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 |
|---|---|---|---|---|
| Harvest eye tissue alograft CPT 68371 | not published | not published | $172.83 – $172.83 | 5 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $251.73 – $251.73 | 5 |
| Hast w/i&r phys/qhp CPT 94452 | $179.82 | $270.00 | $69.85 – $264.60 | 12 |
| Hba1/hba2 full gene sequence CPT 81259 | $311.36 | $467.50 | $221.26 – $408.75 | 14 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $272.23 | $408.75 | $161.92 – $343.00 | 14 |
| Hbb full gene sequence CPT 81364 | $599.40 | $900.00 | $259.66 – $882.00 | 14 |
| Hbb gene dup/del variants CPT 81363 | $306.89 | $460.79 | $161.92 – $451.58 | 14 |
| Hb glycosylated a1c home dev CPT 83037 | $34.64 | $52.00 | $9.71 – $50.96 | 12 |
| Hcg qualitative CPT 84703 | $187.15 | $281.00 | $7.52 – $275.38 | 14 |
| Hcg quantitative CPT 84702 | $338.33 | $508.00 | $15.05 – $497.84 | 14 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $87.92 | $132.00 | $28.98 – $109.76 | 14 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $96.98 – $96.98 | 5 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $577.07 – $577.07 | 5 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $348.47 – $348.47 | 5 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $527.18 – $527.18 | 5 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $68.13 – $68.13 | 5 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $322.78 – $322.78 | 5 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $2,576.09 | $3,868.00 | $226.68 – $1,785.56 | 14 |
| Head CT scan (with and without contrast) CPT 70470 | $5,531.13 | $8,305.00 | $241.04 – $1,769.88 | 14 |
| Head CT scan (with contrast) CPT 70460 | $4,500.83 | $6,758.00 | $204.88 – $1,466.08 | 14 |
| Head CT scan (without contrast) CPT 70450 | $3,435.90 | $5,159.00 | $145.26 – $1,112.30 | 14 |
| Heart image spect CPT 78494 | $3,443.89 | $5,171.00 | $292.27 – $2,387.28 | 14 |
| Heart infarct image (ef) CPT 78468 | $3,073.59 | $4,615.00 | $166.36 – $2,131.50 | 14 |
| Helicobacter pylori antibody igm CPT 86677 | $28.06 | $42.13 | $16.85 – $41.29 | 14 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $556.96 – $556.96 | 5 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $338.78 – $338.78 | 5 |
| Hemoglobin CPT 85018 | $23.98 | $36.00 | $2.37 – $32.34 | 14 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $99.90 | $150.00 | $8.20 – $147.00 | 14 |
| Hemoglobin-oxygen affinity CPT 82820 | $87.92 | $132.00 | $13.34 – $129.36 | 14 |
| Hemoglobin plasma CPT 83051 | $25.98 | $39.00 | $7.31 – $38.22 | 14 |
| Hemoglobin urine CPT 83069 | $10.20 | $15.31 | $3.95 – $15.01 | 14 |
| Hemolysins/agglutinins auto CPT 86940 | $66.09 | $99.23 | $8.77 – $97.25 | 14 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $738.60 | $1,109.00 | $286.90 – $1,086.82 | 14 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $352.32 | $529.00 | $88.22 – $334.18 | 14 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | $670.67 | $1,007.00 | $208.07 – $986.86 | 14 |
| Heparin assay CPT 85520 | $117.89 | $177.00 | $13.09 – $44.10 | 14 |
| Heparin bolus from bag HCPCS J1644 | $53.59 | $80.46 | $6.73 – $25.48 | 12 |
| Heparin neutralization CPT 85525 | $20.52 | $30.80 | $11.84 – $30.19 | 14 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $17.32 | $26.00 | $6.73 – $25.48 | 12 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $919.38 – $919.38 | 5 |
| Hepatitis a antibody igm CPT 86709 | $85.92 | $129.00 | $4.34 – $8.00 | 14 |
| Hepatitis b core antibody igm CPT 86705 | $60.61 | $91.00 | $11.77 – $28.85 | 14 |
| Hepatitis b core antibody total CPT 86704 | $20.07 | $30.13 | $3.25 – $6.00 | 14 |
| Hepatitis b surface antibody CPT 86706 | $80.59 | $121.00 | $10.74 – $26.32 | 14 |
| Hepatitis c antibody CPT 86803 | $87.25 | $131.00 | $5.42 – $10.00 | 14 |
| Hepatitis d quantification CPT 87523 | $131.87 | $198.00 | $51.23 – $194.04 | 12 |
| Hepatobiliary system imaging CPT 78226 | $2,311.69 | $3,471.00 | $291.01 – $2,637.18 | 14 |
| Hernia Repair (Inguinal) CPT 49505 | $907.10 | $1,362.00 | $352.35 – $1,334.76 | 14 |
| Herpes simplex type 1 antibody igg CPT 86695 | $158.51 | $238.00 | $7.31 – $13.50 | 14 |
| Herpes simplex type 2 antibody igg CPT 86696 | $95.74 | $143.75 | $7.31 – $13.50 | 14 |
| Heterophile antibodies screening CPT 86308 | $173.83 | $261.00 | $5.18 – $245.98 | 14 |
| Hhv-6 dna quant CPT 87533 | $49.95 | $75.00 | $40.60 – $73.50 | 14 |
| Hib-hepb vaccine im CPT 90748 | $137.26 | $206.09 | $53.32 – $201.97 | 12 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $340.49 – $340.49 | 5 |
| High inten beh couns std 30m HCPCS G0445 | $41.30 | $62.00 | $16.04 – $60.76 | 12 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $695.95 – $695.95 | 5 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $672.45 – $672.45 | 5 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $884.58 – $884.58 | 5 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $448.59 – $448.59 | 5 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $652.79 – $652.79 | 5 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $868.20 – $868.20 | 5 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $884.58 – $884.58 | 5 |
| Histamine CPT 83088 | $16.65 | $25.00 | $13.06 – $24.11 | 14 |
| Histochemical stains add-on CPT 88314 | $63.27 | $95.00 | $24.58 – $93.10 | 14 |
| Hla ii typing 1 loc hr CPT 81382 | $166.50 | $250.00 | $67.67 – $123.68 | 14 |
| Hla i low res one antigen equiv ea CPT 81374 | $39.96 | $60.00 | $32.48 – $60.00 | 14 |
| Hla i typing 1 locus hr CPT 81380 | $216.45 | $325.00 | $132.62 – $240.10 | 14 |
| Home/res vst est high mdm 60 CPT 99350 | $298.37 | $448.00 | $115.90 – $439.04 | 14 |
| Home/res vst est mod mdm 40 CPT 99349 | $214.46 | $322.00 | $83.31 – $315.56 | 14 |
| Home/res vst est sf mdm 20 CPT 99347 | $93.24 | $140.00 | $36.22 – $137.20 | 14 |
| Home visit est patient 99348 CPT 99348 | $141.86 | $213.00 | $55.11 – $208.74 | 14 |
| Homocysteine CPT 83090 | $29.84 | $44.80 | $7.04 – $13.00 | 14 |
| Homogenization tissue CPT 87176 | $9.80 | $14.70 | $5.88 – $14.41 | 14 |
| Hpv types 16 & 18 only CPT 87625 | $67.52 | $101.38 | $32.44 – $99.36 | 14 |
| H pylori (c-13) breath CPT 83013 | $41.03 | $61.60 | $33.35 – $61.60 | 14 |
| Hrdtry perph neurphy panel CPT 81448 | $1,688.31 | $2,535.00 | $519.91 – $2,484.30 | 14 |
| Htt gene detc abnor alleles CPT 81271 | $125.57 | $188.54 | $102.06 – $184.77 | 14 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | $182.10 | $273.42 | $70.74 – $267.96 | 12 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $46.74 | $70.17 | $18.16 – $68.77 | 12 |
| Hydration IV infusion each additional hour CPT 96361 | $438.90 | $659.00 | $18.13 – $611.52 | 14 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $577.43 | $867.00 | $4.14 – $16.00 | 14 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $138.41 | $207.81 | $53.77 – $203.66 | 12 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $17.32 | $26.00 | $4.38 – $16.58 | 12 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $105.28 | $158.07 | $40.90 – $154.91 | 12 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $29.75 | $44.66 | $17.90 – $43.77 | 14 |
| Hymenotomy CPT 56442 | not published | not published | $87.15 – $87.15 | 5 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $486.02 – $486.02 | 5 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $901.01 – $901.01 | 5 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $1,308.26 – $1,308.26 | 5 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $1,308.26 – $1,308.26 | 5 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $1,003.00 – $1,003.00 | 5 |
| Hysteroscopy ablation CPT 58563 | $598.07 | $898.00 | $232.32 – $898.00 | 14 |
| Hysteroscopy biopsy CPT 58558 | $467.54 | $702.00 | $181.61 – $687.96 | 14 |
| Hysteroscopy dx sep proc CPT 58555 | $331.67 | $498.00 | $128.84 – $488.04 | 14 |
| Hysteroscopy lysis CPT 58559 | $594.74 | $893.00 | $231.02 – $875.14 | 14 |
| Hysteroscopy remove fb CPT 58562 | $506.83 | $761.00 | $196.88 – $745.78 | 14 |
| Hysteroscopy remove myoma CPT 58561 | $953.05 | $1,431.00 | $370.20 – $1,402.38 | 14 |
| Hysteroscopy resect septum CPT 58560 | $673.33 | $1,011.00 | $261.55 – $990.78 | 14 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $1,017.53 – $1,017.53 | 5 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | $703.30 | $1,056.00 | $273.19 – $1,034.88 | 12 |
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.