Visits & medical services prices at Mark Twain Medical Center

San Andreas, CA · every code in this section with a posted price and a Medicare benchmark.

124 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Acoustic Reflex Testing (92568) $28.64 $43 0.6×
Acupunct W/Stimul 15 Min (97813) $111.23 $167 3.0×
Admn Sarscov2 Vacc 1 Dose (90480)
range across 2 matching MRF lines
$81.26–$84.59 $122–$127 varies
Advncd Care Plan 30 Min (99497) $133.87 $201 1.0×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines
$257.08–$259.74 $386–$390 varies
Analyze neurostim complex (95972) $159.84 $240 1.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $546.79 $821 1.1×
Cardiac Stress Tst,Tracing Only (93017)
range across 3 matching MRF lines
$476.86–$946.39 $716–$1,421 varies
Cardiopulmonary resuscitation (92950)
range across 3 matching MRF lines
$502.83–$522.81 $755–$785 varies
Cardioversion (92960)
range across 2 matching MRF lines
$217.12–$889.78 $326–$1,336 varies
Caregiver hlth risk assmt score doc stnd instrm (96161) $47.29 $71 1.0×
Cbt 1st hour (94644)
range across 2 matching MRF lines
$157.85–$221.78 $237–$333 varies
Chemo Admin Peritoneal Cavity (96446) $307.03 $461 0.7×
Chemo Anti-Neopl Sq/Im (96401) $343.66 $516 3.7×
Chemo Hormon Antineopl Sq/Im (96402) $137.20 $206 1.5×
Chemo IV infusion addl hr (96415) $369.63 $555 4.0×
Chemo IV push addl drug (96411) $807.86 $1,213 8.7×
Chemother Prolong Infuse W/Pump (96416) $1,431.90 $2,150 3.4×
Chemotherapy Into Cns (96450) $453.55 $681 1.1×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $588.75 $884 6.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $1,154.85 $1,734 2.7×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $1,096.91 $1,647 2.6×
Chemotx Njx Subarachnd/Intraventr Rsvr 1/Mult (96542) $177.16 $266 0.4×
Chest Wall Manipulation (94668) $89.25 $134 0.5×
Chiropract manj 3-4 regions (98941) $74.60 $112 2.7×
Chiropractic manipulative treatment (CMT); spinal, 1-2 regions Facility (98940) $51.95 $78 1.9×
Chiropractic manipulative treatment (CMT); spinal, 5 regions Facility (98942) $97.24 $146 3.5×
Color/duplex Doppler, complete (93975)
range across 3 matching MRF lines
$265.07–$2,496.84 $398–$3,749 varies
Color/duplex Doppler, limited (93976) $1,355.98 $2,036 10.1×
Comprehensive Hearing Test (92557) $68.60 $103 0.4×
Continuous Pulse Ox (94762) $509.49 $765 3.1×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 3 matching MRF lines
$2,173.83–$3,244.09 $3,264–$4,871 varies
Cpt initial (94667) $185.82 $279 1.1×
Critical care first hour (99291) $3,850.15 $5,781 3.6×
Debridement Open Wound 20 Sq Cm< (97597)
range across 4 matching MRF lines
$256.41–$368.97 $385–$554 varies
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $1,846.82 $2,773 6.0×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979)
range across 2 matching MRF lines
$161.18–$1,286.72 $242–$1,932 varies
Dup-scan lxtr art/artl bpgs compl bi study (93925) $1,186.15 $1,781 3.9×
Dup-Scan Xtr Veins Complete Bilateral Study (93970)
range across 2 matching MRF lines
$1,170.17–$4,227.11 $1,757–$6,347 varies
Dup-scan xtr veins unilateral/limited study (93971) $787.88 $1,183 5.9×
Duplex Scan Hemodialysis Access (93990) $1,746.92 $2,623 13.0×
Duplex up extrem art bilat (93930) $1,170.17 $1,757 3.8×
Echo Heart Xthoracic,Limited (93308) $165.17 $248 0.5×
Echo transesophageal (93312) $213.12 $320 0.3×
EEG awake and asleep (95819) $724.61 $1,088 2.6×
EEG awake drowsy (95816) $616.05 $925 2.2×
EEG extended monitoring 61-119 minutes (95813) $684.65 $1,028 2.5×
Electrocardiogram Tracing (93005)
range across 3 matching MRF lines
$248.42–$360.98 $373–$542 varies
Emergency Dept Visit Level 2 (99282)
range across 2 matching MRF lines
$81.26–$458.88 $122–$689 varies
Emergency Dept Visit Level 3 (99283)
range across 2 matching MRF lines
$120.55–$746.59 $181–$1,121 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines
$237.10–$1,310.03 $356–$1,967 varies
Emg 3 Extremities (95863) $232.44 $349 1.4×
Er level 1 (99281)
range across 2 matching MRF lines
$41.30–$262.41 $62–$394 varies
Er level v (99285)
range across 2 matching MRF lines
$357.65–$1,886.78 $537–$2,833 varies
Evaluate pt use of inhaler (94664)
range across 3 matching MRF lines
$61.28–$306.36 $92–$460 varies
Extracranial Bilat Study (93880)
range across 2 matching MRF lines
$309.69–$1,934.73 $465–$2,905 varies
F-up/limited tthrc echo congenital car anomaly (93304) $1,252.08 $1,880 1.8×
High altitude simulation test (94452) $179.82 $270 1.1×
Holter monitor recording (93225) $45.29 $68 0.3×
Im Adm Intransl/Oral 1 Vaccine (90473) $19.98 $30 0.2×
Img retina detcj/mntr ds rem clin staff uni/bi (92227) $101.24 $152 1.3×
Img Retina Detcj/Mntr Ds Rem Phys/Qhp I&R Uni/Bi (92228) $66.60 $100 1.4×
Immunization administration (90471)
range across 6 matching MRF lines
$17.99–$135.87 $27–$204 varies
Irrig Drug Delivery Device (96523) $198.47 $298 2.6×
IV infusion hydration each additional hour (96361) $438.90 $659 7.3×
IV infusion hydration initial 31 min-1 hour (96360)
range across 2 matching MRF lines
$577.43 $16–$867 2.1×
IV infusion ther proph addl sequential to 1 hr (96367) $692.64 $1,040 7.5×
IV infusion therapy prophylaxis/dx ea hour (96366) $542.79 $815 9.0×
IV push initial (96374)
range across 3 matching MRF lines
$84.59–$339 $127–$509 varies
Lwr Xtr Vasc Stdy Bilat (93924) $1,166.84 $1,752 4.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines
$23.98–$129.21 $36–$194 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802)
range across 2 matching MRF lines
$23.98–$123.21 $36–$185 varies
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $130.54 $196 7.7×
Methacholine challenge (94070)
range across 2 matching MRF lines
$808.53–$951.05 $1,214–$1,428 varies
Microvolt T-Wave Assess (93025) $271.73 $408 1.6×
Muscle Test 2 Limbs (95861) $173.83 $261 1.0×
Muscle Test One Limb (95860) $135.20 $203 0.8×
Nasopharyngoscopy (92511) $203.80 $306 0.8×
Needle Emg Thrc Paraspi Musc Excluding T1/T12 (95869) $139.86 $210 0.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $34.64 $52 0.1×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$47.29–$109.23 $71–$164 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606)
range across 2 matching MRF lines
$58.61–$61.94 $88–$93 varies
Nerve Conduction Studies 1-2 Studies (95907)
range across 2 matching MRF lines
$83.25–$91.91 $125–$138 varies
Nerve Conduction Studies 11-12 Studies (95912)
range across 2 matching MRF lines
$195.81–$214.46 $294–$322 varies
Nerve Conduction Studies 3-4 Studies (95908)
range across 2 matching MRF lines
$111.23–$122.55 $167–$184 varies
Nerve conduction studies 5-6 studies (95909)
range across 2 matching MRF lines
$133.20–$145.86 $200–$219 varies
Nerve conduction studies 7-8 studies (95910)
range across 2 matching MRF lines
$172.50–$190.48 $259–$286 varies
Nerve Conduction Studies 9-10 Studies (95911)
range across 2 matching MRF lines
$194.48–$213.12 $292–$320 varies
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $89.91 $135 0.5×
Osteopathic Manipulative Tx 1-2 Body Regions (98925) $41.30 $62 1.5×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $217.79 $327 1.3×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $147.19 $221 0.5×
Peripheral arterial disease rehab per session (93668) $181.82 $273 2.4×
Phlebotomy therapeutic (99195) $305.70 $459 1.8×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $266.40 $400 3.5×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $266.40 $400 3.5×
Plethysmography (94726)
range across 2 matching MRF lines
$500.17–$562.11 $751–$844 varies
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $25.31 $38 0.4×
Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) $34.64 $52 0.6×
Psychiatric diagnostic evaluation (90791) $230.44 $346 1.0×
Pulm function test by gas (94727)
range across 2 matching MRF lines
$454.88–$511.49 $683–$768 varies
Pulmonary service/procedure (94799) $127.88 $192 0.8×
Refill/Maint Portable Pump (96521) $276.39 $415 1.0×
Remote 30 Day Ecg Rev/Report (93270) $15.32 $23 0.3×
Respiratory flow volume loop (94375)
range across 2 matching MRF lines
$50.62–$216.45 $76–$325 varies
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602)
range across 2 matching MRF lines
$131.87–$153.18 $198–$230 varies
Spirometry (94010) $154.52 $232 0.6×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 4 matching MRF lines
$33.97–$132.54 $51–$199 varies
Ther/Proph/Diag Iv Inf Init (96365) $692.64 $1,040 2.5×
Tobacco Use Cessation Intensive >10 Minutes (99407) $139.86 $210 2.9×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406)
range across 2 matching MRF lines
$64.61–$67.94 $97–$102 varies
Trans Care Mgmt 14 Day Disch (99495) $192.48 $289 1.1×
Trans Care Mgmt 7 Day Disch (99496) $277.06 $416 1.6×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines
$1,403.27–$1,509.16 $2,107–$2,266 varies
Tte W/O Doppler Complete (93307) $1,082.25 $1,625 3.5×
Tx/Pro/Dx Inj New Drug Addon (96375)
range across 2 matching MRF lines
$84.59–$230.44 $127–$346 varies
Tympanometry (92567) $39.30 $59 0.8×
Tympanometry and reflex threshold measurements (92550) $38.63 $58 0.1×
Unlisted otorhinolaryngological service (92700) $204.47 $307 5.5×
Upr/L Xtremity Art 2 Levels (93922)
range across 2 matching MRF lines
$531.47–$747.92 $798–$1,123 varies
Upr/Lxtr Art Stdy 3+ Lvls (93923) $1,062.27 $1,595 3.8×
Vent Mgmt Inpat Init Day (94002) $2,855.81 $4,288 3.6×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $2,855.81 $4,288 3.6×
Vital capacity, total (94150)
range across 2 matching MRF lines
$127.88–$128.54 $192–$193 varies

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.