Ear irrigation 69209 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$121.22
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.
$182.00
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.
$13.24 with BCBS - Anthem vs $102.90 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 | $13.24 | ↓ -89% |
| Kaiser | Medicaid|All Plans | $13.24 | ↓ -89% |
| Health Net | Medicaid|All Plans | $13.24 | ↓ -89% |
| California Health & Wellness | Medicaid|All Plans | $13.24 | ↓ -89% |
| Health Plan of San Joaquin | Medicaid|All Plans | $13.24 | ↓ -89% |
| Care 1st | Medicare|All Plans | $27.17 | ↓ -78% |
| Humana | Medicare|All Plans | $27.17 | ↓ -78% |
| Aetna | Medicare|All Plans | $27.17 | ↓ -78% |
| United | Medicare|All Plans | $27.17 | ↓ -78% |
| Health Net | Medicare|All Plans | $27.17 | ↓ -78% |
| Kaiser | Medicare|All Plans | $27.17 | ↓ -78% |
| BCBS - Anthem | Medicare|All Plans | $27.17 | ↓ -78% |
| Blue Shield CA | Medicare|All Plans | $27.17 | ↓ -78% |
| Scan Health Plan | Medicare|All Plans | $27.17 | ↓ -78% |
| BCBS - Anthem | Commercial|Exchange | $56.84 | ↓ -53% |
| United | Commercial|Select | $61.07 | ↓ -50% |
| Blue Shield CA | Commercial|HMO | $67.20 | ↓ -45% |
| Blue Shield CA | Commercial|PPO | $67.20 | ↓ -45% |
| Blue Shield CA | Commercial|Exchange | $67.20 | ↓ -45% |
| United | Commercial|Choice | $70.08 | ↓ -42% |
| BCBS - Anthem | Commercial|All Other Plans | $72.87 | ↓ -40% |
| Health Net | Commercial|All Plans | $78.44 | ↓ -35% |
| First Health | Commercial|All Plans | $78.75 | ↓ -35% |
| United | Commercial|HMO | $82.34 | ↓ -32% |
| Aetna | Commercial|All Other Plans | $85.79 | ↓ -29% |
| Aetna | Commercial|HMO | $85.79 | ↓ -29% |
| Aetna | Commercial|PPO | $85.79 | ↓ -29% |
| Kaiser | Commercial|All Plans | $89.25 | ↓ -26% |
| Cigna | Commercial|PPO | $93.98 | ↓ -22% |
| Cigna | Commercial|All Other Plans | $93.98 | ↓ -22% |
| Multiplan | Commercial|All Plans | $102.90 | ↓ -15% |
Visitor-reported prices
Comments
Ear irrigation 69209 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $122.40 | $79.50 – $1,687.00 |
| Queen of The Valley Medical Center | Napa | $237.15 | $83.76 – $2,747.00 |
| Providence St Joseph Hospital Eureka | Eureka | $689.52 | $75.87 – $2,699.00 |
| Healdsburg Hospital | Healdsburg | $95.37 | $79.48 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $612.51 | $1,333.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $261.63 | $82.09 – $1,716.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $221.28 | $64.49 – $1,597.00 |
| Mercy Medical Center Merced | Merced | $128.75 | $13.24 – $224.73 |