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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $73.01 | $109.62 | $19.92 – $75.46 | 14 |
| Cytopath smear other source CPT 88160 | $40.98 | $61.53 | $15.92 – $60.30 | 14 |
| Cytopath smear other source CPT 88162 | $66.06 | $99.18 | $25.66 – $97.20 | 14 |
| Cytopath smear oth prep screen & interp CPT 88161 | $41.69 | $62.59 | $11.65 – $44.10 | 14 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $284.59 | $427.30 | $103.48 – $392.00 | 14 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | $5,051.75 | $7,585.20 | $1,962.30 – $7,433.50 | 12 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $290.72 – $290.72 | 5 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $384.29 | $577.00 | $149.27 – $565.46 | 14 |
| Dch validity tests CPT 81002 | $9.33 | $14.00 | $3.08 – $13.72 | 14 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,068.05 – $1,068.05 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $1,258.16 – $1,258.16 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $232.41 – $232.41 | 5 |
| D&c of cervical stump CPT 57558 | not published | not published | $202.68 – $202.68 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | $6.47 | $9.71 | $2.33 – $8.82 | 12 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $489.14 – $489.14 | 5 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $51.29 | $77.00 | $19.92 – $75.46 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $332.34 | $499.00 | $61.36 – $489.02 | 14 |
| Debridement bone <= 20 sq cm CPT 11044 | $309.69 | $465.00 | $120.30 – $455.70 | 14 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $100.57 | $151.00 | $35.88 – $147.98 | 14 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | not published | not published | $62.38 – $62.38 | 5 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $261.74 | $393.00 | $31.83 – $120.54 | 14 |
| Debride nail1-5 11720 CPT 11720 | $77.26 | $116.00 | $22.64 – $113.68 | 14 |
| Debride nail6 or more 11721 CPT 11721 | $72.60 | $109.00 | $28.20 – $106.82 | 14 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | not published | not published | $324.27 – $324.27 | 5 |
| Debride skin bone at fx site CPT 11012 | $560.78 | $842.00 | $217.83 – $825.16 | 14 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $389.15 – $389.15 | 5 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | $1,389.28 | $2,086.00 | $520.88 – $2,044.28 | 14 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | not published | not published | $16.75 – $16.75 | 5 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $53.28 | $80.00 | $20.70 – $78.40 | 14 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $508.83 | $764.00 | $197.65 – $748.72 | 14 |
| Debr inf skin add-on 11001 CPT 11001 | not published | not published | $11.96 – $11.96 | 5 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $277.06 | $416.00 | $107.62 – $407.68 | 14 |
| Decalcification CPT 88311 | $6.66 | $10.00 | $2.25 – $8.67 | 14 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $486.18 | $730.00 | $33.51 – $704.62 | 14 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $338.78 – $338.78 | 5 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $571.63 – $571.63 | 5 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $931.87 – $931.87 | 5 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $356.30 – $356.30 | 5 |
| Decompress fingers/hand CPT 26035 | not published | not published | $939.04 – $939.04 | 5 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $557.10 – $557.10 | 5 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $578.18 – $578.18 | 5 |
| Decompression fasct forearm CPT 24495 | not published | not published | $666.04 – $666.04 | 5 |
| Decompression of leg CPT 27892 | not published | not published | $297.35 – $297.35 | 5 |
| Decompression of leg CPT 27893 | not published | not published | $290.51 – $290.51 | 5 |
| Decompression of leg CPT 27894 | not published | not published | $387.06 – $387.06 | 5 |
| Decompression of lower leg CPT 27600 | not published | not published | $265.31 – $265.31 | 5 |
| Decompression of lower leg CPT 27601 | not published | not published | $497.71 – $497.71 | 5 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $293.93 – $293.93 | 5 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $358.86 – $358.86 | 5 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $409.27 – $409.27 | 5 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $471.65 – $471.65 | 5 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $425.94 – $425.94 | 5 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,052.24 – $1,052.24 | 5 |
| Decompress optic nerve CPT 67570 | not published | not published | $576.32 – $576.32 | 5 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $1,514.50 – $1,514.50 | 5 |
| Decompress small bowel CPT 44021 | not published | not published | $691.24 – $691.24 | 5 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $1,303.88 – $1,303.88 | 5 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $1,548.26 – $1,548.26 | 5 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $347.76 – $347.76 | 5 |
| Deep muscle biopsy 20205 CPT 20205 | $273.73 | $411.00 | $106.33 – $402.78 | 14 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | $2,157.10 | $3,238.88 | $537.04 – $2,034.40 | 12 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $580.60 – $580.60 | 5 |
| Delay flap arms/legs CPT 15610 | not published | not published | $213.61 – $213.61 | 5 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $290.51 – $290.51 | 5 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $290.51 – $290.51 | 5 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $193.53 – $193.53 | 5 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $127.53 – $127.53 | 5 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $781.35 – $781.35 | 5 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $582.28 – $582.28 | 5 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $306.36 | $460.00 | $15.32 – $90.16 | 14 |
| Denervation of hip joint CPT 27035 | not published | not published | $822.40 – $822.40 | 5 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $11,257.89 | $16,903.73 | $2,377.36 – $9,005.82 | 12 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $277.73 | $417.00 | $57.25 – $408.66 | 14 |
| Dermabrasion other than face CPT 15782 | not published | not published | $193.53 – $193.53 | 5 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $193.53 – $193.53 | 5 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $173.02 – $173.02 | 5 |
| Dermabrasion total face CPT 15780 | not published | not published | $520.78 – $520.78 | 5 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $512.67 – $512.67 | 5 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $766.86 – $766.86 | 5 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $639.55 – $639.55 | 5 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,714.87 – $1,714.87 | 5 |
| Design custom breast implant CPT 19396 | not published | not published | $246.93 – $246.93 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $401.59 – $401.59 | 5 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,474.77 – $1,474.77 | 5 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,089.85 – $1,089.85 | 5 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $253.75 | $381.00 | $50.41 – $373.38 | 14 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $327.01 | $491.00 | $75.62 – $481.18 | 14 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $90.57 – $90.57 | 5 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $188.48 | $283.00 | $55.12 – $277.34 | 14 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $236.43 | $355.00 | $65.36 – $347.90 | 14 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $77.76 – $77.76 | 5 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $155.85 | $234.00 | $43.15 – $229.32 | 14 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $186.48 | $280.00 | $50.41 – $274.40 | 14 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $69.63 – $69.63 | 5 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $79.04 – $79.04 | 5 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $3,300.70 | $4,956.00 | $147.46 – $558.60 | 14 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,652.35 | $2,481.00 | $44.50 – $168.56 | 14 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $261.08 | $392.00 | $101.42 – $384.16 | 14 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $91.91 | $138.00 | $33.38 – $126.42 | 14 |
| Destroy vulva lesion extensive 56515 CPT 56515 | $362.31 | $544.00 | $140.71 – $533.12 | 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.