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 |
|---|---|---|---|---|
| X-ray cervical spine >= 6 views CPT 72052 | $974.06 | $1,252.00 | $104.49 – $1,226.96 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $345.44 | $444.00 | $101.27 – $435.12 | 12 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $345.44 | $444.00 | $106.56 – $435.12 | 12 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $524.38 | $674.00 | $74.31 – $660.52 | 12 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $1,254.14 | $1,612.00 | $83.12 – $1,579.76 | 12 |
| X-ray exam entire spi 6/> vw CPT 72084 | $1,564.56 | $2,011.00 | $99.43 – $1,970.78 | 12 |
| X-ray exam of eye sockets CPT 70200 | $442.69 | $569.00 | $75.26 – $557.62 | 12 |
| X-ray exam of sinuses CPT 70210 | $423.24 | $544.00 | $42.17 – $484.12 | 12 |
| X-ray exam si joints CPT 72200 | $313.54 | $403.00 | $42.17 – $394.94 | 12 |
| X-ray facial bones complete > 3 views CPT 70150 | $346.21 | $445.00 | $74.51 – $436.10 | 12 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $501.04 | $644.00 | $71.54 – $631.12 | 12 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $627.07 | $806.00 | $71.54 – $789.88 | 12 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $784.23 | $1,008.00 | $71.54 – $987.84 | 12 |
| X-ray knee ap standing bilateral CPT 73565 | $442.69 | $569.00 | $37.10 – $557.62 | 12 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $672.97 | $865.00 | $67.51 – $847.70 | 12 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $815.35 | $1,048.00 | $96.87 – $1,027.04 | 12 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,065.86 | $1,370.00 | $119.23 – $1,342.60 | 12 |
| X-ray mandible complete > 4 views CPT 70110 | $365.66 | $470.00 | $74.51 – $460.60 | 12 |
| X-ray mandible ltd <4 views CPT 70100 | $325.99 | $419.00 | $48.96 – $410.62 | 12 |
| X-ray nasal bones complete > 3 views CPT 70160 | $228.74 | $294.00 | $48.36 – $288.12 | 12 |
| X-ray neck soft tissue CPT 70360 | $290.20 | $373.00 | $33.76 – $365.54 | 12 |
| X-ray nose to rectum for foreign body child CPT 76010 | $175.83 | $226.00 | $51.56 – $221.48 | 12 |
| X-ray pelvis 1-2 views CPT 72170 | $326.76 | $420.00 | $42.17 – $411.60 | 12 |
| X-ray pelvis complete > 3 views CPT 72190 | $487.03 | $626.00 | $61.55 – $613.48 | 12 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $879.14 | $1,130.00 | $110.06 – $1,107.40 | 12 |
| X-ray ribs 3 views bilateral CPT 71110 | $683.87 | $879.00 | $74.51 – $861.42 | 12 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $896.26 | $1,152.00 | $105.81 – $939.82 | 12 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $365.66 | $470.00 | $59.62 – $460.60 | 12 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $307.31 | $395.00 | $52.09 – $387.10 | 12 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $536.05 | $689.00 | $72.80 – $675.22 | 12 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $724.32 | $931.00 | $81.52 – $912.38 | 12 |
| X-ray skull < 4 views CPT 70250 | $432.57 | $556.00 | $50.69 – $544.88 | 12 |
| X-ray skull > 4 views complete CPT 70260 | $618.51 | $795.00 | $89.42 – $779.10 | 12 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $273.08 | $351.00 | $84.24 – $351.00 | 12 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $192.95 | $248.00 | $59.52 – $248.00 | 12 |
| X-ray small intestine follow-through study CPT 74248 | $863.58 | $1,110.00 | $101.67 – $732.06 | 12 |
| X-ray spine single view CPT 72020 | $294.87 | $379.00 | $33.76 – $371.42 | 12 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $323.65 | $416.00 | $50.69 – $407.68 | 12 |
| X-ray sternum > 2 views CPT 71120 | $346.99 | $446.00 | $50.69 – $437.08 | 12 |
| X-ray surgical specimen CPT 76098 | $627.07 | $806.00 | $46.11 – $789.88 | 12 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $245.85 | $316.00 | $75.84 – $316.00 | 12 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $376.56 | $484.00 | $74.31 – $474.32 | 12 |
| X-ray thoracic spine 2 views CPT 72070 | $509.59 | $655.00 | $59.09 – $641.90 | 12 |
| X-ray thoracic spine 3 views CPT 72072 | $571.06 | $734.00 | $67.14 – $719.32 | 12 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $514.26 | $661.00 | $59.09 – $618.38 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $480.81 | $618.00 | $52.17 – $605.64 | 12 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $1,002.85 | $1,289.00 | $119.23 – $1,263.22 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $553.16 | $711.00 | $156.74 – $710.85 | 12 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $379.67 | $488.00 | $117.12 – $488.00 | 12 |
| Yersinia antibody CPT 86793 | $28.25 | $36.30 | $11.72 – $35.58 | 12 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $191.39 | $246.00 | $0.01 – $195.02 | 11 |
| Zika virus dna/rna amp probe CPT 87662 | $102.70 | $132.00 | $45.61 – $129.36 | 12 |
| Zika virus igm antibody CPT 86794 | $58.20 | $74.80 | $14.97 – $73.31 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $357.88 | $460.00 | $9.64 – $84.28 | 12 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $5,446.00 | $7,000.00 | $9.52 – $391.02 | 12 |
| Zoster vaccine-live inj CPT 90736 | $1,390.29 | $1,787.00 | $217.13 – $1,319.08 | 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.