Established Patient Office Visit (level 4) at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$212.46
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.
?
What you pay up front if you don't use insurance.
$319.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.63 with Health Net vs $210.70 with Multiplan — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $55.63 | ↓ -74% |
| Humana | Medicare|All Plans | $55.63 | ↓ -74% |
| Care 1st | Medicare|All Plans | $55.63 | ↓ -74% |
| Scan Health Plan | Medicare|All Plans | $55.63 | ↓ -74% |
| Aetna | Medicare|All Plans | $55.63 | ↓ -74% |
| Blue Shield CA | Medicare|All Plans | $55.63 | ↓ -74% |
| BCBS - Anthem | Medicare|All Plans | $55.63 | ↓ -74% |
| Kaiser | Medicare|All Plans | $55.63 | ↓ -74% |
| United | Medicare|All Plans | $55.63 | ↓ -74% |
| Health Plan of San Joaquin | Medicaid|All Plans | $66.81 | ↓ -69% |
| Health Net | Medicaid|All Plans | $66.81 | ↓ -69% |
| Kaiser | Medicaid|All Plans | $66.81 | ↓ -69% |
| BCBS - Anthem | Medicaid|All Plans | $66.81 | ↓ -69% |
| California Health & Wellness | Medicaid|All Plans | $66.81 | ↓ -69% |
| BCBS - Anthem | Commercial|Exchange | $116.38 | ↓ -45% |
| United | Commercial|Select | $125.05 | ↓ -41% |
| Blue Shield CA | Commercial|PPO | $137.60 | ↓ -35% |
| Blue Shield CA | Commercial|HMO | $137.60 | ↓ -35% |
| Blue Shield CA | Commercial|Exchange | $137.60 | ↓ -35% |
| United | Commercial|Choice | $143.50 | ↓ -32% |
| BCBS - Anthem | Commercial|All Other Plans | $149.21 | ↓ -30% |
| Health Net | Commercial|All Plans | $160.61 | ↓ -24% |
| First Health | Commercial|All Plans | $161.25 | ↓ -24% |
| United | Commercial|HMO | $168.59 | ↓ -21% |
| Aetna | Commercial|All Other Plans | $175.66 | ↓ -17% |
| Aetna | Commercial|HMO | $175.66 | ↓ -17% |
| Aetna | Commercial|PPO | $175.66 | ↓ -17% |
| Kaiser | Commercial|All Plans | $182.75 | ↓ -14% |
| Cigna | Commercial|PPO | $192.43 | ↓ -9% |
| Cigna | Commercial|All Other Plans | $192.43 | ↓ -9% |
| Multiplan | Commercial|All Plans | $210.70 | ↓ -1% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,281.82 | $61.88 – $475.30 |
| Arroyo Grande Hospital | Santa Maria | $1,129.07 | $53.79 – $381.00 |
| French Hospital | San Luis Obispo | $784.40 | $53.79 – $373.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $140.61 | $66.81 – $303.20 |
| Bakersfield Memorial Hospital | Bakersfield | $134.33 | $66.81 – $314.82 |
| St. Joseph's Behavioral Health Center | Stockton | $69.67 | $12.20 – $105.53 |
| Healdsburg Hospital | Healdsburg | $461.04 | not published |