Consultation pathology during surgery at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$162.51
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.
$244.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$46.59 with BCBS - Anthem vs $239.12 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $46.59 | ↓ -71% |
| Kaiser | Medicaid|All Plans | $46.59 | ↓ -71% |
| Health Net | Medicaid|All Plans | $46.59 | ↓ -71% |
| California Health & Wellness | Medicaid|All Plans | $46.59 | ↓ -71% |
| Health Plan of San Joaquin | Medicaid|All Plans | $46.59 | ↓ -71% |
| Care 1st | Medicare|All Plans | $63.13 | ↓ -61% |
| Humana | Medicare|All Plans | $63.13 | ↓ -61% |
| Aetna | Medicare|All Plans | $63.13 | ↓ -61% |
| United | Medicare|All Plans | $63.13 | ↓ -61% |
| Health Net | Medicare|All Plans | $63.13 | ↓ -61% |
| Kaiser | Medicare|All Plans | $63.13 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $63.13 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $63.13 | ↓ -61% |
| Scan Health Plan | Medicare|All Plans | $63.13 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $132.08 | ↓ -19% |
| United | Commercial|Select | $141.92 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $156.16 | ↓ -4% |
| Blue Shield CA | Commercial|PPO | $156.16 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $156.16 | ↓ -4% |
| United | Commercial|Choice | $162.85 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $169.34 | ↑ +4% |
| Health Net | Commercial|All Plans | $182.27 | ↑ +12% |
| First Health | Commercial|All Plans | $183.00 | ↑ +13% |
| United | Commercial|HMO | $191.33 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $199.35 | ↑ +23% |
| Aetna | Commercial|HMO | $199.35 | ↑ +23% |
| Aetna | Commercial|PPO | $199.35 | ↑ +23% |
| Kaiser | Commercial|All Plans | $207.40 | ↑ +28% |
| Cigna | Commercial|PPO | $218.38 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $218.38 | ↑ +34% |
| Multiplan | Commercial|All Plans | $239.12 | ↑ +47% |
Visitor-reported prices
Comments
Consultation pathology during surgery at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $351.90 | $66.86 – $236.26 |
| Arroyo Grande Hospital | Santa Maria | $177.62 | $40.61 – $129.36 |
| French Hospital | San Luis Obispo | $162.68 | $35.64 – $129.36 |
| Mercy Hospitals – Bakersfield | Bakersfield | $79.77 | $34.50 – $102.43 |
| Bakersfield Memorial Hospital | Bakersfield | $78.91 | $34.50 – $102.43 |
| Queen of The Valley Medical Center | Napa | $286.11 | $66.86 – $298.57 |
| Providence St Joseph Hospital Eureka | Eureka | $591.09 | $66.86 – $338.58 |
| Redwood Memorial Hospital | Fortuna | $318.24 | $339.38 – $339.38 |