App high cost ss t/a/l <100sq cm addl <25sq cm at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$32.64
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.
$49.00
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.
$12.16 with Health Net vs $46.06 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 →
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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 | $12.16 | ↓ -63% |
| Humana | Medicare|All Plans | $12.16 | ↓ -63% |
| Care 1st | Medicare|All Plans | $12.16 | ↓ -63% |
| Scan Health Plan | Medicare|All Plans | $12.16 | ↓ -63% |
| Aetna | Medicare|All Plans | $12.16 | ↓ -63% |
| Blue Shield CA | Medicare|All Plans | $12.16 | ↓ -63% |
| BCBS - Anthem | Medicare|All Plans | $12.16 | ↓ -63% |
| Kaiser | Medicare|All Plans | $12.16 | ↓ -63% |
| United | Medicare|All Plans | $12.16 | ↓ -63% |
| Health Plan of San Joaquin | Medicaid|All Plans | $16.42 | ↓ -50% |
| Health Net | Medicaid|All Plans | $16.42 | ↓ -50% |
| Kaiser | Medicaid|All Plans | $16.42 | ↓ -50% |
| BCBS - Anthem | Medicaid|All Plans | $16.42 | ↓ -50% |
| California Health & Wellness | Medicaid|All Plans | $16.42 | ↓ -50% |
| BCBS - Anthem | Commercial|Exchange | $25.45 | ↓ -22% |
| United | Commercial|Select | $27.34 | ↓ -16% |
| Blue Shield CA | Commercial|PPO | $30.08 | ↓ -8% |
| Blue Shield CA | Commercial|HMO | $30.08 | ↓ -8% |
| Blue Shield CA | Commercial|Exchange | $30.08 | ↓ -8% |
| United | Commercial|Choice | $31.37 | ↓ -4% |
| BCBS - Anthem | Commercial|All Other Plans | $32.62 | ↓ -0% |
| Health Net | Commercial|All Plans | $35.11 | ↑ +8% |
| First Health | Commercial|All Plans | $35.25 | ↑ +8% |
| United | Commercial|HMO | $36.86 | ↑ +13% |
| Aetna | Commercial|All Other Plans | $38.40 | ↑ +18% |
| Aetna | Commercial|HMO | $38.40 | ↑ +18% |
| Aetna | Commercial|PPO | $38.40 | ↑ +18% |
| Kaiser | Commercial|All Plans | $39.95 | ↑ +22% |
| Cigna | Commercial|PPO | $42.07 | ↑ +29% |
| Cigna | Commercial|All Other Plans | $42.07 | ↑ +29% |
| Multiplan | Commercial|All Plans | $46.06 | ↑ +41% |
Visitor-reported prices
Comments
App high cost ss t/a/l <100sq cm addl <25sq cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $435.34 | $20.20 – $830.00 |
| Bakersfield Memorial Hospital | Bakersfield | $211.40 | $16.42 – $446.49 |
| Healdsburg Hospital | Healdsburg | $1,759.50 | $721.00 – $3,982.87 |
| Sierra Nevada Memorial Hospital | Grass Valley | $344.44 | $16.42 – $619.36 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $451.50 | $353.00 – $4,776.00 |
| Providence Saint Joseph Medical Center | Burbank | $199.15 | $353.00 – $4,751.00 |
| St Jude Medical Center | Fullerton | $909.12 | $1,266.00 – $13,012.00 |
| Providence St Joseph Hospital Orange | Orange | $601.92 | $1,394.00 – $11,456.00 |