Br punct aspir ea add, l at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$503.50
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.
$756.00
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.
$23.93 with BCBS - Anthem vs $324.38 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 | $23.93 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $23.93 | ↓ -95% |
| Health Net | Medicaid|All Plans | $23.93 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $23.93 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|All Plans | $23.93 | ↓ -95% |
| Care 1st | Medicare|All Plans | $85.63 | ↓ -83% |
| Humana | Medicare|All Plans | $85.63 | ↓ -83% |
| Aetna | Medicare|All Plans | $85.63 | ↓ -83% |
| United | Medicare|All Plans | $85.63 | ↓ -83% |
| Health Net | Medicare|All Plans | $85.63 | ↓ -83% |
| Kaiser | Medicare|All Plans | $85.63 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $85.63 | ↓ -83% |
| Blue Shield CA | Medicare|All Plans | $85.63 | ↓ -83% |
| Scan Health Plan | Medicare|All Plans | $85.63 | ↓ -83% |
| BCBS - Anthem | Commercial|Exchange | $203.17 | ↓ -60% |
| United | Commercial|Select | $224.75 | ↓ -55% |
| Blue Shield CA | Commercial|Exchange | $239.32 | ↓ -52% |
| Blue Shield CA | Commercial|PPO | $239.32 | ↓ -52% |
| Blue Shield CA | Commercial|HMO | $239.32 | ↓ -52% |
| First Health | Commercial|All Plans | $248.25 | ↓ -51% |
| United | Commercial|Choice | $257.52 | ↓ -49% |
| BCBS - Anthem | Commercial|All Other Plans | $260.47 | ↓ -48% |
| Health Net | Commercial|All Plans | $266.13 | ↓ -47% |
| Aetna | Commercial|All Other Plans | $270.43 | ↓ -46% |
| Aetna | Commercial|HMO | $270.43 | ↓ -46% |
| Aetna | Commercial|PPO | $270.43 | ↓ -46% |
| Kaiser | Commercial|All Plans | $281.35 | ↓ -44% |
| Cigna | Commercial|PPO | $296.25 | ↓ -41% |
| Cigna | Commercial|All Other Plans | $296.25 | ↓ -41% |
| United | Commercial|HMO | $303.86 | ↓ -40% |
| Multiplan | Commercial|All Plans | $324.38 | ↓ -36% |
Visitor-reported prices
Comments
Br punct aspir ea add, l at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $178.71 | $29.43 – $318.24 |
| Arroyo Grande Hospital | Santa Maria | $380.50 | $23.93 – $871.22 |
| French Hospital | San Luis Obispo | $357.51 | $23.93 – $298.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $426.28 | $23.93 – $815.24 |
| Bakersfield Memorial Hospital | Bakersfield | $421.69 | $23.93 – $906.84 |
| St. Joseph's Medical Center Stockton | Stockton | $154.06 | $23.93 – $440.16 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,513.17 | $691.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $178.08 | $1,200.00 – $5,357.00 |