Alys cplx sp/pn npgt w/prgrm 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

$159.84

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.

$240.00

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.

$62.09 with Health Net vs $235.20 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 $62.09 ↓ -61%
Humana Medicare|All Plans $62.09 ↓ -61%
Care 1st Medicare|All Plans $62.09 ↓ -61%
Scan Health Plan Medicare|All Plans $62.09 ↓ -61%
Aetna Medicare|All Plans $62.09 ↓ -61%
Blue Shield CA Medicare|All Plans $62.09 ↓ -61%
BCBS - Anthem Medicare|All Plans $62.09 ↓ -61%
Kaiser Medicare|All Plans $62.09 ↓ -61%
United Medicare|All Plans $62.09 ↓ -61%
Health Plan of San Joaquin Medicaid|All Plans $74.28 ↓ -54%
Health Net Medicaid|All Plans $74.28 ↓ -54%
Kaiser Medicaid|All Plans $74.28 ↓ -54%
BCBS - Anthem Medicaid|All Plans $74.28 ↓ -54%
California Health & Wellness Medicaid|All Plans $74.28 ↓ -54%
BCBS - Anthem Commercial|Exchange $129.92 ↓ -19%
United Commercial|Select $139.59 ↓ -13%
Blue Shield CA Commercial|PPO $153.60 ↓ -4%
Blue Shield CA Commercial|HMO $153.60 ↓ -4%
Blue Shield CA Commercial|Exchange $153.60 ↓ -4%
United Commercial|Choice $160.18 ↑ +0%
BCBS - Anthem Commercial|All Other Plans $166.56 ↑ +4%
Health Net Commercial|All Plans $179.28 ↑ +12%
First Health Commercial|All Plans $180.00 ↑ +13%
United Commercial|HMO $188.19 ↑ +18%
Aetna Commercial|All Other Plans $196.08 ↑ +23%
Aetna Commercial|HMO $196.08 ↑ +23%
Aetna Commercial|PPO $196.08 ↑ +23%
Kaiser Commercial|All Plans $204.00 ↑ +28%
Cigna Commercial|PPO $214.80 ↑ +34%
Cigna Commercial|All Other Plans $214.80 ↑ +34%
Multiplan Commercial|All Plans $235.20 ↑ +47%

Visitor-reported prices

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Alys cplx sp/pn npgt w/prgrm at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $190.10 $56.06 – $338.52
Arroyo Grande Hospital Santa Maria $223.42 $74.28 – $511.56
French Hospital San Luis Obispo $204.63 $74.28 – $511.56
Mercy Hospitals – Bakersfield Bakersfield $191.81 $74.28 – $413.60
Bakersfield Memorial Hospital Bakersfield $189.74 $74.28 – $408.43
St. Joseph's Medical Center Stockton Stockton $155.24 $74.28 – $432.96
Mercy Medical Center Mt. Shasta Mt Shasta $327.54 $101.04 – $412.58
Mercy Medical Center Merced Merced $203.43 $74.28 – $395.00

All California hospitals for this procedure →