Bx breast perq without image 19100 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$1,661.67
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.
$2,495.00
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.
$49.68 with Health Net vs $188.16 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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $49.68 | ↓ -97% |
| Humana | Medicare|All Plans | $49.68 | ↓ -97% |
| Care 1st | Medicare|All Plans | $49.68 | ↓ -97% |
| Scan Health Plan | Medicare|All Plans | $49.68 | ↓ -97% |
| Aetna | Medicare|All Plans | $49.68 | ↓ -97% |
| Blue Shield CA | Medicare|All Plans | $49.68 | ↓ -97% |
| BCBS - Anthem | Medicare|All Plans | $49.68 | ↓ -97% |
| Kaiser | Medicare|All Plans | $49.68 | ↓ -97% |
| United | Medicare|All Plans | $49.68 | ↓ -97% |
| Health Plan of San Joaquin | Medicaid|All Plans | $87.15 | ↓ -95% |
| Health Net | Medicaid|All Plans | $87.15 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $87.15 | ↓ -95% |
| BCBS - Anthem | Medicaid|All Plans | $87.15 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $87.15 | ↓ -95% |
| BCBS - Anthem | Commercial|Exchange | $103.93 | ↓ -94% |
| United | Commercial|Select | $111.67 | ↓ -93% |
| Blue Shield CA | Commercial|PPO | $122.88 | ↓ -93% |
| Blue Shield CA | Commercial|HMO | $122.88 | ↓ -93% |
| Blue Shield CA | Commercial|Exchange | $122.88 | ↓ -93% |
| United | Commercial|Choice | $128.15 | ↓ -92% |
| BCBS - Anthem | Commercial|All Other Plans | $133.25 | ↓ -92% |
| Health Net | Commercial|All Plans | $143.43 | ↓ -91% |
| First Health | Commercial|All Plans | $144.00 | ↓ -91% |
| United | Commercial|HMO | $150.55 | ↓ -91% |
| Aetna | Commercial|All Other Plans | $156.87 | ↓ -91% |
| Aetna | Commercial|HMO | $156.87 | ↓ -91% |
| Aetna | Commercial|PPO | $156.87 | ↓ -91% |
| Kaiser | Commercial|All Plans | $163.20 | ↓ -90% |
| Cigna | Commercial|PPO | $171.84 | ↓ -90% |
| Cigna | Commercial|All Other Plans | $171.84 | ↓ -90% |
| Multiplan | Commercial|All Plans | $188.16 | ↓ -89% |
Visitor-reported prices
Comments
Bx breast perq without image 19100 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $107.19 – $3,763.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.86 | $87.15 – $2,078.40 |
| Bakersfield Memorial Hospital | Bakersfield | $953.47 | $87.15 – $2,058.68 |
| St. Joseph's Medical Center Stockton | Stockton | $325.46 | $0.80 – $1,107.00 |
| Mercy Medical Center Merced | Merced | $1,360.12 | $87.15 – $1,137.00 |
| California Hospital Medical Center | Los Angeles | $991.83 | $87.15 – $2,278.13 |
| Providence Saint John's Health Center | Santa Monica | $1,288.70 | $789.04 – $5,977.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1,921.00 – $4,657.00 |