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 |
|---|---|---|---|---|
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $408.09 – $408.09 | 5 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $48.70 – $48.70 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $2,797.02 – $2,797.02 | 5 |
| Sinus CT scan (with and without contrast) CPT 70488 | $7,260.74 | $10,902.00 | $257.53 – $1,981.56 | 14 |
| Sinus CT scan (with contrast) CPT 70487 | $5,914.08 | $8,880.00 | $210.35 – $1,627.78 | 14 |
| Sinus CT scan (without contrast) CPT 70486 | $4,808.52 | $7,220.00 | $176.93 – $1,556.24 | 14 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $145.25 – $145.25 | 5 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $512.67 – $512.67 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $469.94 – $469.94 | 5 |
| Skin and muscle repair face CPT 15845 | not published | not published | $857.44 – $857.44 | 5 |
| Skin Biopsy CPT 11102 | $74.60 | $112.00 | $27.69 – $104.86 | 14 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $1,009.66 | $1,516.00 | $337.51 – $1,485.68 | 14 |
| Skin full graft add-on 15241 CPT 15241 | $279.72 | $420.00 | $108.66 – $411.60 | 14 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $628.01 – $628.01 | 5 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $662.20 – $662.20 | 5 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $58.10 – $58.10 | 5 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $2,135.26 – $2,135.26 | 5 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $3,389.15 – $3,389.15 | 5 |
| Skyla, 13.5 mg HCPCS J7301 | $3,300.54 | $4,955.76 | $1,011.38 – $4,856.65 | 14 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,033.02 – $1,033.02 | 5 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $233.77 | $351.00 | $90.81 – $343.98 | 12 |
| Slitting of prepuce CPT 54000 | not published | not published | $135.01 – $135.01 | 5 |
| Slitting of prepuce CPT 54001 | not published | not published | $155.51 – $155.51 | 5 |
| Slp pure tone screening CPT 92551 | $44.63 | $67.00 | $17.34 – $65.66 | 14 |
| Small bowel endoscopy CPT 44360 | $311.69 | $468.00 | $121.08 – $458.64 | 14 |
| Small bowel endoscopy CPT 44364 | $436.90 | $656.00 | $169.71 – $642.88 | 14 |
| Small bowel endoscopy CPT 44366 | $512.82 | $770.00 | $199.20 – $754.60 | 14 |
| Small bowel endoscopy CPT 44369 | $524.81 | $788.00 | $203.86 – $772.24 | 14 |
| Small bowel endoscopy CPT 44376 | not published | not published | $289.66 – $289.66 | 5 |
| Small bowel endoscopy CPT 44378 | $721.95 | $1,084.00 | $280.44 – $1,062.32 | 14 |
| Small bowel endoscopy CPT 44382 | $143.19 | $215.00 | $55.63 – $210.70 | 14 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | $408.93 | $614.00 | $158.85 – $601.72 | 14 |
| Small bowel endoscopy 44365 CPT 44365 | $391.61 | $588.00 | $152.12 – $576.24 | 14 |
| Small bowel endoscopy/biopsy CPT 44361 | $342.99 | $515.00 | $133.24 – $504.70 | 14 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $306.32 – $306.32 | 5 |
| Small bowel endoscopy br/wa CPT 44380 | $119.88 | $180.00 | $46.57 – $176.40 | 14 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $226.43 – $226.43 | 5 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $103.90 | $156.00 | $5.39 – $13.22 | 14 |
| Smear gram stain CPT 87205 | $117.22 | $176.00 | $4.27 – $10.47 | 14 |
| Smear nasal eosinophil CPT 89190 | $45.29 | $68.00 | $5.79 – $66.64 | 14 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $337.00 | $506.00 | $3.88 – $14.69 | 14 |
| Smear wet mount CPT 87210 | $48.62 | $73.00 | $5.11 – $14.26 | 14 |
| Sodium 24 hour urine CPT 84300 | $104.57 | $157.00 | $5.06 – $114.66 | 14 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $49.95 | $75.00 | $6.73 – $25.48 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $2.67 | $4.00 | $1.04 – $3.92 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $53.28 | $80.00 | $4.81 – $78.40 | 14 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $148.67 – $148.67 | 5 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $160.21 – $160.21 | 5 |
| Specific gravity body fluid CPT 84315 | $25.98 | $39.00 | $3.28 – $38.22 | 14 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $487.89 – $487.89 | 5 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $478.49 – $478.49 | 5 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $96.13 – $96.13 | 5 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,204.13 | $1,808.00 | $237.90 – $1,771.84 | 14 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $568.10 | $853.00 | $51.67 – $804.58 | 14 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $701.50 – $701.50 | 5 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $1,416.67 – $1,416.67 | 5 |
| Splicing of ureters CPT 50770 | not published | not published | $1,073.18 – $1,073.18 | 5 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $1,332.00 | $2,000.00 | $510.16 – $1,932.56 | 14 |
| Split blood or products CPT 86985 | $100.57 | $151.00 | $39.07 – $147.98 | 12 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $96.98 – $96.98 | 5 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $6,044.62 | $9,076.00 | $706.23 – $7,583.24 | 14 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $531.27 – $531.27 | 5 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $531.27 – $531.27 | 5 |
| Srs cran les complex addl CPT 61799 | not published | not published | $198.06 – $198.06 | 5 |
| Srs cran les simple addl CPT 61797 | not published | not published | $143.34 – $143.34 | 5 |
| Srs spinal lesion CPT 63620 | not published | not published | $531.27 – $531.27 | 5 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $164.93 – $164.93 | 5 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $936.04 – $936.04 | 5 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | not published | not published | $632.91 – $632.91 | 5 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | not published | not published | $431.87 – $431.87 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | not published | not published | $182.43 – $182.43 | 5 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $948.62 – $948.62 | 5 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | not published | not published | $594.56 – $594.56 | 5 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,196.22 – $1,196.22 | 5 |
| Sternal debridement CPT 21627 | not published | not published | $840.34 – $840.34 | 5 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $266.16 – $266.16 | 5 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $342.95 – $342.95 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | not published | not published | $20.08 – $20.08 | 5 |
| Strapping of chest CPT 29200 | not published | not published | $40.16 – $40.16 | 5 |
| Strapping of elbow or wrist 29260 CPT 29260 | not published | not published | $32.46 – $32.46 | 5 |
| Strapping of hand or finger CPT 29280 | not published | not published | $59.81 – $59.81 | 5 |
| Strapping of hip CPT 29520 | not published | not published | $34.61 – $34.61 | 5 |
| Strapping of knee CPT 29530 | not published | not published | $34.17 – $34.17 | 5 |
| Strapping of toes 29550 CPT 29550 | not published | not published | $19.22 – $19.22 | 5 |
| Strep a ag ia CPT 87430 | $134.54 | $202.00 | $11.73 – $197.96 | 14 |
| Strep b dna amp probe CPT 87653 | $58.43 | $87.73 | $30.52 – $85.98 | 14 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $96.98 – $96.98 | 5 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $130.30 – $130.30 | 5 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $511.17 – $511.17 | 5 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $485.11 – $485.11 | 5 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $450.11 – $450.11 | 5 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $623.60 – $623.60 | 5 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $774.13 – $774.13 | 5 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $63.22 | $94.91 | $24.56 – $93.02 | 12 |
| Sugars single quant CPT 84378 | $25.31 | $38.00 | $11.53 – $37.24 | 14 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $296.45 | $445.12 | $115.16 – $436.22 | 12 |
| Support clav 29.6-40.5in med HCPCS L3650 | $23.98 | $36.00 | $9.32 – $36.00 | 14 |
| Surg dx exam anorectal CPT 45990 | $191.15 | $287.00 | $74.25 – $281.26 | 14 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $1,017.53 – $1,017.53 | 5 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $1,017.53 – $1,017.53 | 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.