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 |
|---|---|---|---|---|
| Tr retinal les preterm inf CPT 67229 | not published | not published | $1,390.89 – $4,397.65 | 3 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,307.84 – $7,296.84 | 3 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,084.54 | $1,394.00 | $334.56 – $1,366.12 | 11 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $822.04 – $2,599.10 | 3 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $30.84 – $30.84 | 1 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $813.91 – $2,573.16 | 3 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $2,056.01 – $6,500.62 | 3 |
| Tx closed hip disl traumatic without anes CPT 27250 | not published | not published | $431.02 – $1,362.80 | 3 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | not published | not published | $488.06 – $1,543.15 | 3 |
| Tx closed tib shaft fx without manip CPT 27750 | not published | not published | $360.88 – $1,141.00 | 3 |
| Tx ectopic pregnancy abdl pregnancy 59130 CPT 59130 | not published | not published | $1,352.22 – $4,275.42 | 3 |
| Tx ectopic pregnancy ntrstl prtl rescj uter 59136 CPT 59136 | not published | not published | $1,640.84 – $5,187.96 | 3 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | not published | not published | $440.11 – $1,391.54 | 3 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | not published | not published | $352.25 – $1,113.74 | 3 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | not published | not published | $354.42 – $1,120.59 | 3 |
| Tx open nsl fx uncomp CPT 21325 | not published | not published | $329.00 – $1,040.22 | 3 |
| Tx open nsl sptl fx CPT 21336 | not published | not published | $463.37 – $1,465.07 | 3 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | not published | not published | $447.40 – $1,414.55 | 3 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $617.34 – $1,951.90 | 3 |
| Tx tarsal bone fx without manip 28450 CPT 28450 | not published | not published | $281.74 – $890.77 | 3 |
| Tympanic membrane repair CPT 69610 | not published | not published | $278.16 – $879.48 | 3 |
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $370.40 – $1,171.10 | 3 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | not published | not published | $116.93 – $369.71 | 3 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $1,743.07 – $5,511.16 | 3 |
| Ugt1a1 gene analy common variants CPT 81350 | $158.93 | $204.27 | $106.23 – $204.27 | 11 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $260.63 | $335.00 | $74.40 – $310.00 | 12 |
| Ultrasound chest CPT 76604 | $1,607.35 | $2,066.00 | $72.31 – $969.22 | 12 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $186.72 | $240.00 | $41.52 – $169.54 | 12 |
| Ultrasound dx ophth b-scan CPT 76512 | $391.34 | $503.00 | $120.72 – $492.94 | 12 |
| Ultrasound elastography parenchyma CPT 76981 | $192.17 | $247.00 | $59.28 – $247.00 | 12 |
| Ultrasound encephalogram CPT 76506 | $315.87 | $406.00 | $97.44 – $397.88 | 12 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $636.41 | $818.00 | $104.58 – $801.64 | 12 |
| Ultrasound guidance for vascular access CPT 76937 | $995.84 | $1,280.00 | $38.28 – $575.26 | 12 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $4,315.57 | $5,547.00 | $130.56 – $842.80 | 12 |
| Ultrasound guide intraoperative CPT 76998 | $959.28 | $1,233.00 | $139.44 – $569.38 | 12 |
| Ultrasound hips infant dynamic CPT 76885 | $125.26 | $161.00 | $38.64 – $161.00 | 12 |
| Ultrasound infant hips ltd without stress CPT 76886 | $557.05 | $716.00 | $132.29 – $701.68 | 12 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $632.52 | $813.00 | $195.12 – $796.74 | 12 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $434.13 | $558.00 | $74.96 – $546.84 | 12 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $417.79 | $537.00 | $128.88 – $537.00 | 12 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $558.61 | $718.00 | $101.13 – $703.64 | 12 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $500.26 | $643.00 | $122.81 – $630.14 | 12 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $485.48 | $624.00 | $111.75 – $611.52 | 12 |
| Ultrasound retroperitoneal limited CPT 76775 | $420.90 | $541.00 | $117.97 – $530.18 | 12 |
| Ultrasound scrotum and contents CPT 76870 | $834.02 | $1,072.00 | $127.66 – $1,050.56 | 12 |
| Ultrasound spinal canal and contents CPT 76800 | $732.10 | $941.00 | $110.13 – $922.18 | 12 |
| Ultrasound transabd ea addl gest CPT 76812 | $586.62 | $754.00 | $162.08 – $738.92 | 12 |
| Ultrasound transvaginal non obstetric CPT 76830 | $373.44 | $480.00 | $115.20 – $470.40 | 12 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $61.74 – $195.21 | 3 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $386.59 – $1,222.32 | 3 |
| Unlisted hematology&coagj px CPT 85999 | $89.79 | $115.40 | $27.70 – $113.10 | 11 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $421.98 – $421.98 | 1 |
| Unlisted maaa CPT 81599 | $224.65 | $288.75 | $69.30 – $282.98 | 11 |
| Unlisted procedure colon CPT 45399 | not published | not published | $302.14 – $302.14 | 1 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $1,797.53 – $1,797.53 | 1 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $781.47 – $781.47 | 1 |
| Unlisted px middle ear CPT 69799 | not published | not published | $179.40 – $179.40 | 1 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $1,101.76 – $1,101.76 | 1 |
| Unlisted transfusion med px CPT 86999 | $225.62 | $290.00 | $55.20 – $225.40 | 11 |
| Upgrade pm system CPT 33214 | not published | not published | $774.21 – $2,447.86 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $4,422.93 | $5,685.00 | $998.56 – $5,571.30 | 12 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $3,839.43 | $4,935.00 | $852.59 – $4,836.30 | 12 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $2,648.32 | $3,404.00 | $590.23 – $3,335.92 | 12 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $437.21 – $1,382.35 | 3 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $456.84 – $1,444.40 | 3 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $1,262.70 | $1,623.00 | $389.52 – $1,590.54 | 12 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $324.05 – $1,024.56 | 3 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $330.72 – $1,045.37 | 3 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $1,016.79 – $3,214.84 | 3 |
| Urea nitrogen CPT 84520 | $127.60 | $164.00 | $3.15 – $6.93 | 12 |
| Urea nitrogen 24 hour urine CPT 84540 | $91.03 | $117.00 | $2.90 – $5.56 | 12 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,145.82 – $6,784.58 | 3 |
| Ureter endoscopy CPT 50970 | not published | not published | $321.75 – $1,017.28 | 3 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $658.00 – $2,080.44 | 3 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $411.07 – $1,299.70 | 3 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $308.68 – $975.95 | 3 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $661.65 – $2,091.97 | 3 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $973.92 – $3,079.33 | 3 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $406.72 – $1,285.95 | 3 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $305.05 – $964.48 | 3 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,732.90 – $5,479.03 | 3 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,742.34 – $5,508.88 | 3 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $747.66 | $961.00 | $81.00 – $941.78 | 12 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $523.46 – $1,655.33 | 3 |
| Urethrocystography void s&i CPT 74455 | $408.45 | $525.00 | $118.20 – $514.50 | 12 |
| Uric acid blood CPT 84550 | $128.37 | $165.00 | $3.37 – $6.35 | 12 |
| Uric acid urine CPT 84560 | $106.59 | $137.00 | $2.60 – $5.00 | 12 |
| Urinalysis microscopic only CPT 81015 | $10.12 | $13.00 | $2.50 – $9.80 | 12 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $25.68 | $33.00 | $1.77 – $7.96 | 12 |
| Urinalysis (with microscopy) CPT 81001 | $117.48 | $151.00 | $1.65 – $3.17 | 12 |
| Urinalysis (without microscopy) CPT 81003 | $28.79 | $37.00 | $1.96 – $14.70 | 12 |
| Urinary reflex study CPT 51792 | $115.93 | $149.00 | $35.76 – $149.00 | 12 |
| Urine Culture Test CPT 87086 | $126.04 | $162.00 | $5.65 – $55.86 | 12 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $57.38 – $181.40 | 3 |
| Urine pregnancy test CPT 81025 | $23.34 | $30.00 | $2.80 – $25.48 | 12 |
| Urine shunt to intestine CPT 50815 | not published | not published | $2,178.83 – $6,888.95 | 3 |
| Urography inf drip &/or bolus CPT 74410 | $1,457.20 | $1,873.00 | $168.78 – $1,835.54 | 12 |
| Vaccine dtap < 7 years im CPT 90700 | $174.28 | $224.00 | $32.25 – $186.20 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $1,169.34 | $1,503.00 | $104.33 – $1,148.56 | 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.