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 |
|---|---|---|---|---|
| Mastoidectomy CPT 69501 | not published | not published | $580.60 – $580.60 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $580.60 – $580.60 | 5 |
| Mastoids complete CPT 70130 | $773.90 | $1,162.00 | $65.75 – $286.16 | 14 |
| Mastoid surgery revision CPT 69603 | not published | not published | $921.09 – $921.09 | 5 |
| Mastopexy CPT 19316 | not published | not published | $474.31 – $474.31 | 5 |
| Mast radical CPT 19305 | not published | not published | $870.44 – $870.44 | 5 |
| Mast rad urban type CPT 19306 | not published | not published | $909.53 – $909.53 | 5 |
| Mast simple complete CPT 19303 | $1,755.58 | $2,636.00 | $681.94 – $2,583.28 | 14 |
| Maxillofacial fixation CPT 21100 | not published | not published | $175.59 – $175.59 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $16.87 | $25.33 | $11.91 – $21.56 | 14 |
| Mayo aathr protein s free CPT 85306 | $221.12 | $332.00 | $13.00 – $23.52 | 14 |
| Mayo activated protein c resistance assay CPT 85307 | $13.99 | $21.00 | $11.37 – $20.58 | 14 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $98.24 | $147.50 | $38.57 – $144.55 | 14 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $19.98 | $30.00 | $14.78 – $29.40 | 14 |
| Mayo alpha 1 antitrypsin CPT 82103 | $188.48 | $283.00 | $4.88 – $9.00 | 14 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $46.62 | $70.00 | $15.08 – $68.60 | 14 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $189.81 | $285.00 | $108.11 – $279.30 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $129.87 | $195.00 | $37.90 – $70.00 | 14 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $133.20 | $200.00 | $76.69 – $138.84 | 14 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $532.80 | $800.00 | $433.04 – $800.00 | 12 |
| Mayo androstenedione CPT 82157 | $15.99 | $24.00 | $13.00 – $24.00 | 14 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $3.33 | $5.00 | $2.71 – $5.00 | 14 |
| Mayo antithrombin iii antigen CPT 85301 | $12.42 | $18.64 | $8.57 – $15.51 | 14 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $45.07 | $67.67 | $3.03 – $5.58 | 14 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $6.66 | $9.99 | $5.41 – $9.99 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $27.76 | $41.67 | $22.56 – $41.67 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $183.15 | $275.00 | $22.56 – $41.66 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $45.07 | $67.67 | $5.89 – $10.87 | 14 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $16.65 | $25.00 | $6.50 – $12.00 | 14 |
| Mayo brcmg brucella antibody igm CPT 86622 | $8.25 | $12.38 | $6.71 – $12.14 | 14 |
| Mayo c1 esterase inhibitor CPT 83883 | $22.65 | $34.00 | $7.96 – $14.70 | 14 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $18.10 | $27.17 | $14.71 – $26.63 | 14 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $50.37 | $75.62 | $8.36 – $15.43 | 14 |
| Mayo ceruloplasmin CPT 82390 | $155.85 | $234.00 | $3.79 – $7.00 | 14 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $98.24 | $147.50 | $8.76 – $16.17 | 14 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $91.67 | $137.63 | $5.89 – $10.87 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $4.96 | $7.44 | $4.03 – $7.44 | 14 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $4.96 | $7.44 | $4.03 – $7.44 | 14 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $137.00 | $205.70 | $9.21 – $15.00 | 14 |
| Mayo chromium CPT 82495 | $9.33 | $14.00 | $7.58 – $14.00 | 14 |
| Mayo coccidioides antibody CPT 86635 | $45.07 | $67.67 | $5.26 – $9.71 | 14 |
| Mayo cocou cortisone urine CPT 82542 | $352.98 | $530.00 | $13.54 – $24.50 | 14 |
| Mayo cortisol free CPT 82530 | $19.98 | $30.00 | $8.45 – $15.60 | 14 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $70.15 | $105.33 | $14.89 – $27.50 | 14 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $42.20 | $63.36 | $7.15 – $13.20 | 14 |
| Mayo cyanide CPT 82600 | $56.61 | $85.00 | $19.40 – $83.30 | 14 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $6.09 | $9.13 | $4.95 – $9.13 | 14 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $241.76 | $363.00 | $5.96 – $11.00 | 14 |
| Mayo dihydrotestosterone CPT 82642 | $13.32 | $20.00 | $10.83 – $20.00 | 14 |
| Mayo efpo chloride stool CPT 82438 | $216.45 | $325.00 | $5.00 – $11.52 | 14 |
| Mayo estriol CPT 82677 | $7.84 | $11.77 | $6.38 – $11.77 | 14 |
| Mayo estrone CPT 82679 | $16.65 | $25.00 | $13.54 – $25.00 | 14 |
| Mayo everolimus therapeutic drug level CPT 80169 | $13.32 | $20.00 | $10.83 – $19.60 | 14 |
| Mayo factor ii CPT 85210 | $25.27 | $37.93 | $12.98 – $37.18 | 14 |
| Mayo factor v CPT 85220 | $14.10 | $21.16 | $11.46 – $21.16 | 14 |
| Mayo factor vii CPT 85230 | $17.61 | $26.44 | $14.32 – $25.92 | 14 |
| Mayo factor viii vw factor antigen CPT 85246 | $16.51 | $24.78 | $13.00 – $24.00 | 14 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $39.13 | $58.74 | $13.42 – $24.78 | 14 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $17.32 | $26.00 | $13.42 – $24.78 | 14 |
| Mayo factor x CPT 85260 | $16.44 | $24.68 | $13.36 – $24.19 | 14 |
| Mayo factor xi CPT 85270 | $28.21 | $42.35 | $17.90 – $41.51 | 14 |
| Mayo fat/lipids feces quantitative CPT 82710 | $16.64 | $24.97 | $13.52 – $24.48 | 14 |
| Mayo fbl culture fungi blood CPT 87103 | $105.90 | $159.00 | $11.49 – $50.13 | 14 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $26.67 | $40.04 | $12.29 – $40.04 | 14 |
| Mayo ffspg allergen clam igg CPT 86001 | $19.41 | $29.13 | $5.68 – $15.31 | 14 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $10.87 | $16.32 | $8.84 – $16.32 | 14 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,065.60 | $1,600.00 | $12.94 – $49.00 | 12 |
| Mayo hemosiderin qualitative urine CPT 83070 | $7.06 | $10.59 | $4.75 – $10.38 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $39.27 | $58.96 | $31.92 – $57.79 | 14 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $39.27 | $58.96 | $31.92 – $57.79 | 14 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $45.05 | $67.64 | $5.26 – $9.71 | 14 |
| Mayo hla typing a/b/c single antigen CPT 86812 | $17.99 | $27.00 | $14.62 – $27.00 | 14 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $16.65 | $25.00 | $8.89 – $21.79 | 14 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $22.52 | $33.80 | $13.52 – $24.50 | 14 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $12.66 | $19.00 | $10.29 – $19.00 | 14 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $171.17 | $257.00 | $8.67 – $16.00 | 14 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $35.24 | $52.91 | $5.89 – $10.87 | 14 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $34.66 | $52.03 | $4.88 – $9.00 | 14 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $94.91 | $142.50 | $13.54 – $25.00 | 14 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $31.36 | $47.08 | $6.99 – $16.17 | 14 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $17.32 | $26.00 | $8.66 – $25.48 | 14 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $29.97 | $45.00 | $24.36 – $44.10 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $73.26 | $110.00 | $35.09 – $107.80 | 14 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $36.63 | $55.00 | $29.78 – $53.90 | 14 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $111.89 | $168.00 | $42.84 – $90.56 | 14 |
| Mayo infliximab therapeutic drug level CPT 80230 | $98.24 | $147.50 | $30.86 – $144.55 | 14 |
| Mayo insulin antibodies CPT 86337 | $16.65 | $25.00 | $13.54 – $25.00 | 14 |
| Mayo iodine CPT 83789 | $39.96 | $60.00 | $8.45 – $15.60 | 14 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $29.97 | $45.00 | $21.69 – $44.10 | 14 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $4.67 | $7.00 | $3.79 – $7.00 | 14 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $6.00 | $9.00 | $4.88 – $9.00 | 14 |
| Mayo leptospira antibody igm CPT 86720 | $29.97 | $45.00 | $16.20 – $44.10 | 14 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $10.97 | $16.46 | $8.12 – $15.00 | 14 |
| Mayo metanephrines plasma CPT 83835 | $14.66 | $22.00 | $10.83 – $20.00 | 14 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $99.24 | $149.00 | $38.55 – $146.02 | 12 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $27.09 | $40.67 | $3.89 – $14.70 | 12 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $24.23 | $36.38 | $3.52 – $6.50 | 14 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $91.41 | $137.25 | $18.06 – $44.10 | 14 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $176.49 | $265.00 | $46.02 – $85.00 | 14 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $149.85 | $225.00 | $121.80 – $220.50 | 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.