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 |
|---|---|---|---|---|
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $409.59 | $615.00 | $89.33 – $513.52 | 14 |
| I131 iodide sol, rx HCPCS A9530 | $286.38 | $430.00 | $94.95 – $359.66 | 12 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $21.65 | $32.50 | $17.60 – $32.50 | 14 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $20.65 | $31.00 | $16.79 – $30.38 | 14 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $755.33 – $755.33 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $199.08 – $199.08 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $141.41 – $141.41 | 5 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $961.71 | $1,444.00 | $373.57 – $1,415.12 | 14 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $141.83 – $141.83 | 5 |
| I&d lacrimal gland CPT 68400 | not published | not published | $209.34 – $209.34 | 5 |
| I&d lacrimal sac CPT 68420 | not published | not published | $229.42 – $229.42 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $588.75 | $884.00 | $186.27 – $866.32 | 14 |
| Igh@ var region somatic mutation analy CPT 81263 | $333.00 | $500.00 | $214.36 – $388.08 | 12 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $218.45 | $328.00 | $11.65 – $45.00 | 14 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $95.25 | $143.01 | $37.00 – $140.15 | 14 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $218.45 | $328.00 | $12.94 – $50.00 | 14 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | $1,835.50 | $2,756.00 | $701.50 – $2,700.88 | 14 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $2,286.49 – $2,286.49 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $160.46 – $160.46 | 5 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $991.16 – $991.16 | 5 |
| Img rta detcj/mntr ds staff CPT 92227 | $101.24 | $152.00 | $8.79 – $148.96 | 14 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | $66.60 | $100.00 | $21.86 – $98.00 | 14 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $45.29 | $68.00 | $13.97 – $54.00 | 14 |
| Immobilizer shldr sling med HCPCS L3660 | $135.20 | $203.00 | $52.52 – $198.94 | 14 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $598.11 – $598.11 | 5 |
| Immune complex assay CPT 86332 | $86.16 | $129.36 | $8.76 – $16.17 | 14 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $34.66 | $52.03 | $18.50 – $50.99 | 14 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $34.66 | $52.03 | $18.50 – $50.99 | 14 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $27.98 | $42.00 | $3.03 – $5.58 | 14 |
| Immunofixation electrophoresis serum CPT 86334 | $53.85 | $80.85 | $2.16 – $8.34 | 14 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $69.72 | $104.68 | $27.09 – $102.59 | 14 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $71.27 | $107.00 | $27.09 – $102.59 | 14 |
| Impl absrb msh/prsth dly cls CPT 15778 | $638.70 | $959.00 | $248.10 – $939.82 | 12 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,611.91 – $1,611.91 | 5 |
| Implant brain electrodes CPT 61531 | not published | not published | $1,078.31 – $1,078.31 | 5 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,332.50 – $1,332.50 | 5 |
| Implant brain electrodes CPT 61760 | not published | not published | $1,137.69 – $1,137.69 | 5 |
| Implant cochlear device CPT 69930 | not published | not published | $1,293.62 – $1,293.62 | 5 |
| Implant eye drug system CPT 67027 | not published | not published | $675.01 – $675.01 | 5 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $88.44 – $88.44 | 5 |
| Implant nerve end CPT 64787 | not published | not published | $264.45 – $264.45 | 5 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $303.76 – $303.76 | 5 |
| Implant neuroelectrode CPT 61867 | not published | not published | $916.39 – $916.39 | 5 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $891.19 – $891.19 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $163.20 – $163.20 | 5 |
| Implant neuroelectrodes CPT 64555 | $572.76 | $860.00 | $222.49 – $842.80 | 12 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $675.35 – $675.35 | 5 |
| Implant neurostim arrays CPT 61886 | not published | not published | $434.49 – $434.49 | 5 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,192.80 – $1,192.80 | 5 |
| Implant spinal canal cath CPT 62351 | not published | not published | $442.60 – $442.60 | 5 |
| Implant spine infusion pump CPT 62361 | not published | not published | $229.85 – $229.85 | 5 |
| Implant spine infusion pump CPT 62362 | not published | not published | $300.76 – $300.76 | 5 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,116.16 – $1,116.16 | 5 |
| Implant ureter in bowel CPT 50800 | not published | not published | $939.89 – $939.89 | 5 |
| Impl neurostim electr perc CPT 63650 | $849.15 | $1,275.00 | $329.85 – $1,249.50 | 14 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $173.49 – $173.49 | 5 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $299.48 – $299.48 | 5 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $503.77 – $503.77 | 5 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $43.19 – $43.19 | 5 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $1,946.38 – $1,946.38 | 5 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,665.00 | $2,500.00 | $551.55 – $2,089.36 | 14 |
| In-111 satumomab pend HCPCS A4642 | $4,595.40 | $6,900.00 | $1,521.94 – $5,765.34 | 12 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $501.13 – $501.13 | 5 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | $1,357.31 | $2,038.00 | $415.69 – $1,997.24 | 14 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $622.04 – $622.04 | 5 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $1,202.62 – $1,202.62 | 5 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $1,114.20 – $1,114.20 | 5 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $1,186.40 – $1,186.40 | 5 |
| Incis addl spine segment CPT 22216 | not published | not published | $352.04 – $352.04 | 5 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $860.42 – $860.42 | 5 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $241.81 – $241.81 | 5 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $145.68 – $145.68 | 5 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $251.30 – $251.30 | 5 |
| Incise hand/finger tendon CPT 26460 | $713.96 | $1,072.00 | $197.37 – $1,050.56 | 14 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $290.51 – $290.51 | 5 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $484.05 – $484.05 | 5 |
| Incise inner ear CPT 69801 | not published | not published | $198.23 – $198.23 | 5 |
| Incise inner ear nerve CPT 69915 | not published | not published | $1,512.36 – $1,512.36 | 5 |
| Incise inner ear nerve CPT 69950 | not published | not published | $1,739.22 – $1,739.22 | 5 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $361.86 – $361.86 | 5 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $474.21 – $474.21 | 5 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $449.86 – $449.86 | 5 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $449.86 – $449.86 | 5 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $449.86 – $449.86 | 5 |
| Incise inner eye strands CPT 67030 | not published | not published | $443.46 – $443.46 | 5 |
| Incise nerve back of head CPT 64744 | not published | not published | $338.78 – $338.78 | 5 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $181.15 – $181.15 | 5 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $2,029.30 – $2,029.30 | 5 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $1,623.44 – $1,623.44 | 5 |
| Incise skull repair CPT 62121 | not published | not published | $1,360.27 – $1,360.27 | 5 |
| Incise skull/sutures CPT 61556 | not published | not published | $1,166.32 – $1,166.32 | 5 |
| Incise skull/sutures CPT 61557 | not published | not published | $1,161.19 – $1,161.19 | 5 |
| Incise sperm duct pouch CPT 55600 | not published | not published | $377.24 – $377.24 | 5 |
| Incise spinal cord tract(s) CPT 63170 | not published | not published | $1,300.89 – $1,300.89 | 5 |
| Incise spine accessory nerve CPT 63191 | not published | not published | $1,171.45 – $1,171.45 | 5 |
| Incise spine nrv >2 segmnts CPT 63190 | not published | not published | $1,194.94 – $1,194.94 | 5 |
| Incise spine nrv half segmnt CPT 63185 | not published | not published | $1,196.22 – $1,196.22 | 5 |
| Incise tear duct opening 68440 CPT 68440 | not published | not published | $136.72 – $136.72 | 5 |
| Incise tendon(s) & muscle(s) CPT 23406 | not published | not published | $429.36 – $429.36 | 5 |
| Incise thigh tendon & fascia CPT 27305 | not published | not published | $290.51 – $290.51 | 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.