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 |
|---|---|---|---|---|
| Inj disk cerv-thor ea lev CPT 62291 | not published | not published | $250.55 – $792.21 | 3 |
| Inj dupuytren cord w/enzyme CPT 20527 | not published | not published | $67.08 – $211.30 | 3 |
| Inj dx for sinogram CPT 20501 | $778.00 | $1,000.00 | $240.00 – $1,000.00 | 12 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,290.71 | $1,659.00 | $265.23 – $1,300.46 | 12 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $146.27 | $188.00 | $45.12 – $188.00 | 12 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $453.58 | $583.00 | $71.39 – $571.34 | 12 |
| Injection epidural blood patch or clot CPT 62273 | $1,651.70 | $2,123.00 | $148.16 – $2,080.54 | 12 |
| Injection eye drug CPT 67028 | not published | not published | $710.30 – $2,245.80 | 3 |
| Injection for arthrography wrist (both sides) CPT 25246 | $214.73 | $276.00 | $66.24 – $276.00 | 12 |
| Injection for bladder x-ray CPT 51600 | $507.26 | $652.00 | $156.48 – $652.00 | 12 |
| Injection for hip x-ray CPT 27095 | not published | not published | $403.09 – $1,274.48 | 3 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $642.63 | $826.00 | $198.24 – $826.00 | 12 |
| Injection for spleen x-ray CPT 38200 | not published | not published | $164.86 – $521.25 | 3 |
| Injection for tear sac x-ray CPT 68850 | not published | not published | $474.26 – $1,499.48 | 3 |
| Injection for ureter x-ray CPT 50684 | not published | not published | $492.42 – $1,556.91 | 3 |
| Injection for ureter x-ray CPT 50690 | not published | not published | $524.38 – $1,657.94 | 3 |
| Injection into brain canal CPT 61026 | not published | not published | $254.21 – $803.74 | 3 |
| Injection into brain canal CPT 61055 | not published | not published | $275.97 – $872.58 | 3 |
| Injection into hemorrhoid(s) CPT 46500 | not published | not published | $142.35 – $450.07 | 3 |
| Injection into spinal artery CPT 62294 | not published | not published | $1,203.44 – $3,804.99 | 3 |
| Injection into vocal cord CPT 31513 | not published | not published | $256.37 – $810.59 | 3 |
| Injection intraop add-on CPT 48400 | not published | not published | $168.49 – $532.72 | 3 |
| Injection jaw joint x-ray CPT 21116 | not published | not published | $267.28 – $845.07 | 3 |
| Injection of sinus tract CPT 20500 | not published | not published | $206.99 – $654.48 | 3 |
| Injection,onabotulinumtoxina HCPCS J0585 | $3,784.20 | $4,864.00 | $10.94 – $4,333.56 | 12 |
| Injection px peyronie ds CPT 54200 | not published | not published | $113.30 – $358.23 | 3 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $168.83 | $217.00 | $52.08 – $212.66 | 11 |
| Injection, renflexis HCPCS Q5104 | $4,923.97 | $6,329.00 | $27.85 – $6,202.42 | 12 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,314.05 | $1,689.00 | $72.24 – $294.98 | 11 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,035.52 | $1,331.00 | $66.83 – $1,304.38 | 12 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,675.82 | $2,154.00 | $95.87 – $2,110.92 | 12 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,931.00 | $2,482.00 | $279.63 – $2,432.36 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $348.55 | $448.00 | $107.52 – $439.04 | 12 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $691.65 | $889.00 | $213.36 – $871.22 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,790.96 | $2,302.00 | $99.24 – $2,255.96 | 12 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,790.96 | $2,302.00 | $196.45 – $2,255.96 | 12 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | not published | not published | $303.80 – $960.53 | 3 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,458.75 | $1,875.00 | $299.24 – $1,385.72 | 12 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $455.13 | $585.00 | $89.32 – $573.30 | 12 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $454.36 | $584.00 | $71.39 – $572.32 | 12 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | not published | not published | $76.46 – $241.75 | 3 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $254.41 | $327.00 | $34.06 – $320.46 | 12 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $248.96 | $320.00 | $76.80 – $313.60 | 11 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $307.31 | $395.00 | $79.71 – $387.10 | 12 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $254.41 | $327.00 | $30.00 – $313.60 | 12 |
| Injection treatment of eye CPT 66020 | not published | not published | $164.86 – $521.25 | 3 |
| Injection treatment of eye CPT 66030 | not published | not published | $111.83 – $353.61 | 3 |
| Injection treatment of nerve CPT 64605 | not published | not published | $310.12 – $980.51 | 3 |
| Injection treatment of nerve CPT 64610 | not published | not published | $400.18 – $1,265.29 | 3 |
| Injection treatment of nerve CPT 64681 | not published | not published | $538.10 – $1,701.73 | 3 |
| Injection treatment of nose CPT 30200 | not published | not published | $61.74 – $195.21 | 3 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $573.02 – $1,811.76 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $291.23 – $920.81 | 3 |
| Inject/treat eye socket CPT 67505 | not published | not published | $235.32 – $744.04 | 3 |
| Inject/treat eye socket CPT 67515 | not published | not published | $222.97 – $704.99 | 3 |
| Inj epidural sgl cerv-thor without img CPT 62320 | not published | not published | $268.00 – $635.54 | 3 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,093.87 | $1,406.00 | $271.63 – $1,377.88 | 12 |
| Inj for ext venography CPT 36005 | $654.30 | $841.00 | $187.20 – $780.00 | 12 |
| Inj for mammo ductogram CPT 19030 | not published | not published | $377.67 – $1,194.11 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $262.18 – $828.97 | 3 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | not published | not published | $41.40 – $130.88 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | not published | not published | $59.55 – $188.31 | 3 |
| Inj, lidocaine w epinephrine HCPCS J2004 | $105.03 | $135.00 | $14.64 – $59.78 | 11 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $63.02 | $81.00 | $8.09 – $59.78 | 12 |
| Inj multihance HCPCS A9577 | $686.98 | $883.00 | $1.84 – $76.44 | 12 |
| Inj naloxone hydrochloride HCPCS J2310 | $814.57 | $1,047.00 | $0.01 – $59.78 | 11 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $3,126.01 | $4,018.00 | $326.47 – $2,626.40 | 12 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $1,241.69 | $1,596.00 | $383.04 – $1,564.08 | 11 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | not published | not published | $2,099.32 – $6,637.31 | 3 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | not published | not published | $2,013.67 – $6,366.75 | 3 |
| Inj peritoneal venous shunt CPT 49427 | not published | not published | $79.89 – $252.58 | 3 |
| Inj proc ankle arthr CPT 27648 | $214.73 | $276.00 | $66.24 – $276.00 | 12 |
| Inj proc elbow arthro CPT 24220 | $214.73 | $276.00 | $66.24 – $276.00 | 12 |
| Inj proc for lymphang CPT 38790 | not published | not published | $882.42 – $2,790.00 | 3 |
| Inj proc lumbr disk ea lvl CPT 62290 | not published | not published | $249.11 – $787.64 | 3 |
| Inj proc myelogram lumbar CPT 62284 | not published | not published | $172.86 – $546.54 | 3 |
| Inj proc sialogram CPT 42550 | not published | not published | $426.32 – $1,347.94 | 3 |
| Inj, releuko 1 mcg HCPCS Q5125 | $1,662.59 | $2,137.00 | $320.64 – $1,309.28 | 11 |
| Inj retro urethrocysto CPT 51610 | $215.51 | $277.00 | $66.48 – $277.00 | 12 |
| Inj scleros sol mult veins CPT 36471 | not published | not published | $162.70 – $514.40 | 3 |
| Inj scleros sol sgl vein CPT 36470 | not published | not published | $131.46 – $415.66 | 3 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $2,723.00 | $3,500.00 | $14.64 – $59.78 | 11 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $392.12 | $504.00 | $52.56 – $214.62 | 11 |
| Inj w/fluor eval cv device CPT 36598 | $290.20 | $373.00 | $89.52 – $373.00 | 12 |
| Inner skull vessel surgery CPT 61702 | not published | not published | $3,290.03 – $10,402.32 | 3 |
| Ins cath ren art 1st bi CPT 36252 | $5,556.48 | $7,142.00 | $403.29 – $6,999.16 | 12 |
| Ins cath ren art 1st uni CPT 36251 | $4,166.97 | $5,356.00 | $309.69 – $5,248.88 | 12 |
| Ins cath ren art 2nd+ bi CPT 36254 | not published | not published | $464.02 – $1,466.43 | 3 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,667.73 | $7,285.00 | $430.13 – $7,139.30 | 12 |
| Ins cerv dilator (sep proc) CPT 59200 | $501.04 | $644.00 | $154.56 – $631.12 | 11 |
| Ins device for right guide open CPT 49412 | not published | not published | $91.51 – $289.78 | 3 |
| Insert abdomen-venous drain CPT 49425 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Insert and remove bone pin CPT 20650 | not published | not published | $203.35 – $642.94 | 3 |
| Insert balloon device CPT 33973 | not published | not published | $896.95 – $2,835.95 | 3 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $411.07 – $1,299.70 | 3 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $435.77 – $1,377.79 | 3 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $246.94 – $780.74 | 3 |
| Insert cath pleura with image CPT 32557 | $931.27 | $1,197.00 | $137.73 – $1,173.06 | 12 |
| Insert cath pleura without image CPT 32556 | $483.14 | $621.00 | $125.57 – $608.58 | 12 |
| Insert drug delivery implant CPT 11981 | not published | not published | $284.05 – $898.10 | 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.