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 |
|---|---|---|---|---|
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $9,570.42 | $14,370.00 | $319.24 – $3,093.86 | 14 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $7,250.08 | $10,886.00 | $281.80 – $2,347.10 | 14 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $3,770.23 | $5,661.00 | $174.31 – $1,174.04 | 14 |
| CT thoracic spine w/contrast CPT 72129 | $5,665.67 | $8,507.00 | $235.73 – $1,786.54 | 14 |
| CT thoracic spine without contrast CPT 72128 | $4,496.84 | $6,752.00 | $178.84 – $1,455.30 | 14 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $561.44 | $843.00 | $131.79 – $826.14 | 14 |
| CT t-spine w /wo contrast CPT 72130 | $5,935.40 | $8,912.00 | $277.04 – $1,918.84 | 14 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $632.72 – $632.72 | 5 |
| Cult skin grft t/arm/leg CPT 15150 | $1,053.62 | $1,582.00 | $409.27 – $1,550.36 | 14 |
| Culture aerobic additional method definitive id each CPT 87077 | $57.28 | $86.00 | $6.65 – $19.80 | 14 |
| Culture afb any source CPT 87116 | $17.99 | $27.00 | $10.80 – $26.46 | 14 |
| Culture anaerobic additional method definitive id each CPT 87076 | $70.60 | $106.00 | $8.08 – $103.88 | 14 |
| Culture anaerobic except blood CPT 87075 | $123.21 | $185.00 | $9.47 – $181.30 | 14 |
| Culture bact stool aero addl path ea CPT 87046 | $55.95 | $84.00 | $2.61 – $19.60 | 14 |
| Culture body fluid CPT 87070 | $129.21 | $194.00 | $8.62 – $147.98 | 14 |
| Culture fungi definitive id yeast CPT 87106 | $89.25 | $134.00 | $10.32 – $25.29 | 14 |
| Culture fungi other (except blood) CPT 87102 | $84.59 | $127.00 | $8.41 – $20.61 | 14 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $24.33 | $36.53 | $14.61 – $35.80 | 14 |
| Culture mycoplasma any source CPT 87109 | $23.98 | $36.00 | $15.39 – $35.28 | 14 |
| Culture screening strep group a CPT 87081 | $147.86 | $222.00 | $6.63 – $16.25 | 14 |
| Culture typing added method CPT 87158 | $19.98 | $30.00 | $7.74 – $29.40 | 14 |
| Culture typing immunologic CPT 87147 | $8.63 | $12.95 | $5.18 – $12.70 | 14 |
| Culture urine each isolate CPT 87088 | $115.22 | $173.00 | $8.09 – $19.83 | 14 |
| Curette/treat cornea CPT 65435 | not published | not published | $48.28 – $48.28 | 5 |
| Curette/treat cornea CPT 65436 | not published | not published | $187.55 – $187.55 | 5 |
| Cv line/pic reposition CPT 36597 | not published | not published | $51.27 – $51.27 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $67.27 | $101.00 | $3.25 – $6.00 | 14 |
| Cyclosporine 2 hour CPT 80158 | $30.06 | $45.13 | $8.12 – $15.00 | 14 |
| Cyp2c19 gene com variants CPT 81225 | $86.58 | $130.00 | $27.07 – $50.00 | 14 |
| Cyp2c9 gene com variants CPT 81227 | $43.29 | $65.00 | $27.07 – $50.00 | 14 |
| Cyp2d6 gene com variants CPT 81226 | $33.30 | $50.00 | $27.07 – $50.00 | 14 |
| Cyp3a4 gene common variants CPT 81230 | $33.30 | $50.00 | $27.07 – $50.00 | 12 |
| Cyp3a5 gene common variants CPT 81231 | $33.30 | $50.00 | $27.07 – $50.00 | 12 |
| Cystatin c CPT 82610 | $6.66 | $10.00 | $5.42 – $10.00 | 14 |
| Cystic fibrosis cftr CPT 81223 | $421.80 | $633.33 | $342.83 – $633.33 | 14 |
| Cystine urine quantitative CPT 82131 | $39.89 | $59.88 | $22.98 – $58.69 | 14 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $578.45 – $578.45 | 5 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $478.19 | $718.00 | $11.39 – $44.00 | 14 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $209.68 – $209.68 | 5 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $862.13 – $862.13 | 5 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $701.50 – $701.50 | 5 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $567.35 – $567.35 | 5 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $256.33 – $256.33 | 5 |
| Cystoscopy and treatment CPT 52214 | $335.00 | $503.00 | $123.92 – $469.42 | 14 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $176.44 – $176.44 | 5 |
| Cystoscopy and treatment CPT 52234 | $447.56 | $672.00 | $173.85 – $658.56 | 14 |
| Cystoscopy and treatment CPT 52235 | $524.15 | $787.00 | $203.60 – $771.26 | 14 |
| Cystoscopy and treatment CPT 52240 | $711.29 | $1,068.00 | $276.30 – $1,046.64 | 14 |
| Cystoscopy and treatment CPT 52260 | $382.29 | $574.00 | $145.25 – $562.52 | 14 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $126.03 – $126.03 | 5 |
| Cystoscopy and treatment CPT 52276 | $480.19 | $721.00 | $186.53 – $706.58 | 14 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $280.68 – $280.68 | 5 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $196.10 – $196.10 | 5 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $197.80 – $197.80 | 5 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $193.53 – $193.53 | 5 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $261.04 – $261.04 | 5 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $269.15 – $269.15 | 5 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $260.60 – $260.60 | 5 |
| Cystoscopy and treatment CPT 52310 | $289.71 | $435.00 | $107.11 – $405.72 | 14 |
| Cystoscopy and treatment CPT 52315 | $498.84 | $749.00 | $193.77 – $734.02 | 14 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $299.06 – $299.06 | 5 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $481.48 – $481.48 | 5 |
| Cystoscopy (Bladder Scope) CPT 52000 | $223.78 | $336.00 | $76.32 – $289.10 | 14 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $137.38 – $137.38 | 5 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $174.31 – $174.31 | 5 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $377.24 – $377.24 | 5 |
| Cystoscopy inject material CPT 52327 | not published | not published | $220.77 – $220.77 | 5 |
| Cystoscopy removal of clots CPT 52001 | not published | not published | $110.57 – $110.57 | 5 |
| Cystoscopy & revise urethra CPT 52270 | $331.01 | $497.00 | $128.58 – $487.06 | 14 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $227.28 – $227.28 | 5 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $598.11 – $598.11 | 5 |
| Cystoscopy & ureter catheter CPT 52005 | $242.43 | $364.00 | $94.17 – $356.72 | 14 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $512.67 – $512.67 | 5 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $619.48 – $619.48 | 5 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $734.39 – $734.39 | 5 |
| Cystouretero & or pyeloscope CPT 52351 | $550.12 | $826.00 | $213.69 – $809.48 | 14 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $413.12 – $413.12 | 5 |
| Cystouretero w/biopsy CPT 52354 | $757.25 | $1,137.00 | $294.15 – $1,114.26 | 14 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $451.15 – $451.15 | 5 |
| Cysto/uretero w/lithotripsy CPT 52356 | $754.58 | $1,133.00 | $293.11 – $1,110.34 | 14 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $406.72 – $406.72 | 5 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $495.58 – $495.58 | 5 |
| Cystouretero w/stone remove CPT 52352 | $642.69 | $965.00 | $249.65 – $945.70 | 14 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $440.46 – $440.46 | 5 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $200.56 – $200.56 | 5 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $290.38 | $436.00 | $107.62 – $407.68 | 14 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $257.75 | $387.00 | $100.12 – $379.26 | 14 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $879.37 – $879.37 | 5 |
| Cystourethro w/implant CPT 52441 | not published | not published | $1,137.00 – $1,137.00 | 5 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $386.63 – $386.63 | 5 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $349.04 – $349.04 | 5 |
| Cysto w/ureter stricture tx CPT 52341 | $516.15 | $775.00 | $200.50 – $759.50 | 14 |
| Cytogenomic neo microra alys CPT 81277 | $899.64 | $1,350.80 | $731.19 – $1,323.79 | 14 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $382.29 | $574.00 | $5.42 – $10.00 | 14 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $382.29 | $574.00 | $5.42 – $10.00 | 14 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $35.97 | $54.00 | $11.21 – $43.31 | 14 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $34.03 | $51.09 | $13.22 – $50.07 | 14 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $37.21 | $55.87 | $11.39 – $43.12 | 14 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $6.13 | $9.19 | $1.82 – $7.00 | 14 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $164.51 | $247.00 | $6.00 – $23.16 | 14 |
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.