Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) 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

$1,652.35

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.

$2,481.00

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.

$58.88 with BCBS - Anthem vs $368.48 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 →

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
BCBS - Anthem Medicaid|All Plans $58.88 ↓ -96%
Kaiser Medicaid|All Plans $58.88 ↓ -96%
Health Net Medicaid|All Plans $58.88 ↓ -96%
California Health & Wellness Medicaid|All Plans $58.88 ↓ -96%
Health Plan of San Joaquin Medicaid|All Plans $58.88 ↓ -96%
Care 1st Medicare|All Plans $97.28 ↓ -94%
Humana Medicare|All Plans $97.28 ↓ -94%
Aetna Medicare|All Plans $97.28 ↓ -94%
United Medicare|All Plans $97.28 ↓ -94%
Health Net Medicare|All Plans $97.28 ↓ -94%
Kaiser Medicare|All Plans $97.28 ↓ -94%
BCBS - Anthem Medicare|All Plans $97.28 ↓ -94%
Blue Shield CA Medicare|All Plans $97.28 ↓ -94%
Scan Health Plan Medicare|All Plans $97.28 ↓ -94%
BCBS - Anthem Commercial|Exchange $203.53 ↓ -88%
United Commercial|Select $218.69 ↓ -87%
Blue Shield CA Commercial|HMO $240.64 ↓ -85%
Blue Shield CA Commercial|PPO $240.64 ↓ -85%
Blue Shield CA Commercial|Exchange $240.64 ↓ -85%
United Commercial|Choice $250.95 ↓ -85%
BCBS - Anthem Commercial|All Other Plans $260.95 ↓ -84%
Health Net Commercial|All Plans $280.88 ↓ -83%
First Health Commercial|All Plans $282.00 ↓ -83%
United Commercial|HMO $294.83 ↓ -82%
Aetna Commercial|All Other Plans $307.20 ↓ -81%
Aetna Commercial|HMO $307.20 ↓ -81%
Aetna Commercial|PPO $307.20 ↓ -81%
Kaiser Commercial|All Plans $319.60 ↓ -81%
Cigna Commercial|PPO $336.52 ↓ -80%
Cigna Commercial|All Other Plans $336.52 ↓ -80%
Multiplan Commercial|All Plans $368.48 ↓ -78%

Visitor-reported prices

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Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $1,183.00 $58.88 – $2,708.72
French Hospital San Luis Obispo $1,083.49 $58.88 – $2,708.72
Mercy Hospitals – Bakersfield Bakersfield $1,342.65 $58.88 – $3,220.91
Providence St Joseph Hospital Eureka Eureka $4,277.37 $2,699.00 – $21,319.00
Healdsburg Hospital Healdsburg $189.72 $3,982.87 – $3,982.87
St. Joseph's Medical Center Stockton Stockton $1,013.13 $51.31 – $2,894.64
Santa Rosa Memorial Hospital Santa Rosa $1,462.17 $1,716.00 – $12,908.00
St Jude Medical Center Fullerton $1,836.00 $1,266.00 – $13,012.00

All California hospitals for this procedure →