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Mark Twain Medical Center

768 Mountain Ranch Rd, San Andreas, CA 95249 · (209) 754-3521

Critical Access HospitalsVoluntary non-profit - OtherCMS rating 3/5

Price file

Prices published

File dated 2026-02-28

5,161 price rows for 54 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines

$14
cash
$1,595
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines

$756
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$1,169
cash
—
cash
—
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$7
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$427
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$512
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$606
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines

$99
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$18
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$270
cash
$185
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines

$176
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 2 lines

$1,150
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines

$7
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 2 lines

$907
cash
Knee arthroscopy with meniscus repair

CPT 29881 · lowest of 2 lines

$946
cash
—
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines

$9
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$14
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$2,432
cash
$1,673
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$1,674
cash
—
cash
$227
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 6 lines

$103
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 6 lines

$151
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 6 lines

$200
cash
PSA test (prostate)

CPT 84153 · lowest of 10 lines

$3
cash
$4
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines

$494
cash
Prostate biopsy

CPT 55700 · lowest of 6 lines

$238
cash
—
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines

$4
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines

$150
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines

$220
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines

$352
cash
Removal of a breast lump (biopsy by excision)

CPT 19120 · lowest of 6 lines

$725
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines

$260
cash
Shoulder arthroscopy with decompression

CPT 29826 · lowest of 2 lines

$304
cash
$2,171
cash
$202
cash
TSH test (thyroid)

CPT 84443 · lowest of 8 lines

$5
cash
—
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines

$501
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$519
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines

$616
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$711
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines

$60
cash
—
cash
—
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$264
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.