Abdominal paracentesis w/image guidance 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

$1,631.70

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.

$2,450.00

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.

$75.29 with Health Net vs $285.18 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 $75.29 ↓ -95%
Humana Medicare|All Plans $75.29 ↓ -95%
Care 1st Medicare|All Plans $75.29 ↓ -95%
Scan Health Plan Medicare|All Plans $75.29 ↓ -95%
Aetna Medicare|All Plans $75.29 ↓ -95%
Blue Shield CA Medicare|All Plans $75.29 ↓ -95%
BCBS - Anthem Medicare|All Plans $75.29 ↓ -95%
Kaiser Medicare|All Plans $75.29 ↓ -95%
United Medicare|All Plans $75.29 ↓ -95%
Health Plan of San Joaquin Medicaid|All Plans $103.10 ↓ -94%
Health Net Medicaid|All Plans $103.10 ↓ -94%
Kaiser Medicaid|All Plans $103.10 ↓ -94%
BCBS - Anthem Medicaid|All Plans $103.10 ↓ -94%
California Health & Wellness Medicaid|All Plans $103.10 ↓ -94%
BCBS - Anthem Commercial|Exchange $157.52 ↓ -90%
United Commercial|Select $169.25 ↓ -90%
Blue Shield CA Commercial|PPO $186.24 ↓ -89%
Blue Shield CA Commercial|HMO $186.24 ↓ -89%
Blue Shield CA Commercial|Exchange $186.24 ↓ -89%
United Commercial|Choice $194.22 ↓ -88%
BCBS - Anthem Commercial|All Other Plans $201.96 ↓ -88%
Health Net Commercial|All Plans $217.38 ↓ -87%
First Health Commercial|All Plans $218.25 ↓ -87%
United Commercial|HMO $228.18 ↓ -86%
Aetna Commercial|All Other Plans $237.75 ↓ -85%
Aetna Commercial|HMO $237.75 ↓ -85%
Aetna Commercial|PPO $237.75 ↓ -85%
Kaiser Commercial|All Plans $247.35 ↓ -85%
Cigna Commercial|PPO $260.45 ↓ -84%
Cigna Commercial|All Other Plans $260.45 ↓ -84%
Multiplan Commercial|All Plans $285.18 ↓ -83%

Visitor-reported prices

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Abdominal paracentesis w/image guidance at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $635.54 $126.81 – $2,072.04
Banner Lassen Medical Center Susanville $840.39 $148.04 – $1,167.88
Petaluma Valley Hospital Petaluma $1,660.05 $1,222.26 – $4,657.00
Arroyo Grande Hospital Santa Maria $1,746.67 $103.10 – $2,742.04
French Hospital San Luis Obispo $1,599.76 $103.10 – $2,518.60
Mercy Hospitals – Bakersfield Bakersfield $680.05 $103.10 – $1,466.40
Bakersfield Memorial Hospital Bakersfield $672.72 $103.10 – $1,448.07
Queen of The Valley Medical Center Napa $1,503.48 $1,287.79 – $7,455.00

All California hospitals for this procedure →