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 |
|---|---|---|---|---|
| Destroy vulva lesion simple 56501 CPT 56501 | $201.14 | $302.00 | $78.13 – $295.96 | 14 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $149.19 | $224.00 | $36.74 – $139.16 | 14 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $362.71 – $362.71 | 5 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $212.76 – $212.76 | 5 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $787.37 – $787.37 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | $42.63 | $64.00 | $6.80 – $42.14 | 14 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $108.08 – $108.08 | 5 |
| Destruction anal lesion(s) CPT 46924 | $317.69 | $477.00 | $123.40 – $467.46 | 14 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $104.67 – $104.67 | 5 |
| Destruction benign lesions < 14 lesions CPT 17110 | $121.22 | $182.00 | $34.15 – $129.36 | 14 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $112.79 – $112.79 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,652.35 | $2,481.00 | $58.88 – $368.48 | 14 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $3,300.70 | $4,956.00 | $152.90 – $579.18 | 14 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.06 – $387.06 | 5 |
| Destruction ciliary body CPT 66720 | not published | not published | $290.51 – $290.51 | 5 |
| Destruction ciliary body CPT 66740 | not published | not published | $512.67 – $512.67 | 5 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $102.11 – $102.11 | 5 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $123.46 – $123.46 | 5 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $162.34 – $162.34 | 5 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $91.85 – $91.85 | 5 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $115.35 – $115.35 | 5 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $86.29 – $86.29 | 5 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $103.82 – $103.82 | 5 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $69.63 – $69.63 | 5 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $263.48 – $263.48 | 5 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $173.16 | $260.00 | $67.27 – $254.80 | 14 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $506.26 – $506.26 | 5 |
| Destruction vag lesions complex 57065 CPT 57065 | $310.36 | $466.00 | $120.56 – $456.68 | 14 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $84.31 – $84.31 | 5 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $145.68 – $145.68 | 5 |
| Developmental screen/score/document 96110 CPT 96110 | $94.58 | $142.00 | $36.74 – $139.16 | 14 |
| Device intraute mirena HCPCS J7298 | $3,963.83 | $5,951.69 | $1,214.63 – $5,832.66 | 14 |
| Device tiss remov myosure reach HCPCS C1782 | $1,075.59 | $1,615.00 | $417.81 – $1,582.70 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $295.71 | $444.00 | $7.51 – $28.42 | 14 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $3.92 | $5.88 | $1.53 – $5.77 | 12 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $37.02 | $55.58 | $3.25 – $6.00 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $109.23 | $164.00 | $9.71 – $23.80 | 14 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $206.35 – $206.35 | 5 |
| Diag laparo separate proc 49320 CPT 49320 | $572.76 | $860.00 | $222.49 – $842.80 | 14 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $76.59 | $115.00 | $25.21 – $106.82 | 14 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $159.18 | $239.00 | $61.83 – $234.22 | 14 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $88.44 – $88.44 | 5 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $283.05 | $425.00 | $104.78 – $396.90 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $1,806.03 – $1,806.03 | 5 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $37.30 | $56.00 | $0.08 – $54.88 | 14 |
| Dicyclomine injection HCPCS J0500 | $274.32 | $411.89 | $106.56 – $403.66 | 12 |
| Diffusing capacity CPT 94729 | $405.60 | $609.00 | $55.31 – $495.88 | 14 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $17.95 | $26.95 | $6.98 – $26.42 | 12 |
| Digoxin total therapeutic drug level CPT 80162 | $187.82 | $282.00 | $13.28 – $235.20 | 14 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $469.47 – $469.47 | 5 |
| Dilate esophagus CPT 43453 | not published | not published | $115.35 – $115.35 | 5 |
| Dilate esophagus 1/mult pass CPT 43450 | $168.50 | $253.00 | $53.41 – $247.94 | 14 |
| Dilate tear duct opening CPT 68801 | not published | not published | $156.79 – $156.79 | 5 |
| Dilate urethra stricture CPT 53600 | not published | not published | $99.97 – $99.97 | 5 |
| Dilate urethra stricture CPT 53601 | not published | not published | $94.42 – $94.42 | 5 |
| Dilate urethra stricture CPT 53605 | not published | not published | $33.75 – $33.75 | 5 |
| Dilate urethra stricture CPT 53621 | not published | not published | $140.12 – $140.12 | 5 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $85.87 – $85.87 | 5 |
| Dilation of anal sphincter CPT 45905 | $288.38 | $433.00 | $112.02 – $424.34 | 14 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $39.54 – $39.54 | 5 |
| Dilation of rectal stricture 45910 CPT 45910 | $319.02 | $479.00 | $121.33 – $469.42 | 14 |
| Dilation of salivary duct CPT 42660 | $1,916.75 | $2,878.00 | $44.86 – $1,233.82 | 14 |
| Dilation of urethra CPT 53661 | not published | not published | $87.15 – $87.15 | 5 |
| Dilation of urethra CPT 53665 | not published | not published | $20.08 – $20.08 | 5 |
| Dilation of vagina CPT 57400 | not published | not published | $86.49 – $86.49 | 5 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $34.61 – $34.61 | 5 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $145.68 – $145.68 | 5 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $131.42 – $131.42 | 5 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $218.91 – $218.91 | 5 |
| Disability dlco CPT 94727 | $516.82 | $776.00 | $37.62 – $669.34 | 14 |
| Disaccharidases CPT 82657 | $224.31 | $336.80 | $22.17 – $60.59 | 14 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $387.06 – $387.06 | 5 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $1,379.50 – $1,379.50 | 5 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $223.87 – $223.87 | 5 |
| Discography cerv/thor spine CPT 72285 | $2,670.00 | $4,009.00 | $144.11 – $2,158.94 | 14 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $786.88 – $786.88 | 5 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $677.58 – $677.58 | 5 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $634.03 – $634.03 | 5 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | not published | not published | $247.21 – $247.21 | 5 |
| Dna antibody native/double stranded CPT 86225 | $22.88 | $34.35 | $5.42 – $10.00 | 14 |
| Doppler echo complete CPT 93320 | $60.61 | $91.00 | $23.55 – $89.18 | 14 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $2,565.44 | $3,852.00 | $111.72 – $473.34 | 14 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $1,698.30 | $2,550.00 | $59.79 – $782.04 | 14 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $56.83 – $56.83 | 5 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $89.25 | $134.00 | $34.67 – $131.32 | 14 |
| Drainage external ear complex 69005 CPT 69005 | $386.28 | $580.00 | $131.74 – $568.40 | 14 |
| Drainage external ear simple 69000 CPT 69000 | $85.25 | $128.00 | $33.12 – $125.44 | 14 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $107.66 – $107.66 | 5 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $306.89 – $306.89 | 5 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $66.65 – $66.65 | 5 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $130.73 – $130.73 | 5 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $387.06 – $387.06 | 5 |
| Drainage of eye CPT 65800 | not published | not published | $90.15 – $90.15 | 5 |
| Drainage of eye CPT 65810 | not published | not published | $387.06 – $387.06 | 5 |
| Drainage of eye CPT 65815 | not published | not published | $261.46 – $261.46 | 5 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $470.37 – $470.37 | 5 |
| Drainage of kidney lesion CPT 50390 | $3,136.86 | $4,710.00 | $81.18 – $1,466.08 | 14 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $61.94 – $61.94 | 5 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $254.20 – $254.20 | 5 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $240.96 – $240.96 | 5 |
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.