Exc malig feenl 1.1-2 11642 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$543.46
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.
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What you pay up front if you don't use insurance.
$816.00
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.
$129.10 with Health Net vs $489.02 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 | $129.10 | ↓ -76% |
| Humana | Medicare|All Plans | $129.10 | ↓ -76% |
| Care 1st | Medicare|All Plans | $129.10 | ↓ -76% |
| Scan Health Plan | Medicare|All Plans | $129.10 | ↓ -76% |
| Aetna | Medicare|All Plans | $129.10 | ↓ -76% |
| Blue Shield CA | Medicare|All Plans | $129.10 | ↓ -76% |
| BCBS - Anthem | Medicare|All Plans | $129.10 | ↓ -76% |
| Kaiser | Medicare|All Plans | $129.10 | ↓ -76% |
| United | Medicare|All Plans | $129.10 | ↓ -76% |
| Health Plan of San Joaquin | Medicaid|All Plans | $213.61 | ↓ -61% |
| Health Net | Medicaid|All Plans | $213.61 | ↓ -61% |
| Kaiser | Medicaid|All Plans | $213.61 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $213.61 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $213.61 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $270.11 | ↓ -50% |
| United | Commercial|Select | $290.22 | ↓ -47% |
| Blue Shield CA | Commercial|PPO | $319.36 | ↓ -41% |
| Blue Shield CA | Commercial|HMO | $319.36 | ↓ -41% |
| Blue Shield CA | Commercial|Exchange | $319.36 | ↓ -41% |
| United | Commercial|Choice | $333.04 | ↓ -39% |
| BCBS - Anthem | Commercial|All Other Plans | $346.31 | ↓ -36% |
| Health Net | Commercial|All Plans | $372.76 | ↓ -31% |
| First Health | Commercial|All Plans | $374.25 | ↓ -31% |
| United | Commercial|HMO | $391.27 | ↓ -28% |
| Aetna | Commercial|All Other Plans | $407.69 | ↓ -25% |
| Aetna | Commercial|HMO | $407.69 | ↓ -25% |
| Aetna | Commercial|PPO | $407.69 | ↓ -25% |
| Kaiser | Commercial|All Plans | $424.15 | ↓ -22% |
| Cigna | Commercial|PPO | $446.61 | ↓ -18% |
| Cigna | Commercial|All Other Plans | $446.61 | ↓ -18% |
| Multiplan | Commercial|All Plans | $489.02 | ↓ -10% |
Visitor-reported prices
Comments
Exc malig feenl 1.1-2 11642 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Merced | Merced | $1,042.36 | $213.61 – $2,003.76 |
| California Hospital Medical Center | Los Angeles | $1,278.95 | $197.94 – $2,083.23 |
| Mercy Medical Center Redding | Redding | $250.46 | $395.20 – $494.00 |
| Providence Saint John's Health Center | Santa Monica | $1,114.75 | $763.02 – $5,977.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $262.74 – $1,628.92 |
| Petaluma Valley Hospital | Petaluma | not published | $954.29 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $213.61 – $893.98 |
| French Hospital | San Luis Obispo | not published | $213.61 – $893.98 |