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 |
|---|---|---|---|---|
| Mayo lamotrigine therapeutic drug level CPT 80175 | $5.45 | $7.00 | $3.64 – $7.00 | 12 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $7.01 | $9.00 | $4.68 – $9.00 | 12 |
| Mayo legionella antibody CPT 86713 | $16.73 | $21.50 | $11.18 – $21.07 | 12 |
| Mayo leptospira antibody igm CPT 86720 | $35.01 | $45.00 | $12.23 – $44.10 | 12 |
| Mayo lipoprotein electrophoresis CPT 83700 | $15.83 | $20.34 | $10.01 – $19.94 | 12 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $14.83 | $19.06 | $4.96 – $9.53 | 12 |
| Mayo manganese CPT 83785 | $10.98 | $14.11 | $7.34 – $14.11 | 12 |
| Mayo metanephrines plasma CPT 83835 | $17.12 | $22.00 | $10.40 – $19.60 | 12 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $115.93 | $149.00 | $15.46 – $63.12 | 11 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $23.73 | $30.50 | $3.60 – $14.70 | 11 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $27.06 | $34.78 | $3.38 – $6.50 | 12 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $163.38 | $210.00 | $12.59 – $44.10 | 12 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $213.95 | $275.00 | $21.12 – $40.61 | 12 |
| Mayo muramidase CPT 85549 | $11.30 | $14.52 | $7.56 – $14.52 | 12 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $229.51 | $295.00 | $70.80 – $289.10 | 11 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $15.56 | $20.00 | $10.40 – $19.60 | 12 |
| Mayo myoglobin CPT 83874 | $10.06 | $12.92 | $5.67 – $10.89 | 12 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $24.04 | $30.89 | $7.80 – $15.00 | 12 |
| Mayo oxalate 24 hour urine CPT 83945 | $14.07 | $18.08 | $2.60 – $5.00 | 12 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $9.72 | $12.49 | $6.50 – $12.49 | 12 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $322.87 | $415.00 | $2.88 – $11.76 | 12 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $35.01 | $45.00 | $23.40 – $44.10 | 12 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $83.40 | $107.19 | $15.98 – $39.20 | 12 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $11.22 | $14.41 | $7.50 – $14.13 | 12 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $21.79 | $28.00 | $7.50 – $25.48 | 12 |
| Mayo pregnenolone CPT 84140 | $22.57 | $29.00 | $15.08 – $28.42 | 12 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $5.72 | $7.35 | $3.83 – $7.35 | 12 |
| Mayo proinsulin CPT 84206 | $22.04 | $28.32 | $9.45 – $18.16 | 12 |
| Mayo psaft prostate specific antigen free CPT 84154 | $258.30 | $332.00 | $2.60 – $5.00 | 12 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $637.96 | $820.00 | $12.27 – $63.00 | 12 |
| Mayo receptor assay transferrin soluble CPT 84238 | $12.45 | $16.00 | $8.32 – $16.00 | 12 |
| Mayo renin CPT 84244 | $9.34 | $12.00 | $6.24 – $12.00 | 12 |
| Mayo repu protein electrophoresis urine CPT 84166 | $51.60 | $66.32 | $2.37 – $9.85 | 12 |
| Mayo selenium CPT 84255 | $72.36 | $93.00 | $6.76 – $13.00 | 12 |
| Mayo serotonin CPT 84260 | $24.12 | $31.00 | $14.98 – $28.80 | 12 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $11.67 | $15.00 | $6.50 – $12.50 | 12 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $23.34 | $30.00 | $11.99 – $29.40 | 12 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | $48.17 | $61.91 | $7.56 – $30.84 | 11 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $5.51 | $7.07 | $2.34 – $4.41 | 12 |
| Mayo tau phosphorylated 217 each CPT 84393 | $291.75 | $375.00 | $79.60 – $325.03 | 11 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $120.59 | $155.00 | $80.60 – $155.00 | 12 |
| Mayo tgrp testosterone free CPT 84402 | $25.68 | $33.00 | $1.56 – $3.00 | 12 |
| Mayo tgrp testosterone total CPT 84403 | $118.38 | $152.15 | $1.56 – $3.00 | 12 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $46.68 | $60.00 | $14.40 – $58.80 | 11 |
| Mayo thyroglobulin CPT 84432 | $46.68 | $60.00 | $8.64 – $16.28 | 12 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $9.34 | $12.00 | $6.24 – $11.76 | 12 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $15.56 | $20.00 | $5.20 – $9.99 | 12 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | $15.56 | $20.00 | $10.40 – $19.60 | 12 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $21.76 | $27.96 | $12.04 – $27.41 | 12 |
| Mayo vasoactive intestinal peptide CPT 84586 | $26.12 | $33.57 | $17.46 – $33.57 | 11 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $25.68 | $33.00 | $17.16 – $32.34 | 12 |
| Mayo vitamin b3 (niacin) CPT 84591 | $76.25 | $98.00 | $12.63 – $78.40 | 12 |
| Mayo vitamin k CPT 84597 | $23.34 | $30.00 | $12.20 – $29.40 | 12 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $15.56 | $20.00 | $10.40 – $19.60 | 12 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $923.55 – $2,920.04 | 3 |
| Mcoln1 gene CPT 81290 | $31.60 | $40.61 | $21.12 – $39.80 | 11 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $450.64 – $1,424.81 | 3 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $552.91 – $1,748.17 | 3 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $592.91 – $1,874.63 | 3 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $1,896.18 – $5,993.73 | 3 |
| Measure kidney pressure CPT 50396 | not published | not published | $89.32 – $282.43 | 3 |
| Measurement post void urine by ultrasound CPT 51798 | $141.60 | $182.00 | $43.68 – $182.00 | 12 |
| Measure ureter pressure CPT 50686 | not published | not published | $206.26 – $652.13 | 3 |
| Medial canthopexy CPT 21280 | not published | not published | $764.05 – $2,415.73 | 3 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $597.22 – $1,490.42 | 3 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $590.94 – $1,144.62 | 3 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | $3,617.70 | $4,650.00 | $175.45 – $2,070.74 | 12 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | $10,345.85 | $13,298.00 | $59.54 – $5,926.06 | 12 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $1,150.21 – $3,637.24 | 3 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $63.80 | $82.00 | $14.60 – $59.78 | 12 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | $5,446.00 | $7,000.00 | $35.00 – $6,860.00 | 12 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $438.80 | $564.00 | $14.64 – $59.78 | 11 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $229.47 – $725.54 | 3 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | $6,118.20 | $7,864.00 | $31.39 – $3,504.48 | 12 |
| Metabolic Blood Panel (Basic) CPT 80048 | $161.83 | $208.00 | $4.40 – $8.46 | 12 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $238.07 | $306.00 | $5.50 – $10.56 | 12 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $631.74 | $812.00 | $10.82 – $82.32 | 12 |
| Methotrexate therapeutic drug level CPT 80204 | $24.72 | $31.77 | $16.53 – $31.77 | 12 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | $5,446.00 | $7,000.00 | $16.56 – $67.62 | 12 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $177.39 | $228.00 | $14.64 – $59.78 | 12 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $1,005.96 | $1,293.00 | $73.44 – $299.88 | 11 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $12.45 | $16.00 | $0.96 – $3.92 | 11 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | $287.86 | $370.00 | $14.64 – $59.78 | 11 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $47.46 | $61.00 | $5.59 – $59.78 | 12 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | $84.03 | $108.00 | $21.36 – $87.22 | 11 |
| Mgmt promoter methylation analysis CPT 81287 | $248.96 | $320.00 | $124.64 – $313.60 | 12 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $1,222.24 | $1,571.00 | $0.28 – $59.78 | 12 |
| Microbe susceptible mlc CPT 87187 | $36.89 | $47.41 | $11.28 – $46.47 | 12 |
| Microdissection manual CPT 88381 | $431.79 | $555.00 | $102.24 – $417.48 | 12 |
| Microsatellite instability CPT 81301 | $361.77 | $465.00 | $221.52 – $417.48 | 12 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $358.05 – $1,132.06 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $5,446.00 | $7,000.00 | $4.59 – $59.78 | 12 |
| Middle cerebral artery echo CPT 76821 | $134.60 | $173.00 | $41.52 – $173.00 | 12 |
| Mitochondrial gene CPT 81440 | $2,742.45 | $3,525.00 | $1,833.00 – $3,454.50 | 11 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $3,776.64 – $11,940.85 | 3 |
| Mlh1 gene CPT 81288 | $283.97 | $365.00 | $189.80 – $357.70 | 12 |
| Mlh1 gene dup/delete variant CPT 81294 | $238.75 | $306.87 | $152.16 – $300.74 | 12 |
| Mlh1 gene full seq CPT 81292 | $238.75 | $306.87 | $75.69 – $145.54 | 12 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $98.75 – $312.18 | 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.