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 |
|---|---|---|---|---|
| New Patient Office Visit (level 4) CPT 99204 | $291.05 | $437.00 | $58.73 – $222.46 | 14 |
| New Patient Office Visit (level 5) CPT 99205 | $402.27 | $604.00 | $77.61 – $294.00 | 14 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $918.53 – $918.53 | 5 |
| Nicardipine 25 mg/10 ml intravenous solution HCPCS J2404 | $398.07 | $597.70 | $154.63 – $585.75 | 12 |
| Nikaidoh proc CPT 33782 | not published | not published | $2,671.62 – $2,671.62 | 5 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $2,886.81 – $2,886.81 | 5 |
| Nipple/areola reconst 19350 CPT 19350 | not published | not published | $767.29 – $767.29 | 5 |
| Nipple exploration CPT 19110 | not published | not published | $440.46 – $440.46 | 5 |
| Njx aa&/strd lmbr plex nfs CPT 64449 | not published | not published | $105.14 – $105.14 | 5 |
| Njx aa&/strd nrv nrvtg si jt CPT 64451 | $1,644.36 | $2,469.00 | $64.68 – $245.00 | 14 |
| Njx aa&/strd sc nrv nfs img CPT 64446 | not published | not published | $114.06 – $114.06 | 5 |
| Njx aa&/strd vagus nrv CPT 64408 | not published | not published | $76.05 – $76.05 | 5 |
| Njx chemonucleolysis lmbr CPT 62292 | not published | not published | $530.18 – $530.18 | 5 |
| Njx interlaminar crv/thrc CPT 62324 | not published | not published | $127.33 – $127.33 | 5 |
| Njx interlaminar crv/thrc CPT 62325 | not published | not published | $195.46 – $195.46 | 5 |
| Njx interlaminar lmbr/sac CPT 62326 | $3,074.26 | $4,616.00 | $135.14 – $4,523.68 | 14 |
| Njx interlaminar lmbr/sac CPT 62327 | not published | not published | $201.04 – $201.04 | 5 |
| Njx px nfrosgrm &/urtrgrm CPT 50430 | not published | not published | $475.05 – $475.05 | 5 |
| Njx px peyronie ds exps plaq CPT 54205 | not published | not published | $377.24 – $377.24 | 5 |
| Nl comp cgen kdn abnormality CPT 50070 | not published | not published | $1,109.49 – $1,109.49 | 5 |
| Nl removal calculus CPT 50060 | not published | not published | $967.66 – $967.66 | 5 |
| Nl rmvl lg staghorn calculus CPT 50075 | not published | not published | $1,258.16 – $1,258.16 | 5 |
| Nl sec surg operj calculus CPT 50065 | not published | not published | $1,126.15 – $1,126.15 | 5 |
| Nm imaging bone/joint 3 phase study CPT 78315 | $5,567.76 | $8,360.00 | $188.05 – $4,420.78 | 14 |
| Nm imaging bone/joint whole body CPT 78306 | $3,908.09 | $5,868.00 | $202.29 – $3,091.90 | 14 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | $3,511.16 | $5,272.00 | $240.65 – $2,433.34 | 14 |
| Nm imaging gastric emptying study CPT 78264 | $4,713.95 | $7,078.00 | $424.11 – $3,268.30 | 14 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $5,669.66 | $8,513.00 | $186.19 – $3,929.80 | 14 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $2,311.69 | $3,471.00 | $391.93 – $2,637.18 | 14 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $1,998.00 | $3,000.00 | $223.18 – $1,384.74 | 14 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $5,373.29 | $8,068.00 | $290.93 – $4,394.32 | 14 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $1,297.37 | $1,948.00 | $213.50 – $1,909.04 | 14 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | $853.82 | $1,282.00 | $119.11 – $592.90 | 14 |
| Non-card vasc flow imaging CPT 78445 | $2,805.20 | $4,212.00 | $173.32 – $1,945.30 | 14 |
| Nps surg dilat eust tube bi CPT 69706 | not published | not published | $2,936.70 – $2,936.70 | 5 |
| Nps surg dilat eust tube uni CPT 69705 | not published | not published | $2,856.29 – $2,856.29 | 5 |
| Nras gene variants exon 2&3 CPT 81311 | $226.44 | $340.00 | $184.05 – $333.20 | 14 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $796.77 – $796.77 | 5 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $687.40 – $687.40 | 5 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $743.36 – $743.36 | 5 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $707.91 – $707.91 | 5 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $839.92 – $839.92 | 5 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $908.70 – $908.70 | 5 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $882.21 – $882.21 | 5 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,004.40 – $1,004.40 | 5 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $675.72 – $675.72 | 5 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $133.28 – $133.28 | 5 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $699.37 – $699.37 | 5 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $638.27 – $638.27 | 5 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $403.20 – $403.20 | 5 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $177.59 – $177.59 | 5 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $3,616.52 – $3,616.52 | 5 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $149.29 – $149.29 | 5 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $800.19 – $800.19 | 5 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $145.94 – $145.94 | 5 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $427.03 – $427.03 | 5 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $380.49 – $380.49 | 5 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $520.78 – $520.78 | 5 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $380.12 – $380.12 | 5 |
| Nuclear rx IV admin CPT 79101 | $908.43 | $1,364.00 | $126.14 – $630.14 | 14 |
| Nuclear Stress Test (Heart) CPT 78452 | $7,914.75 | $11,884.00 | $348.12 – $5,487.02 | 14 |
| Nuclr rx interstit colloid CPT 79300 | $685.98 | $1,030.00 | $220.68 – $835.94 | 14 |
| Nudt15 gene common variants CPT 81306 | $66.60 | $100.00 | $54.13 – $100.00 | 14 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $2,136.11 – $2,136.11 | 5 |
| Observation direct referral from physician office for admission HCPCS G0379 | $602.73 | $905.00 | $234.13 – $886.90 | 12 |
| Observation/inpatient hospital care hi severity 99236 CPT 99236 | $390.95 | $587.00 | $151.86 – $575.26 | 14 |
| Observation per hour HCPCS G0378 | $168.50 | $253.00 | $65.46 – $247.94 | 12 |
| Obstetrics panel CPT 80055 | $139.86 | $210.00 | $47.81 – $205.80 | 14 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $799.53 – $799.53 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | $22,558.45 | $33,871.54 | $8,762.57 – $33,194.11 | 12 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $334.09 – $334.09 | 5 |
| Ocular reconst transplant CPT 65780 | not published | not published | $359.72 – $359.72 | 5 |
| Ocular reconst transplant CPT 65781 | not published | not published | $613.22 – $613.22 | 5 |
| Ocular reconst transplant CPT 65782 | not published | not published | $521.86 – $521.86 | 5 |
| Off/op cnsltj new/est low 30 CPT 99243 | $209.79 | $315.00 | $81.50 – $308.70 | 14 |
| Off/op cnsltj new/est mod 40 CPT 99244 | $319.02 | $479.00 | $123.92 – $469.42 | 14 |
| Off/op consltj new/est hi 55 CPT 99245 | $396.27 | $595.00 | $153.93 – $583.10 | 14 |
| Off/op consltj new/est sf 20 CPT 99242 | $163.17 | $245.00 | $63.39 – $240.10 | 14 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $164.02 | $246.27 | $63.72 – $241.35 | 12 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $739.96 – $739.96 | 5 |
| Omental flap intra-abdom 49905 CPT 49905 | $629.37 | $945.00 | $244.48 – $926.10 | 14 |
| Oncology prostate prob score CPT 81539 | $512.82 | $770.00 | $416.81 – $760.00 | 12 |
| Oncoprotein dcp CPT 83951 | $67.27 | $101.00 | $54.13 – $98.00 | 14 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $1,283.54 – $1,283.54 | 5 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $920.70 – $920.70 | 5 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $931.49 – $931.49 | 5 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,834.92 – $1,834.92 | 5 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,983.17 – $1,983.17 | 5 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,983.17 – $1,983.17 | 5 |
| Open bx/exc inguinofem nodes CPT 38531 | $779.89 | $1,171.00 | $302.94 – $1,147.58 | 14 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $626.58 – $626.58 | 5 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $314.43 – $314.43 | 5 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $636.56 – $636.56 | 5 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $553.25 – $553.25 | 5 |
| Open periprosthetic breast capsule 19370 CPT 19370 | $1,136.20 | $1,706.00 | $290.51 – $1,671.88 | 14 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,354.72 – $1,354.72 | 5 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $206.77 – $206.77 | 5 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $405.01 – $405.01 | 5 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $818.56 – $818.56 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $405.87 – $405.87 | 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.