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 |
|---|---|---|---|---|
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $423.71 – $1,339.97 | 3 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $652.15 – $2,061.94 | 3 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $211.14 – $667.58 | 3 |
| Lap myotomy heller CPT 43279 | not published | not published | $1,170.63 – $3,701.27 | 3 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $1,730.63 – $5,471.84 | 3 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $1,944.80 – $6,149.00 | 3 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,412.93 – $4,468.09 | 3 |
| Lap place gastr adj device CPT 43770 | not published | not published | $1,094.68 – $3,461.11 | 3 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,554.93 – $4,916.32 | 3 |
| Lap radical hyst CPT 58548 | not published | not published | $2,058.37 – $6,508.09 | 3 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,968.60 – $6,224.25 | 3 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $2,138.22 – $6,760.55 | 3 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $1,259.24 – $3,981.41 | 3 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $266.33 – $842.07 | 3 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $1,258.73 – $3,979.82 | 3 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $455.45 – $1,440.80 | 3 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $962.53 – $3,043.28 | 3 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $958.99 – $3,032.10 | 3 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $950.38 – $3,004.88 | 3 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $753.92 – $2,383.71 | 3 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $1,459.74 – $4,615.36 | 3 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $1,352.26 – $4,274.37 | 3 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $1,296.43 – $4,098.29 | 3 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $2,166.64 – $6,850.16 | 3 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,207.24 – $3,816.51 | 3 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $1,414.50 – $4,472.30 | 3 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $206.98 – $654.76 | 3 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $613.67 – $1,940.29 | 3 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,291.14 – $4,082.29 | 3 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $268.56 – $268.56 | 1 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | not published | not published | $296.33 – $936.91 | 3 |
| Largsc w/ther injection CPT 31573 | not published | not published | $320.51 – $1,013.38 | 3 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $1,896.32 – $5,995.71 | 3 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $2,349.51 – $7,428.58 | 3 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $2,630.58 – $5,314.97 | 3 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $2,630.58 – $5,399.81 | 3 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $2,630.58 – $5,894.48 | 3 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $2,630.58 – $6,232.25 | 3 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $1,667.54 – $5,272.34 | 3 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $1,246.07 – $3,939.79 | 3 |
| Laryngoscope w/vc inj CPT 31570 | not published | not published | $490.23 – $1,550.00 | 3 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $1,089.41 – $3,444.47 | 3 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $300.76 – $1,364.04 | 3 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $435.77 – $1,377.79 | 3 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $363.13 – $1,148.16 | 3 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | not published | not published | $329.00 – $1,040.22 | 3 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $508.40 – $1,607.42 | 3 |
| Laryngoscopy telescopic CPT 31579 | not published | not published | $306.49 – $969.04 | 3 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $435.77 – $1,377.79 | 3 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $522.93 – $1,653.37 | 3 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $435.77 – $1,377.79 | 3 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $361.69 – $1,143.59 | 3 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $435.77 – $1,377.79 | 3 |
| Laryngoscopy with biopsy CPT 31576 | not published | not published | $186.42 – $186.42 | 1 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $146.70 – $463.83 | 3 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $137.25 – $433.97 | 3 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $1,581.83 – $5,001.38 | 3 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $522.93 – $1,653.37 | 3 |
| Laser surgery eye strands CPT 67031 | not published | not published | $473.54 – $1,497.20 | 3 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $429.00 – $1,356.39 | 3 |
| Laser surgery of prostate CPT 52647 | not published | not published | $965.23 – $3,051.83 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $1,140.97 – $3,607.49 | 3 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $128.56 – $406.47 | 3 |
| Laser treatment of retina CPT 67039 | not published | not published | $2,469.34 – $7,807.48 | 3 |
| Laser treatment of retina CPT 67040 | not published | not published | $1,250.13 – $5,669.61 | 3 |
| Lateral canthopexy CPT 21282 | not published | not published | $752.42 – $2,378.97 | 3 |
| Lat retinacular release open CPT 27425 | not published | not published | $658.00 – $2,080.44 | 3 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $107.49 – $339.85 | 3 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $966.13 – $3,054.68 | 3 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $7,955.83 | $10,226.00 | $786.72 – $3,504.48 | 12 |
| Lead capillary CPT 83655 | $8.97 | $11.52 | $2.60 – $5.00 | 12 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,139.50 | $2,750.00 | $210.32 – $936.88 | 12 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $13,450.85 | $17,289.00 | $1,887.36 – $7,706.72 | 12 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,027.76 – $6,411.31 | 3 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $2,102.57 – $6,647.85 | 3 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $2,186.09 – $6,911.89 | 3 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $2,401.07 – $7,591.60 | 3 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $1,233.96 – $3,901.46 | 3 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $728.21 | $936.00 | $224.64 – $936.00 | 12 |
| Leishmania antibody CPT 86717 | $29.98 | $38.53 | $10.89 – $37.76 | 12 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $658.00 – $2,080.44 | 3 |
| Lengthening of palate CPT 42227 | not published | not published | $1,234.68 – $3,903.74 | 3 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $1,234.68 – $3,903.74 | 3 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $2,006.69 – $6,344.69 | 3 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $493.86 – $1,561.47 | 3 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $658.00 – $2,080.44 | 3 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $987.02 – $3,120.72 | 3 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,758.32 – $5,559.39 | 3 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,644.29 – $5,198.88 | 3 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $1,135.16 – $3,589.11 | 3 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $1,431.48 – $4,526.02 | 3 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $2,782.13 | $3,576.00 | $464.86 – $2,070.74 | 12 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $6,118.20 | $7,864.00 | $135.36 – $552.72 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $969.39 | $1,246.00 | $103.68 – $423.36 | 12 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $368.00 | $473.00 | $0.05 – $59.78 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $6.23 | $8.00 | $4.16 – $8.00 | 12 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $330.65 | $425.00 | $21.36 – $87.22 | 11 |
| Liberta rc ipg HCPCS C1820 | $121,116.71 | $155,677.00 | $1,451.28 – $5,926.06 | 12 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $87.14 | $112.00 | $14.64 – $59.78 | 11 |
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.