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 |
|---|---|---|---|---|
| Change of ureter tube/stent CPT 50688 | $2,369.01 | $3,045.00 | $87.88 – $2,984.10 | 12 |
| Change of windpipe airway 31502 CPT 31502 | $206.95 | $266.00 | $63.84 – $260.68 | 12 |
| Change stent via transureth CPT 50385 | not published | not published | $1,496.20 – $4,730.65 | 3 |
| Change ureter stent percut CPT 50382 | $3,886.89 | $4,996.00 | $1,199.04 – $4,996.00 | 12 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $99.51 – $314.63 | 3 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $222.97 – $704.99 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $240.39 – $760.07 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $156.14 – $493.68 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | $442.69 | $569.00 | $136.56 – $569.00 | 12 |
| Chemodener muscle larynx emg CPT 64617 | not published | not published | $133.67 – $422.65 | 3 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $808.35 | $1,039.00 | $82.52 – $1,018.22 | 12 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | not published | not published | $94.18 – $297.78 | 3 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | not published | not published | $82.52 – $260.92 | 3 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,419.08 | $1,824.00 | $124.05 – $1,787.52 | 12 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $257.22 – $813.26 | 3 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | not published | not published | $162.70 – $514.40 | 3 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $296.33 – $936.91 | 3 |
| Chemodenerv eccrine glands CPT 64653 | not published | not published | $79.49 – $251.34 | 3 |
| Chemodenerv eccrine glands 64650 CPT 64650 | not published | not published | $69.37 – $219.34 | 3 |
| Chemodenerv musc migraine 64615 CPT 64615 | not published | not published | $141.26 – $446.64 | 3 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | not published | not published | $123.04 – $389.02 | 3 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | not published | not published | $116.85 – $369.80 | 3 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | not published | not published | $134.18 – $424.24 | 3 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | not published | not published | $154.93 – $489.86 | 3 |
| Chest 2 vws w oblique CPT 71048 | $843.36 | $1,084.00 | $67.51 – $1,062.32 | 12 |
| Chest apical lordotic proj CPT 71047 | $777.23 | $999.00 | $53.43 – $979.02 | 12 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,974.57 | $2,538.00 | $494.58 – $2,487.24 | 12 |
| Chest CT scan (with contrast) CPT 71260 | $1,747.39 | $2,246.00 | $494.58 – $2,201.08 | 12 |
| Chest CT scan (without contrast) CPT 71250 | $891.59 | $1,146.00 | $275.04 – $1,123.08 | 12 |
| Chest X-ray CPT 71046 | $406.90 | $523.00 | $53.43 – $512.54 | 12 |
| Chest X-ray (single view) CPT 71045 | $313.54 | $403.00 | $39.18 – $394.94 | 12 |
| Chg pr pul rehab for copd patients CPT 94626 | $118.26 | $152.00 | $36.48 – $148.96 | 11 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $390.56 | $502.00 | $120.48 – $491.96 | 12 |
| Chlamydia culture CPT 87110 | $17.51 | $22.50 | $11.70 – $22.05 | 12 |
| Chlamydia type CPT 87140 | $17.51 | $22.50 | $4.95 – $18.01 | 12 |
| Chlnggrphy intraop addl s&i CPT 74301 | $403.79 | $519.00 | $42.17 – $508.62 | 12 |
| Chloride CPT 82435 | $91.03 | $117.00 | $3.01 – $17.64 | 12 |
| Chloride 24 hour urine CPT 82436 | $95.70 | $123.00 | $2.60 – $5.00 | 12 |
| Chloroprocaine hcl injection HCPCS J2401 | $152.49 | $196.00 | $29.28 – $119.56 | 11 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $189.06 | $243.00 | $0.01 – $59.78 | 12 |
| Cholangiogram percutaneous compl CPT 47532 | $1,498.43 | $1,926.00 | $462.24 – $1,926.00 | 12 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $671.42 | $863.00 | $84.43 – $845.74 | 12 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $1,375.11 – $1,375.11 | 1 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $1,205.63 – $3,811.90 | 3 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $1,192.56 – $3,770.57 | 3 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,047.16 | $5,202.00 | $849.02 – $5,097.96 | 12 |
| Cholesterol CPT 82465 | $97.25 | $125.00 | $3.87 – $18.62 | 12 |
| Cholesterol body fluid CPT 84999 | $15.55 | $19.98 | $2.12 – $8.66 | 11 |
| Cholesterol (Lipid) Test CPT 80061 | $253.63 | $326.00 | $7.33 – $13.80 | 12 |
| Cholinesterase CPT 82480 | $10.31 | $13.24 | $6.28 – $11.83 | 12 |
| Chorion biopsy CPT 59015 | not published | not published | $216.48 – $684.45 | 3 |
| Chrom analysis CPT 88273 | $91.37 | $117.43 | $28.56 – $115.09 | 12 |
| Chromatography CPT 83021 | $19.72 | $25.34 | $9.36 – $18.00 | 12 |
| Chromo high res and frag x - sendout CPT 81243 | $110.23 | $141.68 | $43.48 – $81.93 | 12 |
| Chromosome analysis 15-20 cell count CPT 88262 | $140.04 | $180.00 | $73.90 – $139.27 | 12 |
| Chromosome analysis 45 CPT 88263 | $160.04 | $205.70 | $98.80 – $186.20 | 12 |
| Chromosome analysis 5 CPT 88261 | $213.95 | $275.00 | $143.00 – $269.50 | 12 |
| Chromosome count additional CPT 88285 | $31.12 | $40.00 | $7.60 – $39.20 | 12 |
| Chromosome karyotype study CPT 88280 | $40.34 | $51.84 | $18.20 – $34.30 | 12 |
| Chylomicron screen, bf - sendout CPT 82664 | $77.11 | $99.11 | $24.01 – $97.13 | 12 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $485.17 – $1,533.96 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $246.94 – $780.74 | 3 |
| Circumcision (newborn) CPT 54150 | $200.73 | $258.00 | $61.92 – $252.84 | 11 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $653.52 | $840.00 | $263.60 – $823.20 | 12 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $13,450.85 | $17,289.00 | $3,803.58 – $16,943.22 | 12 |
| Claviculectomy partial CPT 23120 | not published | not published | $699.39 – $2,211.32 | 3 |
| Claviculectomy total CPT 23125 | not published | not published | $1,207.07 – $3,816.46 | 3 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $217.89 – $688.89 | 3 |
| Clearance of airways CPT 31720 | not published | not published | $98.76 – $312.28 | 3 |
| Clearance of tear duct CPT 68530 | not published | not published | $963.76 – $3,047.20 | 3 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $2,780.58 | $3,574.00 | $14.64 – $59.78 | 11 |
| Clip ligating vesolock lg HCPCS C1760 | $6,118.20 | $7,864.00 | $95.04 – $423.36 | 12 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $1,725.85 – $5,456.76 | 3 |
| Cllr miami j sm HCPCS L0174 | $1,643.92 | $2,113.00 | $135.36 – $552.72 | 12 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $287.86 | $370.00 | $16.20 – $164.64 | 12 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $2,784.55 – $8,804.09 | 3 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $403.81 – $1,276.76 | 3 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $448.84 – $1,419.12 | 3 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $781.47 – $2,470.81 | 3 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $827.23 – $2,615.51 | 3 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $421.23 – $1,331.84 | 3 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $268.68 – $849.51 | 3 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $525.10 – $1,660.22 | 3 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $119.11 – $376.61 | 3 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $575.93 – $1,820.96 | 3 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $396.55 – $1,253.81 | 3 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $510.58 – $1,614.33 | 3 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $899.86 – $2,845.14 | 3 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $254.93 – $806.02 | 3 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $322.47 – $1,019.56 | 3 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $559.95 – $1,770.44 | 3 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $776.40 – $2,454.77 | 3 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $133.63 – $422.50 | 3 |
| Close mastoid fistula CPT 69700 | not published | not published | $575.93 – $1,820.96 | 3 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $1,582.55 – $5,003.66 | 3 |
| Close tear duct opening CPT 68760 | not published | not published | $268.00 – $847.35 | 3 |
| Close tear duct opening CPT 68761 | not published | not published | $244.76 – $773.89 | 3 |
| Close tear system fistula CPT 68770 | not published | not published | $699.39 – $2,211.32 | 3 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $154.70 – $489.12 | 3 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $822.88 – $2,601.75 | 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.