Aco annual medicare visit (awv), subsq g0439aco at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$195.81
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.
$294.00
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.
$52.52 with Scan Health Plan vs $198.94 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 |
|---|---|---|---|
| Scan Health Plan | Medicare|All Plans | $52.52 | ↓ -73% |
| Humana | Medicare|All Plans | $52.52 | ↓ -73% |
| Aetna | Medicare|All Plans | $52.52 | ↓ -73% |
| United | Medicare|All Plans | $52.52 | ↓ -73% |
| Health Net | Medicare|All Plans | $52.52 | ↓ -73% |
| Kaiser | Medicare|All Plans | $52.52 | ↓ -73% |
| BCBS - Anthem | Medicare|All Plans | $52.52 | ↓ -73% |
| Blue Shield CA | Medicare|All Plans | $52.52 | ↓ -73% |
| Care 1st | Medicare|All Plans | $52.52 | ↓ -73% |
| BCBS - Anthem | Commercial|Exchange | $109.89 | ↓ -44% |
| United | Commercial|Select | $118.07 | ↓ -40% |
| Blue Shield CA | Commercial|HMO | $129.92 | ↓ -34% |
| Blue Shield CA | Commercial|PPO | $129.92 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $129.92 | ↓ -34% |
| United | Commercial|Choice | $135.49 | ↓ -31% |
| BCBS - Anthem | Commercial|All Other Plans | $140.89 | ↓ -28% |
| Health Net | Commercial|All Plans | $151.65 | ↓ -23% |
| First Health | Commercial|All Plans | $152.25 | ↓ -22% |
| United | Commercial|HMO | $159.18 | ↓ -19% |
| Aetna | Commercial|All Other Plans | $165.86 | ↓ -15% |
| Aetna | Commercial|PPO | $165.86 | ↓ -15% |
| Aetna | Commercial|HMO | $165.86 | ↓ -15% |
| Kaiser | Commercial|All Plans | $172.55 | ↓ -12% |
| Cigna | Commercial|All Other Plans | $181.69 | ↓ -7% |
| Cigna | Commercial|PPO | $181.69 | ↓ -7% |
| Multiplan | Commercial|All Plans | $198.94 | ↑ +2% |
Visitor-reported prices
Comments
Aco annual medicare visit (awv), subsq g0439aco at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Healdsburg Hospital | Healdsburg | $192.78 | not published |
| Redwood Memorial Hospital | Fortuna | $214.20 | not published |
| Mercy Medical Center Merced | Merced | $213.73 | $131.09 – $390.10 |
| Mercy Medical Center Redding | Redding | $133.85 | $131.09 – $258.72 |
| Queen of The Valley Medical Center | Napa | not published | $169.55 – $169.55 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $166.16 – $169.55 |
| Providence Saint Joseph Medical Center | Burbank | not published | $151.43 – $280.15 |
| St Jude Medical Center | Fullerton | not published | $128.72 – $280.15 |