Ercp biliary & pancreas at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$662.01
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.
$994.00
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.
$165.14 with BCBS - Anthem vs $806.54 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 | $165.14 | ↓ -75% |
| Kaiser | Medicaid|All Plans | $165.14 | ↓ -75% |
| Health Net | Medicaid|All Plans | $165.14 | ↓ -75% |
| California Health & Wellness | Medicaid|All Plans | $165.14 | ↓ -75% |
| Health Plan of San Joaquin | Medicaid|All Plans | $165.14 | ↓ -75% |
| Care 1st | Medicare|All Plans | $212.92 | ↓ -68% |
| Humana | Medicare|All Plans | $212.92 | ↓ -68% |
| Aetna | Medicare|All Plans | $212.92 | ↓ -68% |
| United | Medicare|All Plans | $212.92 | ↓ -68% |
| Health Net | Medicare|All Plans | $212.92 | ↓ -68% |
| Kaiser | Medicare|All Plans | $212.92 | ↓ -68% |
| BCBS - Anthem | Medicare|All Plans | $212.92 | ↓ -68% |
| Blue Shield CA | Medicare|All Plans | $212.92 | ↓ -68% |
| Scan Health Plan | Medicare|All Plans | $212.92 | ↓ -68% |
| BCBS - Anthem | Commercial|Exchange | $505.16 | ↓ -24% |
| United | Commercial|Select | $558.82 | ↓ -16% |
| Blue Shield CA | Commercial|Exchange | $595.03 | ↓ -10% |
| Blue Shield CA | Commercial|PPO | $595.03 | ↓ -10% |
| Blue Shield CA | Commercial|HMO | $595.03 | ↓ -10% |
| First Health | Commercial|All Plans | $617.25 | ↓ -7% |
| United | Commercial|Choice | $640.30 | ↓ -3% |
| BCBS - Anthem | Commercial|All Other Plans | $647.62 | ↓ -2% |
| Health Net | Commercial|All Plans | $661.70 | ↓ -0% |
| Aetna | Commercial|All Other Plans | $672.40 | ↑ +2% |
| Aetna | Commercial|HMO | $672.40 | ↑ +2% |
| Aetna | Commercial|PPO | $672.40 | ↑ +2% |
| Kaiser | Commercial|All Plans | $699.55 | ↑ +6% |
| Cigna | Commercial|PPO | $736.59 | ↑ +11% |
| Cigna | Commercial|All Other Plans | $736.59 | ↑ +11% |
| United | Commercial|HMO | $755.52 | ↑ +14% |
| Multiplan | Commercial|All Plans | $806.54 | ↑ +22% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,772.59 | $249.84 – $3,156.66 |
| Arroyo Grande Hospital | Santa Maria | $1,124.36 | $165.14 – $2,471.56 |
| French Hospital | San Luis Obispo | $988.63 | $165.14 – $2,009.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $645.17 | $165.14 – $1,252.00 |
| Bakersfield Memorial Hospital | Bakersfield | $638.22 | $165.14 – $1,549.35 |
| Queen of The Valley Medical Center | Napa | $2,008.38 | $924.55 – $981.34 |
| Providence St Joseph Hospital Eureka | Eureka | $4,122.84 | $1,048.44 – $1,048.44 |
| St. Joseph's Medical Center Stockton | Stockton | $523.03 | $165.14 – $747.60 |