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 |
|---|---|---|---|---|
| Ob Ultrasound nuchal meas add-on CPT 76814 | $125.26 | $161.00 | $38.64 – $161.00 | 12 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $1,087.36 – $3,438.00 | 3 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | $846.47 | $1,088.00 | $5.05 – $168.56 | 12 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $5,446.00 | $7,000.00 | $209.05 – $6,860.00 | 12 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $395.95 – $1,251.90 | 3 |
| Ocular reconst transplant CPT 65780 | not published | not published | $426.33 – $1,347.96 | 3 |
| Ocular reconst transplant CPT 65781 | not published | not published | $726.77 – $2,297.28 | 3 |
| Ocular reconst transplant CPT 65782 | not published | not published | $618.49 – $1,956.29 | 3 |
| Offset knee joint each HCPCS L2390 | $571.83 | $735.00 | $121.07 – $720.30 | 12 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,643.92 | $2,113.00 | $357.06 – $1,590.54 | 12 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $280.86 | $361.00 | $45.84 – $187.18 | 11 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $876.97 – $2,772.73 | 3 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $615.16 – $1,944.99 | 3 |
| Oncology tum unknown origin CPT 81540 | $3,695.50 | $4,750.00 | $2,470.00 – $4,655.00 | 11 |
| Onco (ovar) five proteins CPT 81503 | $353.99 | $455.00 | $236.60 – $455.00 | 12 |
| Oncoprotein dcp CPT 83951 | $78.58 | $101.00 | $52.52 – $98.98 | 12 |
| Oncoprotein her-2/neu CPT 83950 | $221.73 | $285.00 | $64.41 – $279.30 | 11 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | $145.49 | $187.00 | $0.24 – $4.55 | 12 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,745.61 – $5,519.24 | 3 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,252.15 – $3,959.01 | 3 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,266.83 – $4,005.41 | 3 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $2,174.68 – $6,875.83 | 3 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $2,350.38 – $7,431.35 | 3 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $2,350.38 – $7,431.35 | 3 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $511.90 – $1,618.52 | 3 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $852.24 – $2,694.29 | 3 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $534.53 – $1,690.07 | 3 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $1,082.15 – $3,421.53 | 3 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $940.54 – $2,973.74 | 3 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $493.86 – $1,561.47 | 3 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $2,303.02 – $7,281.60 | 3 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $351.51 – $1,111.40 | 3 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $688.51 – $2,176.91 | 3 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $1,391.55 – $4,399.76 | 3 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $689.97 – $2,181.53 | 3 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $1,234.68 – $3,903.74 | 3 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $700.25 – $2,214.03 | 3 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $838.98 – $2,652.67 | 3 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,142.78 – $3,613.20 | 3 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $1,229.58 – $3,887.64 | 3 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $906.44 – $2,865.61 | 3 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $906.44 – $2,865.61 | 3 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $63.44 – $200.12 | 3 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,266.32 – $4,003.82 | 3 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $345.09 – $1,090.22 | 3 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $308.83 – $974.94 | 3 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $511.52 – $1,616.89 | 3 |
| Opn impltj crnl nrv nea&pg CPT 64568 | not published | not published | $747.86 – $2,364.53 | 3 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $371.14 – $1,173.47 | 3 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $740.25 – $2,340.49 | 3 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $1,069.08 – $3,380.21 | 3 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $1,082.89 – $3,423.81 | 3 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $1,586.18 – $5,015.14 | 3 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $538.90 – $1,703.89 | 3 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $1,324.56 – $6,007.18 | 3 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $987.02 – $3,120.72 | 3 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $908.58 – $2,872.71 | 3 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $987.02 – $3,120.72 | 3 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $987.02 – $3,120.72 | 3 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $987.02 – $3,120.72 | 3 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $918.01 – $2,902.56 | 3 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $1,018.97 – $3,221.75 | 3 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $1,385.02 – $4,379.10 | 3 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $1,045.84 – $3,306.68 | 3 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $932.54 – $2,948.45 | 3 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $932.54 – $2,948.45 | 3 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,081.42 – $3,419.19 | 3 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $740.07 – $2,339.92 | 3 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $1,853.24 – $5,859.52 | 3 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $2,603.71 – $8,232.32 | 3 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $2,096.05 – $6,627.18 | 3 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $1,871.20 – $5,916.27 | 3 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $517.11 – $1,634.99 | 3 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $945.61 – $2,989.78 | 3 |
| Optx lunate dislocation CPT 25695 | not published | not published | $682.69 – $2,158.53 | 3 |
| Optx medial ankle fx CPT 27766 | not published | not published | $740.07 – $2,339.92 | 3 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $1,162.04 – $3,674.11 | 3 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $721.18 – $2,280.22 | 3 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $411.07 – $1,299.70 | 3 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $952.88 – $3,012.78 | 3 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $1,029.14 – $3,253.89 | 3 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $1,716.18 – $5,426.17 | 3 |
| Optx post ankle fx CPT 27769 | not published | not published | $682.53 – $2,158.00 | 3 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,289.22 – $7,237.99 | 3 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $658.00 – $2,080.44 | 3 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $658.00 – $2,080.44 | 3 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $658.00 – $2,080.44 | 3 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $1,228.86 – $3,885.36 | 3 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $1,306.58 – $4,131.09 | 3 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $937.62 – $2,964.55 | 3 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx sho dislc fx CPT 23670 | not published | not published | $987.02 – $3,120.72 | 3 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $955.05 – $3,019.63 | 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.