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 |
|---|---|---|---|---|
| Ultrasound chest CPT 76604 | $1,150.85 | $1,728.00 | $53.17 – $426.30 | 14 |
| Ultrasound encephalogram CPT 76506 | $1,741.59 | $2,615.00 | $89.26 – $644.84 | 14 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $1,863.47 | $2,798.00 | $110.40 – $814.38 | 14 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $815.19 | $1,224.00 | $76.90 – $666.40 | 14 |
| Ultrasound guidance for vascular access CPT 76937 | $561.44 | $843.00 | $28.15 – $266.56 | 14 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $3,134.20 | $4,706.00 | $17.60 – $68.00 | 14 |
| Ultrasound guide intraoperative CPT 76998 | $2,435.57 | $3,657.00 | $116.55 – $2,966.46 | 14 |
| Ultrasound hips infant dynamic CPT 76885 | $1,830.17 | $2,748.00 | $109.14 – $799.68 | 14 |
| Ultrasound infant hips ltd without stress CPT 76886 | $1,843.49 | $2,768.00 | $97.27 – $682.08 | 14 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $943.73 | $1,417.00 | $93.14 – $352.80 | 14 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $494.18 | $742.00 | $52.26 – $197.96 | 14 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $1,464.54 | $2,199.00 | $158.68 – $639.94 | 14 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,287.38 | $1,933.00 | $74.36 – $605.64 | 14 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $1,158.18 | $1,739.00 | $90.30 – $473.34 | 14 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $1,287.38 | $1,933.00 | $82.17 – $530.18 | 14 |
| Ultrasound prostate/transrectal CPT 76872 | $1,582.42 | $2,376.00 | $24.06 – $93.00 | 14 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,730.94 | $2,599.00 | $73.70 – $660.52 | 14 |
| Ultrasound scrotum and contents CPT 76870 | $1,762.24 | $2,646.00 | $85.75 – $674.24 | 14 |
| Ultrasound spinal canal and contents CPT 76800 | $1,628.37 | $2,445.00 | $80.98 – $603.68 | 14 |
| Ultrasound transabd ea addl gest CPT 76812 | $2,006.00 | $3,012.00 | $119.18 – $876.12 | 14 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,928.07 | $2,895.00 | $97.04 – $736.96 | 14 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $36.32 – $36.32 | 5 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $284.26 – $284.26 | 5 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | $5,224.77 | $7,845.00 | $2,029.51 – $7,688.10 | 12 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | $1,103.57 | $1,657.00 | $428.67 – $1,623.86 | 12 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | $9,153.51 | $13,744.00 | $3,555.58 – $13,469.12 | 12 |
| Unlisted laps px ovidct ovry CPT 58679 | $5,224.77 | $7,845.00 | $2,029.51 – $7,688.10 | 12 |
| Unlisted orl service/px CPT 92700 | $204.47 | $307.00 | $79.43 – $300.86 | 12 |
| Unlisted px abdomen muscskel CPT 22999 | $358.98 | $539.00 | $139.44 – $528.22 | 12 |
| Unlisted px arthroscopy CPT 29999 | $1,007.66 | $1,513.00 | $289.23 – $1,095.64 | 12 |
| Unlisted px leg/ankle CPT 27899 | $388.95 | $584.00 | $151.09 – $572.32 | 12 |
| Unlisted px male genital sys CPT 55899 | $371.63 | $558.00 | $144.36 – $546.84 | 12 |
| Unlisted px pelvis/hip joint CPT 27299 | $388.95 | $584.00 | $151.09 – $572.32 | 12 |
| Unlisted transfusion med px CPT 86999 | $32.64 | $49.00 | $12.68 – $48.02 | 12 |
| Upgrade pm system CPT 33214 | not published | not published | $455.42 – $455.42 | 5 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $7,659.67 | $11,501.00 | $449.80 – $3,237.92 | 14 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $6,517.48 | $9,786.00 | $384.05 – $2,768.50 | 14 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $5,828.84 | $8,752.00 | $265.87 – $2,471.56 | 14 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $616.05 | $925.00 | $239.30 – $906.50 | 14 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $710.63 | $1,067.00 | $268.73 – $1,045.66 | 14 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $233.77 | $351.00 | $90.81 – $351.00 | 14 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $273.42 – $273.42 | 5 |
| Uppr gi scope w/submuc inj CPT 43236 | $262.41 | $394.00 | $101.93 – $386.12 | 14 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $598.11 – $598.11 | 5 |
| Urea nitrogen CPT 84520 | $46.62 | $70.00 | $3.95 – $16.66 | 14 |
| Urea nitrogen 24 hour urine CPT 84540 | $57.28 | $86.00 | $4.75 – $84.28 | 14 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $1,577.81 – $1,577.81 | 5 |
| Ureteral reflux study CPT 78740 | $3,800.20 | $5,706.00 | $96.82 – $2,634.24 | 14 |
| Ureter endoscopy CPT 50970 | not published | not published | $189.26 – $189.26 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $387.06 – $387.06 | 5 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $241.81 – $241.81 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $181.57 – $181.57 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $389.20 – $389.20 | 5 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $572.90 – $572.90 | 5 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $239.25 – $239.25 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $179.44 – $179.44 | 5 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $1,019.35 – $1,019.35 | 5 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $1,024.91 – $1,024.91 | 5 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $438.23 | $658.00 | $59.56 – $534.10 | 14 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $441.68 – $441.68 | 5 |
| Urethrocystography void s&i CPT 74455 | $1,332.67 | $2,001.00 | $86.91 – $923.16 | 14 |
| Uric acid blood CPT 84550 | $67.94 | $102.00 | $4.52 – $83.30 | 14 |
| Uric acid urine CPT 84560 | $63.27 | $95.00 | $4.94 – $8.93 | 14 |
| Urinalysis microscopic only CPT 81015 | $28.64 | $43.00 | $3.05 – $42.14 | 14 |
| Urinalysis (with microscopy) CPT 81001 | $59.94 | $90.00 | $3.17 – $88.20 | 14 |
| Urinalysis (without microscopy) CPT 81003 | $45.29 | $68.00 | $2.25 – $38.22 | 14 |
| Urinary reflex study CPT 51792 | not published | not published | $121.76 – $121.76 | 5 |
| Urine Culture Test CPT 87086 | $38.63 | $58.00 | $8.07 – $19.78 | 14 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $33.75 – $33.75 | 5 |
| Urine pregnancy test CPT 81025 | $74.60 | $112.00 | $4.02 – $21.10 | 14 |
| Urine shunt to intestine CPT 50815 | not published | not published | $1,281.67 – $1,281.67 | 5 |
| Urography inf drip &/or bolus CPT 74410 | $1,408.59 | $2,115.00 | $124.10 – $615.44 | 14 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | $95,132.88 | $142,842.15 | $36,953.27 – $139,985.31 | 12 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $325.92 | $489.36 | $126.60 – $479.58 | 12 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $40.54 | $60.86 | $15.75 – $59.65 | 12 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | $238.23 | $357.70 | $92.54 – $350.55 | 12 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | $427.28 | $641.56 | $165.98 – $628.73 | 12 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | $124.34 | $186.69 | $48.30 – $182.96 | 12 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | $202.66 | $304.29 | $6.73 – $25.48 | 12 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $1,860.28 | $2,793.20 | $34.43 – $130.42 | 12 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | $1,001.41 | $1,503.61 | $388.99 – $1,473.54 | 12 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | $73.26 | $110.00 | $28.46 – $107.80 | 12 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | $23.31 | $35.00 | $9.06 – $34.30 | 12 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | $23.31 | $35.00 | $9.06 – $34.30 | 12 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $582.52 | $874.65 | $226.28 – $857.16 | 12 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $482.99 | $725.20 | $187.61 – $710.70 | 12 |
| Vaccine mmr live subcutaneous CPT 90707 | $303.34 | $455.46 | $117.83 – $446.36 | 12 |
| Vaccine mmrv live subcutaneous CPT 90710 | $897.96 | $1,348.28 | $348.81 – $1,321.32 | 12 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $382.08 | $573.69 | $148.42 – $562.22 | 12 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $736.49 | $1,105.83 | $286.08 – $1,083.72 | 12 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $143.53 | $215.50 | $55.75 – $211.19 | 12 |
| Vaccine rabies im CPT 90675 | $1,415.70 | $2,125.67 | $549.92 – $2,083.16 | 12 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | $959.44 | $1,440.60 | $372.69 – $1,411.79 | 12 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | $477.34 | $716.72 | $6.73 – $26.00 | 14 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | $320.04 | $480.54 | $102.53 – $470.93 | 14 |
| Vaccine tdap >=7 years im CPT 90715 | $151.75 | $227.85 | $58.95 – $223.30 | 12 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $126.66 | $190.17 | $49.20 – $186.37 | 12 |
| Vaccine varicella live subcutaneous CPT 90716 | $594.76 | $893.03 | $231.03 – $875.17 | 12 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $1,237.03 – $1,237.03 | 5 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $656.68 – $656.68 | 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.