Dup scan/hemodialysis access 93990 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$3,300.03
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.
$4,955.00
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.
$82.33 with BCBS - Anthem vs $2,570.54 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 | $82.33 | ↓ -98% |
| Kaiser | Medicaid|All Plans | $82.33 | ↓ -98% |
| Health Net | Medicaid|All Plans | $82.33 | ↓ -98% |
| California Health & Wellness | Medicaid|All Plans | $82.33 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|All Plans | $82.33 | ↓ -98% |
| Care 1st | Medicare|All Plans | $678.58 | ↓ -79% |
| Humana | Medicare|All Plans | $678.58 | ↓ -79% |
| Aetna | Medicare|All Plans | $678.58 | ↓ -79% |
| United | Medicare|All Plans | $678.58 | ↓ -79% |
| Health Net | Medicare|All Plans | $678.58 | ↓ -79% |
| Kaiser | Medicare|All Plans | $678.58 | ↓ -79% |
| BCBS - Anthem | Medicare|All Plans | $678.58 | ↓ -79% |
| Blue Shield CA | Medicare|All Plans | $678.58 | ↓ -79% |
| Scan Health Plan | Medicare|All Plans | $678.58 | ↓ -79% |
| BCBS - Anthem | Commercial|Exchange | $1,610.00 | ↓ -51% |
| United | Commercial|Select | $1,781.02 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $1,896.43 | ↓ -43% |
| Blue Shield CA | Commercial|PPO | $1,896.43 | ↓ -43% |
| Blue Shield CA | Commercial|HMO | $1,896.43 | ↓ -43% |
| First Health | Commercial|All Plans | $1,967.25 | ↓ -40% |
| United | Commercial|Choice | $2,040.70 | ↓ -38% |
| BCBS - Anthem | Commercial|All Other Plans | $2,064.04 | ↓ -37% |
| Health Net | Commercial|All Plans | $2,108.90 | ↓ -36% |
| Aetna | Commercial|All Other Plans | $2,143.00 | ↓ -35% |
| Aetna | Commercial|HMO | $2,143.00 | ↓ -35% |
| Aetna | Commercial|PPO | $2,143.00 | ↓ -35% |
| Kaiser | Commercial|All Plans | $2,229.55 | ↓ -32% |
| Cigna | Commercial|PPO | $2,347.59 | ↓ -29% |
| Cigna | Commercial|All Other Plans | $2,347.59 | ↓ -29% |
| United | Commercial|HMO | $2,407.92 | ↓ -27% |
| Multiplan | Commercial|All Plans | $2,570.54 | ↓ -22% |
Visitor-reported prices
Comments
Dup scan/hemodialysis access 93990 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $349.09 | $101.27 – $621.66 |
| Banner Lassen Medical Center | Susanville | $472.68 | $21.27 – $756.60 |
| Petaluma Valley Hospital | Petaluma | $475.32 | $140.89 – $838.26 |
| Arroyo Grande Hospital | Santa Maria | $459.25 | $82.33 – $1,051.54 |
| French Hospital | San Luis Obispo | $446.10 | $82.33 – $1,051.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $171.78 | $82.33 – $570.84 |
| Bakersfield Memorial Hospital | Bakersfield | $164.79 | $82.33 – $570.84 |
| Queen of The Valley Medical Center | Napa | $1,241.34 | $148.44 – $1,059.35 |