.46 | $12.00 – $50.00 | 12 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $89.03 | $114.43 | $9.97 – $41.51 | 12 |
| Immunoglobulin assay CPT 86023 | $19.71 | $25.33 | $11.07 – $24.83 | 12 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $2,740.25 – $8,664.02 | 3 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,833.13 – $5,795.93 | 3 |
| Implant brain electrodes CPT 61533 | not published | not published | $2,265.26 – $7,162.19 | 3 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,934.07 – $6,115.06 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $146,549.53 | $188,367.00 | $25,519.68 – $104,205.36 | 12 |
| Implant cochlear device CPT 69930 | not published | not published | $2,199.16 – $6,953.22 | 3 |
| Implant eye drug system CPT 67027 | not published | not published | $1,147.51 – $3,628.16 | 3 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $150.35 – $475.36 | 3 |
| Implant nerve end CPT 64787 | not published | not published | $449.56 – $1,421.40 | 3 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $360.01 – $1,138.25 | 3 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,086.07 – $3,433.89 | 3 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $1,515.01 – $4,790.13 | 3 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $193.42 – $611.55 | 3 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $918.48 – $2,904.01 | 3 |
| Implant neurostim arrays CPT 61886 | not published | not published | $738.63 – $2,335.36 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $2,027.76 – $6,411.31 | 3 |
| Implant spinal canal cath CPT 62351 | not published | not published | $752.42 – $2,378.97 | 3 |
| Implant spine infusion pump CPT 62361 | not published | not published | $390.74 – $1,235.43 | 3 |
| Implant spine infusion pump CPT 62362 | not published | not published | $511.31 – $1,616.61 | 3 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,517.98 – $4,799.49 | 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.