Exc malig feenl <0.5cm 11640 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.
$88.22 with Health Net vs $334.18 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 | $88.22 | ↓ -83% |
| Humana | Medicare|All Plans | $88.22 | ↓ -83% |
| Care 1st | Medicare|All Plans | $88.22 | ↓ -83% |
| Scan Health Plan | Medicare|All Plans | $88.22 | ↓ -83% |
| Aetna | Medicare|All Plans | $88.22 | ↓ -83% |
| Blue Shield CA | Medicare|All Plans | $88.22 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $88.22 | ↓ -83% |
| Kaiser | Medicare|All Plans | $88.22 | ↓ -83% |
| United | Medicare|All Plans | $88.22 | ↓ -83% |
| Health Plan of San Joaquin | Medicaid|All Plans | $145.25 | ↓ -72% |
| Health Net | Medicaid|All Plans | $145.25 | ↓ -72% |
| Kaiser | Medicaid|All Plans | $145.25 | ↓ -72% |
| BCBS - Anthem | Medicaid|All Plans | $145.25 | ↓ -72% |
| California Health & Wellness | Medicaid|All Plans | $145.25 | ↓ -72% |
| BCBS - Anthem | Commercial|Exchange | $184.59 | ↓ -65% |
| United | Commercial|Select | $198.33 | ↓ -62% |
| Blue Shield CA | Commercial|PPO | $218.24 | ↓ -58% |
| Blue Shield CA | Commercial|HMO | $218.24 | ↓ -58% |
| Blue Shield CA | Commercial|Exchange | $218.24 | ↓ -58% |
| United | Commercial|Choice | $227.59 | ↓ -56% |
| BCBS - Anthem | Commercial|All Other Plans | $236.66 | ↓ -55% |
| Health Net | Commercial|All Plans | $254.73 | ↓ -51% |
| First Health | Commercial|All Plans | $255.75 | ↓ -51% |
| United | Commercial|HMO | $267.38 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $278.60 | ↓ -47% |
| Aetna | Commercial|HMO | $278.60 | ↓ -47% |
| Aetna | Commercial|PPO | $278.60 | ↓ -47% |
| Kaiser | Commercial|All Plans | $289.85 | ↓ -44% |
| Cigna | Commercial|PPO | $305.20 | ↓ -41% |
| Cigna | Commercial|All Other Plans | $305.20 | ↓ -41% |
| Multiplan | Commercial|All Plans | $334.18 | ↓ -36% |
Visitor-reported prices
Comments
Exc malig feenl <0.5cm 11640 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Redwood Memorial Hospital | Fortuna | $1,012.86 | $3,331.00 – $25,998.00 |
| Mercy Medical Center Merced | Merced | $364.62 | $145.25 – $778.80 |
| Providence Saint John's Health Center | Santa Monica | $1,063.30 | $763.02 – $5,977.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $178.66 – $1,628.92 |
| Petaluma Valley Hospital | Petaluma | not published | $954.29 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $145.25 – $893.98 |
| French Hospital | San Luis Obispo | not published | $145.25 – $893.98 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $145.25 – $893.98 |