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 |
|---|---|---|---|---|
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $132.99 – $603.16 | 3 |
| Biopsy vestibule of mouth 40808 CPT 40808 | not published | not published | $92.24 – $291.62 | 3 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $704.48 – $2,227.42 | 3 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $565.04 – $1,786.54 | 3 |
| Biotinidase - quest CPT 82261 | $22.85 | $29.37 | $13.86 – $28.79 | 12 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $528.27 | $679.00 | $153.26 – $665.42 | 12 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $225.88 – $714.18 | 3 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $68.99 – $218.16 | 3 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $871.53 – $2,755.58 | 3 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $658.00 – $2,080.44 | 3 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $658.00 – $2,080.44 | 3 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,015.35 – $3,210.28 | 3 |
| Blm gene CPT 81209 | $31.60 | $40.61 | $21.12 – $39.80 | 11 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,345.85 | $13,298.00 | $72.60 – $323.40 | 12 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $17,487.89 | $22,478.00 | $42.24 – $188.16 | 12 |
| Bln dil 900ml preperitnl HCPCS C1727 | $743.77 | $956.00 | $124.08 – $552.72 | 12 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $7,955.83 | $10,226.00 | $1,330.34 – $5,926.06 | 12 |
| Bln press regulation 71-80cm HCPCS C1815 | $22,736.28 | $29,224.00 | $1,730.08 – $7,706.72 | 12 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $49.80 | $64.00 | $14.08 – $62.72 | 12 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,262.70 | $1,623.00 | $145.32 – $1,590.54 | 12 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,262.70 | $1,623.00 | $124.75 – $1,590.54 | 12 |
| Block paracervical nrv CPT 64435 | not published | not published | $142.35 – $450.07 | 3 |
| Block plantar digital nerve CPT 64455 | $454.36 | $584.00 | $38.47 – $572.32 | 12 |
| Block tap inj(s) w/wo img bi CPT 64488 | $694.76 | $893.00 | $159.57 – $875.14 | 11 |
| Block tap inj(s) w/wo img uni CPT 64486 | $529.82 | $681.00 | $129.89 – $648.76 | 11 |
| Blood Clotting (PT/INR) Test CPT 85610 | $93.36 | $120.00 | $2.24 – $4.29 | 12 |
| Blood Clotting (PTT) Test CPT 85730 | $150.94 | $194.00 | $3.48 – $6.55 | 12 |
| Blood Count (CBC) Test CPT 85025 | $147.05 | $189.00 | $6.75 – $42.14 | 12 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $105.81 | $136.00 | $5.71 – $33.32 | 12 |
| Blood Culture Test CPT 87040 | $185.95 | $239.00 | $8.98 – $53.90 | 12 |
| Blood draw capillary 36416 CPT 36416 | $31.90 | $41.00 | $5.28 – $21.56 | 11 |
| Blood gases o2 saturation direct measurement CPT 82805 | $598.29 | $769.00 | $24.30 – $753.62 | 12 |
| Blood gases ph venous CPT 82800 | $166.50 | $214.00 | $6.67 – $209.72 | 12 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $73.91 | $95.00 | $12.98 – $24.46 | 12 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $17.12 | $22.00 | $2.56 – $20.58 | 12 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $13.23 | $17.00 | $2.14 – $4.11 | 12 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $39.68 | $51.00 | $2.71 – $19.60 | 12 |
| Blood split unit HCPCS P9011 | $476.92 | $613.00 | $147.12 – $600.74 | 12 |
| Blood typing abo CPT 86900 | $93.36 | $120.00 | $2.38 – $33.96 | 12 |
| Blood typing ag donor ea ag CPT 86902 | $65.36 | $84.00 | $3.28 – $82.32 | 12 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $147.05 | $189.00 | $3.35 – $26.46 | 12 |
| Blood typing rh (d) CPT 86901 | $79.36 | $102.00 | $2.46 – $22.64 | 12 |
| Blood typing rh phenotype complete reference CPT 86906 | $58.35 | $75.00 | $5.21 – $73.50 | 12 |
| Bone biopsy open superficial CPT 20240 | not published | not published | $246.94 – $780.74 | 3 |
| Bone Density Scan (DEXA) CPT 77080 | $206.17 | $265.00 | $46.61 – $259.70 | 12 |
| Bone filler cerament 10cc HCPCS C1602 | $22,736.28 | $29,224.00 | $6,429.28 – $28,639.52 | 12 |
| Bone imaging multiple areas CPT 78305 | $2,008.80 | $2,582.00 | $220.28 – $2,530.36 | 12 |
| Bone/joint imaging ltd area CPT 78300 | $1,567.67 | $2,015.00 | $157.84 – $1,974.70 | 12 |
| Bone marrow;aspiration only 38220 CPT 38220 | not published | not published | $249.61 – $789.22 | 3 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $3,963.91 | $5,095.00 | $253.20 – $1,033.90 | 12 |
| Bone marrow harvest allogen CPT 38230 | not published | not published | $431.42 – $1,364.04 | 3 |
| Bone marrow harvest autolog CPT 38232 | not published | not published | $204.20 – $645.17 | 3 |
| Bone marrow imaging body CPT 78104 | $1,408.18 | $1,810.00 | $228.70 – $1,773.80 | 11 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $4,974.27 – $15,727.46 | 3 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $4,336.59 – $13,711.29 | 3 |
| Bone survey-lead poisoning CPT 77074 | $343.88 | $442.00 | $76.73 – $433.16 | 12 |
| Boot j walker l HCPCS L4386 | $438.80 | $564.00 | $15.36 – $62.72 | 12 |
| Boot mlti podous univ xlg HCPCS L4396 | $438.80 | $564.00 | $135.36 – $552.72 | 12 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $149.38 | $192.00 | $27.12 – $110.74 | 12 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $43.57 | $56.00 | $13.00 – $24.50 | 12 |
| (both sides) smear without diff wbc count CPT 85008 | $2.67 | $3.43 | $0.52 – $3.43 | 12 |
| Bowel imaging CPT 78290 | $725.88 | $933.00 | $210.96 – $914.34 | 12 |
| Brace afo lg left 6607 HCPCS L1930 | $743.77 | $956.00 | $229.44 – $936.88 | 12 |
| Brace afopos solid ankle cust HCPCS L1960 | $2,139.50 | $2,750.00 | $647.66 – $2,695.00 | 12 |
| Brace afo spiral prefab HCPCS L1951 | $2,782.13 | $3,576.00 | $660.00 – $2,695.00 | 12 |
| Brace ank air stirrup univ HCPCS L4350 | $66.13 | $85.00 | $11.76 – $48.02 | 12 |
| Brace back epic lo 627 HCPCS L0642 | $1,262.70 | $1,623.00 | $389.52 – $1,590.54 | 12 |
| Brace back epic lso 637 HCPCS L0650 | $4,704.57 | $6,047.00 | $1,116.00 – $4,557.00 | 12 |
| Brace back epic tslo 456 HCPCS L0457 | $2,782.13 | $3,576.00 | $507.12 – $2,070.74 | 12 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $1,262.70 | $1,623.00 | $229.44 – $936.88 | 12 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $4,704.57 | $6,047.00 | $229.44 – $936.88 | 12 |
| Brace back t-lso custom HCPCS L0486 | $6,118.20 | $7,864.00 | $660.00 – $2,695.00 | 12 |
| Brace cust back lso HCPCS L0631 | $2,782.13 | $3,576.00 | $858.24 – $3,504.48 | 12 |
| Brace fx hum ovr shldr lg HCPCS L3981 | $2,782.13 | $3,576.00 | $858.24 – $3,504.48 | 12 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $1,262.70 | $1,623.00 | $299.04 – $1,221.08 | 12 |
| Brace halo bremer l2830 HCPCS L2830 | $743.77 | $956.00 | $103.68 – $423.36 | 12 |
| Brace kafo dbl upright cust HCPCS L2036 | $7,955.83 | $10,226.00 | $1,451.28 – $5,926.06 | 12 |
| Brace knee extender plus 22-30in HCPCS L1832 | $2,782.13 | $3,576.00 | $79.20 – $323.40 | 12 |
| Brace knee hing pat open med HCPCS L1820 | $743.77 | $956.00 | $103.68 – $423.36 | 12 |
| Brace knee postop tscope xl HCPCS L1845 | $2,782.13 | $3,576.00 | $681.92 – $3,504.48 | 12 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $438.80 | $564.00 | $135.36 – $552.72 | 12 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $3,617.70 | $4,650.00 | $299.04 – $1,221.08 | 12 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $2,782.13 | $3,576.00 | $850.29 – $3,504.48 | 12 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $571.83 | $735.00 | $15.36 – $62.72 | 12 |
| Brace tlso flex cust HCPCS L0450 | $571.83 | $735.00 | $176.40 – $720.30 | 12 |
| Brace wrist classic lft sm HCPCS L3908 | $336.10 | $432.00 | $5.04 – $20.58 | 12 |
| Brach/thor cath 1st CPT 36215 | $674.53 | $867.00 | $208.08 – $867.00 | 12 |
| Brach/thor cath 2nd CPT 36216 | $827.02 | $1,063.00 | $255.12 – $1,063.00 | 12 |
| Brach/thor cath 3rd CPT 36217 | $991.95 | $1,275.00 | $306.00 – $1,275.00 | 12 |
| Brach/thor cath addl CPT 36218 | not published | not published | $84.25 – $266.39 | 3 |
| Braf gene CPT 81210 | $155.60 | $200.00 | $39.00 – $75.00 | 12 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $2,360.42 – $7,463.06 | 3 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Brain flow imaging only CPT 78610 | $512.71 | $659.00 | $78.46 – $645.82 | 12 |
| Brain image w/flow < 4 views CPT 78601 | $768.67 | $988.00 | $237.12 – $968.24 | 12 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,924.24 | $5,044.00 | $440.87 – $4,943.12 | 12 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $3,407.64 | $4,380.00 | $302.98 – $4,292.40 | 12 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,349.56 | $3,020.00 | $286.88 – $2,959.60 | 12 |
| Brain MRI (with and without contrast) CPT 70553 | $3,995.81 | $5,136.00 | $990.52 – $5,033.28 | 12 |
| Brain MRI (with contrast) CPT 70552 | $3,469.88 | $4,460.00 | $841.40 – $4,370.80 | 12 |
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.