Brain image < 4 views 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

$2,986.35

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.

$4,484.00

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.

$168.33 with BCBS - Anthem vs $2,070.74 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 $168.33 ↓ -94%
Kaiser Medicaid|All Plans $168.33 ↓ -94%
Health Net Medicaid|All Plans $168.33 ↓ -94%
California Health & Wellness Medicaid|All Plans $168.33 ↓ -94%
Health Plan of San Joaquin Medicaid|All Plans $168.33 ↓ -94%
Care 1st Medicare|All Plans $546.64 ↓ -82%
Humana Medicare|All Plans $546.64 ↓ -82%
Aetna Medicare|All Plans $546.64 ↓ -82%
United Medicare|All Plans $546.64 ↓ -82%
Health Net Medicare|All Plans $546.64 ↓ -82%
Kaiser Medicare|All Plans $546.64 ↓ -82%
BCBS - Anthem Medicare|All Plans $546.64 ↓ -82%
Blue Shield CA Medicare|All Plans $546.64 ↓ -82%
Scan Health Plan Medicare|All Plans $546.64 ↓ -82%
BCBS - Anthem Commercial|Exchange $1,296.96 ↓ -57%
United Commercial|Select $1,434.73 ↓ -52%
Blue Shield CA Commercial|Exchange $1,527.70 ↓ -49%
Blue Shield CA Commercial|PPO $1,527.70 ↓ -49%
Blue Shield CA Commercial|HMO $1,527.70 ↓ -49%
First Health Commercial|All Plans $1,584.75 ↓ -47%
United Commercial|Choice $1,643.92 ↓ -45%
BCBS - Anthem Commercial|All Other Plans $1,662.72 ↓ -44%
Health Net Commercial|All Plans $1,698.86 ↓ -43%
Aetna Commercial|All Other Plans $1,726.33 ↓ -42%
Aetna Commercial|HMO $1,726.33 ↓ -42%
Aetna Commercial|PPO $1,726.33 ↓ -42%
Kaiser Commercial|All Plans $1,796.05 ↓ -40%
Cigna Commercial|PPO $1,891.14 ↓ -37%
Cigna Commercial|All Other Plans $1,891.14 ↓ -37%
United Commercial|HMO $1,939.74 ↓ -35%
Multiplan Commercial|All Plans $2,070.74 ↓ -31%

Visitor-reported prices

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Brain image < 4 views at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $663.35 $168.33 – $1,976.45
Bakersfield Memorial Hospital Bakersfield $656.20 $168.33 – $1,976.45
St. Joseph's Medical Center Stockton Stockton $490.98 $168.33 – $835.00
Mercy Medical Center Merced Merced $996.01 $168.33 – $848.52
Northridge Hospital Medical Center Northridge $959.49 $168.33 – $3,439.00
California Hospital Medical Center Los Angeles $346.29 $151.50 – $1,364.43
St. Mary Medical Center Long Beach $913.32 $151.50 – $2,124.00
Community Hospital San Bernardino San Bernardino $225.61 $168.33 – $1,972.88

All California hospitals for this procedure →