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 |
|---|---|---|---|---|
| Pt prgrm for implt neurostim HCPCS L8681 | $4,704.57 | $6,047.00 | $1,451.28 – $5,926.06 | 12 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $50.57 | $65.00 | $15.60 – $63.70 | 11 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $2,796.89 – $8,843.13 | 3 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Pulmonary vent imaging CPT 78579 | $414.68 | $533.00 | $127.92 – $533.00 | 12 |
| Pulse ox continuous overnight monitoring CPT 94762 | $890.81 | $1,145.00 | $274.80 – $1,122.10 | 11 |
| Pulse ox multiple CPT 94761 | $178.17 | $229.00 | $54.96 – $224.42 | 11 |
| Pulse ox single CPT 94760 | $115.15 | $148.00 | $10.91 – $145.04 | 12 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $438.80 | $564.00 | $135.36 – $552.72 | 11 |
| Punc of shunt for asp or inj CPT 61070 | not published | not published | $254.93 – $806.02 | 3 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $237.29 | $305.00 | $24.70 – $284.20 | 12 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $597.51 | $768.00 | $77.52 – $316.54 | 12 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $145.26 – $459.26 | 3 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,585.57 | $2,038.00 | $159.79 – $1,308.30 | 12 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $100.76 – $318.59 | 3 |
| Pvb thoracic cont infusion CPT 64463 | $10,936.35 | $14,057.00 | $195.45 – $13,775.86 | 12 |
| Pvb thoracic single inj site CPT 64461 | $1,419.85 | $1,825.00 | $178.73 – $1,430.80 | 12 |
| Pyelotomy complicated CPT 50135 | not published | not published | $1,783.01 – $1,783.01 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,576.02 – $4,983.00 | 3 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,504.85 – $4,758.00 | 3 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,623.23 – $5,132.26 | 3 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,027.67 – $3,249.26 | 3 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $99.59 | $128.00 | $18.96 – $77.42 | 11 |
| Pyruvate CPT 84210 | $19.21 | $24.68 | $11.58 – $24.19 | 12 |
| Pyruvate kinase CPT 84220 | $27.23 | $35.00 | $8.39 – $34.30 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,287.59 | $1,655.00 | $368.97 – $1,621.90 | 12 |
| Quant diff pulm perf w/imaging CPT 78597 | $414.68 | $533.00 | $127.92 – $533.00 | 12 |
| Quest t3 uptake CPT 84479 | $5.09 | $6.54 | $3.12 – $6.00 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $4,640.77 | $5,965.00 | $294.37 – $5,845.70 | 12 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $2,965.38 – $9,375.86 | 3 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $1,625.42 – $5,139.17 | 3 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $1,850.55 – $5,851.01 | 3 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $1,613.79 – $5,102.41 | 3 |
| Radical resection of elbow CPT 24149 | not published | not published | $1,587.65 – $5,019.76 | 3 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $2,363.30 – $7,472.19 | 3 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $1,147.84 – $3,629.20 | 3 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $1,548.86 – $4,897.14 | 3 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,109.16 | $2,711.00 | $257.99 – $2,656.78 | 12 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $781.89 | $1,005.00 | $241.20 – $984.90 | 11 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $1,777.21 – $5,619.10 | 3 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $1,827.32 – $5,777.55 | 3 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $1,429.88 – $4,520.93 | 3 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $971.50 – $971.50 | 1 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $1,286.97 – $4,069.10 | 3 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $1,489.10 – $4,708.20 | 3 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $1,339.98 – $4,236.68 | 3 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $1,194.43 – $3,776.52 | 3 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $1,230.32 – $3,889.98 | 3 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $909.87 – $4,126.46 | 3 |
| Rapid Strep Test CPT 87880 | $119.04 | $153.00 | $6.99 – $44.10 | 12 |
| Rbc deglycerolized each unit HCPCS P9039 | $904.04 | $1,162.00 | $267.60 – $1,092.70 | 12 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $42.27 – $42.27 | 1 |
| Rbc osmotic fragility CPT 85555 | $49.80 | $64.00 | $5.98 – $62.72 | 12 |
| Rbc serum pretx incubj drugs CPT 86975 | $122.54 | $157.50 | $16.65 – $154.35 | 12 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $2,878.97 – $9,102.62 | 3 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $2,467.90 – $7,802.91 | 3 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $2,452.64 – $7,754.68 | 3 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $1,983.46 – $6,271.23 | 3 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $2,138.87 – $6,762.63 | 3 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $2,138.87 – $6,762.63 | 3 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $1,974.01 – $6,241.38 | 3 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $2,632.04 – $8,321.88 | 3 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $2,632.04 – $8,321.88 | 3 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $1,307.30 – $4,133.37 | 3 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $1,597.81 – $5,051.90 | 3 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $1,597.81 – $5,051.90 | 3 |
| Realignment of knee CPT 27457 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Realignment of knee CPT 27455 | not published | not published | $987.02 – $3,120.72 | 3 |
| Realignment of tendons CPT 26437 | not published | not published | $1,081.42 – $3,419.19 | 3 |
| Realignment of thigh bone CPT 27454 | not published | not published | $1,645.02 – $5,201.16 | 3 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $1,597.81 – $5,051.90 | 3 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $1,597.81 – $5,051.90 | 3 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $1,233.96 – $3,901.46 | 3 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Rechanneling of artery CPT 35361 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Rechanneling of artery CPT 35306 | not published | not published | $550.49 – $1,740.17 | 3 |
| Rechanneling of artery CPT 35311 | not published | not published | $2,387.28 – $7,547.99 | 3 |
| Rechanneling of artery CPT 35363 | not published | not published | $2,328.44 – $7,361.97 | 3 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,474.27 – $4,661.80 | 3 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $2,905.11 – $9,185.27 | 3 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,533.60 – $4,849.11 | 3 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $2,905.11 – $9,185.27 | 3 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $2,033.58 – $6,429.69 | 3 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,474.27 – $4,661.80 | 3 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $2,033.58 – $6,429.69 | 3 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $2,675.60 – $8,459.61 | 3 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $2,103.29 – $6,650.13 | 3 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $864.28 – $2,732.64 | 3 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $1,215.69 – $3,843.73 | 3 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Reconstruct bronchus CPT 31775 | not published | not published | $2,874.59 – $9,088.80 | 3 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $1,740.88 – $5,504.25 | 3 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $1,452.55 – $4,592.63 | 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.