Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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MARK TWAIN MEDICAL CENTER

San Andreas, CA · CCN 051332 · Rates published

You selected 302 (APR_DRG)

PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES

This hospital’s price: $54,039 across 5 payers

Source: https://www.commonspirit.org/content/dam/commonspiritorg/en/dhcva/cacv/finance/price-transparency/680127677-1508968819_mark-twain-medical-center_standardcharges.json · observed 2026-02-28

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,904 distinct procedures filed
14 distinct payers
712,006 rate rows
2026-02-28 last MRF observed

642,724 of 712,006 rate rows are consumer-grade (90.3%)

69,282 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 45,152
per-diem day rate — not a per-procedure price 24,022
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 56
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 52
↓ Download audit trail (JSON)
Source MRF file https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/central-california/680127677_Mark-Twain-Medical-Center_standardcharges.csv
Discovered viaDiscovered by HANK
Last fetch success · 2026-08-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
5834
APR_DRG
Neonate With Ecmo 11 $788,597.00 $788,597.00 $788,597.00 nat. median
$311,018

outlier · 2.5×
5833
APR_DRG
Neonate With Ecmo 11 $686,765.00 $686,765.00 $686,765.00 nat. median
$250,089

outlier · 2.7×
5884
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 11 $588,192.00 $588,192.00 $588,192.00 nat. median
$254,667

outlier · 2.3×
J1670
HCPCS
Ig Tetanus 250u Syrntb 12 $205,726.85 $779,328.59 $551,891.88 nat. median
$932

outlier · 592.1×
1614
APR_DRG
Implantable Heart Assist Systems 11 $542,523.00 $542,523.00 $542,523.00 nat. median
$209,486

outlier · 2.6×
24
APR_DRG
Heart And/or Lung Transplant 11 $525,586.00 $525,586.00 $525,586.00 nat. median
$243,231

outlier · 2.2×
5832
APR_DRG
Neonate With Ecmo 11 $430,963.00 $430,963.00 $430,963.00 nat. median
$169,230

outlier · 2.5×
1613
APR_DRG
Implantable Heart Assist Systems 11 $411,107.00 $411,107.00 $411,107.00 nat. median
$127,938

outlier · 3.2×
6304
APR_DRG
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $399,792.00 $399,792.00 $399,792.00 nat. median
$160,171

outlier · 2.5×
8414
APR_DRG
Extensive Third Degree Burns With Skin Graft 11 $389,650.00 $389,650.00 $389,650.00 nat. median
$165,646

outlier · 2.4×
5934
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $386,671.00 $386,671.00 $386,671.00 nat. median
$156,285

outlier · 2.5×
5914
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $382,814.00 $382,814.00 $382,814.00 nat. median
$168,361

outlier · 2.3×
5883
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 11 $377,250.00 $377,250.00 $377,250.00 nat. median
$180,995

outlier · 2.1×
6314
APR_DRG
Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 $376,075.00 $376,075.00 $376,075.00 nat. median
$147,677

outlier · 2.5×
6094
APR_DRG
Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 $371,775.00 $371,775.00 $371,775.00 nat. median
$168,174

outlier · 2.2×
5882
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 11 $367,217.00 $367,217.00 $367,217.00 nat. median
$147,847

outlier · 2.5×
94
APR_DRG
Extracorporeal Membrane Oxygenation (ecmo) 11 $350,191.00 $350,191.00 $350,191.00 nat. median
$165,599

outlier · 2.1×
5831
APR_DRG
Neonate With Ecmo 11 $349,000.00 $349,000.00 $349,000.00 nat. median
$154,685

outlier · 2.3×
44
APR_DRG
Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $343,714.00 $343,714.00 $343,714.00 nat. median
$127,600

outlier · 2.7×
74
APR_DRG
Allogeneic Bone Marrow Transplant 11 $340,265.00 $340,265.00 $340,265.00 nat. median
$175,480

1.9× median
23
APR_DRG
Heart And/or Lung Transplant 11 $332,647.00 $332,647.00 $332,647.00 nat. median
$116,111

outlier · 2.9×
14
APR_DRG
Liver Transplant And/or Intestinal Transplant 11 $329,876.00 $329,876.00 $329,876.00 nat. median
$137,901

outlier · 2.4×
1612
APR_DRG
Implantable Heart Assist Systems 11 $329,685.00 $329,685.00 $329,685.00 nat. median
$93,192

outlier · 3.5×
1611
APR_DRG
Implantable Heart Assist Systems 11 $313,576.00 $313,576.00 $313,576.00 nat. median
$82,164

outlier · 3.8×
6034
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 $290,060.00 $290,060.00 $290,060.00 nat. median
$109,499

outlier · 2.6×
6024
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $279,015.00 $279,015.00 $279,015.00 nat. median
$123,690

outlier · 2.3×
64
APR_DRG
Pancreas Transplant 11 $262,832.00 $262,832.00 $262,832.00 nat. median
$92,994

outlier · 2.8×
5933
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $260,447.00 $260,447.00 $260,447.00 nat. median
$112,711

outlier · 2.3×
5913
APR_DRG
Neonate Birth Weight 500-749 Grams Without Major Procedure 11 $250,628.00 $250,628.00 $250,628.00 nat. median
$108,751

outlier · 2.3×
1604
APR_DRG
Major Cardiothoracic Repair Of Heart Anomaly 11 $247,376.00 $247,376.00 $247,376.00 nat. median
$101,315

outlier · 2.4×
5881
APR_DRG
Neonate Birth Weight < 1500 Grams With Major Procedure 11 $244,241.00 $244,241.00 $244,241.00 nat. median
$120,928

outlier · 2.0×
22
APR_DRG
Heart And/or Lung Transplant 11 $239,416.00 $239,416.00 $239,416.00 nat. median
$94,014

outlier · 2.5×
54
APR_DRG
Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 $235,998.00 $235,998.00 $235,998.00 nat. median
$88,000

outlier · 2.7×
43
APR_DRG
Tracheostomy With Mv >96 Hours With Extensive Procedure 11 $227,173.00 $227,173.00 $227,173.00 nat. median
$78,024

outlier · 2.9×
6074
APR_DRG
Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 $216,894.00 $216,894.00 $216,894.00 nat. median
$99,613

outlier · 2.2×
6303
APR_DRG
Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 $216,567.00 $216,567.00 $216,567.00 nat. median
$80,447

outlier · 2.7×
3034
APR_DRG
Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 $214,882.00 $214,882.00 $214,882.00 nat. median
$84,380

outlier · 2.5×
8424
APR_DRG
Burns With Skin Graft Except Extensive Third Degree Burns 11 $212,685.00 $212,685.00 $212,685.00 nat. median
$83,517

outlier · 2.5×
1624
APR_DRG
Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 11 $211,551.00 $211,551.00 $211,551.00 nat. median
$82,636

outlier · 2.6×
6023
APR_DRG
Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 $210,776.00 $210,776.00 $210,776.00 nat. median
$92,000

outlier · 2.3×
63
APR_DRG
Pancreas Transplant 11 $208,082.00 $208,082.00 $208,082.00 nat. median
$75,474

outlier · 2.8×
5932
APR_DRG
Neonate Birth Weight 750-999 Grams Without Major Procedure 11 $202,505.00 $202,505.00 $202,505.00 nat. median
$89,063

outlier · 2.3×
4404
APR_DRG
Kidney Transplant 11 $199,408.00 $199,408.00 $199,408.00 nat. median
$80,513

outlier · 2.5×
21
APR_DRG
Heart And/or Lung Transplant 11 $196,824.00 $196,824.00 $196,824.00 nat. median
$74,854

outlier · 2.6×
73
APR_DRG
Allogeneic Bone Marrow Transplant 11 $195,049.00 $195,049.00 $195,049.00 nat. median
$89,814

outlier · 2.2×
13
APR_DRG
Liver Transplant And/or Intestinal Transplant 11 $187,696.00 $187,696.00 $187,696.00 nat. median
$74,748

outlier · 2.5×
1634
APR_DRG
Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 11 $178,989.00 $178,989.00 $178,989.00 nat. median
$68,121

outlier · 2.6×
8634
APR_DRG
Neonatal Aftercare 11 $172,770.00 $172,770.00 $172,770.00 nat. median
$72,289

outlier · 2.4×
1784
APR_DRG
External Heart Assist Systems 11 $171,979.00 $171,979.00 $171,979.00 nat. median
$65,636

outlier · 2.6×
62
APR_DRG
Pancreas Transplant 11 $170,924.00 $170,924.00 $170,924.00 nat. median
$58,394

outlier · 2.9×

Other procedures at this hospital

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