Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $19.98 | $30.00 | $16.24 – $29.40 | 14 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,969.37 | $2,957.00 | $764.98 – $2,897.86 | 12 |
| 2nd order venous cath CPT 36012 | not published | not published | $130.30 – $130.30 | 5 |
| 3d recon without postprocess indpndt CPT 76376 | $882.45 | $1,325.00 | $98.31 – $372.40 | 12 |
| 5' nucleotidase - sendout CPT 83915 | $8.23 | $12.35 | $6.69 – $12.35 | 14 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $16.65 | $25.00 | $5.31 – $20.51 | 14 |
| 99381 initial comp preventive med less than 1 year new CPT 99381 | $114.56 | $172.00 | $44.50 – $168.56 | 14 |
| 99382 initial comp preventive med 1 to 4 years new CPT 99382 | $121.22 | $182.00 | $47.09 – $178.36 | 14 |
| 99383 initial comp preventive med 5 to 11 years new CPT 99383 | $133.87 | $201.00 | $52.00 – $196.98 | 14 |
| 99391 periodic comp preventive med less than 1 year est CPT 99391 | $96.57 | $145.00 | $37.52 – $142.10 | 14 |
| 99392 periodic comp preventive med 1 to 4 years est CPT 99392 | $114.56 | $172.00 | $44.50 – $168.56 | 14 |
| 99393 periodic comp preventive med 5 to 11 years est CPT 99393 | $115.22 | $173.00 | $44.76 – $169.54 | 14 |
| 99394 periodic comp preventive med 12 to 17 years est CPT 99394 | $139.20 | $209.00 | $54.07 – $204.82 | 14 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $2,326.65 – $2,326.65 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $8.00 | $12.00 | $6.50 – $12.00 | 14 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | $2,063.27 | $3,098.00 | $577.18 – $3,036.04 | 14 |
| Abd/low ext cath 1st CPT 36245 | not published | not published | $232.83 – $232.83 | 5 |
| Abd/low ext cath 2nd CPT 36246 | not published | not published | $279.40 – $279.40 | 5 |
| Abd/low ext cath 3rd CPT 36247 | not published | not published | $332.38 – $332.38 | 5 |
| Abd/low ext cath addl CPT 36248 | not published | not published | $52.98 – $52.98 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $9,055.61 | $13,597.00 | $340.87 – $2,890.02 | 14 |
| Abdominal CT scan (with contrast) CPT 74160 | $6,462.87 | $9,704.00 | $299.45 – $2,081.52 | 14 |
| Abdominal CT scan (without contrast) CPT 74150 | $4,340.99 | $6,518.00 | $188.16 – $1,387.68 | 14 |
| Abdominal MRI (with and without contrast) CPT 74183 | $9,470.52 | $14,220.00 | $333.52 – $3,786.72 | 14 |
| Abdominal MRI (with contrast) CPT 74182 | $8,801.19 | $13,215.00 | $299.22 – $3,522.12 | 14 |
| Abdominal MRI (without contrast) CPT 74181 | $6,201.80 | $9,312.00 | $273.91 – $2,461.76 | 14 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,631.70 | $2,450.00 | $75.29 – $285.18 | 14 |
| Abdominal Ultrasound (complete) CPT 76700 | $2,016.65 | $3,028.00 | $119.34 – $764.40 | 14 |
| Abdominal Ultrasound (limited) CPT 76705 | $1,575.76 | $2,366.00 | $87.13 – $602.70 | 14 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $2,215.12 | $3,326.00 | $50.97 – $193.06 | 14 |
| Abl1 gene CPT 81170 | $279.72 | $420.00 | $227.35 – $411.60 | 14 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,165.67 – $1,165.67 | 5 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,674.23 – $1,674.23 | 5 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $519.73 – $519.73 | 5 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,592.70 – $1,592.70 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | not published | not published | $393.47 – $393.47 | 5 |
| Ablate bone tumor(s) perq CPT 20982 | $8,878.45 | $13,331.00 | $1,509.00 – $5,716.34 | 14 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $93.99 – $93.99 | 5 |
| Ablate inf turbinate superf 30801 CPT 30801 | not published | not published | $65.79 – $65.79 | 5 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $5,758.36 – $5,758.36 | 5 |
| Ablate pulm tumor perq rf CPT 32998 | not published | not published | $2,589.72 – $2,589.72 | 5 |
| Ablation cryo pq liver tumor(s) CPT 47383 | not published | not published | $416.98 – $416.98 | 5 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $837.68 – $837.68 | 5 |
| Abortion CPT 59850 | not published | not published | $470.57 – $470.57 | 5 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $11.96 – $11.96 | 5 |
| Abrasion lesion single CPT 15786 | not published | not published | $73.91 – $73.91 | 5 |
| Abscess drain retroperitoneal surg code CPT 49406 | $307.70 | $462.00 | $119.52 – $452.76 | 14 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $107.59 – $107.59 | 5 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $193.53 – $193.53 | 5 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $154.59 | $232.11 | $30.02 – $113.71 | 12 |
| Acetone qualitative CPT 82009 | $135.87 | $204.00 | $4.52 – $183.26 | 14 |
| Acetylcholine receptor modulating antibody CPT 86043 | $15.32 | $23.00 | $5.96 – $22.54 | 12 |
| Acne surgery 10040 CPT 10040 | not published | not published | $55.12 – $55.12 | 5 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $293.04 | $440.00 | $54.85 – $207.76 | 12 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $195.81 | $294.00 | $52.52 – $198.94 | 12 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $51.29 | $77.00 | $19.92 – $75.46 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $130.54 | $196.00 | $13.91 – $192.08 | 14 |
| Acoustic refl threshold tst CPT 92568 | $28.64 | $43.00 | $10.65 – $42.14 | 14 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $411.41 – $411.41 | 5 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $111.23 | $167.00 | $6.64 – $163.66 | 14 |
| Acute hepatitis panel CPT 80074 | $322.35 | $484.00 | $47.63 – $116.70 | 14 |
| Acute venous thrombus image CPT 78456 | $5,656.34 | $8,493.00 | $213.21 – $3,920.98 | 14 |
| Adding walker to prev cast CPT 29440 | not published | not published | $58.10 – $58.10 | 5 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $1,017.53 – $1,017.53 | 5 |
| Adh-sendout CPT 84588 | $29.97 | $45.00 | $24.36 – $44.10 | 14 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $322.98 – $322.98 | 5 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $1,009.66 | $1,516.00 | $392.19 – $1,485.68 | 14 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $263.72 | $395.97 | $24.44 – $92.59 | 12 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $369.63 | $555.00 | $21.49 – $543.90 | 14 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $634.70 | $953.00 | $32.81 – $866.32 | 14 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $1,154.85 | $1,734.00 | $32.81 – $1,699.32 | 14 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $1,096.91 | $1,647.00 | $20.61 – $1,614.06 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $343.66 | $516.00 | $12.23 – $201.88 | 14 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $343.66 | $516.00 | $12.23 – $505.68 | 14 |
| Administration immunization 1 vaccine CPT 90471 | $135.87 | $204.00 | $6.99 – $26.46 | 12 |
| Administration immunization each additional component CPT 90461 | $22.65 | $34.00 | $8.80 – $33.32 | 12 |
| Administration immunization each additional vaccine CPT 90472 | $139.86 | $210.00 | $7.77 – $29.40 | 12 |
| Administration immunization first component each vaccine CPT 90460 | $45.29 | $68.00 | $17.60 – $66.64 | 12 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $19.98 | $30.00 | $7.77 – $29.40 | 12 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $19.98 | $30.00 | $7.77 – $29.40 | 12 |
| Adrenal cortex & medulla img CPT 78075 | $7,377.95 | $11,078.00 | $312.44 – $5,114.62 | 14 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,064.63 – $1,064.63 | 5 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $131.21 | $197.00 | $50.97 – $193.06 | 14 |
| _afb id by dna probe rflx ast CPT 87149 | $33.39 | $50.13 | $16.24 – $49.13 | 14 |
| #afb mycobacteria suscep. #1 CPT 87190 | $419.58 | $630.00 | $6.54 – $17.92 | 14 |
| After cataract laser surgery CPT 66821 | not published | not published | $213.61 – $213.61 | 5 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $48.28 – $48.28 | 5 |
| Albumin body fluid quantitative each specimen CPT 82042 | $55.28 | $83.00 | $4.06 – $11.76 | 14 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $587.42 | $882.00 | $53.08 – $864.36 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $79.92 | $120.00 | $5.78 – $14.17 | 14 |
| Albumin serum plasma or whole blood CPT 82040 | $51.29 | $77.00 | $4.95 – $11.76 | 14 |
| Alkaline phosphatase CPT 84075 | $38.63 | $58.00 | $2.71 – $5.00 | 14 |
| Allergen alpha lactalbumin ige CPT 86008 | $7.62 | $11.43 | $2.39 – $4.40 | 14 |
| Allergen egg white ige CPT 86003 | $19.41 | $29.13 | $2.39 – $4.40 | 14 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $4.90 | $7.35 | $2.45 – $4.52 | 12 |
| Allergy injections; 2 or more 95117 CPT 95117 | $34.64 | $52.00 | $9.45 – $50.96 | 14 |
| Allergy injection; single 95115 CPT 95115 | $25.31 | $38.00 | $8.74 – $37.24 | 14 |
| Allgrft implnt knee w/scope CPT 29867 | $2,273.06 | $3,413.00 | $689.06 – $3,344.74 | 14 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $7,277.39 | $10,927.00 | $584.93 – $2,215.78 | 12 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $9,461.87 | $14,207.00 | $1,671.47 – $6,331.78 | 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.