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 |
|---|---|---|---|---|
| Surgery to stop leg growth CPT 27485 | not published | not published | $904.94 – $2,861.24 | 3 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $946.34 – $2,992.12 | 3 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,151.88 – $3,641.97 | 3 |
| Surgical opening of stomach CPT 43510 | not published | not published | $1,066.91 – $3,373.30 | 3 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $849.02 – $2,684.40 | 3 |
| Surgical opening of throat CPT 42955 | not published | not published | $943.43 – $2,982.93 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $121.37 | $156.00 | $8.37 – $93.10 | 12 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $205.40 | $264.00 | $20.94 – $215.60 | 12 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $260.63 | $335.00 | $30.48 – $232.26 | 12 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $529.98 | $681.20 | $6.00 – $25.00 | 12 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $437.24 | $562.00 | $87.64 – $417.48 | 12 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $818.46 | $1,052.00 | $185.47 – $805.56 | 12 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,441.67 – $4,558.22 | 3 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,671.15 – $5,283.81 | 3 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $270.18 – $854.26 | 3 |
| Susceptibility agar dilution per agent CPT 87181 | $49.47 | $63.58 | $1.16 – $8.82 | 12 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $61.47 | $79.00 | $1.21 – $10.78 | 12 |
| Susceptibility mic per plate CPT 87186 | $93.36 | $120.00 | $7.51 – $29.40 | 12 |
| Suscept studies macrobroth dilution ea CPT 87188 | $34.92 | $44.88 | $5.90 – $43.99 | 12 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,391.55 – $4,399.76 | 3 |
| Suspension of testis CPT 54620 | not published | not published | $329.00 – $1,040.22 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,334.91 – $4,220.65 | 3 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,720.55 – $5,439.98 | 3 |
| Svc venogram s&i CPT 75827 | $1,478.98 | $1,901.00 | $347.90 – $1,862.98 | 12 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,053.12 – $3,329.69 | 3 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $774.93 – $2,450.14 | 3 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,089.41 – $3,444.47 | 3 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $808.60 – $2,556.61 | 3 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,452.55 – $4,592.63 | 3 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $20.72 | $26.62 | $3.91 – $9.80 | 12 |
| System pacing micra av HCPCS C1786 | $13,450.85 | $17,289.00 | $1,451.28 – $5,926.06 | 12 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $17,487.89 | $22,478.00 | $1,887.36 – $7,706.72 | 12 |
| System sealant biosentry tract HCPCS C2613 | $969.39 | $1,246.00 | $274.12 – $1,221.08 | 12 |
| T3 (triiodothyronine) free CPT 84481 | $3.89 | $5.00 | $2.60 – $5.00 | 12 |
| T3 (triiodothyronine) total CPT 84480 | $3.89 | $5.00 | $2.60 – $5.00 | 12 |
| T4 (thyroxine) free CPT 84439 | $269.97 | $347.00 | $4.16 – $8.00 | 12 |
| T4 (thyroxine) total CPT 84436 | $5.51 | $7.07 | $3.40 – $6.53 | 12 |
| Tacrolimus therapeutic drug level CPT 80197 | $9.34 | $12.00 | $6.24 – $12.00 | 12 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $2,276.83 – $7,198.80 | 3 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $2,094.90 – $6,623.59 | 3 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,887.97 – $5,969.31 | 3 |
| Tap block bilat cont infusion 64489 CPT 64489 | $452.02 | $581.00 | $139.44 – $569.38 | 11 |
| Tap block uni by cont infusion 64487 CPT 64487 | $428.68 | $551.00 | $88.32 – $539.98 | 11 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,723.00 | $3,500.00 | $759.53 – $1,526.45 | 11 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $5,290.40 | $6,800.00 | $221.52 – $426.00 | 12 |
| Target gsa panel organ neop CPT 81445 | $3,890.00 | $5,000.00 | $597.91 – $4,900.00 | 12 |
| Tas congenital car anomal CPT 33741 | not published | not published | $853.17 – $2,697.52 | 3 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $202.98 – $202.98 | 1 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,467.34 – $4,639.40 | 3 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $23.34 | $30.00 | $15.60 – $30.00 | 12 |
| Tc-99m bicisate HCPCS A9557 | $2,940.84 | $3,780.00 | $339.34 – $3,704.40 | 12 |
| Tc-99m disofenin HCPCS A9510 | $245.85 | $316.00 | $34.83 – $309.68 | 12 |
| Tc-99m exametazime diag HCPCS A9521 | $2,868.49 | $3,687.00 | $454.09 – $3,613.26 | 12 |
| Tc-99m labeled rbc HCPCS A9560 | $424.01 | $545.00 | $51.80 – $534.10 | 12 |
| Tc-99m maa HCPCS A9540 | $245.85 | $316.00 | $30.00 – $309.68 | 12 |
| Tc-99m mebrofenin HCPCS A9537 | $131.49 | $169.00 | $40.56 – $165.62 | 12 |
| Tc-99m medronate HCPCS A9503 | $266.08 | $342.00 | $18.87 – $335.16 | 12 |
| Tc-99m mertiatide HCPCS A9562 | $825.46 | $1,061.00 | $254.64 – $1,039.78 | 12 |
| Tc-99m pentetate dtpa HCPCS A9539 | $245.85 | $316.00 | $13.00 – $309.68 | 12 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $313.54 | $403.00 | $61.74 – $394.94 | 12 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $59.13 | $76.00 | $14.72 – $74.48 | 11 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $258.30 | $332.00 | $79.68 – $325.36 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $231.85 | $298.00 | $42.56 – $292.04 | 12 |
| Tc-99m tilmanocept diag HCPCS A9520 | $2,839.70 | $3,650.00 | $840.85 – $3,577.00 | 11 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $356.61 – $1,127.50 | 3 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $30.84 – $30.84 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $114.60 | $147.30 | $8.02 – $15.42 | 12 |
| T cells absolute cd 4 count CPT 86361 | $30.19 | $38.80 | $14.56 – $27.44 | 12 |
| T cells total count CPT 86359 | $114.37 | $147.00 | $8.02 – $15.42 | 12 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $575.93 – $1,820.96 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Tendon lengthening CPT 26476 | not published | not published | $658.00 – $2,080.44 | 3 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $543.25 – $1,717.64 | 3 |
| Tendon shortening CPT 26477 | not published | not published | $658.00 – $2,080.44 | 3 |
| Tendon transfer with graft CPT 26492 | not published | not published | $904.94 – $2,861.24 | 3 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $10,332.62 | $13,281.00 | $1,680.00 – $6,860.00 | 11 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $631.86 – $1,997.79 | 3 |
| Tenolysis triceps CPT 24332 | not published | not published | $558.99 – $1,767.39 | 3 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,306.58 – $4,131.09 | 3 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $822.88 – $2,601.75 | 3 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $644.20 – $2,036.83 | 3 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $350.78 – $1,109.12 | 3 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $327.56 – $1,035.66 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $170.39 | $219.00 | $1.41 – $59.78 | 12 |
| Test socket below knee HCPCS L5620 | $2,139.50 | $2,750.00 | $211.21 – $2,695.00 | 12 |
| Test stress cardiovascular tracing only CPT 93017 | $1,009.07 | $1,297.00 | $78.83 – $1,271.06 | 12 |
| Tetanus immune globulin inj HCPCS J1670 | $2,467.82 | $3,172.00 | $580.22 – $3,108.56 | 12 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $15.99 – $15.99 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $223.29 | $287.00 | $12.57 – $69.58 | 12 |
| Therapeutic procd strg endur HCPCS G0237 | $87.92 | $113.00 | $16.43 – $110.74 | 12 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $27.23 | $35.00 | $8.40 – $35.00 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $27.23 | $35.00 | $8.40 – $35.00 | 12 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $148.16 – $468.45 | 3 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $68.47 | $88.00 | $14.64 – $59.78 | 11 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,704.31 – $5,388.59 | 3 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,865.48 – $5,897.67 | 3 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $1,422.97 | $1,829.00 | $125.57 – $1,605.24 | 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.