Clsd tx fx radius/ulna dist w/manip 25605 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$863.81
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.
$1,297.00
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.
$262.84 with Health Net vs $995.68 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 | $262.84 | ↓ -70% |
| Humana | Medicare|All Plans | $262.84 | ↓ -70% |
| Care 1st | Medicare|All Plans | $262.84 | ↓ -70% |
| Scan Health Plan | Medicare|All Plans | $262.84 | ↓ -70% |
| Aetna | Medicare|All Plans | $262.84 | ↓ -70% |
| Blue Shield CA | Medicare|All Plans | $262.84 | ↓ -70% |
| BCBS - Anthem | Medicare|All Plans | $262.84 | ↓ -70% |
| Kaiser | Medicare|All Plans | $262.84 | ↓ -70% |
| United | Medicare|All Plans | $262.84 | ↓ -70% |
| Health Plan of San Joaquin | Medicaid|All Plans | $311.45 | ↓ -64% |
| Health Net | Medicaid|All Plans | $311.45 | ↓ -64% |
| Kaiser | Medicaid|All Plans | $311.45 | ↓ -64% |
| BCBS - Anthem | Medicaid|All Plans | $311.45 | ↓ -64% |
| California Health & Wellness | Medicaid|All Plans | $311.45 | ↓ -64% |
| BCBS - Anthem | Commercial|Exchange | $549.97 | ↓ -36% |
| United | Commercial|Select | $590.91 | ↓ -32% |
| Blue Shield CA | Commercial|PPO | $650.24 | ↓ -25% |
| Blue Shield CA | Commercial|HMO | $650.24 | ↓ -25% |
| Blue Shield CA | Commercial|Exchange | $650.24 | ↓ -25% |
| United | Commercial|Choice | $678.08 | ↓ -22% |
| BCBS - Anthem | Commercial|All Other Plans | $705.11 | ↓ -18% |
| Health Net | Commercial|All Plans | $758.96 | ↓ -12% |
| First Health | Commercial|All Plans | $762.00 | ↓ -12% |
| United | Commercial|HMO | $796.65 | ↓ -8% |
| Aetna | Commercial|All Other Plans | $830.08 | ↓ -4% |
| Aetna | Commercial|HMO | $830.08 | ↓ -4% |
| Aetna | Commercial|PPO | $830.08 | ↓ -4% |
| Kaiser | Commercial|All Plans | $863.60 | ↓ -0% |
| Cigna | Commercial|PPO | $909.32 | ↑ +5% |
| Cigna | Commercial|All Other Plans | $909.32 | ↑ +5% |
| Multiplan | Commercial|All Plans | $995.68 | ↑ +15% |
Visitor-reported prices
Comments
Clsd tx fx radius/ulna dist w/manip 25605 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $2,309.28 | $2,166.95 – $2,937.00 |
| Queen of The Valley Medical Center | Napa | $2,435.25 | $2,283.13 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,334.27 | $2,068.15 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,514.70 | $2,166.52 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $1,642.71 | $8,222.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,350.59 | $2,237.46 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,103.36 | $1,757.92 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,337.00 | $1,747.00 – $3,969.00 |