Bx skin tangential ea sep/ addl les 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

$43.96

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.

Full explanation →

What you pay up front if you don't use insurance.

$66.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$16.04 with Health Net vs $60.76 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 →

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 $16.04 ↓ -64%
Humana Medicare|All Plans $16.04 ↓ -64%
Care 1st Medicare|All Plans $16.04 ↓ -64%
Scan Health Plan Medicare|All Plans $16.04 ↓ -64%
Aetna Medicare|All Plans $16.04 ↓ -64%
Blue Shield CA Medicare|All Plans $16.04 ↓ -64%
United Medicare|All Plans $16.04 ↓ -64%
Kaiser Medicare|All Plans $16.04 ↓ -64%
BCBS - Anthem Medicare|All Plans $16.04 ↓ -64%
BCBS - Anthem Commercial|Exchange $33.57 ↓ -24%
United Commercial|Select $36.06 ↓ -18%
Health Plan of San Joaquin Medicaid|All Plans $38.42 ↓ -13%
Health Net Medicaid|All Plans $38.42 ↓ -13%
Kaiser Medicaid|All Plans $38.42 ↓ -13%
BCBS - Anthem Medicaid|All Plans $38.42 ↓ -13%
California Health & Wellness Medicaid|All Plans $38.42 ↓ -13%
Blue Shield CA Commercial|HMO $39.68 ↓ -10%
Blue Shield CA Commercial|Exchange $39.68 ↓ -10%
Blue Shield CA Commercial|PPO $39.68 ↓ -10%
United Commercial|Choice $41.38 ↓ -6%
BCBS - Anthem Commercial|All Other Plans $43.03 ↓ -2%
Health Net Commercial|All Plans $46.32 ↑ +5%
First Health Commercial|All Plans $46.50 ↑ +6%
United Commercial|HMO $48.62 ↑ +11%
Aetna Commercial|PPO $50.66 ↑ +15%
Aetna Commercial|HMO $50.66 ↑ +15%
Aetna Commercial|All Other Plans $50.66 ↑ +15%
Kaiser Commercial|All Plans $52.70 ↑ +20%
Cigna Commercial|All Other Plans $55.49 ↑ +26%
Cigna Commercial|PPO $55.49 ↑ +26%
Multiplan Commercial|All Plans $60.76 ↑ +38%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Bx skin tangential ea sep/ addl les at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,126.73 $58.13 – $2,715.00
Petaluma Valley Hospital Petaluma $298.86 $1,687.00 – $10,997.00
Bakersfield Memorial Hospital Bakersfield $76.71 $38.42 – $206.91
Queen of The Valley Medical Center Napa $315.18 $2,747.00 – $8,621.00
Providence St Joseph Hospital Eureka Eureka $1,008.27 $2,699.00 – $21,319.00
Healdsburg Hospital Healdsburg $203.49 $3,982.87 – $3,982.87
Redwood Memorial Hospital Fortuna $29.58 $8,222.00 – $20,799.00
Santa Rosa Memorial Hospital Santa Rosa $303.45 $1,716.00 – $12,908.00

All California hospitals for this procedure →