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 |
|---|---|---|---|---|
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | $69.25 | $89.00 | $14.64 – $59.78 | 11 |
| Lidocaine therapeutic drug level CPT 80176 | $77.03 | $99.00 | $13.06 – $97.02 | 12 |
| Lift heel adj small gl60404sm HCPCS L3332 | $571.83 | $735.00 | $76.39 – $720.30 | 12 |
| Ligate esophagus veins CPT 43400 | not published | not published | $1,630.49 – $5,155.21 | 3 |
| Ligate leg veins open CPT 37761 | not published | not published | $651.14 – $2,058.75 | 3 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $822.88 – $2,601.75 | 3 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $96.78 – $305.99 | 3 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,950.78 – $6,167.92 | 3 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $541.77 – $1,712.95 | 3 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $460.75 – $1,456.80 | 3 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,304.84 – $4,672.26 | 3 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $294.86 – $932.28 | 3 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,162.04 – $3,674.11 | 3 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $395.09 – $1,249.19 | 3 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $726.28 – $2,296.32 | 3 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $726.28 – $2,296.32 | 3 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $515.64 – $1,630.37 | 3 |
| Ligation major artery chest CPT 37616 | not published | not published | $872.68 – $872.68 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $453.56 – $453.56 | 1 |
| Ligation major artery neck CPT 37615 | not published | not published | $518.76 – $518.76 | 1 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $822.88 – $2,601.75 | 3 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,507.74 – $4,767.12 | 3 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,805.55 – $5,708.77 | 3 |
| Ligation of neck artery CPT 37606 | not published | not published | $726.28 – $2,296.32 | 3 |
| Ligation of salivary duct CPT 42665 | not published | not published | $379.11 – $1,198.67 | 3 |
| Ligation of shunt CPT 49428 | not published | not published | $208.45 – $659.04 | 3 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,257.18 – $3,974.92 | 3 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $367.49 – $1,161.91 | 3 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $531.62 – $1,680.88 | 3 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $872.25 – $2,757.86 | 3 |
| Liletta, 52 mg HCPCS J7297 | $2,139.50 | $2,750.00 | $660.00 – $2,695.00 | 12 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $407.44 – $1,288.23 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | $571.83 | $735.00 | $55.87 – $323.40 | 12 |
| Limited autopsy CPT 88036 | $903.66 | $1,161.51 | $278.77 – $1,138.28 | 11 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $30,213.63 | $38,835.00 | $3.47 – $156.80 | 12 |
| Lipase CPT 83690 | $163.38 | $210.00 | $3.59 – $6.89 | 12 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $762.61 – $2,411.16 | 3 |
| Lipoprotein blood quant CPT 83704 | $44.35 | $57.00 | $7.33 – $14.08 | 12 |
| Lipoprotein direct measurement hdl CPT 83718 | $106.59 | $137.00 | $6.75 – $32.34 | 12 |
| Lipoprotein direct measurement ldl CPT 83721 | $186.72 | $240.00 | $5.05 – $9.71 | 12 |
| Lithium therapeutic drug level CPT 80178 | $146.27 | $188.00 | $3.44 – $6.61 | 12 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,075.62 – $3,400.87 | 3 |
| Liver Function Test CPT 80076 | $238.85 | $307.00 | $6.38 – $45.08 | 12 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,024.79 – $3,240.13 | 3 |
| Liver/spleen imag static only CPT 78215 | $1,354.50 | $1,741.00 | $168.78 – $1,706.18 | 12 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $575.93 – $1,820.96 | 3 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $47.46 | $61.00 | $6.03 – $59.78 | 12 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | $256.74 | $330.00 | $66.64 – $323.40 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $6,231.78 | $8,010.00 | $494.58 – $7,849.80 | 12 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $4,025.38 | $5,174.00 | $494.58 – $5,070.52 | 12 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $2,043.03 | $2,626.00 | $395.94 – $2,573.48 | 12 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $4,422.93 | $5,685.00 | $994.45 – $5,571.30 | 12 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $3,839.43 | $4,935.00 | $845.55 – $4,836.30 | 12 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,648.32 | $3,404.00 | $592.30 – $3,335.92 | 12 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $595.17 | $765.00 | $59.09 – $749.70 | 12 |
| Lower jaw bone graft CPT 21215 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $966.82 – $3,056.87 | 3 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $1,088.11 – $3,440.34 | 3 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $950.29 – $3,004.58 | 3 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $1,177.69 – $3,723.59 | 3 |
| Lso corset front HCPCS L0972 | $336.10 | $432.00 | $103.68 – $423.36 | 12 |
| Lso flex no ri stays pre ots HCPCS L0628 | $256.74 | $330.00 | $71.73 – $323.40 | 12 |
| Lso full corset HCPCS L0976 | $438.80 | $564.00 | $135.36 – $552.72 | 12 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $571.83 | $735.00 | $135.36 – $552.72 | 12 |
| Lso sag-coronal panel custom HCPCS L0638 | $4,704.57 | $6,047.00 | $1,127.55 – $5,926.06 | 12 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $743.77 | $956.00 | $229.44 – $936.88 | 12 |
| Lso s/c shell/panel prefab HCPCS L0639 | $3,617.70 | $4,650.00 | $1,034.29 – $4,557.00 | 12 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $2,326.27 – $7,355.12 | 3 |
| Lung function test (mbc/mvv) CPT 94200 | $858.14 | $1,103.00 | $31.99 – $1,080.94 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $442.69 | $569.00 | $47.99 – $557.62 | 12 |
| Lung perfusion imaging CPT 78580 | $1,366.17 | $1,756.00 | $219.46 – $1,720.88 | 12 |
| Lung transplant double CPT 32853 | not published | not published | $5,208.87 – $16,469.21 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $2,855.28 – $2,855.28 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,530.51 – $14,324.44 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,502.26 – $17,396.87 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,374.17 – $4,344.81 | 3 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $21.07 – $66.61 | 3 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $766.13 – $766.13 | 1 |
| Lymphatics/lymph node imaging CPT 78195 | $527.49 | $678.00 | $162.72 – $678.00 | 12 |
| Lymphocyte transformation mitogen CPT 86353 | $263.67 | $338.90 | $43.34 – $81.67 | 12 |
| Lymphocytotoxicity assay CPT 86806 | $257.33 | $330.75 | $36.74 – $324.14 | 12 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $109.67 – $346.76 | 3 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $147.29 – $465.68 | 3 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $256.20 – $810.03 | 3 |
| Macroscopic exam arthropod CPT 87168 | $59.91 | $77.00 | $3.80 – $75.46 | 12 |
| Macroscopic exam parasite CPT 87169 | $13.73 | $17.64 | $3.80 – $17.29 | 12 |
| Magnesium CPT 83735 | $134.60 | $173.00 | $2.60 – $5.00 | 12 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $1,019.96 | $1,311.00 | $4.95 – $59.78 | 12 |
| Male sling procedure CPT 53440 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,853.55 – $9,022.25 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $311.90 – $986.16 | 3 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $405.57 – $1,282.30 | 3 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $119.04 | $153.00 | $22.82 – $149.94 | 12 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $139.27 | $179.00 | $38.81 – $175.42 | 12 |
| Manipulation of hip joint CPT 27275 | not published | not published | $180.12 – $569.48 | 3 |
| Manipulation of spine CPT 22505 | not published | not published | $203.35 – $642.94 | 3 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $86.35 – $273.74 | 3 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $1,535.00 | $1,973.00 | $473.52 – $1,933.54 | 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.