Acetone qualitative at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$135.87
Cash price 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.
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What you pay up front if you don't use insurance.
$204.00
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$4.52 with Health Net vs $183.26 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 →
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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 ?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 ?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 | $4.52 | ↓ -97% |
| Humana | Medicare|All Plans | $4.52 | ↓ -97% |
| Care 1st | Medicare|All Plans | $4.52 | ↓ -97% |
| Scan Health Plan | Medicare|All Plans | $4.52 | ↓ -97% |
| Aetna | Medicare|All Plans | $4.52 | ↓ -97% |
| Blue Shield CA | Medicare|All Plans | $4.52 | ↓ -97% |
| BCBS - Anthem | Medicare|All Plans | $4.52 | ↓ -97% |
| Kaiser | Medicare|All Plans | $4.52 | ↓ -97% |
| United | Medicare|All Plans | $4.52 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|All Plans | $5.39 | ↓ -96% |
| Health Net | Medicaid|All Plans | $5.39 | ↓ -96% |
| Kaiser | Medicaid|All Plans | $5.39 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $5.39 | ↓ -96% |
| California Health & Wellness | Medicaid|All Plans | $5.39 | ↓ -96% |
| BCBS - Anthem | Commercial|Exchange | $110.43 | ↓ -19% |
| United | Commercial|Select | $118.65 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $130.56 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $130.56 | ↓ -4% |
| Blue Shield CA | Commercial|PPO | $130.56 | ↓ -4% |
| United | Commercial|Choice | $136.15 | ↑ +0% |
| First Health | Commercial|All Plans | $140.25 | ↑ +3% |
| BCBS - Anthem | Commercial|All Other Plans | $141.58 | ↑ +4% |
| Health Net | Commercial|All Plans | $150.35 | ↑ +11% |
| Aetna | Commercial|All Other Plans | $152.78 | ↑ +12% |
| Aetna | Commercial|HMO | $152.78 | ↑ +12% |
| Aetna | Commercial|PPO | $152.78 | ↑ +12% |
| Kaiser | Commercial|All Plans | $158.95 | ↑ +17% |
| United | Commercial|HMO | $159.96 | ↑ +18% |
| Cigna | Commercial|All Other Plans | $167.37 | ↑ +23% |
| Cigna | Commercial|PPO | $167.37 | ↑ +23% |
| Multiplan | Commercial|All Plans | $183.26 | ↑ +35% |
Visitor-reported prices
Comments
Acetone qualitative at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $143.82 | $4.43 – $36.93 |
| Mercy Hospitals – Bakersfield | Bakersfield | $129.85 | $4.52 – $86.40 |
| Bakersfield Memorial Hospital | Bakersfield | $128.45 | $4.52 – $85.32 |
| St. Joseph's Behavioral Health Center | Stockton | $106.78 | $4.52 – $149.60 |
| St. Joseph's Medical Center Stockton | Stockton | $79.97 | $3.84 – $223.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $84.66 | $4.43 – $39.71 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $52.13 | $2.36 – $4.52 |
| Mercy Medical Center Merced | Merced | $78.80 | $4.52 – $143.82 |