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 |
|---|---|---|---|---|
| Vaccine dtap-ipv 4-6 years im CPT 90696 | $361.00 | $464.00 | $65.23 – $391.02 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | $178.94 | $230.00 | $34.29 – $184.24 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $481.59 | $619.00 | $76.62 – $471.38 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $540.71 | $695.00 | $135.39 – $681.10 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $227.18 | $292.00 | $42.74 – $236.18 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $399.90 | $514.00 | $74.84 – $360.64 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $164.94 | $212.00 | $36.00 – $147.00 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $134.60 | $173.00 | $26.81 – $161.70 | 12 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $965.50 | $1,241.00 | $82.80 – $338.10 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | $536.82 | $690.00 | $97.41 – $676.20 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | $1,539.67 | $1,979.00 | $279.62 – $1,298.50 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $229.51 | $295.00 | $48.44 – $225.40 | 12 |
| Vaccine rabies im CPT 90675 | $2,477.16 | $3,184.00 | $322.13 – $2,307.90 | 12 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $586.62 | $754.00 | $126.48 – $516.46 | 12 |
| Vaccine tdap >=7 years im CPT 90715 | $290.98 | $374.00 | $43.53 – $291.06 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $532.16 | $684.00 | $35.28 – $144.06 | 12 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,682.36 – $5,319.21 | 3 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $893.03 – $2,823.72 | 3 |
| Vag hyst including t/o CPT 58262 | not published | not published | $1,575.61 – $4,981.71 | 3 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $949.81 – $3,002.39 | 3 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $870.62 – $2,751.83 | 3 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $1,719.92 – $5,438.01 | 3 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $1,061.78 – $3,357.08 | 3 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $2,123.54 – $8,574.27 | 3 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $1,581.54 – $5,000.46 | 3 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $2,439.53 – $7,713.23 | 3 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $2,444.46 – $7,728.84 | 3 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $1,383.84 – $4,375.40 | 3 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $1,525.19 – $4,822.26 | 3 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $1,550.60 – $4,902.63 | 3 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $1,398.09 – $4,420.42 | 3 |
| Valproic acid total therapeutic drug level CPT 80164 | $224.85 | $289.00 | $6.27 – $12.04 | 12 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $3,583.72 – $6,941.45 | 3 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $3,631.39 – $8,225.38 | 3 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $2,511.46 – $7,940.64 | 3 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $2,690.13 – $8,505.56 | 3 |
| Vancomycin hcl injection HCPCS J3370 | $124.48 | $160.00 | $8.91 – $59.78 | 11 |
| Vancomycin peak therapeutic drug level CPT 80202 | $234.18 | $301.00 | $7.05 – $13.54 | 12 |
| Varicella zoster antibody igg CPT 86787 | $11.88 | $15.26 | $2.60 – $5.00 | 12 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $739.74 – $2,338.90 | 3 |
| Vasectomy CPT 55250 | not published | not published | $508.40 – $1,607.42 | 3 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $1,387.96 | $1,784.00 | $14.64 – $59.78 | 11 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $2,123.54 – $8,574.27 | 3 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $2,188.27 – $6,918.80 | 3 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $2,796.89 – $8,843.13 | 3 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $2,324.09 – $7,348.21 | 3 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $2,188.27 – $6,918.80 | 3 |
| Vein x-ray liver w/hemodynam CPT 75889 | $3,778.75 | $4,857.00 | $622.69 – $4,759.86 | 11 |
| Vein x-ray skull CPT 75870 | $1,341.28 | $1,724.00 | $413.76 – $1,689.52 | 12 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $1,103.21 | $1,418.00 | $21.07 – $1,389.64 | 12 |
| Venipuncture <3 yrs other vein CPT 36406 | not published | not published | $45.75 – $144.64 | 3 |
| Venogram ext bil s&i CPT 75822 | $1,880.43 | $2,417.00 | $183.03 – $2,368.66 | 12 |
| Venous mech thrombectomy CPT 37187 | $6,174.21 | $7,936.00 | $1,904.64 – $7,936.00 | 12 |
| Venous m-thrombectomy add-on CPT 37188 | not published | not published | $3,022.27 – $9,555.72 | 3 |
| Ventilator each subsequent day CPT 94003 | $2,636.65 | $3,389.00 | $48.01 – $800.66 | 12 |
| Ventilator initial day CPT 94002 | $3,176.58 | $4,083.00 | $60.93 – $800.66 | 12 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | not published | not published | $164.86 – $521.25 | 3 |
| Ventriculomyotomy/ihss 33416 CPT 33416 | not published | not published | $2,730.80 – $8,634.16 | 3 |
| Version cephalic external CPT 59412 | $2,680.99 | $3,446.00 | $827.04 – $3,377.08 | 11 |
| Vertebral corpectomy partial/complete 63082 CPT 63082 | not published | not published | $528.73 – $1,671.69 | 3 |
| Very long chain fatty acids CPT 82726 | $82.99 | $106.66 | $16.05 – $104.53 | 12 |
| Vesiculotomy complicated CPT 55605 | not published | not published | $965.95 – $3,054.11 | 3 |
| V-exc/lip/w/pri linear closure 40520 CPT 40520 | not published | not published | $493.86 – $1,561.47 | 3 |
| Virus isolation addl studies ea CPT 87253 | $25.68 | $33.00 | $16.00 – $32.34 | 12 |
| Visc & infraren abd 2 prosth CPT 34846 | not published | not published | $1,986.54 – $1,986.54 | 1 |
| Visc & infraren abd 3 prosth CPT 34847 | not published | not published | $489.60 – $489.60 | 1 |
| Vital capacity test CPT 94150 | $168.83 | $217.00 | $10.87 – $212.66 | 12 |
| Vitamin b-12 CPT 82607 | $122.15 | $157.00 | $2.60 – $5.00 | 12 |
| Vitamin D Test CPT 82306 | $383.56 | $493.00 | $4.16 – $8.00 | 12 |
| Vit for macular hole CPT 67042 | not published | not published | $1,279.99 – $4,047.03 | 3 |
| Vit for macular pucker CPT 67041 | not published | not published | $1,119.50 – $3,539.59 | 3 |
| Vit for membrane dissect CPT 67043 | not published | not published | $1,344.81 – $4,251.97 | 3 |
| Vkorc1 gene CPT 81355 | $51.87 | $66.66 | $34.67 – $66.66 | 11 |
| Vlvctmy rad comp bi lymphad CPT 56637 | not published | not published | $3,034.58 – $9,594.63 | 3 |
| Vlvctmy rad comp uni lymphad CPT 56634 | not published | not published | $2,976.25 – $9,410.21 | 3 |
| Vlvctmy rad prtl uni lymphad CPT 56631 | not published | not published | $2,885.32 – $9,122.72 | 3 |
| Vlvt pv clsd hrt via p-art CPT 33471 | not published | not published | $2,195.53 – $2,195.53 | 1 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $115.49 – $365.14 | 3 |
| Volume deplete of harvest CPT 38214 | not published | not published | $28.56 – $28.56 | 1 |
| Volume measurement urine timed CPT 81050 | $22.57 | $29.00 | $1.41 – $16.66 | 12 |
| Vulvectomy radical 56640 CPT 56640 | not published | not published | $2,570.01 – $8,125.74 | 3 |
| Vulvectomy radical complete CPT 56633 | not published | not published | $2,276.42 – $7,197.53 | 3 |
| Vulvectomy radical partial CPT 56630 | not published | not published | $1,976.92 – $6,250.57 | 3 |
| Vulvectomy simple partial CPT 56620 | not published | not published | $1,186.15 – $3,750.34 | 3 |
| Warde 1003990 aldosterone CPT 82088 | $15.56 | $20.00 | $6.24 – $12.00 | 12 |
| Warde 1005020 citrate 24 hour urine CPT 82507 | $8.93 | $11.47 | $2.60 – $5.00 | 12 |
| Warde 1005055 5-hiaa 24 hour urine CPT 83497 | $13.23 | $17.00 | $8.84 – $16.66 | 12 |
| Warde 1006955 catecholamines fractionated 24 hour urine CPT 82384 | $21.79 | $28.00 | $13.00 – $25.00 | 12 |
| Warde 1007138 vanillymandelic acid 24 hour urine CPT 84585 | $11.56 | $14.85 | $7.73 – $14.85 | 12 |
| Warde 1015200 kappa light chain free CPT 83521 | $9.73 | $12.50 | $2.04 – $8.33 | 11 |
| Warde 3004000 immunoglobulin subclass 1 CPT 82787 | $7.78 | $10.00 | $5.20 – $9.80 | 12 |
| Warde 3008005 oligoclonal bands CPT 83916 | $41.24 | $53.00 | $6.24 – $12.00 | 12 |
| Warde 3016000 west nile virus antibody CPT 86788 | $13.62 | $17.50 | $6.76 – $13.00 | 12 |
| Warde 3016000 west nile virus antibody igg CPT 86789 | $13.62 | $17.50 | $6.76 – $13.00 | 12 |
| Warde 3016300 saccharomyces cerevisiae iga antibody CPT 86671 | $15.56 | $20.00 | $8.76 – $16.50 | 12 |
| Warde 3400652 ova & parasites direct smear concentration and id CPT 87177 | $22.85 | $29.37 | $6.09 – $11.48 | 12 |
| Warde 3400652 smear complex special stain ova/parasites CPT 87209 | $22.85 | $29.37 | $6.24 – $12.00 | 12 |
| Warde 3400683 amplification rna markers infectious disease bacterial vaginosis CPT 81513 | $73.91 | $95.00 | $21.45 – $41.25 | 12 |
| Warde 3400852 arsenic CPT 82175 | $185.95 | $239.00 | $4.42 – $8.50 | 12 |
| Warde 3708165 mercury urine CPT 83825 | $8.97 | $11.52 | $4.42 – $8.50 | 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.