Debride skin bone at fx site 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

$560.78

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.

Full explanation →

What you pay up front if you don't use insurance.

$842.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$217.83 with Health Net vs $825.16 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 →

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 $217.83 ↓ -61%
Humana Medicare|All Plans $217.83 ↓ -61%
Care 1st Medicare|All Plans $217.83 ↓ -61%
Scan Health Plan Medicare|All Plans $217.83 ↓ -61%
Aetna Medicare|All Plans $217.83 ↓ -61%
Blue Shield CA Medicare|All Plans $217.83 ↓ -61%
BCBS - Anthem Medicare|All Plans $217.83 ↓ -61%
Kaiser Medicare|All Plans $217.83 ↓ -61%
United Medicare|All Plans $217.83 ↓ -61%
Health Plan of San Joaquin Medicaid|All Plans $441.75 ↓ -21%
Health Net Medicaid|All Plans $441.75 ↓ -21%
Kaiser Medicaid|All Plans $441.75 ↓ -21%
BCBS - Anthem Medicaid|All Plans $441.75 ↓ -21%
California Health & Wellness Medicaid|All Plans $441.75 ↓ -21%
BCBS - Anthem Commercial|Exchange $455.78 ↓ -19%
United Commercial|Select $489.71 ↓ -13%
Blue Shield CA Commercial|PPO $538.88 ↓ -4%
Blue Shield CA Commercial|HMO $538.88 ↓ -4%
Blue Shield CA Commercial|Exchange $538.88 ↓ -4%
United Commercial|Choice $561.96 ↑ +0%
BCBS - Anthem Commercial|All Other Plans $584.35 ↑ +4%
Health Net Commercial|All Plans $628.98 ↑ +12%
First Health Commercial|All Plans $631.50 ↑ +13%
United Commercial|HMO $660.22 ↑ +18%
Aetna Commercial|All Other Plans $687.92 ↑ +23%
Aetna Commercial|HMO $687.92 ↑ +23%
Aetna Commercial|PPO $687.92 ↑ +23%
Kaiser Commercial|All Plans $715.70 ↑ +28%
Cigna Commercial|PPO $753.59 ↑ +34%
Cigna Commercial|All Other Plans $753.59 ↑ +34%
Multiplan Commercial|All Plans $825.16 ↑ +47%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Debride skin bone at fx site at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $3,904.56 $2,570.00 – $3,994.31
Queen of The Valley Medical Center Napa $3,577.65 $4,124.29 – $16,652.00
Providence St Joseph Hospital Eureka Eureka $3,803.07 $3,735.95 – $16,652.00
Healdsburg Hospital Healdsburg $3,174.75 $3,125.00 – $5,198.77
Redwood Memorial Hospital Fortuna $2,481.15 $8,005.00 – $25,998.00
Santa Rosa Memorial Hospital Santa Rosa $5,595.21 $2,741.00 – $4,124.29
Providence Mission Hospital - Mission Viejo Mission Viejo $5,235.84 $1,894.00 – $6,920.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana $2,276.05 $1,528.00 – $6,911.51

All California hospitals for this procedure →