Cystouretero & or pyeloscope at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$550.12
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.
$826.00
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.
$213.69 with Health Net vs $809.48 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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $213.69 | ↓ -61% |
| Humana | Medicare|All Plans | $213.69 | ↓ -61% |
| Care 1st | Medicare|All Plans | $213.69 | ↓ -61% |
| Scan Health Plan | Medicare|All Plans | $213.69 | ↓ -61% |
| Aetna | Medicare|All Plans | $213.69 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $213.69 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $213.69 | ↓ -61% |
| Kaiser | Medicare|All Plans | $213.69 | ↓ -61% |
| United | Medicare|All Plans | $213.69 | ↓ -61% |
| Health Plan of San Joaquin | Medicaid|All Plans | $299.06 | ↓ -46% |
| Health Net | Medicaid|All Plans | $299.06 | ↓ -46% |
| Kaiser | Medicaid|All Plans | $299.06 | ↓ -46% |
| BCBS - Anthem | Medicaid|All Plans | $299.06 | ↓ -46% |
| California Health & Wellness | Medicaid|All Plans | $299.06 | ↓ -46% |
| BCBS - Anthem | Commercial|Exchange | $447.12 | ↓ -19% |
| United | Commercial|Select | $480.41 | ↓ -13% |
| Blue Shield CA | Commercial|PPO | $528.64 | ↓ -4% |
| Blue Shield CA | Commercial|HMO | $528.64 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $528.64 | ↓ -4% |
| United | Commercial|Choice | $551.28 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $573.25 | ↑ +4% |
| Health Net | Commercial|All Plans | $617.03 | ↑ +12% |
| First Health | Commercial|All Plans | $619.50 | ↑ +13% |
| United | Commercial|HMO | $647.67 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $674.85 | ↑ +23% |
| Aetna | Commercial|HMO | $674.85 | ↑ +23% |
| Aetna | Commercial|PPO | $674.85 | ↑ +23% |
| Kaiser | Commercial|All Plans | $702.10 | ↑ +28% |
| Cigna | Commercial|PPO | $739.27 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $739.27 | ↑ +34% |
| Multiplan | Commercial|All Plans | $809.48 | ↑ +47% |
Visitor-reported prices
Comments
Cystouretero & or pyeloscope at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $7,432.74 | $2,937.00 – $6,619.00 |
| Queen of The Valley Medical Center | Napa | $9,328.92 | $5,004.98 – $10,593.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,889.37 | $4,533.71 – $10,413.00 |
| Healdsburg Hospital | Healdsburg | $5,524.83 | $3,572.00 – $5,330.31 |
| Redwood Memorial Hospital | Fortuna | $4,904.16 | $9,031.00 – $36,398.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $9,584.94 | $3,423.00 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,960.32 | $3,853.66 – $7,908.00 |
| Dominican Hospital | Santa Cruz | $3,813.75 | $299.06 – $14,831.19 |