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 |
|---|---|---|---|---|
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $388.93 – $388.93 | 5 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $297.77 – $297.77 | 5 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $137.99 – $137.99 | 5 |
| Endoscopy of ureter CPT 50951 | not published | not published | $209.34 – $209.34 | 5 |
| Endoscopy of ureter CPT 50953 | not published | not published | $462.68 – $462.68 | 5 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | not published | not published | $199.94 – $199.94 | 5 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $942.45 – $942.45 | 5 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | not published | not published | $1,276.62 – $1,276.62 | 5 |
| Endovasc tempory vessel occl CPT 61623 | not published | not published | $300.07 – $300.07 | 5 |
| Endovas iliac a device addon CPT 34808 | not published | not published | $223.43 – $223.43 | 5 |
| Endovenous laser vein addon 36479 CPT 36479 | not published | not published | $442.17 – $442.17 | 5 |
| Endovenous mchnchem 1st vein CPT 36473 | not published | not published | $1,380.86 – $1,380.86 | 5 |
| Endovenous mchnchem add-on CPT 36474 | not published | not published | $246.83 – $246.83 | 5 |
| Endovenous rf abl vein addl CPT 36476 | not published | not published | $437.82 – $437.82 | 5 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | not published | not published | $1,968.72 – $1,968.72 | 5 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $123.98 – $123.98 | 5 |
| Enlarge breast CPT 19324 | not published | not published | $769.00 – $769.00 | 5 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $121.63 | $182.62 | $9.44 – $35.74 | 12 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $13.03 | $19.56 | $10.10 – $19.17 | 14 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $201.79 – $201.79 | 5 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $230.27 – $230.27 | 5 |
| Enterectomy small intestine single 44120 CPT 44120 | $2,167.17 | $3,254.00 | $801.90 – $3,188.92 | 14 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $1,655.99 – $1,655.99 | 5 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $1,903.57 – $1,903.57 | 5 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $691.67 – $691.67 | 5 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | $2,476.86 | $3,719.00 | $602.38 – $3,644.62 | 14 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | $2,871.80 | $4,312.00 | $777.55 – $4,225.76 | 14 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $411.41 – $411.41 | 5 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $716.45 – $716.45 | 5 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | not published | not published | $154.23 – $154.23 | 5 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $764.73 – $764.73 | 5 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $119.19 – $119.19 | 5 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $749.25 | $1,125.00 | $40.36 – $152.94 | 14 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $326.40 – $326.40 | 5 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $219.16 – $219.16 | 5 |
| Epiglottidectomy CPT 31420 | not published | not published | $774.13 – $774.13 | 5 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $412.69 – $412.69 | 5 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $394.76 – $394.76 | 5 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $32.58 – $32.58 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | $3,488.58 | $5,238.10 | $1,355.10 – $5,133.34 | 12 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $1,439.82 | $2,161.88 | $55.93 – $211.87 | 12 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $3,488.58 | $5,238.10 | $338.77 – $1,283.30 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $21.85 | $32.80 | $3.25 – $6.00 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $25.47 | $38.23 | $3.66 – $6.75 | 14 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $171.17 | $257.00 | $2.71 – $5.00 | 14 |
| Ercp biliary & pancreas CPT 74330 | $662.01 | $994.00 | $165.14 – $806.54 | 14 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | $847.16 | $1,272.00 | $329.07 – $1,246.56 | 14 |
| Ercp ea duct/ampulla dilate CPT 43277 | $841.83 | $1,264.00 | $327.00 – $1,238.72 | 14 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | $842.49 | $1,265.00 | $327.26 – $1,239.70 | 14 |
| Ercp lithotripsy calculi CPT 43265 | $1,132.87 | $1,701.00 | $440.05 – $1,666.98 | 12 |
| Ercp remove duct calculi 43264 CPT 43264 | $1,010.33 | $1,517.00 | $392.45 – $1,486.66 | 14 |
| Ercp remove forgn body duct 43275 CPT 43275 | $933.74 | $1,402.00 | $342.14 – $1,373.96 | 14 |
| Ercp sphincter pressure meas CPT 43263 | $831.84 | $1,249.00 | $306.32 – $1,224.02 | 14 |
| Ercp stent exchange w/dilate CPT 43276 | $889.78 | $1,336.00 | $345.63 – $1,309.28 | 14 |
| Ercp w/specimen collection CPT 43260 | $682.65 | $1,025.00 | $265.17 – $1,004.50 | 14 |
| ER Visit (level 1, minor) CPT 99281 | $262.41 | $394.00 | $16.04 – $60.76 | 14 |
| ER Visit (level 2) CPT 99282 | $458.88 | $689.00 | $31.57 – $119.56 | 14 |
| ER Visit (level 3) CPT 99283 | $746.59 | $1,121.00 | $46.83 – $177.38 | 14 |
| ER Visit (level 4) CPT 99284 | $1,310.03 | $1,967.00 | $92.10 – $348.88 | 14 |
| ER Visit (level 5, high severity) CPT 99285 | $1,886.78 | $2,833.00 | $138.93 – $526.26 | 14 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $85.02 – $85.02 | 5 |
| Esophageal dilat s&i CPT 74360 | $3,749.58 | $5,630.00 | $19.67 – $76.00 | 14 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $112.06 – $112.06 | 5 |
| Esophageal motility CPT 78258 | $3,659.01 | $5,494.00 | $185.54 – $2,536.24 | 14 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $919.38 – $919.38 | 5 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $919.38 – $919.38 | 5 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $2,200.29 – $2,200.29 | 5 |
| Esophagosc dilate balloon 30 CPT 43214 | $348.99 | $524.00 | $135.56 – $513.52 | 14 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $82.28 – $82.28 | 5 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $211.09 – $211.09 | 5 |
| Esophagoscop stent placement CPT 43212 | $338.33 | $508.00 | $131.42 – $497.84 | 14 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $228.14 – $228.14 | 5 |
| Esophagoscopy balloon <30mm CPT 43220 | $252.42 | $379.00 | $98.05 – $371.42 | 14 |
| Esophagoscopy control bleed CPT 43227 | $416.92 | $626.00 | $161.95 – $613.48 | 14 |
| Esophagoscopy flex biopsy CPT 43202 | $595.41 | $894.00 | $208.06 – $876.12 | 14 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $451.55 | $678.00 | $175.40 – $664.44 | 14 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $69.25 – $69.25 | 5 |
| Esophagoscopy flex remove fb CPT 43215 | $305.70 | $459.00 | $118.75 – $449.82 | 14 |
| Esophagoscopy lesion ablate CPT 43229 | $439.56 | $660.00 | $170.75 – $646.80 | 14 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $227.28 – $227.28 | 5 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $234.18 – $234.18 | 5 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $156.74 – $156.74 | 5 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $110.57 – $110.57 | 5 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $485.85 – $485.85 | 5 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $163.20 – $163.20 | 5 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $265.31 – $265.31 | 5 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $170.89 – $170.89 | 5 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $156.37 – $156.37 | 5 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $131.42 – $131.42 | 5 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $140.36 – $140.36 | 5 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $919.38 – $919.38 | 5 |
| Esophagus endoscopy/ligation CPT 43205 | $444.89 | $668.00 | $172.82 – $654.64 | 14 |
| Esoph egd dilation <30 mm CPT 43249 | $344.33 | $517.00 | $133.75 – $506.66 | 14 |
| Esoph endoscopy dilation CPT 43226 | $279.06 | $419.00 | $108.40 – $410.62 | 14 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $682.05 – $682.05 | 5 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $988.46 – $988.46 | 5 |
| Esoph scope w/sclerosis inj CPT 43204 | $432.90 | $650.00 | $168.16 – $637.00 | 14 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $240.31 – $240.31 | 5 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $3,042.06 – $3,042.06 | 5 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $3,182.42 – $3,182.42 | 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.