#cf-97variants 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

$94.36

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.

$141.67

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.

$70.37 with BCBS - Anthem vs $130.00 with Care 1st — 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 Commercial|Exchange $70.37 ↓ -25%
United Commercial|Select $75.61 ↓ -20%
Blue Shield CA Commercial|HMO $83.20 ↓ -12%
Blue Shield CA Commercial|PPO $83.20 ↓ -12%
Blue Shield CA Commercial|Exchange $83.20 ↓ -12%
United Commercial|Choice $86.77 ↓ -8%
BCBS - Anthem Commercial|All Other Plans $90.22 ↓ -4%
Health Net Commercial|All Plans $97.11 ↑ +3%
First Health Commercial|All Plans $97.50 ↑ +3%
United Commercial|HMO $101.94 ↑ +8%
Aetna Commercial|PPO $106.21 ↑ +13%
Aetna Commercial|HMO $106.21 ↑ +13%
Aetna Commercial|All Other Plans $106.21 ↑ +13%
Kaiser Commercial|All Plans $110.50 ↑ +17%
Cigna Commercial|All Other Plans $116.35 ↑ +23%
Cigna Commercial|PPO $116.35 ↑ +23%
Multiplan Commercial|All Plans $127.40 ↑ +35%
Health Plan of San Joaquin Medicaid|All Plans $130.00 ↑ +38%
Humana Medicare|All Plans $130.00 ↑ +38%
Aetna Medicare|All Plans $130.00 ↑ +38%
United Medicare|All Plans $130.00 ↑ +38%
Health Net Medicaid|All Plans $130.00 ↑ +38%
Health Net Medicare|All Plans $130.00 ↑ +38%
Kaiser Medicaid|All Plans $130.00 ↑ +38%
Kaiser Medicare|All Plans $130.00 ↑ +38%
BCBS - Anthem Medicaid|All Plans $130.00 ↑ +38%
BCBS - Anthem Medicare|All Plans $130.00 ↑ +38%
Blue Shield CA Medicare|All Plans $130.00 ↑ +38%
Scan Health Plan Medicare|All Plans $130.00 ↑ +38%
California Health & Wellness Medicaid|All Plans $130.00 ↑ +38%
Care 1st Medicare|All Plans $130.00 ↑ +38%

Visitor-reported prices

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#cf-97variants at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $56.94 $35.10 – $1,476.83
Banner Lassen Medical Center Susanville $31.98 $23.37 – $297.00
Petaluma Valley Hospital Petaluma $285.60 $545.47 – $3,313.25
Arroyo Grande Hospital Santa Maria $60.64 $65.00 – $1,434.14
French Hospital San Luis Obispo $55.54 $35.10 – $1,685.94
Mercy Hospitals – Bakersfield Bakersfield $223.35 $65.00 – $1,599.47
Bakersfield Memorial Hospital Bakersfield $220.94 $65.00 – $1,599.47
Queen of The Valley Medical Center Napa $285.60 $556.60 – $4,187.12

All California hospitals for this procedure →