Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$521.48
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.
$783.00
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.
$57.95 with Health Net vs $219.52 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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $57.95 | ↓ -89% |
| Humana | Medicare|All Plans | $57.95 | ↓ -89% |
| Care 1st | Medicare|All Plans | $57.95 | ↓ -89% |
| Scan Health Plan | Medicare|All Plans | $57.95 | ↓ -89% |
| Aetna | Medicare|All Plans | $57.95 | ↓ -89% |
| Blue Shield CA | Medicare|All Plans | $57.95 | ↓ -89% |
| BCBS - Anthem | Medicare|All Plans | $57.95 | ↓ -89% |
| Kaiser | Medicare|All Plans | $57.95 | ↓ -89% |
| United | Medicare|All Plans | $57.95 | ↓ -89% |
| Health Plan of San Joaquin | Medicaid|All Plans | $91.85 | ↓ -82% |
| Health Net | Medicaid|All Plans | $91.85 | ↓ -82% |
| Kaiser | Medicaid|All Plans | $91.85 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $91.85 | ↓ -82% |
| California Health & Wellness | Medicaid|All Plans | $91.85 | ↓ -82% |
| BCBS - Anthem | Commercial|Exchange | $121.26 | ↓ -77% |
| United | Commercial|Select | $130.28 | ↓ -75% |
| Blue Shield CA | Commercial|PPO | $143.36 | ↓ -73% |
| Blue Shield CA | Commercial|HMO | $143.36 | ↓ -73% |
| Blue Shield CA | Commercial|Exchange | $143.36 | ↓ -73% |
| United | Commercial|Choice | $149.50 | ↓ -71% |
| BCBS - Anthem | Commercial|All Other Plans | $155.46 | ↓ -70% |
| Health Net | Commercial|All Plans | $167.33 | ↓ -68% |
| First Health | Commercial|All Plans | $168.00 | ↓ -68% |
| United | Commercial|HMO | $175.64 | ↓ -66% |
| Aetna | Commercial|All Other Plans | $183.01 | ↓ -65% |
| Aetna | Commercial|HMO | $183.01 | ↓ -65% |
| Aetna | Commercial|PPO | $183.01 | ↓ -65% |
| Kaiser | Commercial|All Plans | $190.40 | ↓ -63% |
| Cigna | Commercial|PPO | $200.48 | ↓ -62% |
| Cigna | Commercial|All Other Plans | $200.48 | ↓ -62% |
| Multiplan | Commercial|All Plans | $219.52 | ↓ -58% |
Visitor-reported prices
Comments
Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $954.29 – $2,695.00 |
| Queen of The Valley Medical Center | Napa | $1,889.55 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,469.82 | $910.78 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $853.23 | $954.10 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $868.02 | $3,331.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $1,406.07 | $985.34 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,152.96 | $774.16 – $5,171.00 |
| Mercy Medical Center Merced | Merced | $1,052.15 | $91.85 – $2,022.57 |