Application finger splntstatic 29130 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

$87.92

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.

$132.00

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.

$25.64 with BCBS - Anthem vs $100.94 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 →

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
BCBS - Anthem Medicaid|All Plans $25.64 ↓ -71%
Kaiser Medicaid|All Plans $25.64 ↓ -71%
Health Net Medicaid|All Plans $25.64 ↓ -71%
California Health & Wellness Medicaid|All Plans $25.64 ↓ -71%
Health Plan of San Joaquin Medicaid|All Plans $25.64 ↓ -71%
Care 1st Medicare|All Plans $26.65 ↓ -70%
Humana Medicare|All Plans $26.65 ↓ -70%
Aetna Medicare|All Plans $26.65 ↓ -70%
United Medicare|All Plans $26.65 ↓ -70%
Health Net Medicare|All Plans $26.65 ↓ -70%
Kaiser Medicare|All Plans $26.65 ↓ -70%
BCBS - Anthem Medicare|All Plans $26.65 ↓ -70%
Blue Shield CA Medicare|All Plans $26.65 ↓ -70%
Scan Health Plan Medicare|All Plans $26.65 ↓ -70%
BCBS - Anthem Commercial|Exchange $55.76 ↓ -37%
United Commercial|Select $59.91 ↓ -32%
Blue Shield CA Commercial|HMO $65.92 ↓ -25%
Blue Shield CA Commercial|PPO $65.92 ↓ -25%
Blue Shield CA Commercial|Exchange $65.92 ↓ -25%
United Commercial|Choice $68.75 ↓ -22%
BCBS - Anthem Commercial|All Other Plans $71.49 ↓ -19%
Health Net Commercial|All Plans $76.95 ↓ -12%
First Health Commercial|All Plans $77.25 ↓ -12%
United Commercial|HMO $80.77 ↓ -8%
Aetna Commercial|All Other Plans $84.16 ↓ -4%
Aetna Commercial|HMO $84.16 ↓ -4%
Aetna Commercial|PPO $84.16 ↓ -4%
Kaiser Commercial|All Plans $87.55 ↓ -0%
Cigna Commercial|PPO $92.19 ↑ +5%
Cigna Commercial|All Other Plans $92.19 ↑ +5%
Multiplan Commercial|All Plans $100.94 ↑ +15%

Visitor-reported prices

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Application finger splntstatic 29130 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $792.03 $179.30 – $1,687.00
Arroyo Grande Hospital Santa Maria $135.25 $25.64 – $699.00
French Hospital San Luis Obispo $117.21 $25.64 – $1,149.00
Queen of The Valley Medical Center Napa $1,145.97 $188.91 – $6,200.00
Providence St Joseph Hospital Eureka Eureka $803.76 $171.12 – $8,018.00
Healdsburg Hospital Healdsburg $253.98 $179.26 – $721.00
Redwood Memorial Hospital Fortuna $805.80 $1,333.00 – $8,222.00
Santa Rosa Memorial Hospital Santa Rosa $831.81 $185.13 – $4,042.00

All California hospitals for this procedure →