Abd paracentesis/w/o image guide 49082 at Mark Twain Medical Center

768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$2,215.12

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

$3,326.00

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$50.97 with Health Net vs $193.06 with Multiplan — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Health Net Medicare|All Plans $50.97 ↓ -98%
Humana Medicare|All Plans $50.97 ↓ -98%
Care 1st Medicare|All Plans $50.97 ↓ -98%
Scan Health Plan Medicare|All Plans $50.97 ↓ -98%
Aetna Medicare|All Plans $50.97 ↓ -98%
Blue Shield CA Medicare|All Plans $50.97 ↓ -98%
BCBS - Anthem Medicare|All Plans $50.97 ↓ -98%
Kaiser Medicare|All Plans $50.97 ↓ -98%
United Medicare|All Plans $50.97 ↓ -98%
Health Plan of San Joaquin Medicaid|All Plans $67.21 ↓ -97%
Health Net Medicaid|All Plans $67.21 ↓ -97%
Kaiser Medicaid|All Plans $67.21 ↓ -97%
BCBS - Anthem Medicaid|All Plans $67.21 ↓ -97%
California Health & Wellness Medicaid|All Plans $67.21 ↓ -97%
BCBS - Anthem Commercial|Exchange $106.64 ↓ -95%
United Commercial|Select $114.58 ↓ -95%
Blue Shield CA Commercial|PPO $126.08 ↓ -94%
Blue Shield CA Commercial|HMO $126.08 ↓ -94%
Blue Shield CA Commercial|Exchange $126.08 ↓ -94%
United Commercial|Choice $131.48 ↓ -94%
BCBS - Anthem Commercial|All Other Plans $136.72 ↓ -94%
Health Net Commercial|All Plans $147.16 ↓ -93%
First Health Commercial|All Plans $147.75 ↓ -93%
United Commercial|HMO $154.47 ↓ -93%
Aetna Commercial|All Other Plans $160.95 ↓ -93%
Aetna Commercial|HMO $160.95 ↓ -93%
Aetna Commercial|PPO $160.95 ↓ -93%
Kaiser Commercial|All Plans $167.45 ↓ -92%
Cigna Commercial|PPO $176.32 ↓ -92%
Cigna Commercial|All Other Plans $176.32 ↓ -92%
Multiplan Commercial|All Plans $193.06 ↓ -91%

Visitor-reported prices

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Abd paracentesis/w/o image guide 49082 at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $508.52 $82.67 – $2,072.04
Banner Lassen Medical Center Susanville $321.78 $187.51 – $447.17
Petaluma Valley Hospital Petaluma $1,660.05 $593.00 – $4,657.00
Arroyo Grande Hospital Santa Maria $861.14 $67.21 – $1,971.76
French Hospital San Luis Obispo $788.71 $67.21 – $1,971.76
Mercy Hospitals – Bakersfield Bakersfield $700.45 $67.21 – $1,510.40
Queen of The Valley Medical Center Napa $2,660.16 $1,287.79 – $7,455.00
Providence St Joseph Hospital Eureka Eureka $2,121.60 $1,166.53 – $8,018.00

All California hospitals for this procedure →