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 |
|---|---|---|---|---|
| Incision of pyloric muscle 43520 CPT 43520 | not published | not published | $822.88 – $2,601.75 | 3 |
| Incision of rectal abscess CPT 46060 | not published | not published | $689.97 – $2,181.53 | 3 |
| Incision of small bowel 44010 CPT 44010 | not published | not published | $1,053.84 – $3,331.97 | 3 |
| Incision of sperm duct CPT 55200 | not published | not published | $296.33 – $936.91 | 3 |
| Incision of spinal nerve 64772 CPT 64772 | not published | not published | $790.91 – $2,500.66 | 3 |
| Incision of stomach nerves CPT 64755 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Incision of tendon & muscle CPT 23405 | not published | not published | $625.33 – $1,977.13 | 3 |
| Incision of tendon sheath CPT 25000 | not published | not published | $361.69 – $1,143.59 | 3 |
| Incision of thigh CPT 27448 | not published | not published | $1,387.92 – $4,388.29 | 3 |
| Incision of thigh CPT 27450 | not published | not published | $1,562.95 – $4,941.68 | 3 |
| Incision of thigh tendon CPT 27306 | not published | not published | $383.47 – $1,212.43 | 3 |
| Incision of thigh tendon CPT 27390 | not published | not published | $493.86 – $1,561.47 | 3 |
| Incision of thigh tendons CPT 27307 | not published | not published | $436.49 – $1,380.07 | 3 |
| Incision of thigh tendons CPT 27391 | not published | not published | $658.00 – $2,080.44 | 3 |
| Incision of thigh tendons CPT 27392 | not published | not published | $987.02 – $3,120.72 | 3 |
| Incision of tibia CPT 27705 | not published | not published | $987.02 – $3,120.72 | 3 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $376.92 – $1,191.77 | 3 |
| Incision of tongue fold CPT 41010 | not published | not published | $208.11 – $657.99 | 3 |
| Incision of tongue nerve CPT 64740 | not published | not published | $726.28 – $2,296.32 | 3 |
| Incision of urethra CPT 53000 | not published | not published | $301.39 – $952.94 | 3 |
| Incision of urethra CPT 53010 | not published | not published | $459.00 – $1,451.25 | 3 |
| Incision of urethra CPT 53020 | not published | not published | $193.91 – $613.09 | 3 |
| Incision of urethra CPT 53025 | not published | not published | $183.03 – $578.67 | 3 |
| Incision of vagus nerve CPT 64760 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Incision of windpipe CPT 31601 | $13,138.09 | $16,887.00 | $435.77 – $16,549.26 | 12 |
| Incision of windpipe CPT 31610 | $13,138.09 | $16,887.00 | $640.57 – $16,549.26 | 12 |
| Incision of wrist capsule CPT 25085 | not published | not published | $658.00 – $2,080.44 | 3 |
| Incision secondary cataract CPT 66820 | not published | not published | $411.07 – $1,299.70 | 3 |
| Incision tendon sheath CPT 26055 | not published | not published | $411.07 – $1,299.70 | 3 |
| Incisn of toe tndn CPT 28010 | not published | not published | $289.07 – $913.96 | 3 |
| Incisn windpipe CPT 31600 | $6,999.67 | $8,997.00 | $392.18 – $8,817.06 | 12 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $584.81 – $1,849.04 | 3 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $2,314.94 – $7,319.29 | 3 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $2,343.80 – $7,410.53 | 3 |
| Incobotulinumtoxin a HCPCS J0588 | $5,446.00 | $7,000.00 | $9.79 – $4,083.66 | 12 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $84.32 – $267.33 | 3 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $570.06 – $2,522.93 | 3 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $1,149.69 – $5,088.66 | 3 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $395.27 – $1,749.28 | 3 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $457.12 – $2,023.45 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $1,016.79 – $4,500.79 | 3 |
| Induced abortion d&c CPT 59840 | not published | not published | $341.16 – $1,547.22 | 3 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $482.02 – $2,186.10 | 3 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $37.66 | $48.40 | $11.62 – $47.44 | 11 |
| Infect ag drug suscept pheno predict CPT 87900 | $320.93 | $412.50 | $60.01 – $115.40 | 12 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $320.93 | $412.50 | $23.38 – $404.25 | 12 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $199.83 | $256.85 | $23.38 – $256.85 | 12 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $108.92 | $140.00 | $72.80 – $137.20 | 12 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $108.92 | $140.00 | $60.01 – $115.40 | 12 |
| Infect ag ia optc obs influenza CPT 87804 | $168.05 | $216.00 | $8.61 – $16.55 | 12 |
| Infect ag if influenza a CPT 87276 | $6.65 | $8.54 | $4.45 – $8.54 | 12 |
| Infect ag if influenza b CPT 87275 | $6.65 | $8.54 | $4.45 – $8.54 | 12 |
| Infect ag if legionella pneumophila CPT 87278 | $23.34 | $30.00 | $10.10 – $29.40 | 12 |
| Infect ag if nos ea CPT 87299 | $6.65 | $8.54 | $4.45 – $8.54 | 12 |
| Infect ag if pneumocystis carinii CPT 87281 | $11.67 | $15.00 | $7.80 – $14.70 | 12 |
| Infect ag if varicella zoster CPT 87290 | $46.90 | $60.28 | $10.10 – $35.54 | 12 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $300.31 | $386.00 | $76.64 – $216.58 | 12 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $66.13 | $85.00 | $20.40 – $83.30 | 11 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,215.24 | $1,562.00 | $370.47 – $632.00 | 12 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $89.79 | $115.40 | $46.16 – $88.76 | 12 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $89.79 | $115.40 | $23.17 – $86.90 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $147.82 | $190.00 | $8.39 – $16.82 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $17.12 | $22.00 | $10.10 – $19.60 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $93.36 | $120.00 | $7.19 – $13.82 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $75.47 | $97.00 | $6.23 – $11.98 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $90.25 | $116.00 | $8.84 – $16.66 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $160.27 | $206.00 | $2.60 – $5.00 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $23.90 | $30.71 | $9.18 – $30.10 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $259.86 | $334.00 | $5.20 – $10.00 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $178.17 | $229.00 | $5.20 – $10.00 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $9.83 | $12.63 | $6.57 – $12.38 | 12 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $12.81 | $16.46 | $8.56 – $16.14 | 12 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $385.11 | $495.00 | $10.40 – $20.00 | 12 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $358.66 | $461.00 | $5.20 – $10.00 | 12 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $163.38 | $210.00 | $28.64 – $92.12 | 12 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $3,589.70 | $4,614.00 | $148.72 – $286.00 | 12 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $38.90 | $50.00 | $24.56 – $49.00 | 12 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $256.74 | $330.00 | $30.88 – $81.34 | 12 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $140.04 | $180.00 | $33.34 – $100.94 | 12 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $394.45 | $507.00 | $5.20 – $10.00 | 12 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $169.61 | $218.00 | $38.90 – $73.31 | 12 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $247.57 | $318.21 | $20.80 – $35.09 | 12 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $97.25 | $125.00 | $30.00 – $122.50 | 11 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $1,068.20 | $1,373.00 | $252.20 – $475.30 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $147.20 | $189.20 | $98.39 – $185.42 | 12 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $950.72 | $1,222.00 | $210.39 – $686.98 | 12 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $158.72 | $204.00 | $34.32 – $64.68 | 12 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $68.47 | $88.00 | $26.00 – $49.00 | 12 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $30.10 | $38.68 | $20.12 – $38.68 | 12 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $46.68 | $60.00 | $31.20 – $60.00 | 12 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $417.01 | $536.00 | $61.07 – $147.00 | 12 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | $3,267.60 | $4,200.00 | $19.75 – $4,116.00 | 12 |
| Infratemporal approach/skull CPT 61591 | not published | not published | $4,240.72 – $13,408.19 | 3 |
| Infratemporal approach/skull CPT 61590 | not published | not published | $4,043.17 – $12,783.57 | 3 |
| Initiation & management bipap/cpap initial day CPT 94660 | $1,776.18 | $2,283.00 | $79.59 – $2,237.34 | 12 |
| Inj, adalimumab, 1 mg HCPCS J0139 | $5,446.00 | $7,000.00 | $1,680.00 – $6,860.00 | 11 |
| Inj, clindamycin (baxter) HCPCS J0737 | $89.47 | $115.00 | $26.64 – $108.78 | 11 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $613.85 | $789.00 | $189.36 – $773.22 | 12 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | $5,446.00 | $7,000.00 | $1,043.55 – $6,860.00 | 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.