Mark Twain Medical Center

San Andreas, CA · Critical Access Hospital

Posts prices for 47 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 3 matching MRF lines
$725.28–$1,357.31 $1,089–$2,038 varies
Shoulder arthroscopy with decompression (29826) $304.37 $457 —
Knee arthroscopy with meniscectomy (29881) $946.39 $1,421 0.2×
Upper GI endoscopy (EGD), diagnostic (43235) $616.05 $925 0.5×
Upper GI endoscopy (EGD) with biopsy (43239) $710.63 $1,067 0.6×
Diagnostic colonoscopy (45378) $426.91 $641 0.4×
Colonoscopy with biopsy (45380) $512.16 $769 0.3×
Colonoscopy with lesion removal (45385) $606.06 $910 0.4×
Laparoscopic gallbladder removal (47562)
likely a partial charge, not the full procedure
$1,149.52 $1,726 0.1×
Inguinal hernia repair (age 5+) (49505) $907.10 $1,362 0.2×
Epidural injection, lumbar/sacral (with imaging) (62322) $2,609.39 $3,918 2.3×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 4 matching MRF lines
$227.11–$1,625.71 $341–$2,441 varies
CT head/brain without contrast (70450) $755.91 $1,135 5.6×
MRI brain without contrast (70551) $1,976.03 $2,967 6.4×
MRI brain with contrast (70552) $2,127.87 $3,195 4.7×
MRI brain without and with contrast (70553) $2,432.24 $3,652 5.4×
X-ray lower spine, 4+ views (72110) $263.74 $396 2.0×
MRI lumbar spine without contrast (72148) $1,673 $2,512 5.5×
CT pelvis with contrast (72193) $1,168.83 $1,755 5.2×
CT abdomen and pelvis with contrast (74177) $1,595.07 $2,395 3.6×
Ultrasound, abdomen complete (76700) $519.48 $780 3.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $494.18 $742 3.7×
Ultrasound, transvaginal (76830) $500.84 $752 3.7×
Mammography, both breasts (diagnostic) (77066) $269.73 $405 2.4×
Mammography, screening (bilateral) (77067) $259.74 $390 2.8×
Basic metabolic panel (80048)
range across 2 matching MRF lines
$14.09–$149.85 $21.15–$225 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$17.59–$160.51 $26.40–$241 varies
Obstetric panel (80055) $139.86 $210 2.9×
Lipid panel (80061)
range across 5 matching MRF lines
$9.38–$101.90 $14.08–$153 varies
Renal function panel (80069) $136.53 $205 15.7×
Hepatic function panel (80076)
range across 2 matching MRF lines
$13.61–$144.53 $20.43–$217 varies
Urinalysis, non-automated, without microscopy (81002) $9.33 $14 2.7×
PSA, total (84153)
range across 5 matching MRF lines
$3.33–$127.21 $5–$191 varies
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines
$5.33–$139.20 $8–$209 varies
CBC with automated differential (85025) $99.24 $149 12.8×
CBC, automated (85027)
range across 2 matching MRF lines
$10.78–$73.26 $16.18–$110 varies
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
$4.45–$83.25 $6.67–$125 varies
Partial thromboplastin time (PTT) (85730)
range across 8 matching MRF lines
$4.44–$79.26 $6.66–$119 varies
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$149.85–$165.84 $225–$249 varies
Psychotherapy, 45 minutes (90834) $220.45 $331 1.0×
Psychotherapy, 60 minutes (90837) $352.32 $529 1.5×
Family psychotherapy, without patient (50 min) (90846) $176.49 $265 0.8×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$102.57–$175.16 $154–$263 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$151.19–$291.05 $227–$437 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$199.80–$402.27 $300–$604 varies
Office consultation (low complexity, ~30 min) (99243) $209.79 $315 1.2×
Office consultation (moderate complexity, ~40 min) (99244) $319.02 $479 1.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (JSON, 68.6 MB) ↓ — captured 2026-09-03

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