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 |
|---|---|---|---|---|
| Gastrointestinal repair CPT 43360 | not published | not published | $1,855.43 – $1,855.43 | 5 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,149.78 – $2,149.78 | 5 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $663.47 – $663.47 | 5 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $813.86 – $813.86 | 5 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $387.06 – $387.06 | 5 |
| Gated heart multiple CPT 78473 | $4,263.74 | $6,402.00 | $359.78 – $2,956.66 | 14 |
| General health panel CPT 80050 | $362.31 | $544.00 | $140.74 – $533.12 | 12 |
| Genioplasty augmentation CPT 21120 | not published | not published | $854.44 – $854.44 | 5 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $854.44 – $854.44 | 5 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $769.00 – $769.00 | 5 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $854.44 – $854.44 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $121.22 | $182.00 | $16.38 – $178.36 | 14 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $155.25 – $155.25 | 5 |
| Ghs abscess perianal iandd CPT 46050 | $178.49 | $268.00 | $68.82 – $260.68 | 14 |
| Ghs abscess postoperative iandd complex CPT 10180 | $339.66 | $510.00 | $128.06 – $485.10 | 14 |
| Ghs antibodies (torch) igm CPT 86694 | $10.85 | $16.28 | $4.34 – $8.00 | 14 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $59.81 – $59.81 | 5 |
| Ghs bladder cath - complex-foley CPT 51703 | $145.86 | $219.00 | $54.07 – $204.82 | 14 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | not published | not published | $79.04 – $79.04 | 5 |
| Ghs central line insert < age 5, failed CPT 36555 | $2,842.49 | $4,268.00 | $99.26 – $1,830.64 | 14 |
| Ghs change cysto/gastrost CPT 43762 | $70.60 | $106.00 | $26.13 – $101.00 | 14 |
| Ghs chemo >8 hrs CPT 96416 | $1,431.90 | $2,150.00 | $53.00 – $2,107.00 | 14 |
| Ghs chemo IV push, ea addtl CPT 96411 | $807.86 | $1,213.00 | $20.61 – $1,188.74 | 14 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $299.70 | $450.00 | $116.42 – $441.00 | 14 |
| Ghs closed reduction ankle dislocation CPT 27840 | not published | not published | $195.45 – $195.45 | 5 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,026.31 | $1,541.00 | $287.52 – $1,510.18 | 14 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | not published | not published | $192.68 – $192.68 | 5 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $1,164.84 | $1,749.00 | $312.72 – $1,714.02 | 14 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $1,421.25 | $2,134.00 | $552.07 – $2,091.32 | 14 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $518.15 | $778.00 | $201.27 – $762.44 | 14 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | not published | not published | $289.23 – $289.23 | 5 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $859.14 | $1,290.00 | $333.73 – $1,264.20 | 14 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | not published | not published | $295.34 – $295.34 | 5 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | not published | not published | $159.78 – $159.78 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $59.94 | $90.00 | $23.29 – $134.57 | 14 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $55.95 | $84.00 | $21.74 – $127.74 | 14 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $89.91 | $135.00 | $34.93 – $165.33 | 14 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | not published | not published | $135.01 – $135.01 | 5 |
| Ghs cricothyroidotomy CPT 31605 | not published | not published | $230.70 – $230.70 | 5 |
| Ghs cutdown placement age 1 and over CPT 36425 | $49.95 | $75.00 | $19.41 – $73.50 | 14 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $48.28 – $48.28 | 5 |
| Ghs dislocation elbow closed treatment CPT 24600 | $599.40 | $900.00 | $156.26 – $591.92 | 14 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $1,566.44 | $2,352.00 | $69.34 – $262.64 | 14 |
| Ghs ed rmvl or bivalving cast CPT 29700 | not published | not published | $26.06 – $26.06 | 5 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | not published | not published | $294.12 – $294.12 | 5 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | not published | not published | $53.83 – $53.83 | 5 |
| Ghs excision ingrown nail CPT 11765 | not published | not published | $60.67 – $60.67 | 5 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | not published | not published | $313.58 – $313.58 | 5 |
| Ghs fb removal foot - deep - left CPT 28192 | $554.12 | $832.00 | $215.24 – $815.36 | 14 |
| Ghs fb removal from muscle - complicated CPT 20525 | not published | not published | $332.80 – $332.80 | 5 |
| Ghs fb removal - incisional CPT 10121 | $352.98 | $530.00 | $126.51 – $479.22 | 14 |
| Ghs fb removal - non-incisional CPT 20520 | $269.73 | $405.00 | $104.00 – $393.96 | 14 |
| Ghs fish cytogen CPT 88271 | $210.99 | $316.80 | $21.42 – $79.14 | 14 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $210.99 | $316.80 | $43.71 – $79.14 | 14 |
| Ghs flow volume loop CPT 94375 | $216.45 | $325.00 | $19.67 – $74.48 | 14 |
| Ghs gastric intub aspiration lavage CPT 43753 | $621.38 | $933.00 | $19.84 – $870.24 | 14 |
| Ghs histoplasma antigen CPT 87385 | $29.97 | $45.00 | $13.25 – $44.10 | 14 |
| Ghs HIV antibody CPT 86703 | $92.58 | $139.00 | $13.71 – $33.60 | 14 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | not published | not published | $227.71 – $227.71 | 5 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $754.58 | $1,133.00 | $205.06 – $1,110.34 | 14 |
| Ghs i and d pilonidal cyst complex CPT 10081 | not published | not published | $165.72 – $165.72 | 5 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $85.25 | $128.00 | $33.12 – $125.44 | 14 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $264.41 | $397.00 | $76.84 – $291.06 | 14 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $401.60 | $603.00 | $95.27 – $590.94 | 14 |
| Ghs inf midline insertion CPT 36140 | not published | not published | $96.98 – $96.98 | 5 |
| Ghs init tx 1st degree burn CPT 16000 | not published | not published | $36.74 – $36.74 | 5 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | not published | not published | $114.06 – $114.06 | 5 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $179.82 | $270.00 | $66.75 – $252.84 | 14 |
| Ghs inj tendon origin/insertion CPT 20551 | $83.25 | $125.00 | $22.77 – $86.24 | 14 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $536.80 | $806.00 | $161.07 – $751.66 | 14 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $1,466.54 | $2,202.00 | $89.00 – $337.12 | 14 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $59.81 – $59.81 | 5 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $277.73 | $417.00 | $107.88 – $408.66 | 14 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $468.87 | $704.00 | $137.37 – $520.38 | 14 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $29.90 – $29.90 | 5 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $155.08 – $155.08 | 5 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $209.13 | $314.00 | $81.24 – $307.72 | 14 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $85.87 – $85.87 | 5 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $677.99 | $1,018.00 | $39.59 – $149.94 | 14 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $275.06 | $413.00 | $44.76 – $169.54 | 14 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $301.70 | $453.00 | $108.08 – $414.54 | 14 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $352.32 | $529.00 | $113.64 – $518.42 | 14 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $366.30 | $550.00 | $114.50 – $520.38 | 14 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $220.45 | $331.00 | $85.63 – $324.38 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $376.96 | $566.00 | $72.44 – $274.40 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $378.29 | $568.00 | $79.17 – $299.88 | 14 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $338.33 | $508.00 | $131.42 – $497.84 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $338.33 | $508.00 | $131.42 – $497.84 | 14 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $394.94 | $593.00 | $153.41 – $581.14 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $381.62 | $573.00 | $148.24 – $561.54 | 14 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $430.24 | $646.00 | $167.13 – $633.08 | 14 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $394.76 – $394.76 | 5 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $431.49 – $431.49 | 5 |
| Ghs mbp CPT 83873 | $15.66 | $23.50 | $12.73 – $23.03 | 14 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $639.36 | $960.00 | $69.63 – $940.80 | 14 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $323.68 | $486.00 | $10.09 – $431.20 | 14 |
| Ghs musc test done w/n test comp CPT 95886 | $93.91 | $141.00 | $33.38 – $126.42 | 14 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $83.92 | $126.00 | $29.50 – $111.72 | 14 |
| Ghs myocardial strain img spckl track CPT 93356 | $109.89 | $165.00 | $36.69 – $161.70 | 14 |
| Ghs nailbed repair/nail removal CPT 11760 | $207.13 | $311.00 | $80.46 – $304.78 | 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.