Arthroplasty finger joint 26535 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$908.43
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.
$1,364.00
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.
$352.87 with Health Net vs $1,336.72 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 | $352.87 | ↓ -61% |
| Humana | Medicare|All Plans | $352.87 | ↓ -61% |
| Care 1st | Medicare|All Plans | $352.87 | ↓ -61% |
| Scan Health Plan | Medicare|All Plans | $352.87 | ↓ -61% |
| Aetna | Medicare|All Plans | $352.87 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $352.87 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $352.87 | ↓ -61% |
| Kaiser | Medicare|All Plans | $352.87 | ↓ -61% |
| United | Medicare|All Plans | $352.87 | ↓ -61% |
| Health Plan of San Joaquin | Medicaid|All Plans | $387.06 | ↓ -57% |
| Health Net | Medicaid|All Plans | $387.06 | ↓ -57% |
| Kaiser | Medicaid|All Plans | $387.06 | ↓ -57% |
| BCBS - Anthem | Medicaid|All Plans | $387.06 | ↓ -57% |
| California Health & Wellness | Medicaid|All Plans | $387.06 | ↓ -57% |
| BCBS - Anthem | Commercial|Exchange | $738.34 | ↓ -19% |
| United | Commercial|Select | $793.31 | ↓ -13% |
| Blue Shield CA | Commercial|PPO | $872.96 | ↓ -4% |
| Blue Shield CA | Commercial|HMO | $872.96 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $872.96 | ↓ -4% |
| United | Commercial|Choice | $910.34 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $946.62 | ↑ +4% |
| Health Net | Commercial|All Plans | $1,018.91 | ↑ +12% |
| First Health | Commercial|All Plans | $1,023.00 | ↑ +13% |
| United | Commercial|HMO | $1,069.52 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $1,114.39 | ↑ +23% |
| Aetna | Commercial|HMO | $1,114.39 | ↑ +23% |
| Aetna | Commercial|PPO | $1,114.39 | ↑ +23% |
| Kaiser | Commercial|All Plans | $1,159.40 | ↑ +28% |
| Cigna | Commercial|PPO | $1,220.78 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $1,220.78 | ↑ +34% |
| Multiplan | Commercial|All Plans | $1,336.72 | ↑ +47% |
Visitor-reported prices
Comments
Arthroplasty finger joint 26535 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $6,026.16 | $4,129.00 – $11,185.00 |
| Queen of The Valley Medical Center | Napa | $6,700.38 | $4,645.79 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | $6,740.16 | $4,208.34 – $17,611.00 |
| Healdsburg Hospital | Healdsburg | $3,657.72 | $4,408.51 – $6,970.59 |
| Redwood Memorial Hospital | Fortuna | $3,981.06 | $11,059.00 – $51,997.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,447.42 | $4,552.87 – $11,377.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,885.44 | $3,577.09 – $11,117.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,426.55 | $2,455.00 – $7,730.00 |