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 |
|---|---|---|---|---|
| Surgery for urethra pouch CPT 53240 | not published | not published | $220.45 – $220.45 | 5 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $701.50 – $701.50 | 5 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $633.57 – $633.57 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $720.72 – $720.72 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $865.98 – $865.98 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $532.32 – $532.32 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $556.67 – $556.67 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $677.58 – $677.58 | 5 |
| Surgical opening esophagus CPT 43352 | not published | not published | $677.58 – $677.58 | 5 |
| Surgical opening of stomach CPT 43510 | not published | not published | $627.59 – $627.59 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $499.42 – $499.42 | 5 |
| Surgical opening of throat CPT 42955 | not published | not published | $554.96 – $554.96 | 5 |
| Surgical pathology level 1 gross examination only CPT 88300 | $41.96 | $63.00 | $3.34 – $12.66 | 14 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $72.60 | $109.00 | $7.28 – $28.11 | 14 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $85.25 | $128.00 | $8.65 – $33.41 | 14 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $115.22 | $173.00 | $9.75 – $37.66 | 14 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $291.05 | $437.00 | $56.81 – $215.18 | 14 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $606.73 | $911.00 | $79.03 – $299.38 | 14 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | $2,362.97 | $3,548.00 | $848.04 – $3,477.04 | 14 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $983.03 – $983.03 | 5 |
| Surgical revision intestine CPT 44680 | not published | not published | $854.44 – $854.44 | 5 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $158.93 – $158.93 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $43.96 | $66.00 | $1.21 – $11.65 | 14 |
| Susceptibility mic per plate CPT 87186 | $109.23 | $164.00 | $8.65 – $21.20 | 14 |
| Suscept studies macrobroth dilution ea CPT 87188 | $21.98 | $33.00 | $6.64 – $32.34 | 14 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $818.56 – $818.56 | 5 |
| Suspension of testis CPT 54620 | not published | not published | $193.53 – $193.53 | 5 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | $1,875.46 | $2,816.00 | $728.50 – $2,759.68 | 14 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,012.09 – $1,012.09 | 5 |
| Sympathectomy cervical CPT 64802 | not published | not published | $619.48 – $619.48 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $455.84 – $455.84 | 5 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $640.83 – $640.83 | 5 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $594.56 – $594.56 | 5 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $854.44 – $854.44 | 5 |
| Synvisc or synvisc-one HCPCS J7325 | $4,469.62 | $6,711.14 | $1,736.18 – $6,576.92 | 12 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $66.60 | $100.00 | $4.40 – $10.78 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $96.57 | $145.00 | $16.94 – $41.51 | 14 |
| T3 (triiodothyronine) total CPT 84480 | $75.26 | $113.00 | $14.18 – $34.75 | 14 |
| T4 (thyroxine) free CPT 84439 | $128.54 | $193.00 | $9.02 – $21.56 | 14 |
| T4 (thyroxine) total CPT 84436 | $11.45 | $17.18 | $3.54 – $6.53 | 14 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $12.08 | $18.13 | $4.70 – $17.77 | 12 |
| Tacrolimus therapeutic drug level CPT 80197 | $135.87 | $204.00 | $6.50 – $12.00 | 14 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,674.14 – $1,674.14 | 5 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,540.37 – $1,540.37 | 5 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,388.21 – $1,388.21 | 5 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,731.60 | $2,600.00 | $759.53 – $2,352.00 | 12 |
| Tas congenital car anomal CPT 33741 | not published | not published | $627.33 – $627.33 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,078.93 – $1,078.93 | 5 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $103.20 | $154.95 | $16.24 – $30.00 | 14 |
| Tc-99m bicisate HCPCS A9557 | $952.38 | $1,430.00 | $315.10 – $1,193.64 | 14 |
| Tc-99m depreotide HCPCS A9536 | $2,521.48 | $3,786.00 | $608.00 – $3,163.44 | 14 |
| Tc-99m diag per dose HCPCS A4641 | $256.41 | $385.00 | $84.86 – $321.44 | 12 |
| Tc-99m labeled rbc HCPCS A9560 | $323.01 | $485.00 | $51.80 – $404.74 | 14 |
| Tc-99m maa HCPCS A9540 | $275.06 | $413.00 | $30.00 – $343.98 | 14 |
| Tc-99m mebrofenin HCPCS A9537 | $937.07 | $1,407.00 | $45.36 – $1,175.02 | 14 |
| Tc-99m medronate HCPCS A9503 | $275.06 | $413.00 | $18.87 – $343.98 | 14 |
| Tc-99m mertiatide HCPCS A9562 | $546.12 | $820.00 | $180.84 – $685.02 | 14 |
| Tc-99m pentetate dtpa HCPCS A9539 | $399.60 | $600.00 | $13.00 – $501.76 | 14 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $4,540.13 | $6,817.00 | $61.74 – $5,695.76 | 14 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $263.74 | $396.00 | $87.45 – $331.24 | 12 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $286.38 | $430.00 | $64.05 – $359.66 | 14 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $674.66 | $1,013.00 | $97.36 – $845.74 | 14 |
| Tc-99m sulfur colloid HCPCS A9541 | $513.49 | $771.00 | $42.56 – $643.86 | 14 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $140.53 | $211.00 | $46.31 – $175.42 | 14 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $209.77 – $209.77 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $14.99 | $22.50 | $8.36 – $15.43 | 14 |
| T cells absolute cd 4 count CPT 86361 | $19.98 | $30.00 | $16.24 – $30.00 | 14 |
| T cells total count CPT 86359 | $19.46 | $29.21 | $8.36 – $15.43 | 14 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $338.78 – $338.78 | 5 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,367.11 – $1,367.11 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $387.06 – $387.06 | 5 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $319.56 – $319.56 | 5 |
| Tendon shortening CPT 26477 | not published | not published | $387.06 – $387.06 | 5 |
| Tendon transfer with graft CPT 26492 | not published | not published | $532.32 – $532.32 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $20,294.63 | $30,472.41 | $7,883.22 – $29,862.97 | 12 |
| Tenodesis biceps tdn at elbw CPT 24340 | $1,114.22 | $1,673.00 | $432.81 – $1,639.54 | 14 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $1,032.30 | $1,550.00 | $371.68 – $1,519.00 | 14 |
| Tenolysis triceps CPT 24332 | not published | not published | $411.02 – $411.02 | 5 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $768.57 – $768.57 | 5 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $484.05 – $484.05 | 5 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $378.95 – $378.95 | 5 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $206.35 – $206.35 | 5 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $432.90 | $650.00 | $168.16 – $637.00 | 14 |
| Test for chlorohydrocarbons CPT 82441 | $66.60 | $100.00 | $6.01 – $98.00 | 14 |
| Testicular imaging w/vasc flow CPT 78761 | $3,361.97 | $5,048.00 | $124.10 – $2,330.44 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $946.39 | $1,421.00 | $60.24 – $701.68 | 14 |
| Tetanus immune globulin inj HCPCS J1670 | $529,625.35 | $795,233.25 | $205,726.85 – $779,328.59 | 12 |
| Theophylline therapeutic drug level CPT 80198 | $121.22 | $182.00 | $14.14 – $178.36 | 14 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $123.21 | $185.00 | $9.32 – $35.28 | 14 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $129.21 | $194.00 | $9.32 – $35.28 | 14 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $87.15 – $87.15 | 5 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $2,004.66 | $3,010.00 | $195.84 – $741.86 | 12 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,253.16 – $1,253.16 | 5 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,371.55 – $1,371.55 | 5 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $3,367.30 | $5,056.00 | $68.82 – $260.68 | 14 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $2,007.94 – $2,007.94 | 5 |
| Thoracic duct procedure CPT 38380 | not published | not published | $484.05 – $484.05 | 5 |
| Thoracic duct procedure CPT 38381 | not published | not published | $952.71 – $952.71 | 5 |
| Thoracic duct procedure CPT 38382 | not published | not published | $854.44 – $854.44 | 5 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $216.61 – $216.61 | 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.