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 |
|---|---|---|---|---|
| Partial removal of lip CPT 40530 | not published | not published | $493.86 – $1,561.47 | 3 |
| Partial removal of liver CPT 47125 | not published | not published | $1,910.83 – $6,041.60 | 3 |
| Partial removal of liver CPT 47130 | not published | not published | $1,815.70 – $5,740.79 | 3 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $2,087.31 – $6,599.61 | 3 |
| Partial removal of nose CPT 30150 | not published | not published | $1,169.30 – $3,697.05 | 3 |
| Partial removal of pancreas CPT 48145 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Partial removal of pancreas CPT 48150 | not published | not published | $2,796.89 – $8,843.13 | 3 |
| Partial removal of penis CPT 54120 | not published | not published | $822.88 – $2,601.75 | 3 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $1,458.37 – $4,611.01 | 3 |
| Partial removal of radius CPT 25151 | not published | not published | $689.23 – $2,179.19 | 3 |
| Partial removal of radius CPT 25230 | not published | not published | $411.07 – $1,299.70 | 3 |
| Partial removal of rectum CPT 45111 | not published | not published | $1,611.60 – $5,095.50 | 3 |
| Partial removal of rectum CPT 45114 | not published | not published | $2,408.34 – $7,614.61 | 3 |
| Partial removal of rectum CPT 45116 | not published | not published | $2,124.36 – $6,716.74 | 3 |
| Partial removal of rib CPT 21600 | not published | not published | $530.90 – $1,678.60 | 3 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,092.32 – $3,453.67 | 3 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,080.70 – $3,416.90 | 3 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Partial removal of tibia CPT 27640 | not published | not published | $987.02 – $3,120.72 | 3 |
| Partial removal of toe CPT 28160 | not published | not published | $342.07 – $1,081.54 | 3 |
| Partial removal of tongue CPT 41120 | not published | not published | $658.00 – $2,080.44 | 3 |
| Partial removal of tongue CPT 41130 | not published | not published | $987.02 – $3,120.72 | 3 |
| Partial removal of ulna CPT 25119 | not published | not published | $822.88 – $2,601.75 | 3 |
| Partial removal of ulna CPT 25150 | not published | not published | $586.12 – $1,853.15 | 3 |
| Partial removal of ulna CPT 25240 | not published | not published | $493.86 – $1,561.47 | 3 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $576.29 – $1,822.07 | 3 |
| Partial removal tear gland CPT 68505 | not published | not published | $987.02 – $3,120.72 | 3 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,103.20 – $3,488.08 | 3 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $1,427.85 – $4,514.55 | 3 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $7,955.83 | $10,226.00 | $1.86 – $1,221.08 | 12 |
| Part removal hip bone deep CPT 27071 | not published | not published | $987.02 – $3,120.72 | 3 |
| Part removal of metatarsal CPT 28110 | not published | not published | $366.04 – $1,157.35 | 3 |
| Part removal of metatarsal CPT 28113 | not published | not published | $396.55 – $1,253.81 | 3 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $387.83 – $1,226.24 | 3 |
| Part remove hip bone super CPT 27070 | not published | not published | $910.74 – $2,879.56 | 3 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,132.27 – $3,579.98 | 3 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $616.61 – $1,949.56 | 3 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $5,846.67 | $7,515.00 | $117.36 – $7,364.70 | 12 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | $5,446.00 | $7,000.00 | $1,680.00 – $6,860.00 | 11 |
| Pelvic band & belt thigh fla HCPCS L2192 | $1,262.70 | $1,623.00 | $389.52 – $1,590.54 | 12 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,066.37 | $2,656.00 | $494.58 – $2,602.88 | 12 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,832.97 | $2,356.00 | $494.58 – $2,308.88 | 12 |
| Pelvic CT scan (without contrast) CPT 72192 | $935.16 | $1,202.00 | $288.48 – $1,177.96 | 12 |
| Pelvic exenteration CPT 45126 | not published | not published | $3,406.24 – $10,769.74 | 3 |
| Pelvic MRI (with and without contrast) CPT 72197 | $5,158.92 | $6,631.00 | $452.76 – $6,498.38 | 12 |
| Pelvic MRI (with contrast) CPT 72196 | $1,857.09 | $2,387.00 | $572.88 – $2,339.26 | 12 |
| Pelvic MRI (without contrast) CPT 72195 | $1,289.93 | $1,658.00 | $307.82 – $1,624.84 | 12 |
| Pelvic Ultrasound (complete) CPT 76856 | $1,016.85 | $1,307.00 | $131.97 – $1,280.86 | 12 |
| Pelvic Ultrasound (limited) CPT 76857 | $681.53 | $876.00 | $82.35 – $858.48 | 12 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,107.61 | $2,709.00 | $31.44 – $2,654.82 | 12 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $230.29 | $296.00 | $5.24 – $59.78 | 12 |
| Penis plastic surgery CPT 54360 | not published | not published | $724.05 – $3,283.74 | 3 |
| Penis study CPT 54240 | not published | not published | $153.98 – $486.83 | 3 |
| Perc cryo ablate renal tum CPT 50593 | $14,495.70 | $18,632.00 | $4,471.68 – $18,259.36 | 12 |
| Perc rf ablate renal tumor CPT 50592 | $7,995.51 | $10,277.00 | $64.74 – $10,071.46 | 11 |
| Percut ablate liver rf CPT 47382 | $8,075.64 | $10,380.00 | $753.41 – $10,172.40 | 12 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $263.09 – $830.85 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $2,634.20 – $8,328.73 | 3 |
| Pericardiocentesis wwo imaging CPT 33016 | $3,660.49 | $4,705.00 | $273.13 – $4,610.90 | 12 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $1,509.21 – $4,771.75 | 3 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $822.88 – $2,601.75 | 3 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $484.34 – $1,531.37 | 3 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $288.80 – $912.50 | 3 |
| Perq art m-thrombect &/nfs CPT 61645 | $1,551.34 | $1,994.00 | $478.56 – $1,994.00 | 12 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $923.03 – $2,918.41 | 3 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $194.64 – $510.67 | 3 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $332.66 – $1,051.78 | 3 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $1,233.96 – $3,901.46 | 3 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $1,102.48 – $3,485.80 | 3 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $5,697.71 – $18,014.81 | 3 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,216.19 – $19,654.14 | 3 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,455.17 – $20,409.74 | 3 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $526.71 | $677.00 | $162.48 – $677.00 | 12 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $534.18 – $1,688.95 | 3 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $435.44 – $1,376.77 | 3 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $310.12 – $980.51 | 3 |
| Perq tx malar fracture CPT 21355 | not published | not published | $251.30 – $794.55 | 3 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $649.30 – $2,052.93 | 3 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $1,446.02 – $4,571.97 | 3 |
| Pet CT whole body initial CPT 78816 | $3,973.25 | $5,107.00 | $1,225.68 – $5,107.00 | 12 |
| Pet image full body CPT 78813 | $3,784.97 | $4,865.00 | $1,167.60 – $4,865.00 | 12 |
| Pet image skull-thigh CPT 78812 | $3,784.97 | $4,865.00 | $1,167.60 – $4,865.00 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $56,505.37 | $72,629.00 | $24.86 – $110.74 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $365.32 – $1,155.07 | 3 |
| Ph body fluid CPT 83986 | $660.53 | $849.00 | $2.15 – $4.04 | 12 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $834.02 | $1,072.00 | $14.64 – $59.78 | 12 |
| Phenobarbital therapeutic drug level CPT 80184 | $280.86 | $361.00 | $3.83 – $7.35 | 12 |
| Phentolaine mesylate inj HCPCS J2760 | $2,744.01 | $3,527.00 | $252.00 – $1,029.00 | 12 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $10,176.24 | $13,080.00 | $14.64 – $59.78 | 11 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | $47.46 | $61.00 | $0.52 – $59.78 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $140.82 | $181.00 | $6.89 – $13.25 | 12 |
| Phlebotomy therapeutic CPT 99195 | $370.33 | $476.00 | $31.99 – $466.48 | 12 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $313.36 – $990.94 | 3 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $392.35 – $1,240.68 | 3 |
| Phosphorus CPT 84100 | $93.36 | $120.00 | $2.47 – $4.74 | 12 |
| Phosphorus 24 hour urine CPT 84105 | $6.90 | $8.86 | $2.60 – $5.00 | 12 |
| Photopheresis CPT 36522 | not published | not published | $4,025.31 – $12,727.10 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $302.65 | $389.00 | $6.91 – $59.78 | 12 |
| Pin caspar distraction 12mm HCPCS C1821 | $17,487.89 | $22,478.00 | $4,945.16 – $22,028.44 | 12 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $309.40 – $978.23 | 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.