Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) 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

$17.32

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.

Full explanation →

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

$26.00

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.

Full explanation →

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

$4.38 with Scan Health Plan vs $16.58 with Multiplan — same scan, same building. Share

Negotiated rates by payer
?

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
Scan Health Plan Medicare|All Plans $4.38 ↓ -75%
Humana Medicare|All Plans $4.38 ↓ -75%
Aetna Medicare|All Plans $4.38 ↓ -75%
United Medicare|All Plans $4.38 ↓ -75%
Health Net Medicare|All Plans $4.38 ↓ -75%
Kaiser Medicare|All Plans $4.38 ↓ -75%
BCBS - Anthem Medicare|All Plans $4.38 ↓ -75%
Blue Shield CA Medicare|All Plans $4.38 ↓ -75%
Care 1st Medicare|All Plans $4.38 ↓ -75%
BCBS - Anthem Commercial|Exchange $9.16 ↓ -47%
United Commercial|Select $9.84 ↓ -43%
Blue Shield CA Commercial|HMO $10.83 ↓ -37%
Blue Shield CA Commercial|PPO $10.83 ↓ -37%
Blue Shield CA Commercial|Exchange $10.83 ↓ -37%
United Commercial|Choice $11.29 ↓ -35%
BCBS - Anthem Commercial|All Other Plans $11.74 ↓ -32%
Health Net Commercial|All Plans $12.64 ↓ -27%
First Health Commercial|All Plans $12.69 ↓ -27%
United Commercial|HMO $13.26 ↓ -23%
Aetna Commercial|All Other Plans $13.82 ↓ -20%
Aetna Commercial|PPO $13.82 ↓ -20%
Aetna Commercial|HMO $13.82 ↓ -20%
Kaiser Commercial|All Plans $14.38 ↓ -17%
Cigna Commercial|All Other Plans $15.14 ↓ -13%
Cigna Commercial|PPO $15.14 ↓ -13%
Multiplan Commercial|All Plans $16.58 ↓ -4%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $57.38 $18.09 – $52.26
Petaluma Valley Hospital Petaluma $107.27 $0.27 – $0.52
Arroyo Grande Hospital Santa Maria $256.80 $24.30 – $52.92
French Hospital San Luis Obispo $151.32 $14.58 – $52.92
Mercy Hospitals – Bakersfield Bakersfield $379.91 $10.40 – $26.00
Bakersfield Memorial Hospital Bakersfield $65.33 $6.50 – $26.00
Queen of The Valley Medical Center Napa $107.27 $0.27 – $0.56
Providence St Joseph Hospital Eureka Eureka $107.27 $0.17 – $0.67

All California hospitals for this procedure →