Fluoroguide needle placement at Mark Twain Medical Center

768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$1,963.37

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$2,948.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$21.48 with Kaiser vs $81.34 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 →

Payer
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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
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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
Kaiser Medicare|All Plans $21.48 ↓ -99%
Scan Health Plan Medicare|All Plans $21.48 ↓ -99%
BCBS - Anthem Medicare|All Plans $21.48 ↓ -99%
Aetna Medicare|All Plans $21.48 ↓ -99%
United Medicare|All Plans $21.48 ↓ -99%
Humana Medicare|All Plans $21.48 ↓ -99%
Health Net Medicare|All Plans $21.48 ↓ -99%
Blue Shield CA Medicare|All Plans $21.48 ↓ -99%
Care 1st Medicare|All Plans $21.48 ↓ -99%
BCBS - Anthem Commercial|Exchange $44.93 ↓ -98%
United Commercial|Select $48.28 ↓ -98%
Blue Shield CA Commercial|PPO $53.12 ↓ -97%
Blue Shield CA Commercial|HMO $53.12 ↓ -97%
Blue Shield CA Commercial|Exchange $53.12 ↓ -97%
United Commercial|Choice $55.40 ↓ -97%
BCBS - Anthem Commercial|All Other Plans $57.61 ↓ -97%
Health Net Commercial|All Plans $62.01 ↓ -97%
First Health Commercial|All Plans $62.25 ↓ -97%
United Commercial|HMO $65.09 ↓ -97%
Health Plan of San Joaquin Medicaid|All Plans $66.51 ↓ -97%
Health Net Medicaid|All Plans $66.51 ↓ -97%
Kaiser Medicaid|All Plans $66.51 ↓ -97%
BCBS - Anthem Medicaid|All Plans $66.51 ↓ -97%
California Health & Wellness Medicaid|All Plans $66.51 ↓ -97%
Aetna Commercial|HMO $67.82 ↓ -97%
Aetna Commercial|PPO $67.82 ↓ -97%
Aetna Commercial|All Other Plans $67.82 ↓ -97%
Kaiser Commercial|All Plans $70.55 ↓ -96%
Cigna Commercial|PPO $74.29 ↓ -96%
Cigna Commercial|All Other Plans $74.29 ↓ -96%
Multiplan Commercial|All Plans $81.34 ↓ -96%

Visitor-reported prices

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Fluoroguide needle placement at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $1,216.77 $100.63 – $2,166.84
Banner Lassen Medical Center Susanville $581.87 $109.74 – $860.39
Petaluma Valley Hospital Petaluma $1,106.19 $262.41 – $392.94
Arroyo Grande Hospital Santa Maria $658.27 $66.51 – $1,292.62
French Hospital San Luis Obispo $536.26 $66.51 – $765.38
Mercy Hospitals – Bakersfield Bakersfield $480.82 $66.51 – $1,036.80
Bakersfield Memorial Hospital Bakersfield $475.64 $66.51 – $1,283.04
Queen of The Valley Medical Center Napa $1,659.54 $389.30 – $496.58

All California hospitals for this procedure →