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 |
|---|---|---|---|---|
| Pelvic CT scan (with and without contrast) CPT 72194 | $7,140.19 | $10,721.00 | $339.01 – $1,965.88 | 14 |
| Pelvic CT scan (with contrast) CPT 72193 | $5,302.70 | $7,962.00 | $293.26 – $1,719.90 | 14 |
| Pelvic CT scan (without contrast) CPT 72192 | $4,175.82 | $6,270.00 | $183.02 – $1,351.42 | 14 |
| Pelvic exenteration CPT 45126 | not published | not published | $2,003.67 – $2,003.67 | 5 |
| Pelvic MRI (with and without contrast) CPT 72197 | $8,919.08 | $13,392.00 | $332.91 – $3,771.04 | 14 |
| Pelvic MRI (with contrast) CPT 72196 | $7,406.59 | $11,121.00 | $380.16 – $3,130.12 | 14 |
| Pelvic MRI (without contrast) CPT 72195 | $6,791.87 | $10,198.00 | $226.34 – $2,866.50 | 14 |
| Pelvic Ultrasound (complete) CPT 76856 | $2,013.32 | $3,023.00 | $27.94 – $105.84 | 14 |
| Pelvic Ultrasound (limited) CPT 76857 | $1,710.29 | $2,568.00 | $60.49 – $652.68 | 14 |
| Peng benzathine/procaine inj HCPCS J0558 | $793.40 | $1,191.29 | $308.19 – $1,167.47 | 12 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $2,243.49 | $3,368.60 | $245.56 – $930.20 | 12 |
| Penicillin g procaine inj HCPCS J2510 | $252.11 | $378.53 | $97.93 – $370.96 | 12 |
| Penis plastic surgery CPT 54360 | not published | not published | $610.93 – $610.93 | 5 |
| Penis study CPT 54240 | not published | not published | $90.57 – $90.57 | 5 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $3,895.37 – $3,895.37 | 5 |
| Percut ablate liver rf CPT 47382 | not published | not published | $553.98 – $553.98 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $193.22 – $193.22 | 5 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,549.53 – $1,549.53 | 5 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $200.67 – $200.67 | 5 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $887.77 – $887.77 | 5 |
| Peri-implt capslc brst compl CPT 19371 | $1,415.25 | $2,125.00 | $484.05 – $2,002.14 | 14 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $356.13 – $356.13 | 5 |
| Peripheral vascular rehab CPT 93668 | $181.82 | $273.00 | $70.63 – $267.54 | 12 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $243.68 – $243.68 | 5 |
| Perit-vens shunt pat tst CPT 78291 | $4,035.30 | $6,059.00 | $202.41 – $2,796.92 | 14 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $662.32 – $662.32 | 5 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $678.70 – $678.70 | 5 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $118.76 – $118.76 | 5 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $244.60 – $244.60 | 5 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $2,317.02 | $3,479.00 | $725.85 – $3,409.42 | 14 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $1,579.76 | $2,372.00 | $613.64 – $2,324.56 | 14 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $4,189.49 – $4,189.49 | 5 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $4,570.73 – $4,570.73 | 5 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $4,746.45 – $4,746.45 | 5 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $157.85 | $237.00 | $61.32 – $237.00 | 14 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $392.78 – $392.78 | 5 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $320.18 – $320.18 | 5 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $83.31 – $83.31 | 5 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $182.42 – $182.42 | 5 |
| Perq tx malar fracture CPT 21355 | not published | not published | $147.82 – $147.82 | 5 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $381.94 – $381.94 | 5 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $850.60 – $850.60 | 5 |
| Pet CT skull-mid thgh initial CPT 78815 | $6,414.92 | $9,632.00 | $2,127.01 – $9,439.36 | 14 |
| Pet CT whole body initial CPT 78816 | $6,414.92 | $9,632.00 | $2,127.01 – $9,439.36 | 14 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,880.45 | $4,325.00 | $925.89 – $3,507.42 | 12 |
| Pet image w/ct lmtd CPT 78814 | $6,073.92 | $9,120.00 | $2,127.01 – $8,937.60 | 14 |
| Pet scan brain perf study CPT 78609 | $624.05 | $937.00 | $186.27 – $705.60 | 12 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $30,967.01 | $46,497.00 | $31.57 – $119.56 | 12 |
| Phalangectomy ea toe 28150 CPT 28150 | $519.48 | $780.00 | $201.79 – $764.40 | 14 |
| Ph body fluid CPT 83986 | $9.33 | $14.00 | $2.23 – $4.11 | 14 |
| Phenobarbital therapeutic drug level CPT 80184 | $25.48 | $38.25 | $3.98 – $7.35 | 14 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $17.32 | $26.00 | $6.73 – $25.48 | 12 |
| Phenytoin total therapeutic drug level CPT 80185 | $176.49 | $265.00 | $13.25 – $259.70 | 14 |
| Phlebotomy therapeutic CPT 99195 | $305.70 | $459.00 | $18.82 – $449.82 | 14 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | not published | not published | $230.45 – $230.45 | 5 |
| Phleb veins 1 extrm >20 stab CPT 37766 | not published | not published | $288.53 – $288.53 | 5 |
| Phosphorus CPT 84100 | $71.27 | $107.00 | $4.74 – $75.46 | 14 |
| Phosphorus 24 hour urine CPT 84105 | $63.27 | $95.00 | $5.78 – $69.58 | 14 |
| Photopheresis CPT 36522 | not published | not published | $2,959.79 – $2,959.79 | 5 |
| Phys blood bank serv reactj CPT 86078 | $230.44 | $346.00 | $62.90 – $339.08 | 14 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | $259.08 | $389.00 | $100.64 – $381.22 | 14 |
| Pin finger dislocation CPT 26776 | not published | not published | $237.54 – $237.54 | 5 |
| Pin finger fracture each CPT 26756 | $727.28 | $1,092.00 | $282.51 – $1,070.16 | 14 |
| Pin hand dislocation CPT 26676 | not published | not published | $265.31 – $265.31 | 5 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $204.64 – $204.64 | 5 |
| Pin service 60m per month HCPCS G0023 | $214.46 | $322.00 | $83.31 – $315.56 | 12 |
| Pinworm exam CPT 87172 | $40.63 | $61.00 | $3.80 – $15.85 | 14 |
| Place breast cath for rad CPT 19297 | not published | not published | $66.59 – $66.59 | 5 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,893.60 – $1,893.60 | 5 |
| Place cath intracranial art CPT 36228 | not published | not published | $181.31 – $181.31 | 5 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $88.61 – $88.61 | 5 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $891.29 – $891.29 | 5 |
| Place duod/jej tube perc CPT 49441 | not published | not published | $1,093.82 – $1,093.82 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $685.26 – $685.26 | 5 |
| Place gastrostomy tube perc CPT 49440 | $5,317.35 | $7,984.00 | $903.39 – $3,422.16 | 14 |
| Placement bile duct support CPT 47801 | not published | not published | $775.40 – $775.40 | 5 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | not published | not published | $215.93 – $215.93 | 5 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | not published | not published | $151.53 – $151.53 | 5 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,918.08 | $2,880.00 | $476.17 – $2,822.40 | 14 |
| Placement nephrostomy catheter (both sides) CPT 50432 | not published | not published | $773.64 – $773.64 | 5 |
| Placement of drain pancreas CPT 48001 | not published | not published | $892.46 – $892.46 | 5 |
| Placement of seton CPT 46020 | $189.81 | $285.00 | $73.73 – $279.30 | 14 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | not published | not published | $392.40 – $392.40 | 5 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $246.09 – $246.09 | 5 |
| Place needles h&n for right CPT 41019 | not published | not published | $363.74 – $363.74 | 5 |
| Place needles pelvic for right CPT 55920 | not published | not published | $344.01 – $344.01 | 5 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $173.86 – $173.86 | 5 |
| Place po breast cath for rad CPT 19296 | not published | not published | $5,095.45 – $5,095.45 | 5 |
| Place right device/marker pros CPT 55876 | not published | not published | $132.17 – $132.17 | 5 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $280.71 – $280.71 | 5 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $237.90 – $237.90 | 5 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $256.89 – $256.89 | 5 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $255.77 – $255.77 | 5 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $281.46 – $281.46 | 5 |
| Plasma volume multiple CPT 78111 | $1,068.27 | $1,604.00 | $75.18 – $1,501.36 | 14 |
| Platelet aggregation each agent teg CPT 85576 | $71.27 | $107.00 | $17.07 – $104.86 | 14 |
| Platelet automated CPT 85049 | $75.93 | $114.00 | $3.77 – $89.18 | 14 |
| Platelet pheresis irr ea HCPCS P9036 | $572.10 | $859.00 | $222.23 – $841.82 | 14 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $461.54 | $693.00 | $179.28 – $679.14 | 14 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $512.16 | $769.00 | $198.95 – $753.62 | 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.