Ghs incision thrombosed ext hemorrhoid 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

$264.41

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.

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

$397.00

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.

$76.84 with BCBS - Anthem vs $291.06 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
BCBS - Anthem Medicare|All Plans $76.84 ↓ -71%
Kaiser Medicare|All Plans $76.84 ↓ -71%
Care 1st Medicare|All Plans $76.84 ↓ -71%
Scan Health Plan Medicare|All Plans $76.84 ↓ -71%
Aetna Medicare|All Plans $76.84 ↓ -71%
Blue Shield CA Medicare|All Plans $76.84 ↓ -71%
United Medicare|All Plans $76.84 ↓ -71%
Humana Medicare|All Plans $76.84 ↓ -71%
Health Net Medicare|All Plans $76.84 ↓ -71%
BCBS - Anthem Commercial|Exchange $160.77 ↓ -39%
United Commercial|Select $172.74 ↓ -35%
Blue Shield CA Commercial|Exchange $190.08 ↓ -28%
Blue Shield CA Commercial|HMO $190.08 ↓ -28%
Blue Shield CA Commercial|PPO $190.08 ↓ -28%
United Commercial|Choice $198.22 ↓ -25%
BCBS - Anthem Commercial|All Other Plans $206.12 ↓ -22%
Health Plan of San Joaquin Medicaid|All Plans $219.16 ↓ -17%
Health Net Medicaid|All Plans $219.16 ↓ -17%
Kaiser Medicaid|All Plans $219.16 ↓ -17%
BCBS - Anthem Medicaid|All Plans $219.16 ↓ -17%
California Health & Wellness Medicaid|All Plans $219.16 ↓ -17%
Health Net Commercial|All Plans $221.86 ↓ -16%
First Health Commercial|All Plans $222.75 ↓ -16%
United Commercial|HMO $232.88 ↓ -12%
Aetna Commercial|All Other Plans $242.65 ↓ -8%
Aetna Commercial|HMO $242.65 ↓ -8%
Aetna Commercial|PPO $242.65 ↓ -8%
Kaiser Commercial|All Plans $252.45 ↓ -5%
Cigna Commercial|PPO $265.82 ↑ +1%
Cigna Commercial|All Other Plans $265.82 ↑ +1%
Multiplan Commercial|All Plans $291.06 ↑ +10%

Visitor-reported prices

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Ghs incision thrombosed ext hemorrhoid at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $534.99 $336.70 – $1,921.00
Queen of The Valley Medical Center Napa $1,826.82 $354.75 – $6,200.00
Providence St Joseph Hospital Eureka Eureka $605.37 $321.35 – $8,018.00
Healdsburg Hospital Healdsburg $264.18 $336.63 – $3,982.87
Redwood Memorial Hospital Fortuna $606.90 $1,333.00 – $20,799.00
Santa Rosa Memorial Hospital Santa Rosa $374.34 $347.66 – $4,042.00
Providence Mission Hospital - Mission Viejo Mission Viejo $637.92 $273.14 – $5,171.00
Providence Cedars-Sinai Tarzana Medical Center Tarzana $156.80 $321.35 – $2,594.00

All California hospitals for this procedure →