Dstrj nulyt agt gnclr nrv 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

$492.84

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.

$740.00

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.

$99.60 with Health Net vs $377.30 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
Health Net Medicare|All Plans $99.60 ↓ -80%
BCBS - Anthem Medicare|All Plans $99.60 ↓ -80%
Blue Shield CA Medicare|All Plans $99.60 ↓ -80%
Kaiser Medicare|All Plans $99.60 ↓ -80%
Aetna Medicare|All Plans $99.60 ↓ -80%
Humana Medicare|All Plans $99.60 ↓ -80%
Care 1st Medicare|All Plans $99.60 ↓ -80%
Scan Health Plan Medicare|All Plans $99.60 ↓ -80%
United Medicare|All Plans $99.60 ↓ -80%
BCBS - Anthem Commercial|Exchange $208.41 ↓ -58%
United Commercial|Select $223.92 ↓ -55%
Blue Shield CA Commercial|Exchange $246.40 ↓ -50%
Blue Shield CA Commercial|PPO $246.40 ↓ -50%
Blue Shield CA Commercial|HMO $246.40 ↓ -50%
United Commercial|Choice $256.95 ↓ -48%
BCBS - Anthem Commercial|All Other Plans $267.19 ↓ -46%
Health Net Commercial|All Plans $287.60 ↓ -42%
First Health Commercial|All Plans $288.75 ↓ -41%
United Commercial|HMO $301.88 ↓ -39%
Aetna Commercial|PPO $314.55 ↓ -36%
Aetna Commercial|All Other Plans $314.55 ↓ -36%
Aetna Commercial|HMO $314.55 ↓ -36%
Kaiser Commercial|All Plans $327.25 ↓ -34%
Cigna Commercial|All Other Plans $344.58 ↓ -30%
Cigna Commercial|PPO $344.58 ↓ -30%
BCBS - Anthem Medicaid|All Plans $374.91 ↓ -24%
Kaiser Medicaid|All Plans $374.91 ↓ -24%
Health Net Medicaid|All Plans $374.91 ↓ -24%
California Health & Wellness Medicaid|All Plans $374.91 ↓ -24%
Health Plan of San Joaquin Medicaid|All Plans $374.91 ↓ -24%
Multiplan Commercial|All Plans $377.30 ↓ -23%

Visitor-reported prices

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Dstrj nulyt agt gnclr nrv at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $2,012.89 $374.91 – $4,608.94
French Hospital San Luis Obispo $1,843.58 $374.91 – $4,608.94
Mercy Hospitals – Bakersfield Bakersfield $1,872.44 $374.91 – $4,037.60
Bakersfield Memorial Hospital Bakersfield $1,852.25 $374.91 – $3,987.13
Providence St Joseph Hospital Eureka Eureka $8,592.48 $1,333.00 – $10,413.00
Healdsburg Hospital Healdsburg $544.17 $721.00 – $3,982.87
St. Joseph's Medical Center Stockton Stockton $1,421.20 $374.91 – $2,346.00
Mercy Medical Center Mt. Shasta Mt Shasta $2,979.74 $510.00 – $3,753.40

All California hospitals for this procedure →