Mercy Medical Center Mt. Shasta — price list

← Hospital overviewVerified from Mercy Medical Center Mt. Shasta’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

312 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acne surgery Outpatient	10040 CPT	—	—	$93.69 – $296	—
Asp absc/hema/cyst/bulla Inpatient	10160 CPT	$323	$251	$168 – $317	—
Asp absc/hema/cyst/bulla Outpatient	10160 CPT	$323	$251	$77.52 – $317	—
Bf resp bact/vir 22 trgts Inpatient	0202U CPT	$1,405	$1,093	$731 – $1,377	—
Bf resp bact/vir 22 trgts Outpatient	0202U CPT	$937	$729	$333 – $918	—
Biopsy nail unit Outpatient	11755 CPT	—	—	$121 – $381	—
Bx skin incis each add les Inpatient	11107 CPT	$386	$300	$201 – $378	—
Bx skin incis each add les Outpatient	11107 CPT	$386	$300	$88.10 – $378	—
Bx skin punch each add les Inpatient	11105 CPT	$386	$300	$201 – $378	—
Bx skin punch each add les Outpatient	11105 CPT	$386	$300	$74.43 – $378	—
Bx skin punch sng lesion Inpatientapprox. match	11104 CPT	$386	$300	$201 – $378	—
Bx skin punch sng lesion Outpatientapprox. match	11104 CPT	$386	$300	$92.64 – $386	—
Bx skn incisional sng les Inpatientapprox. match	11106 CPT	$386	$300	$201 – $378	—
Bx skn incisional sng les Outpatientapprox. match	11106 CPT	$386	$300	$92.64 – $386	—
Bx skn tangent each add les Inpatient	11103 CPT	$386	$300	$201 – $378	—
Bx skn tangent each add les Outpatient	11103 CPT	$386	$300	$65.32 – $378	—
Bx skn tangential sng les Inpatientapprox. match	11102 CPT	$386	$300	$201 – $378	—
Bx skn tangential sng les Outpatientapprox. match	11102 CPT	$386	$300	$92.64 – $384	—
Closure of split wound Outpatient	12020 CPT	—	—	$334 – $1,056	—
Closure of split wound Outpatient	12021 CPT	—	—	$245 – $776	—
Cmplx rpr e/n/e/l 1.1-2.5 cm Outpatient	13151 CPT	—	—	$319 – $1,008	—
Cmplx rpr e/n/e/l 2.6-7.5 cm Outpatient	13152 CPT	—	—	$658 – $2,080	—
Cmplx rpr e/n/e/l addl 5cm/< Outpatient	13153 CPT	—	—	$186 – $588	—
Cmplx rpr f/c/c/m/n/ax/g/h/f Outpatient	13131 CPT	—	—	$252 – $797	—
Cmplx rpr f/c/c/m/n/ax/g/h/f Outpatient	13132 CPT	—	—	$494 – $1,561	—
Cmplx rpr f/c/c/m/n/ax/g/h/f Outpatient	13133 CPT	—	—	$169 – $535	—
Cmplx rpr s/a/l 1.1-2.5 cm Outpatient	13120 CPT	—	—	$227 – $716	—
Cmplx rpr s/a/l 2.6-7.5 cm Outpatient	13121 CPT	—	—	$329 – $1,040	—
Cmplx rpr s/a/l addl 5 cm/> Outpatient	13122 CPT	—	—	$114 – $361	—
Cmplx rpr trunk 1.1-2.5 cm Outpatient	13100 CPT	—	—	$216 – $682	—