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 |
|---|---|---|---|---|
| Instll rx agnt into rnal tub CPT 50391 | not published | not published | $162.10 – $512.30 | 3 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | not published | not published | $296.13 – $936.54 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | not published | not published | $188.24 – $595.55 | 3 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $5,354.98 | $6,883.00 | $184.46 – $6,745.34 | 12 |
| Ins tun intraperit dia cath CPT 49421 | $4,468.84 | $5,744.00 | $510.58 – $5,629.12 | 12 |
| Inst via cath agent pleurds CPT 32560 | not published | not published | $307.35 – $971.76 | 3 |
| Insulin total CPT 83525 | $14.13 | $18.16 | $4.16 – $8.00 | 12 |
| Ins vag brachytx device CPT 57156 | not published | not published | $118.08 – $507.66 | 3 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $4,704.57 | $6,047.00 | $210.32 – $936.88 | 12 |
| Intercalary algrft compl CPT 20934 | not published | not published | $825.32 – $2,609.46 | 3 |
| Interdental fixation CPT 21110 | not published | not published | $645.65 – $2,041.40 | 3 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $520.02 – $1,644.18 | 3 |
| Interdiscal perq aspir dx CPT 62267 | $850.36 | $1,093.00 | $158.48 – $1,071.14 | 12 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $343.54 – $1,086.17 | 3 |
| Interrog dev eval icpms ip CPT 93290 | $85.58 | $110.00 | $26.40 – $110.00 | 12 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $1,974.01 – $6,241.38 | 3 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $1,104.67 – $3,492.71 | 3 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $1,183.13 – $1,183.13 | 1 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $200.44 – $633.75 | 3 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $493.86 – $1,561.47 | 3 |
| Intracran angioplsty w/stent CPT 61635 | $21,128.15 | $27,157.00 | $6,517.68 – $26,613.86 | 11 |
| Intracranial angioplasty CPT 61630 | $16,490.49 | $21,196.00 | $5,087.04 – $20,772.08 | 11 |
| Intracranial complete study CPT 93886 | $286.31 | $368.00 | $88.32 – $368.00 | 12 |
| Intracranial limited study CPT 93888 | $129.93 | $167.00 | $40.08 – $167.00 | 12 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $3,268.96 – $10,335.71 | 3 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $6,375.26 – $20,157.07 | 3 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $4,250.90 – $13,440.33 | 3 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $6,721.70 – $21,252.43 | 3 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $3,276.24 – $10,358.71 | 3 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $5,344.68 – $16,898.62 | 3 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $70.45 – $222.72 | 3 |
| Intranasal reconstruction CPT 30620 | not published | not published | $739.35 – $2,337.64 | 3 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $166.38 – $526.71 | 3 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $111.83 – $353.61 | 3 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $421.26 – $1,910.51 | 3 |
| Intrinsic factor antibody CPT 86340 | $15.56 | $20.00 | $10.40 – $19.60 | 12 |
| Intro cath dialysis circuit CPT 36901 | $1,540.44 | $1,980.00 | $475.20 – $1,980.00 | 12 |
| Intro cath dialysis circuit w/pta CPT 36902 | $12,038.78 | $15,474.00 | $1,512.40 – $15,164.52 | 12 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $12,115.80 | $15,573.00 | $3,737.52 – $15,573.00 | 12 |
| Intro catheter aorta CPT 36200 | $868.25 | $1,116.00 | $267.84 – $1,093.68 | 12 |
| Intro cath svc/ivc CPT 36010 | $606.84 | $780.00 | $164.86 – $764.40 | 12 |
| Intro long gi tube CPT 44500 | not published | not published | $37.77 – $119.41 | 3 |
| Intro long gi tube w/mult fluo CPT 74340 | $570.28 | $733.00 | $123.26 – $718.34 | 12 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $283.98 – $897.86 | 3 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $2,149.62 | $2,763.00 | $663.12 – $2,763.00 | 12 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $309.41 – $840.48 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,015.29 | $1,305.00 | $101.76 – $415.52 | 12 |
| Ionm in operatng room 15 min CPT 95940 | $852.69 | $1,096.00 | $60.05 – $1,074.08 | 12 |
| Ionm remote/>1 pt or per hr CPT 95941 | $958.50 | $1,232.00 | $278.84 – $1,207.36 | 11 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $664.42 | $854.00 | $0.48 – $47.04 | 12 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $3,202.25 | $4,116.00 | $0.17 – $16.66 | 12 |
| Iron CPT 83540 | $126.04 | $162.00 | $2.43 – $4.67 | 12 |
| Iron binding capacity CPT 83550 | $38.13 | $49.00 | $2.43 – $4.67 | 12 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $245.07 | $315.00 | $21.69 – $229.32 | 12 |
| Irradiation of blood product each unit reference CPT 86945 | $52.91 | $68.00 | $16.32 – $66.64 | 12 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $253.63 | $326.00 | $17.10 – $319.48 | 11 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $125.65 – $397.28 | 3 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $49.44 – $156.30 | 3 |
| Island pedicle flap graft CPT 15740 | not published | not published | $987.02 – $3,120.72 | 3 |
| Ivc venogram s&i CPT 75825 | $4,619.77 | $5,938.00 | $329.65 – $5,819.24 | 12 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $294.09 | $378.00 | $49.68 – $369.46 | 12 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $178.17 | $229.00 | $28.74 – $224.42 | 12 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $191.39 | $246.00 | $30.83 – $240.10 | 12 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $682.31 | $877.00 | $100.16 – $858.48 | 12 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $201.91 – $638.38 | 3 |
| Jak2 targeted sequence analysis CPT 81279 | $233.40 | $300.00 | $52.00 – $100.00 | 12 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $521.02 – $1,647.33 | 3 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $626.84 – $1,981.91 | 3 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $467.72 – $1,478.82 | 3 |
| John cunningham antibody CPT 86711 | $23.34 | $30.00 | $13.51 – $29.40 | 12 |
| J-tube placement CPT 44015 | not published | not published | $248.13 – $248.13 | 1 |
| Kafo fem fx cast molded to p HCPCS L2128 | $6,118.20 | $7,864.00 | $1,887.36 – $7,706.72 | 12 |
| Keratoprosthesis CPT 65770 | not published | not published | $1,513.92 – $4,786.67 | 3 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $11.67 | $15.00 | $7.15 – $14.70 | 12 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $143.93 | $185.00 | $4.96 – $59.78 | 12 |
| Kidney endoscopy CPT 50551 | not published | not published | $339.90 – $1,074.70 | 3 |
| Kidney endoscopy CPT 50553 | not published | not published | $772.02 – $2,440.95 | 3 |
| Kidney endoscopy CPT 50570 | not published | not published | $427.77 – $1,352.50 | 3 |
| Kidney endoscopy CPT 50575 | not published | not published | $1,166.39 – $3,687.86 | 3 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $655.83 – $2,073.59 | 3 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $492.42 – $1,556.91 | 3 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $852.65 – $2,695.87 | 3 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $823.60 – $2,604.03 | 3 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $493.86 – $1,561.47 | 3 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $532.37 – $1,683.23 | 3 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,267.37 | $1,629.00 | $376.41 – $1,596.42 | 12 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $858.14 | $1,103.00 | $157.46 – $1,080.94 | 12 |
| Kit gene analys d816 variant CPT 81273 | $217.84 | $280.00 | $99.89 – $274.40 | 12 |
| Kit hfx iq ipg bundle HCPCS C1822 | $82,726.30 | $106,332.00 | $507.12 – $2,070.74 | 12 |
| Kit lead specify 5-6-5 HCPCS C1778 | $51,368.23 | $66,026.00 | $210.32 – $936.88 | 12 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $2,139.50 | $2,750.00 | $605.00 – $2,695.00 | 12 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,782.13 | $3,576.00 | $786.72 – $3,504.48 | 12 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $931.08 – $2,943.89 | 3 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $658.00 – $2,080.44 | 3 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $543.25 – $1,717.64 | 3 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $1,074.88 – $3,398.52 | 3 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $941.26 – $2,976.02 | 3 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,244.84 – $3,935.87 | 3 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $268.25 – $848.48 | 3 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $889.70 – $2,813.00 | 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.