Cls tx of heel fracture w/manip 28405 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

$618.05

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.

$928.00

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.

$240.08 with Health Net vs $909.44 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
Health Net Medicare|All Plans $240.08 ↓ -61%
Humana Medicare|All Plans $240.08 ↓ -61%
Care 1st Medicare|All Plans $240.08 ↓ -61%
Scan Health Plan Medicare|All Plans $240.08 ↓ -61%
Aetna Medicare|All Plans $240.08 ↓ -61%
Blue Shield CA Medicare|All Plans $240.08 ↓ -61%
BCBS - Anthem Medicare|All Plans $240.08 ↓ -61%
Kaiser Medicare|All Plans $240.08 ↓ -61%
United Medicare|All Plans $240.08 ↓ -61%
Health Plan of San Joaquin Medicaid|All Plans $480.20 ↓ -22%
Health Net Medicaid|All Plans $480.20 ↓ -22%
Kaiser Medicaid|All Plans $480.20 ↓ -22%
BCBS - Anthem Medicaid|All Plans $480.20 ↓ -22%
California Health & Wellness Medicaid|All Plans $480.20 ↓ -22%
BCBS - Anthem Commercial|Exchange $502.33 ↓ -19%
United Commercial|Select $539.73 ↓ -13%
Blue Shield CA Commercial|PPO $593.92 ↓ -4%
Blue Shield CA Commercial|HMO $593.92 ↓ -4%
Blue Shield CA Commercial|Exchange $593.92 ↓ -4%
United Commercial|Choice $619.35 ↑ +0%
BCBS - Anthem Commercial|All Other Plans $644.04 ↑ +4%
Health Net Commercial|All Plans $693.22 ↑ +12%
First Health Commercial|All Plans $696.00 ↑ +13%
United Commercial|HMO $727.65 ↑ +18%
Aetna Commercial|All Other Plans $758.18 ↑ +23%
Aetna Commercial|HMO $758.18 ↑ +23%
Aetna Commercial|PPO $758.18 ↑ +23%
Kaiser Commercial|All Plans $788.80 ↑ +28%
Cigna Commercial|PPO $830.56 ↑ +34%
Cigna Commercial|All Other Plans $830.56 ↑ +34%
Multiplan Commercial|All Plans $909.44 ↑ +47%

Visitor-reported prices

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Cls tx of heel fracture w/manip 28405 at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $419.73 $332.41 – $2,570.00
Queen of The Valley Medical Center Napa $466.14 $350.23 – $7,483.00
Providence St Joseph Hospital Eureka Eureka $469.20 $317.26 – $8,018.00
Healdsburg Hospital Healdsburg $521.22 $332.35 – $5,198.77
Redwood Memorial Hospital Fortuna $276.93 $1,333.00 – $25,998.00
Santa Rosa Memorial Hospital Santa Rosa $4,323.78 $343.23 – $4,042.00
Providence Mission Hospital - Mission Viejo Mission Viejo $475.68 $269.67 – $6,920.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana $190.05 $317.26 – $3,470.00

All California hospitals for this procedure →