▸ Hospital · CA · CCN 051319
Mercy Medical Center Mt Shasta
914 PINE STREET, MT. SHASTA, CA, 96067
25 bedsCritical Access Hospitals1
Compliance grade
A
100/100
Procedures tracked
137
of 209 target codes
Payers
12
with negotiated rates
Rates published
3,957
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $600 | $420 | $25.01 | $500.55 | $600 |
| ED visit level 2 | CPT | 99282 | 12 | $1,200 | $840 | $42.31 | $1,001.1 | $1,200 |
| ED visit level 3 | CPT | 99283 | 12 | $1,740 | $1,218 | $77.4 | $1,451.6 | $1,740 |
| ED visit level 4 | CPT | 99284 | 12 | $3,381 | $2,366.7 | $118.63 | $2,820.61 | $3,381 |
| ED visit level 5 | CPT | 99285 | 12 | $4,971 | $3,479.7 | $187.59 | $3,507.42 | $4,971 |
| Critical care, first hour | CPT | 99291 | 12 | $5,386 | $3,770.2 | $323.36 | $4,778.74 | $5,386 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $1,419 | $993.3 | $136.42 | $1,183.81 | $1,419 |
| CT head with contrast | CPT | 70460 | 12 | $1,944 | $1,360.8 | $192.01 | $1,621.79 | $1,944 |
| CT head with and without contrast | CPT | 70470 | 12 | $2,327 | $1,628.9 | $225.93 | $1,941.31 | $2,327 |
| CT neck with contrast | CPT | 70491 | 12 | $1,803 | $1,262.1 | $240.33 | $1,504.16 | $1,803 |
| MRI brain without contrast | CPT | 70551 | 12 | $2,421 | $1,694.7 | $259.38 | $2,042.12 | $2,421 |
| MRI brain with contrast | CPT | 70552 | 12 | $3,510 | $2,457 | $361.6 | $2,960.69 | $3,510 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $4,035 | $2,824.5 | $426.66 | $3,403.53 | $4,035 |
| Chest X-ray single view | CPT | 71045 | 10 | $317 | $221.9 | $17.67 | $304.49 | $317 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $412 | $288.4 | $27.48 | $395.73 | $412 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $786 | $550.2 | $35.27 | $605.12 | $786 |
| CT chest without contrast | CPT | 71250 | 12 | $902 | $631.4 | $171.27 | $752.5 | $902 |
| CT chest with contrast | CPT | 71260 | 12 | $1,768 | $1,237.6 | $217.35 | $1,474.96 | $1,768 |
| CT chest with and without contrast | CPT | 71270 | 12 | $1,998 | $1,398.6 | $258 | $1,666.84 | $1,998 |
| MRI chest without contrast | CPT | 71550 | 12 | $1,594 | $1,115.8 | $467.92 | $1,344.54 | $1,594 |
| MRI chest with contrast | CPT | 71551 | 12 | $1,109 | $776.3 | $417.18 | $935.45 | $1,109 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $2,546 | $1,782.2 | $528.54 | $2,147.56 | $2,546 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $609 | $426.3 | $43.45 | $508.07 | $609 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $1,587 | $1,110.9 | $168.06 | $1,323.96 | $1,587 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $1,587 | $1,110.9 | $167.64 | $1,323.96 | $1,587 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $2,274 | $1,591.8 | $167.23 | $1,897.09 | $2,274 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $3,389 | $2,372.3 | $253.74 | $2,858.63 | $3,389 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $2,947 | $2,062.9 | $253.74 | $2,485.8 | $2,947 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $2,947 | $2,062.9 | $254.15 | $2,485.8 | $2,947 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $4,273 | $2,991.1 | $364.52 | $3,604.28 | $4,273 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $5,660 | $3,962 | $430.82 | $4,774.21 | $5,660 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $4,921 | $3,444.7 | $429.99 | $4,150.87 | $4,921 |
| CT pelvis without contrast | CPT | 72192 | 12 | $1,272 | $890.4 | $171.67 | $1,061.17 | $1,272 |
| CT pelvis with contrast | CPT | 72193 | 12 | $2,495 | $1,746.5 | $293.26 | $2,081.46 | $2,495 |
| Shoulder X-ray | CPT | 73030 | 12 | $453 | $317.1 | $37.09 | $377.92 | $453 |
| Humerus X-ray | CPT | 73060 | 12 | $311 | $217.7 | $29.81 | $259.46 | $311 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $452 | $316.4 | $36.06 | $377.09 | $452 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $3,015 | $2,110.5 | $269.56 | $2,543.16 | $3,015 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $5,035 | $3,524.5 | $426.31 | $4,247.03 | $5,035 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $325 | $227.5 | $27.28 | $271.14 | $325 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $446 | $312.2 | $36.06 | $372.08 | $446 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $3,016 | $2,111.2 | $268.73 | $2,544 | $3,016 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $5,037 | $3,525.9 | $428.3 | $4,248.71 | $5,037 |
| CT abdomen without contrast | CPT | 74150 | 12 | $1,937 | $1,355.9 | $176.11 | $1,615.95 | $1,937 |
| CT abdomen with contrast | CPT | 74160 | 12 | $3,024 | $2,116.8 | $299.45 | $2,522.78 | $3,024 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $3,449 | $2,414.3 | $340.87 | $2,877.34 | $3,449 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $2,693 | $1,885.1 | $179.04 | $2,246.64 | $2,693 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $4,064 | $2,844.8 | $281.8 | $3,390.4 | $4,064 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $4,725 | $3,307.5 | $319.24 | $3,941.84 | $4,725 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $2,145 | $1,501.5 | $262.51 | $1,387.56 | $2,145 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $3,575 | $2,502.5 | $459.44 | $3,015.52 | $3,575 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $558 | $390.6 | $119.34 | $465.52 | $558 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $1,982 | $1,387.4 | $87.13 | $420.42 | $1,982 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $868 | $607.6 | $115.78 | $724.13 | $868 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $686 | $480.2 | $78.42 | $572.3 | $686 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $798 | $558.6 | $135.29 | $665.74 | $798 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $487 | $340.9 | $162.43 | $406.29 | $487 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $315 | $220.5 | $97.04 | $262.8 | $315 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $891 | $623.7 | $97.04 | $743.32 | $891 |
| Scrotal ultrasound | CPT | 76870 | 12 | $703 | $492.1 | $85.75 | $586.49 | $703 |
| Diagnostic mammography unilateral | CPT | 77065 | 12 | $365 | $255.5 | $122.05 | $307.72 | $365 |
| Diagnostic mammography bilateral | CPT | 77066 | 12 | $462 | $323.4 | $154.75 | $385.43 | $462 |
| Screening mammography bilateral | CPT | 77067 | 12 | $377 | $263.9 | $125.3 | $327.72 | $377 |
| EKG tracing only | CPT | 93005 | 12 | $490 | $343 | $7.73 | $429.98 | $490 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $1,883 | $1,318.1 | $244.61 | $1,732.58 | $1,883 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,251 | $875.7 | $172.76 | $1,172.1 | $1,251 |
| Stress echocardiogram | CPT | 93350 | 12 | $922 | $645.4 | $166.82 | $769.18 | $922 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $173 | $121.1 | $6.98 | $8.46 | $173 |
| General health panel | CPT | 80050 | 9 | $113 | $79.1 | $93.23 | $110.74 | $113 |
| Electrolyte panel | CPT | 80051 | 12 | $177 | $123.9 | $7.01 | $147.67 | $177 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $235 | $164.5 | $8.72 | $10.96 | $235 |
| Lipid panel | CPT | 80061 | 12 | $255 | $178.5 | $11.62 | $19.94 | $255 |
| Renal function panel | CPT | 80069 | 12 | $155 | $108.5 | $7.17 | $8.68 | $155 |
| Hepatic function panel | CPT | 80076 | 12 | $294 | $205.8 | $8.17 | $245.27 | $294 |
| Urinalysis non-automated | CPT | 81002 | 12 | $38 | $26.6 | $3.08 | $31.71 | $38 |
| Urinalysis automated | CPT | 81003 | 12 | $23 | $16.1 | $2.25 | $14.7 | $23 |
| Glucose quantitative | CPT | 82947 | 12 | $96 | $67.2 | $3.93 | $30.19 | $96 |
| Hemoglobin A1c | CPT | 83036 | 12 | $273 | $191.1 | $4.13 | $9.71 | $273 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $277 | $193.9 | $6.6 | $16.8 | $277 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $135 | $94.5 | $7.77 | $112.63 | $135 |
| Complete blood count without differential | CPT | 85027 | 12 | $103 | $72.1 | $6.47 | $85.94 | $103 |
| Urine culture bacterial | CPT | 87086 | 12 | $112 | $78.4 | $8.07 | $93.44 | $112 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $681.2 | $476.84 | $20.63 | $51.17 | $681.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 12 | $783 | $548.1 | $39.57 | $627.2 | $783 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 7 | — | — | $1,889.33 | $2,700.21 | $7,976.07 |
| Vaginal delivery only | CPT | 59409 | 7 | — | — | $896.73 | $896.73 | $3,122.86 |
| Vaginal delivery with postpartum | CPT | 59410 | 6 | — | — | $1,186.12 | $1,186.12 | $1,186.12 |
| Routine obstetric care with C-section | CPT | 59510 | 7 | — | — | $1,889.44 | $2,966.39 | $7,980.83 |
| C-section delivery only | CPT | 59514 | 7 | — | — | $945.43 | $1,009.47 | $3,125.39 |
| C-section with postpartum | CPT | 59515 | 6 | — | — | $1,454.4 | $1,454.4 | $1,454.4 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | $578 | $404.6 | $59.53 | $130.83 | $578 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $199 | $139.3 | $99.28 | $180.02 | $199 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | $2,642 | $1,849.4 | $119.58 | $305 | $2,642 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $386 | $270.2 | $143.53 | $338.91 | $386 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $152 | $106.4 | $20.82 | $68.85 | $152 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | $104 | $72.8 | $31.41 | $75.85 | $104 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | $149 | $104.3 | $41.66 | $130.32 | $149 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 12 | $2,642 | $1,849.4 | $65.09 | $207 | $2,642 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | $270 | $189 | $99.28 | $237.06 | $270 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 7 | — | — | $364 | $364 | $1,285.91 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 7 | — | — | $406.45 | $469.92 | $1,343.63 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | — | — | $94.99 | $229.81 | $314.02 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | — | — | $125.37 | $361.18 | $414.43 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | — | — | $413.44 | $413.44 | $1,693.91 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | — | — | $537.67 | $537.67 | $1,894.73 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | — | — | $554.09 | $554.09 | $2,296.3 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 6 | — | — | $1,502.55 | $1,665.35 | $1,665.35 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,303.81 | $1,303.81 | $5,981.1 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $1,476.98 | $1,476.98 | $8,544.43 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $1,475.26 | $1,475.26 | $8,544.43 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $1,615.14 | $1,615.14 | $1,661.02 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $2,011.69 | $2,011.69 | $8,196.28 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $197.43 | $197.43 | $2,420.23 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $597.69 | $1,235.06 | $1,975.84 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | — | — | $631.72 | $631.72 | $3,161.42 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $1,129.72 | $1,129.72 | $3,870.64 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $2,085.09 | $2,085.09 | $10,740 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $2,446.51 | $2,446.51 | $12,078 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $2,723.87 | $2,723.87 | $13,413 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $2,930.92 | $2,930.92 | $14,752 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $695.28 | $730.16 | $2,298.43 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $474.3 | $686.67 | $1,567.91 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $751.44 | $751.44 | $2,674.41 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $817.52 | $817.52 | $3,078.11 |
| Open umbilical hernia repair | CPT | 49560 | 7 | — | — | $805.13 | $839.43 | $2,661.62 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 7 | — | — | $512.41 | $513.15 | $1,693.91 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $459.44 | $495.08 | $1,518.8 |
| Lap incisional hernia repair | CPT | 49652 | 7 | — | — | $634.73 | $847.07 | $2,098.28 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $1,163.04 | $1,163.04 | $4,651.59 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $968.07 | $968.07 | $4,651.59 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $1,016.78 | $1,016.78 | $3,354.95 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $746.15 | $1,130.32 | $2,466.6 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $749.39 | $749.39 | $2,805.51 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $866.91 | $866.91 | $4,035.72 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $633.25 | $633.25 | $5,767.49 |
| Intravitreal injection | CPT | 67028 | 7 | — | — | $133.2 | $133.2 | $2,089.12 |
| Vitrectomy mechanical | CPT | 67042 | 7 | — | — | $1,138.82 | $1,326.96 | $3,764.68 |
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 137 | $315.41 |
| Anthem BCBS | 137 | $367.58 |
| Blue Cross Blue Shield | 137 | $372.95 |
| Kaiser Permanente | 137 | $362.8 |
| Humana | 133 | $237.62 |
| Medicare | 133 | $237.62 |
| Medicaid | 132 | $314.02 |
| First Health | 93 | $478.73 |
| Cigna | 93 | $454.8 |
| UnitedHealthcare | 93 | $488.5 |
| Multiplan | 93 | $478.73 |
| Health Net | 93 | $488.5 |