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 |
|---|---|---|---|---|
| Revision of heart chamber CPT 33735 | not published | not published | $2,467.90 – $7,802.91 | 3 |
| Revision of heart chamber CPT 33736 | not published | not published | $2,070.63 – $6,546.82 | 3 |
| Revision of heart chamber CPT 33737 | not published | not published | $2,759.85 – $2,759.85 | 1 |
| Revision of heart veins dir/ptch 33645 CPT 33645 | not published | not published | $2,730.80 – $8,634.16 | 3 |
| Revision of hip bone CPT 27147 | not published | not published | $2,315.37 – $7,320.64 | 3 |
| Revision of hip bones CPT 27156 | not published | not published | $2,467.90 – $7,802.91 | 3 |
| Revision of hip tendon CPT 27097 | not published | not published | $1,165.67 – $3,685.58 | 3 |
| Revision of horseshoe kidney CPT 50540 | not published | not published | $2,033.58 – $6,429.69 | 3 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $1,289.86 – $4,078.23 | 3 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $658.74 – $2,082.78 | 3 |
| Revision of infusion pump CPT 36261 | not published | not published | $526.55 – $1,664.84 | 3 |
| Revision of iris CPT 66761 | not published | not published | $411.07 – $1,299.70 | 3 |
| Revision of iris CPT 66762 | not published | not published | $411.07 – $1,299.70 | 3 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $451.02 – $1,426.02 | 3 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $628.95 – $1,988.60 | 3 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $2,138.87 – $6,762.63 | 3 |
| Revision of knee joint CPT 27440 | not published | not published | $1,233.96 – $3,901.46 | 3 |
| Revision of knee joint CPT 27441 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Revision of knee joint CPT 27442 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Revision of knee joint CPT 27443 | not published | not published | $1,515.73 – $4,792.41 | 3 |
| Revision of knee joint CPT 27446 | not published | not published | $1,550.28 – $1,550.28 | 1 |
| Revision of knee joint CPT 27445 | not published | not published | $1,725.91 – $1,725.91 | 1 |
| Revision of larynx CPT 31400 | not published | not published | $1,515.01 – $4,790.13 | 3 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $238.95 – $755.51 | 3 |
| Revision of lung CPT 32940 | not published | not published | $1,186.02 – $3,749.91 | 3 |
| Revision of mitral valve CPT 33420 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Revision of mitral valve CPT 33422 | not published | not published | $3,002.43 – $9,492.98 | 3 |
| Revision of neck muscle CPT 21700 | not published | not published | $822.88 – $2,601.75 | 3 |
| Revision of neck muscle CPT 21720 | not published | not published | $658.00 – $2,080.44 | 3 |
| Revision of neck muscle CPT 21725 | not published | not published | $740.07 – $2,339.92 | 3 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $987.02 – $3,120.72 | 3 |
| Revision of nose CPT 30120 | not published | not published | $726.28 – $2,296.32 | 3 |
| Revision of nose CPT 30430 | not published | not published | $459.00 – $1,451.25 | 3 |
| Revision of nose CPT 30435 | not published | not published | $1,442.39 – $4,560.50 | 3 |
| Revision of nose CPT 30450 | not published | not published | $2,009.60 – $6,353.88 | 3 |
| Revision of nose CPT 30460 | not published | not published | $973.92 – $3,079.33 | 3 |
| Revision of nose CPT 30462 | not published | not published | $1,947.87 – $6,158.73 | 3 |
| Revision of pelvis CPT 27158 | not published | not published | $1,521.98 – $1,521.98 | 1 |
| Revision of penis CPT 54300 | not published | not published | $658.00 – $2,080.44 | 3 |
| Revision of penis CPT 54304 | not published | not published | $1,090.14 – $3,446.76 | 3 |
| Revision of penis CPT 54420 | not published | not published | $954.33 – $3,017.35 | 3 |
| Revision of penis CPT 54430 | not published | not published | $954.33 – $3,017.35 | 3 |
| Revision of penis CPT 54435 | not published | not published | $842.48 – $2,663.74 | 3 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $1,735.81 – $5,488.22 | 3 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $2,698.85 – $8,533.13 | 3 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $2,385.83 – $7,543.43 | 3 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $3,631.39 – $11,481.58 | 3 |
| Revision of radius CPT 25350 | not published | not published | $822.88 – $2,601.75 | 3 |
| Revision of radius CPT 25355 | not published | not published | $987.02 – $3,120.72 | 3 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $865.72 – $2,737.20 | 3 |
| Revision of scrotum CPT 55175 | not published | not published | $354.43 – $1,607.42 | 3 |
| Revision of scrotum CPT 55180 | not published | not published | $1,048.02 – $3,313.59 | 3 |
| Revision of spinal shunt CPT 63744 | not published | not published | $822.88 – $2,601.75 | 3 |
| Revision of testis CPT 54660 | not published | not published | $358.81 – $358.81 | 1 |
| Revision of thigh muscles CPT 27430 | not published | not published | $1,180.93 – $3,733.81 | 3 |
| Revision of toe CPT 28312 | not published | not published | $382.02 – $1,207.86 | 3 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $3,685.12 – $11,651.51 | 3 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $3,631.39 – $11,481.58 | 3 |
| Revision of ulna CPT 25360 | not published | not published | $822.88 – $2,601.75 | 3 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $1,191.81 – $3,768.23 | 3 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $1,206.35 – $3,814.18 | 3 |
| Revision of upper arm CPT 24940 | not published | not published | $1,286.17 – $1,286.17 | 1 |
| Revision of ureter CPT 50700 | not published | not published | $1,475.07 – $4,663.81 | 3 |
| Revision of urethra CPT 53450 | not published | not published | $355.14 – $1,122.87 | 3 |
| Revision of urethra CPT 53460 | not published | not published | $400.18 – $1,265.29 | 3 |
| Revision of urethra CPT 57220 | not published | not published | $691.93 – $2,187.70 | 3 |
| Revision of urinary tract CPT 51820 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $1,205.63 – $3,811.90 | 3 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $1,740.16 – $5,501.97 | 3 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,234.68 – $3,903.74 | 3 |
| Revision tips CPT 37183 | not published | not published | $339.81 – $1,074.18 | 3 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $1,844.55 – $5,832.05 | 3 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $1,990.37 – $6,293.09 | 3 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $1,605.26 – $5,074.82 | 3 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $1,511.90 – $4,780.27 | 3 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $1,233.96 – $3,901.46 | 3 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,846.08 – $5,836.86 | 3 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,809.87 – $5,722.41 | 3 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $1,519.36 – $4,803.88 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $590.46 – $1,866.91 | 3 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $168.10 – $531.48 | 3 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $147.34 – $465.86 | 3 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $2,029.87 – $6,417.97 | 3 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $1,554.68 – $4,916.32 | 3 |
| Revsc opn/prq tib/pero stent CPT 37234 | $9,051.26 | $11,634.00 | $320.52 – $11,401.32 | 12 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $621.23 – $1,962.69 | 3 |
| Rheumatoid factor quantitative CPT 86431 | $17.63 | $22.66 | $3.25 – $6.13 | 12 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $987.02 – $3,120.72 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $1,092.32 | $1,404.00 | $9.34 – $1,250.48 | 12 |
| Rho d immune globulin inj HCPCS J2790 | $167.27 | $215.00 | $51.60 – $210.70 | 12 |
| Rib cartilage graft CPT 21230 | not published | not published | $1,307.30 – $4,133.37 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | $1,167.00 | $1,500.00 | $130.32 – $532.14 | 11 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $2,782.13 | $3,576.00 | $786.72 – $3,504.48 | 12 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $938.35 – $2,966.83 | 3 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $194.44 – $614.76 | 3 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $761.02 – $2,406.15 | 3 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $391.46 – $1,237.72 | 3 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $748.07 – $2,365.21 | 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.