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 |
|---|---|---|---|---|
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $129.88 – $129.88 | 5 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | $1,189.48 | $1,786.00 | $199.94 – $1,750.28 | 14 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $155.51 – $155.51 | 5 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $503.27 – $503.27 | 5 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $611.69 – $611.69 | 5 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,086.92 | $1,632.00 | $422.20 – $1,599.36 | 14 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $568.50 – $568.50 | 5 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $2,136.11 – $2,136.11 | 5 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $1,137.26 – $1,137.26 | 5 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $566.07 – $566.07 | 5 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $801.46 – $801.46 | 5 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $734.83 – $734.83 | 5 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $814.28 – $814.28 | 5 |
| Excise anal ext tag/papilla CPT 46220 | $215.79 | $324.00 | $57.25 – $317.52 | 14 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $844.18 – $844.18 | 5 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $338.78 – $338.78 | 5 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $266.16 – $266.16 | 5 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $1,280.34 – $1,280.34 | 5 |
| Excise inferior turbinate CPT 30130 | not published | not published | $137.56 – $137.56 | 5 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $683.55 – $683.55 | 5 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $1,556.79 – $1,556.79 | 5 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $1,675.99 – $1,675.99 | 5 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $1,292.77 – $1,292.77 | 5 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $1,576.45 – $1,576.45 | 5 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $1,356.43 – $1,356.43 | 5 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $1,523.90 – $1,523.90 | 5 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $1,814.41 – $1,814.41 | 5 |
| Excise lesion testis CPT 54512 | not published | not published | $518.22 – $518.22 | 5 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $209.34 – $209.34 | 5 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $686.48 – $686.48 | 5 |
| Excise mandible lesion CPT 21040 | not published | not published | $213.61 – $213.61 | 5 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $231.12 – $231.12 | 5 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $510.53 – $510.53 | 5 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $231.56 – $231.56 | 5 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $333.66 – $333.66 | 5 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $701.50 – $701.50 | 5 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $871.11 – $871.11 | 5 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $580.60 – $580.60 | 5 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $1,332.08 – $1,332.08 | 5 |
| Excise pharynx lesion CPT 42808 | not published | not published | $226.43 – $226.43 | 5 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $98.69 – $98.69 | 5 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $678.85 – $678.85 | 5 |
| Excise sublingual gland CPT 42450 | not published | not published | $266.16 – $266.16 | 5 |
| Excise submaxillary gland CPT 42440 | not published | not published | $466.10 – $466.10 | 5 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $684.65 | $1,028.00 | $265.95 – $1,007.44 | 14 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $422.19 – $422.19 | 5 |
| Excise wrist tendon sheath CPT 25118 | $691.98 | $1,039.00 | $268.79 – $1,018.22 | 14 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $138.43 – $138.43 | 5 |
| Excision aural polyp CPT 69540 | not published | not published | $59.81 – $59.81 | 5 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $282.39 | $424.00 | $85.44 – $352.80 | 14 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $521.48 | $783.00 | $85.02 – $351.82 | 14 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $281.06 | $422.00 | $78.39 – $296.94 | 14 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $453.55 | $681.00 | $168.94 – $639.94 | 14 |
| Excision breast lesion CPT 19125 | $798.54 | $1,199.00 | $275.99 – $1,175.02 | 14 |
| Excision coa w/graft CPT 33845 | not published | not published | $1,606.36 – $1,606.36 | 5 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $205.06 – $205.06 | 5 |
| Excision graft abdomen CPT 35907 | not published | not published | $843.76 – $843.76 | 5 |
| Excision graft extremity CPT 35903 | not published | not published | $569.49 – $569.49 | 5 |
| Excision graft neck CPT 35901 | not published | not published | $526.77 – $526.77 | 5 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $819.83 – $819.83 | 5 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $813.01 – $813.01 | 5 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $170.89 – $170.89 | 5 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $317.00 – $317.00 | 5 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $78.18 – $78.18 | 5 |
| Excision of anal lesion(s) CPT 46922 | $495.51 | $744.00 | $109.37 – $729.12 | 14 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $930.49 – $930.49 | 5 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $1,101.80 – $1,101.80 | 5 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $1,392.75 – $1,392.75 | 5 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $703.64 – $703.64 | 5 |
| Excision of brain tumor CPT 61545 | not published | not published | $1,462.38 – $1,462.38 | 5 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $811.72 – $811.72 | 5 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $919.38 – $919.38 | 5 |
| Excision of gum lesion CPT 41822 | not published | not published | $183.28 – $183.28 | 5 |
| Excision of gum lesion CPT 41823 | not published | not published | $249.07 – $249.07 | 5 |
| Excision of gum lesion CPT 41826 | not published | not published | $179.86 – $179.86 | 5 |
| Excision of gum lesion CPT 41827 | not published | not published | $256.33 – $256.33 | 5 |
| Excision of gum lesion CPT 41828 | not published | not published | $226.85 – $226.85 | 5 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $128.17 – $128.17 | 5 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $637.41 – $637.41 | 5 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $232.41 – $232.41 | 5 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $484.05 – $484.05 | 5 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $290.51 – $290.51 | 5 |
| Excision of neck cyst CPT 42815 | not published | not published | $484.05 – $484.05 | 5 |
| Excision of neck cyst confined 42810 CPT 42810 | not published | not published | $193.53 – $193.53 | 5 |
| Excision of penis lesion(s) 54060 CPT 54060 | not published | not published | $138.43 – $138.43 | 5 |
| Excision of rectal lesion CPT 45160 | $1,112.22 | $1,670.00 | $432.03 – $1,636.60 | 14 |
| Excision of rectal prolapse CPT 45135 | not published | not published | $1,110.78 – $1,110.78 | 5 |
| Excision of rectal stricture CPT 45150 | not published | not published | $419.96 – $419.96 | 5 |
| Excision of salivary cyst CPT 42408 | not published | not published | $312.72 – $312.72 | 5 |
| Excision of skull/sutures CPT 61558 | not published | not published | $1,451.70 – $1,451.70 | 5 |
| Excision of skull/sutures CPT 61559 | not published | not published | $2,031.44 – $2,031.44 | 5 |
| Excision of skull tumor CPT 61563 | not published | not published | $931.77 – $931.77 | 5 |
| Excision of skull tumor CPT 61564 | not published | not published | $1,446.58 – $1,446.58 | 5 |
| Excision of stomach lesion CPT 43610 | not published | not published | $634.43 – $634.43 | 5 |
| Excision of stomach lesion CPT 43611 | not published | not published | $764.73 – $764.73 | 5 |
| Excision of tongue lesion CPT 41112 | not published | not published | $219.59 – $219.59 | 5 |
| Excision of tongue lesion CPT 41114 | not published | not published | $534.46 – $534.46 | 5 |
| Excision of tonsil tags CPT 42860 | not published | not published | $135.43 – $135.43 | 5 |
| Excision of uvula CPT 42140 | not published | not published | $93.13 – $93.13 | 5 |
| Excision of vaginal septum 57130 CPT 57130 | not published | not published | $232.57 – $232.57 | 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.