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 |
|---|---|---|---|---|
| Small bowel endoscopy CPT 44360 | not published | not published | $297.05 – $939.19 | 3 |
| Small bowel endoscopy CPT 44364 | not published | not published | $395.81 – $1,251.47 | 3 |
| Small bowel endoscopy CPT 44366 | not published | not published | $458.28 – $1,448.97 | 3 |
| Small bowel endoscopy CPT 44369 | not published | not published | $514.20 – $1,625.80 | 3 |
| Small bowel endoscopy CPT 44376 | not published | not published | $492.42 – $1,556.91 | 3 |
| Small bowel endoscopy CPT 44378 | not published | not published | $679.06 – $2,147.05 | 3 |
| Small bowel endoscopy CPT 44382 | not published | not published | $212.79 – $672.80 | 3 |
| Small bowel endoscopy CPT 44384 | not published | not published | $162.38 – $162.38 | 1 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $329.72 – $1,042.50 | 3 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $506.95 – $1,602.86 | 3 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $348.61 – $1,102.21 | 3 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $520.74 – $1,646.46 | 3 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $164.14 – $518.97 | 3 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $268.36 – $848.48 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $80.92 | $104.00 | $4.16 – $7.84 | 12 |
| Smear gram stain CPT 87205 | $66.13 | $85.00 | $3.46 – $21.56 | 12 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $51.04 | $65.60 | $2.09 – $8.51 | 12 |
| Smear wet mount CPT 87210 | $115.15 | $148.00 | $3.56 – $15.68 | 12 |
| Smpd1 gene common variants CPT 81330 | $31.60 | $40.61 | $21.12 – $40.61 | 11 |
| Snrpn/ube3a gene CPT 81331 | $308.87 | $397.00 | $40.85 – $328.30 | 12 |
| Socket insert w lock mech HCPCS L5673 | $2,782.13 | $3,576.00 | $683.71 – $3,504.48 | 12 |
| Sodium 24 hour urine CPT 84300 | $84.03 | $108.00 | $2.60 – $5.00 | 12 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $79.36 | $102.00 | $0.72 – $2.94 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $69.25 | $89.00 | $0.72 – $2.94 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $214.73 | $276.00 | $0.62 – $3.92 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $325.99 | $419.00 | $0.96 – $3.92 | 11 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $208.51 | $268.00 | $1.94 – $218.54 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $105.03 | $135.00 | $3.51 – $17.64 | 12 |
| Soft interface below knee se HCPCS L2820 | $438.80 | $564.00 | $79.20 – $323.40 | 12 |
| So vest canvas/web pre ots HCPCS L3675 | $571.83 | $735.00 | $171.40 – $720.30 | 12 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $252.74 – $799.12 | 3 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $272.35 – $861.10 | 3 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $113.93 – $113.93 | 1 |
| Specific gravity body fluid CPT 84315 | $59.13 | $76.00 | $2.62 – $8.00 | 12 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $829.41 – $2,622.41 | 3 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $813.44 – $2,571.90 | 3 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $163.42 – $516.69 | 3 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $181.12 – $181.12 | 1 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,353.72 | $1,740.00 | $323.86 – $1,705.20 | 12 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $639.52 | $822.00 | $87.84 – $805.56 | 12 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $2,408.34 – $7,614.61 | 3 |
| Splicing of ureters CPT 50770 | not published | not published | $1,824.41 – $5,768.36 | 3 |
| Splint finger frog med HCPCS L3927 | $16.34 | $21.00 | $5.04 – $20.58 | 12 |
| Splint func pos polyflex ii med HCPCS L3999 | $969.39 | $1,246.00 | $4.62 – $20.58 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $38.13 | $49.00 | $11.76 – $48.02 | 12 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $904.94 – $2,861.24 | 3 |
| Split flat caliper stirr & p HCPCS L2230 | $438.80 | $564.00 | $105.50 – $552.72 | 12 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $164.86 – $521.25 | 3 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $722.53 – $2,284.46 | 3 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $722.53 – $2,284.46 | 3 |
| Srs cran les complex addl CPT 61799 | not published | not published | $269.36 – $851.66 | 3 |
| Srs cran les simple addl CPT 61797 | not published | not published | $194.94 – $616.36 | 3 |
| Srs spinal lesion CPT 63620 | not published | not published | $722.53 – $2,284.46 | 3 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $224.30 – $709.20 | 3 |
| Static or dynami afo pre ots HCPCS L4397 | $743.77 | $956.00 | $165.23 – $936.88 | 12 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $29,290.15 | $37,648.00 | $860.62 – $36,895.04 | 12 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $62,155.98 | $79,892.00 | $507.12 – $2,070.74 | 12 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,643.92 | $2,113.00 | $14.08 – $62.72 | 12 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $29,558.56 | $37,993.00 | $72.60 – $323.40 | 12 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $30,703.77 | $39,465.00 | $587.10 – $38,675.70 | 12 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $12,895.35 | $16,575.00 | $247.96 – $16,243.50 | 12 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,290.12 – $4,079.07 | 3 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $22,714.49 | $29,196.00 | $808.62 – $28,612.08 | 12 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $2,033.58 – $6,429.69 | 3 |
| Sternal debridement CPT 21627 | not published | not published | $1,428.58 – $4,516.83 | 3 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $452.46 – $1,430.59 | 3 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $466.41 – $1,474.69 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $34.14 – $107.94 | 3 |
| Strapping of chest CPT 29200 | not published | not published | $68.27 – $215.88 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $55.19 – $174.49 | 3 |
| Strapping of hand or finger CPT 29280 | not published | not published | $101.67 – $321.47 | 3 |
| Strapping of hip CPT 29520 | not published | not published | $58.83 – $186.02 | 3 |
| Strapping of knee CPT 29530 | not published | not published | $58.10 – $183.68 | 3 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $32.68 – $103.31 | 3 |
| Strep b dna amp probe CPT 87653 | $217.07 | $279.00 | $30.52 – $68.60 | 12 |
| Stress test pulmonary CPT 94618 | $177.39 | $228.00 | $54.72 – $223.44 | 12 |
| Stress tte complete CPT 93351 | $753.11 | $968.00 | $232.32 – $968.00 | 12 |
| Str markers specimen anal CPT 81265 | $431.79 | $555.00 | $86.72 – $166.76 | 12 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $164.86 – $521.25 | 3 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $221.52 – $700.37 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $695.19 – $2,198.03 | 3 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $659.75 – $2,085.97 | 3 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $612.15 – $1,935.47 | 3 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $848.10 – $2,681.48 | 3 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,316.02 – $4,160.94 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $567.17 | $729.00 | $5.71 – $59.78 | 12 |
| Sugars single quant CPT 84378 | $29.57 | $38.00 | $10.24 – $37.24 | 12 |
| Sulbactam 1 gram-durlobactam 1 gram (0.5 gram x2) intravenous solution HCPCS C9399 | $5,446.00 | $7,000.00 | $1,680.00 – $6,860.00 | 11 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | $83.25 | $107.00 | $14.64 – $59.78 | 11 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $613.07 | $788.00 | $18.24 – $74.48 | 11 |
| Support clav 29.6-40.5in med HCPCS L3650 | $256.74 | $330.00 | $5.04 – $20.58 | 12 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $113.93 – $360.21 | 3 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,383.84 – $4,375.40 | 3 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,383.84 – $4,375.40 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $374.76 – $1,184.92 | 3 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $1,077.07 – $3,405.43 | 3 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $1,225.22 – $3,873.89 | 3 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $1,472.16 – $4,654.62 | 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.