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 |
|---|---|---|---|---|
| Lengthening of thigh tendons CPT 27395 | not published | not published | $580.60 – $580.60 | 5 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $1,034.31 – $1,034.31 | 5 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $967.23 – $967.23 | 5 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $667.74 – $667.74 | 5 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $842.05 – $842.05 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | $42,026.04 | $63,102.15 | $496.63 – $1,881.29 | 12 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | $17,633.36 | $26,476.51 | $2,283.15 – $8,648.94 | 12 |
| Levetiracetam therapeutic drug level CPT 80177 | $5.33 | $8.00 | $4.34 – $8.00 | 14 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | $18.05 | $27.10 | $6.73 – $25.48 | 12 |
| Lidocaine therapeutic drug level CPT 80176 | $65.94 | $99.00 | $14.69 – $97.02 | 14 |
| Ligate esophagus veins CPT 43400 | not published | not published | $959.11 – $959.11 | 5 |
| Ligate leg veins open CPT 37761 | not published | not published | $478.78 – $478.78 | 5 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $484.05 – $484.05 | 5 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $71.16 – $71.16 | 5 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,147.52 – $1,147.52 | 5 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $457.13 – $457.13 | 5 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $388.77 – $388.77 | 5 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,086.57 – $1,086.57 | 5 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $1,473.20 | $2,212.00 | $173.45 – $2,167.76 | 14 |
| Ligation common iliac vein CPT 37660 | not published | not published | $683.55 – $683.55 | 5 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $232.41 – $232.41 | 5 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $427.22 – $427.22 | 5 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $427.22 – $427.22 | 5 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $303.32 – $303.32 | 5 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $484.05 – $484.05 | 5 |
| Ligation of abdomen artery 37617 CPT 37617 | $2,227.11 | $3,344.00 | $865.10 – $3,277.12 | 14 |
| Ligation of femoral vein CPT 37650 | not published | not published | $598.11 – $598.11 | 5 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $1,327.62 – $1,327.62 | 5 |
| Ligation of neck artery CPT 37606 | not published | not published | $427.22 – $427.22 | 5 |
| Ligation of salivary duct CPT 42665 | not published | not published | $223.01 – $223.01 | 5 |
| Ligation of shunt CPT 49428 | not published | not published | $122.61 – $122.61 | 5 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $739.52 – $739.52 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $216.17 – $216.17 | 5 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $312.72 – $312.72 | 5 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $513.09 – $513.09 | 5 |
| Liletta, 52 mg HCPCS J7297 | $3,040.61 | $4,565.48 | $417.81 – $1,582.70 | 14 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $239.67 – $239.67 | 5 |
| Lipase CPT 83690 | $131.21 | $197.00 | $6.89 – $16.89 | 14 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $448.59 – $448.59 | 5 |
| Lipoprotein blood quant CPT 83704 | $40.04 | $60.12 | $7.63 – $14.08 | 14 |
| Lipoprotein direct measurement hdl CPT 83718 | $47.29 | $71.00 | $8.19 – $69.58 | 14 |
| Lipoprotein direct measurement ldl CPT 83721 | $171.83 | $258.00 | $5.26 – $9.71 | 14 |
| Lithium therapeutic drug level CPT 80178 | $85.92 | $129.00 | $6.61 – $16.20 | 14 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $632.72 – $632.72 | 5 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $286.77 | $430.58 | $111.40 – $421.97 | 12 |
| Liver Function Test CPT 80076 | $197.81 | $297.00 | $8.17 – $20.03 | 14 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $602.82 – $602.82 | 5 |
| Liver imaging CPT 78201 | $3,214.79 | $4,827.00 | $111.73 – $2,228.52 | 14 |
| Liver imag w/vasclr flow CPT 78202 | $3,302.70 | $4,959.00 | $172.33 – $2,289.28 | 14 |
| Liver/spleen imag static only CPT 78215 | $3,174.83 | $4,767.00 | $124.10 – $2,201.08 | 14 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,721.61 | $2,585.00 | $163.23 – $1,193.64 | 14 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $338.78 – $338.78 | 5 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $188.50 | $283.02 | $1.49 – $277.36 | 14 |
| Low back disk surgery CPT 63030 | not published | not published | $1,281.67 – $1,281.67 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $5,909.42 | $8,873.00 | $275.51 – $1,910.02 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $5,641.02 | $8,470.00 | $233.92 – $1,778.70 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $4,476.86 | $6,722.00 | $178.35 – $1,449.42 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $9,233.43 | $13,864.00 | $447.95 – $3,520.16 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $8,313.68 | $12,483.00 | $380.88 – $3,150.70 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $6,473.52 | $9,720.00 | $266.80 – $2,461.76 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $660.68 | $992.00 | $43.45 – $292.04 | 14 |
| Lower jaw bone graft CPT 21215 | not published | not published | $854.44 – $854.44 | 5 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $710.90 – $710.90 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $800.08 – $800.08 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | $1,435.23 | $2,155.00 | $557.50 – $2,111.90 | 14 |
| Lsh w/t/o uterus above 250 g CPT 58544 | $1,575.76 | $2,366.00 | $612.09 – $2,318.68 | 14 |
| Lumbar diskogram s&i CPT 72295 | $2,670.00 | $4,009.00 | $125.48 – $2,158.94 | 14 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $1,710.49 – $1,710.49 | 5 |
| Lung Function Test (Spirometry) CPT 94010 | $154.52 | $232.00 | $28.23 – $227.36 | 14 |
| Lung perfusion imaging CPT 78580 | $3,295.37 | $4,948.00 | $161.37 – $2,284.38 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $3,064.04 – $3,064.04 | 5 |
| Lung transplant with bypass CPT 32852 | not published | not published | $2,665.01 – $2,665.01 | 5 |
| Lung transplant with bypass CPT 32854 | not published | not published | $3,236.63 – $3,236.63 | 5 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $1,010.42 – $1,010.42 | 5 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | $39,478.73 | $59,277.36 | $5,111.71 – $19,364.02 | 12 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $12.39 – $12.39 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $5,682.98 | $8,533.00 | $271.89 – $3,938.62 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | $55.50 | $83.33 | $45.11 – $81.67 | 14 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $64.51 – $64.51 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $108.30 – $108.30 | 5 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $188.38 – $188.38 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $5.03 | $7.55 | $1.96 – $7.55 | 14 |
| Macroscopic exam arthropod CPT 87168 | $7.12 | $10.68 | $3.80 – $10.47 | 14 |
| Macroscopic exam parasite CPT 87169 | $40.63 | $61.00 | $3.80 – $17.29 | 14 |
| Magnesium CPT 83735 | $133.87 | $201.00 | $6.70 – $16.42 | 14 |
| Magnetic image bone marrow CPT 77084 | $6,987.68 | $10,492.00 | $682.71 – $2,586.22 | 12 |
| Male sling procedure CPT 53440 | not published | not published | $854.44 – $854.44 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $1,678.56 – $1,678.56 | 5 |
| Manipulate finger w/anesth CPT 26340 | $613.39 | $921.00 | $229.34 – $902.58 | 14 |
| Manipulate wrist w/anesthes CPT 25259 | $729.94 | $1,096.00 | $283.54 – $1,074.08 | 14 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $89.25 | $134.00 | $20.84 – $131.32 | 14 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $185.82 | $279.00 | $35.46 – $273.42 | 14 |
| Manipulation of hip joint CPT 27275 | not published | not published | $105.95 – $105.95 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $119.62 – $119.62 | 5 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $72.86 – $72.86 | 5 |
| Mapping io sentinel lymph node CPT 38900 | $273.73 | $411.00 | $106.33 – $402.78 | 14 |
| Marker biop eviva buckle ss HCPCS A4648 | $2,545.46 | $3,822.00 | $13.97 – $52.92 | 12 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $619.48 – $619.48 | 5 |
| Mastectomy partial CPT 19301 | $1,134.87 | $1,704.00 | $333.58 – $1,669.92 | 14 |
| Mast mod rad CPT 19307 | $2,096.57 | $3,148.00 | $814.39 – $3,085.04 | 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.