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 |
|---|---|---|---|---|
| Plcmnt biliary drainage cath w/img ext CPT 47533 | not published | not published | $1,225.61 – $1,225.61 | 5 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | not published | not published | $2,482.12 – $2,482.12 | 5 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | not published | not published | $973.94 – $973.94 | 5 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | not published | not published | $1,301.93 – $1,301.93 | 5 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $672.37 – $672.37 | 5 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | not published | not published | $492.55 – $492.55 | 5 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | not published | not published | $430.75 – $430.75 | 5 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | not published | not published | $268.06 – $268.06 | 5 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | not published | not published | $55.10 – $55.10 | 5 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | not published | not published | $186.15 – $186.15 | 5 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | not published | not published | $418.09 – $418.09 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $567.44 | $852.00 | $48.09 – $735.98 | 14 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $967.66 – $967.66 | 5 |
| Plmt access bil tree sm bwl CPT 47541 | not published | not published | $1,081.53 – $1,081.53 | 5 |
| Plmt biliary drainage cath CPT 47534 | not published | not published | $1,507.82 – $1,507.82 | 5 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $1,043.18 – $1,043.18 | 5 |
| Plmt ureteral stent prq CPT 50694 | not published | not published | $1,068.87 – $1,068.87 | 5 |
| Pmp22 gene dup/delet CPT 81324 | $304.77 | $457.60 | $247.70 – $457.60 | 12 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $75.19 – $75.19 | 5 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $676.66 | $1,016.00 | $17.00 – $727.16 | 14 |
| Positional change of finger CPT 26555 | not published | not published | $1,393.17 – $1,393.17 | 5 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $422.09 – $422.09 | 5 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $470.37 – $470.37 | 5 |
| Potassium 24 hour urine CPT 84133 | $70.60 | $106.00 | $4.73 – $103.88 | 14 |
| Potassium hydroxide preps HCPCS Q0112 | $33.97 | $51.00 | $4.65 – $42.14 | 14 |
| Potassium serum/plasma/whole blood CPT 84132 | $78.59 | $118.00 | $4.76 – $75.46 | 14 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | not published | not published | $435.59 – $435.59 | 5 |
| Pq thr inj ext pse CPT 36002 | $2,563.44 | $3,849.00 | $179.44 – $1,650.32 | 14 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | not published | not published | $181.68 – $181.68 | 5 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $14,042.61 | $21,085.00 | $393.89 – $8,127.14 | 14 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | not published | not published | $370.07 – $370.07 | 5 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,134.87 | $1,704.00 | $299.90 – $1,669.92 | 14 |
| Pr application of long arm splint CPT 29105 | $193.14 | $290.00 | $43.47 – $164.64 | 14 |
| Pr application splint static short arm CPT 29125 | $170.50 | $256.00 | $36.48 – $138.18 | 14 |
| Pr biopsy skin punch single lesion CPT 11104 | $93.24 | $140.00 | $34.67 – $131.32 | 14 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $459.69 – $459.69 | 5 |
| Pr correction hammertoe CPT 28285 | $654.68 | $983.00 | $232.41 – $963.34 | 14 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $67.94 | $102.00 | $10.41 – $95.06 | 14 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $238.64 – $238.64 | 5 |
| Prcrd drg 6+yr without anomly CPT 33017 | not published | not published | $208.49 – $208.49 | 5 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $283.05 | $425.00 | $109.95 – $631.86 | 14 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $368.97 | $554.00 | $48.32 – $377.30 | 14 |
| Pr discharge day management hospital ip/obs <=30 min on ecounter date CPT 99238 | $127.21 | $191.00 | $49.42 – $187.18 | 14 |
| Pr discharge day management hospital ip/obs > 30 min on encounter date CPT 99239 | $194.48 | $292.00 | $75.55 – $286.16 | 14 |
| Prealbumin CPT 84134 | $24.30 | $36.48 | $14.59 – $35.76 | 14 |
| Pr ecg 12 lead report only CPT 93010 | $22.65 | $34.00 | $8.80 – $33.32 | 14 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $13.35 | $20.04 | $3.06 – $11.58 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $2.67 | $4.00 | $1.04 – $3.92 | 12 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $495.51 | $744.00 | $192.48 – $729.12 | 14 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $1,902.10 | $2,856.00 | $135.29 – $727.16 | 14 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,497.84 | $2,249.00 | $78.42 – $550.76 | 14 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | $151.85 | $228.00 | $58.99 – $223.44 | 14 |
| Preparation for bladder xray CPT 51605 | not published | not published | $300.34 – $300.34 | 5 |
| Preparation palate mold CPT 42280 | not published | not published | $109.37 – $109.37 | 5 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $2,198.05 – $2,198.05 | 5 |
| Prepare penis study CPT 54230 | not published | not published | $70.49 – $70.49 | 5 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $174.31 – $174.31 | 5 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $137.75 – $137.75 | 5 |
| Prep skin to 100cm2 other CPT 15004 | $453.55 | $681.00 | $176.18 – $667.38 | 14 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $404.27 | $607.00 | $157.04 – $594.86 | 14 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $59.94 – $59.94 | 5 |
| Pressure max expiratory/inspiratory CPT 94799 | $127.88 | $192.00 | $49.68 – $188.16 | 12 |
| Pressure treatment esophagus CPT 43460 | $392.28 | $589.00 | $105.53 – $577.22 | 14 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $69.93 | $105.00 | $23.88 – $102.90 | 14 |
| Pretreat rbc absorption reference CPT 86978 | $110.15 | $165.38 | $21.74 – $82.32 | 14 |
| Pretreat rbc density gradient separation reference CPT 86972 | $249.66 | $374.85 | $23.88 – $360.64 | 14 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $110.15 | $165.38 | $24.79 – $102.90 | 14 |
| Pretreat rbc w enzyme reference CPT 86971 | $164.51 | $247.00 | $24.79 – $102.90 | 14 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $139.20 | $209.00 | $54.07 – $204.82 | 12 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $521.48 | $783.00 | $55.37 – $209.72 | 14 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $299.04 | $449.00 | $101.68 – $433.16 | 14 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $259.08 | $389.00 | $96.98 – $381.22 | 14 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | $2,428.91 | $3,647.00 | $628.88 – $3,574.06 | 14 |
| Pr hospital ip/obs care initial high level per day CPT 99223 | $383.62 | $576.00 | $142.69 – $564.48 | 14 |
| Pr hospital ip/obs care initial moderate level per day CPT 99222 | $261.08 | $392.00 | $101.42 – $384.16 | 14 |
| Pr hospital ip/obs care initial straightforward or low level per day CPT 99221 | $191.81 | $288.00 | $61.11 – $282.24 | 14 |
| Pr hospital ip/obs care subsequent high level per day CPT 99233 | $197.14 | $296.00 | $76.58 – $290.08 | 14 |
| Pr hospital ip/obs care subsequent moderate level per day CPT 99232 | $137.87 | $207.00 | $53.56 – $202.86 | 14 |
| Pr hospital ip/obs care subsequent straightforward or low level per day CPT 99231 | $74.60 | $112.00 | $28.98 – $109.76 | 14 |
| Prim art mech thrmbc non-intracranial CPT 37184 | not published | not published | $2,325.79 – $2,325.79 | 5 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | not published | not published | $983.90 – $983.90 | 5 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $333.00 | $500.00 | $108.67 – $466.48 | 14 |
| Pr incision & drainage abscess simple/single CPT 10060 | $179.16 | $269.00 | $48.70 – $251.86 | 14 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $180.49 | $271.00 | $70.11 – $265.58 | 14 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $183.82 | $276.00 | $59.38 – $253.82 | 14 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $277.06 | $416.00 | $107.62 – $407.68 | 12 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $192.48 | $289.00 | $74.77 – $283.22 | 12 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $770.57 | $1,157.00 | $46.65 – $1,030.96 | 14 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | $1,033.64 | $1,552.00 | $401.51 – $1,520.96 | 14 |
| Probe nasolacrimal duct CPT 68810 | not published | not published | $213.19 – $213.19 | 5 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $128.59 – $128.59 | 5 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $253.77 – $253.77 | 5 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $526.33 – $526.33 | 5 |
| Procalcitonin CPT 84145 | $135.87 | $204.00 | $22.21 – $192.08 | 14 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $17.32 | $26.00 | $6.73 – $25.48 | 12 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,258.16 – $1,258.16 | 5 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,258.16 – $1,258.16 | 5 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $115.35 – $115.35 | 5 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $98.69 – $98.69 | 5 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $46.99 – $46.99 | 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.