Assay of prostaglandin at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$216.45
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.
?
What you pay up front if you don't use insurance.
$325.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$38.97 with BCBS - Anthem vs $318.50 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $38.97 | ↓ -82% |
| Kaiser | Medicaid|All Plans | $38.97 | ↓ -82% |
| Health Net | Medicaid|All Plans | $38.97 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $38.97 | ↓ -82% |
| Health Plan of San Joaquin | Medicaid|All Plans | $38.97 | ↓ -82% |
| Care 1st | Medicare|All Plans | $41.77 | ↓ -81% |
| Humana | Medicare|All Plans | $41.77 | ↓ -81% |
| Aetna | Medicare|All Plans | $41.77 | ↓ -81% |
| United | Medicare|All Plans | $41.77 | ↓ -81% |
| Health Net | Medicare|All Plans | $41.77 | ↓ -81% |
| Kaiser | Medicare|All Plans | $41.77 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $41.77 | ↓ -81% |
| Blue Shield CA | Medicare|All Plans | $41.77 | ↓ -81% |
| Scan Health Plan | Medicare|All Plans | $41.77 | ↓ -81% |
| BCBS - Anthem | Commercial|Exchange | $175.93 | ↓ -19% |
| United | Commercial|Select | $189.02 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $208.00 | ↓ -4% |
| Blue Shield CA | Commercial|PPO | $208.00 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $208.00 | ↓ -4% |
| United | Commercial|Choice | $216.91 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $225.55 | ↑ +4% |
| Health Net | Commercial|All Plans | $242.78 | ↑ +12% |
| First Health | Commercial|All Plans | $243.75 | ↑ +13% |
| United | Commercial|HMO | $254.84 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $265.53 | ↑ +23% |
| Aetna | Commercial|HMO | $265.53 | ↑ +23% |
| Aetna | Commercial|PPO | $265.53 | ↑ +23% |
| Kaiser | Commercial|All Plans | $276.25 | ↑ +28% |
| Cigna | Commercial|PPO | $290.88 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $290.88 | ↑ +34% |
| Multiplan | Commercial|All Plans | $318.50 | ↑ +47% |
Visitor-reported prices
Comments
Assay of prostaglandin at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $203.45 | $8.35 – $315.25 |
| Arroyo Grande Hospital | Santa Maria | $139.10 | $38.97 – $112.70 |
| French Hospital | San Luis Obispo | $127.40 | $31.05 – $126.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $252.85 | $27.17 – $112.70 |
| Northridge Hospital Medical Center | Northridge | $90.68 | $38.97 – $325.00 |
| Mercy Medical Center Redding | Redding | $164.78 | $27.17 – $112.70 |
| St. Elizabeth Community Hospital | Red Bluff | $189.80 | $27.17 – $112.70 |
| Petaluma Valley Hospital | Petaluma | not published | $40.93 – $203.73 |