Biopsy arm/elbow soft tissue at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$730.61
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.
$1,097.00
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.
$252.49 with BCBS - Anthem vs $1,075.06 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $252.49 | ↓ -65% |
| Kaiser | Medicaid|All Plans | $252.49 | ↓ -65% |
| Health Net | Medicaid|All Plans | $252.49 | ↓ -65% |
| California Health & Wellness | Medicaid|All Plans | $252.49 | ↓ -65% |
| Health Plan of San Joaquin | Medicaid|All Plans | $252.49 | ↓ -65% |
| Care 1st | Medicare|All Plans | $283.80 | ↓ -61% |
| Humana | Medicare|All Plans | $283.80 | ↓ -61% |
| Aetna | Medicare|All Plans | $283.80 | ↓ -61% |
| United | Medicare|All Plans | $283.80 | ↓ -61% |
| Health Net | Medicare|All Plans | $283.80 | ↓ -61% |
| Kaiser | Medicare|All Plans | $283.80 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $283.80 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $283.80 | ↓ -61% |
| Scan Health Plan | Medicare|All Plans | $283.80 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $593.81 | ↓ -19% |
| United | Commercial|Select | $638.02 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $702.08 | ↓ -4% |
| Blue Shield CA | Commercial|PPO | $702.08 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $702.08 | ↓ -4% |
| United | Commercial|Choice | $732.14 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $761.32 | ↑ +4% |
| Health Net | Commercial|All Plans | $819.46 | ↑ +12% |
| First Health | Commercial|All Plans | $822.75 | ↑ +13% |
| United | Commercial|HMO | $860.16 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $896.25 | ↑ +23% |
| Aetna | Commercial|HMO | $896.25 | ↑ +23% |
| Aetna | Commercial|PPO | $896.25 | ↑ +23% |
| Kaiser | Commercial|All Plans | $932.45 | ↑ +28% |
| Cigna | Commercial|PPO | $981.82 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $981.82 | ↑ +34% |
| Multiplan | Commercial|All Plans | $1,075.06 | ↑ +47% |
Visitor-reported prices
Comments
Biopsy arm/elbow soft tissue at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $310.56 – $6,483.96 |
| Petaluma Valley Hospital | Petaluma | not published | $2,570.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $252.49 – $3,636.52 |
| French Hospital | San Luis Obispo | not published | $252.49 – $3,636.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $252.49 – $3,636.52 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $252.49 – $3,636.52 |
| Queen of The Valley Medical Center | Napa | not published | $4,124.29 – $16,652.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $3,735.95 – $16,652.00 |