Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$7,061.16
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.
$10,602.33
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.
$2,742.83 with Scan Health Plan vs $10,390.29 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 |
|---|---|---|---|
| Scan Health Plan | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Humana | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Aetna | Medicare|All Plans | $2,742.83 | ↓ -61% |
| United | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Health Net | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Kaiser | Medicare|All Plans | $2,742.83 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $2,742.83 | ↓ -61% |
| Care 1st | Medicare|All Plans | $2,742.83 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $5,739.05 | ↓ -19% |
| United | Commercial|Select | $6,166.32 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $6,785.50 | ↓ -4% |
| Blue Shield CA | Commercial|PPO | $6,785.50 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $6,785.50 | ↓ -4% |
| United | Commercial|Choice | $7,076.00 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $7,358.02 | ↑ +4% |
| Health Net | Commercial|All Plans | $7,919.95 | ↑ +12% |
| First Health | Commercial|All Plans | $7,951.75 | ↑ +13% |
| United | Commercial|HMO | $8,313.29 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $8,662.11 | ↑ +23% |
| Aetna | Commercial|PPO | $8,662.11 | ↑ +23% |
| Aetna | Commercial|HMO | $8,662.11 | ↑ +23% |
| Kaiser | Commercial|All Plans | $9,011.99 | ↑ +28% |
| Cigna | Commercial|All Other Plans | $9,489.09 | ↑ +34% |
| Cigna | Commercial|PPO | $9,489.09 | ↑ +34% |
| Multiplan | Commercial|All Plans | $10,390.29 | ↑ +47% |
Visitor-reported prices
Comments
Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Dominican Hospital | Santa Cruz | $13,244.85 | $6.16 – $7,061.34 |
| Sierra Nevada Memorial Hospital | Grass Valley | $7,017.97 | $4.76 – $12,619.46 |
| St Jude Medical Center | Fullerton | $10,403.27 | $3.22 – $8.56 |
| Mercy Medical Center Redding | Redding | $3,949.53 | $5.70 – $5,408.62 |
| St. Bernardine Medical Center | San Bernardino | $6,713.95 | $5.70 – $16,532.84 |
| Woodland Memorial Hospital | Woodland | $4,032.46 | $5.56 – $14,717.00 |
| Providence Holy Cross Medical Center | Mission Hills | $21,240.01 | $3.79 – $15.30 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $18,720.11 | $3.79 – $15.30 |