Exc benign snhfg 3.1-4.0cm 11424 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$342.99
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.
$515.00
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.
$116.21 with BCBS - Anthem vs $480.20 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 | $116.21 | ↓ -66% |
| Kaiser | Medicaid|All Plans | $116.21 | ↓ -66% |
| Health Net | Medicaid|All Plans | $116.21 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $116.21 | ↓ -66% |
| Health Plan of San Joaquin | Medicaid|All Plans | $116.21 | ↓ -66% |
| Care 1st | Medicare|All Plans | $126.77 | ↓ -63% |
| Humana | Medicare|All Plans | $126.77 | ↓ -63% |
| Aetna | Medicare|All Plans | $126.77 | ↓ -63% |
| United | Medicare|All Plans | $126.77 | ↓ -63% |
| Health Net | Medicare|All Plans | $126.77 | ↓ -63% |
| Kaiser | Medicare|All Plans | $126.77 | ↓ -63% |
| BCBS - Anthem | Medicare|All Plans | $126.77 | ↓ -63% |
| Blue Shield CA | Medicare|All Plans | $126.77 | ↓ -63% |
| Scan Health Plan | Medicare|All Plans | $126.77 | ↓ -63% |
| BCBS - Anthem | Commercial|Exchange | $265.24 | ↓ -23% |
| United | Commercial|Select | $284.99 | ↓ -17% |
| Blue Shield CA | Commercial|HMO | $313.60 | ↓ -9% |
| Blue Shield CA | Commercial|PPO | $313.60 | ↓ -9% |
| Blue Shield CA | Commercial|Exchange | $313.60 | ↓ -9% |
| United | Commercial|Choice | $327.03 | ↓ -5% |
| BCBS - Anthem | Commercial|All Other Plans | $340.06 | ↓ -1% |
| Health Net | Commercial|All Plans | $366.03 | ↑ +7% |
| First Health | Commercial|All Plans | $367.50 | ↑ +7% |
| United | Commercial|HMO | $384.21 | ↑ +12% |
| Aetna | Commercial|All Other Plans | $400.33 | ↑ +17% |
| Aetna | Commercial|HMO | $400.33 | ↑ +17% |
| Aetna | Commercial|PPO | $400.33 | ↑ +17% |
| Kaiser | Commercial|All Plans | $416.50 | ↑ +21% |
| Cigna | Commercial|PPO | $438.55 | ↑ +28% |
| Cigna | Commercial|All Other Plans | $438.55 | ↑ +28% |
| Multiplan | Commercial|All Plans | $480.20 | ↑ +40% |
Visitor-reported prices
Comments
Exc benign snhfg 3.1-4.0cm 11424 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $2,225.71 – $4,657.00 |
| Queen of The Valley Medical Center | Napa | $3,375.69 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,395.58 | $2,124.23 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,842.63 | $2,225.27 – $5,198.77 |
| Redwood Memorial Hospital | Fortuna | $2,005.32 | $8,005.00 – $25,998.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,247.68 | $2,298.14 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,664.96 | $1,805.60 – $6,920.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $1,205.75 | $1,528.00 – $3,929.83 |