Immobilizer shldr dlx str 24-36in med 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

$45.29

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.

$68.00

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.

$13.97 with Health Net vs $54.00 with Health Plan of San Joaquin — 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
Health Net Medicare|All Plans $13.97 ↓ -69%
BCBS - Anthem Medicare|All Plans $13.97 ↓ -69%
Blue Shield CA Medicare|All Plans $13.97 ↓ -69%
Kaiser Medicare|All Plans $13.97 ↓ -69%
Aetna Medicare|All Plans $13.97 ↓ -69%
Humana Medicare|All Plans $13.97 ↓ -69%
Care 1st Medicare|All Plans $13.97 ↓ -69%
Scan Health Plan Medicare|All Plans $13.97 ↓ -69%
United Medicare|All Plans $13.97 ↓ -69%
BCBS - Anthem Commercial|Exchange $29.24 ↓ -35%
United Commercial|Select $31.41 ↓ -31%
Blue Shield CA Commercial|Exchange $34.56 ↓ -24%
Blue Shield CA Commercial|PPO $34.56 ↓ -24%
Blue Shield CA Commercial|HMO $34.56 ↓ -24%
United Commercial|Choice $36.04 ↓ -20%
BCBS - Anthem Commercial|All Other Plans $37.48 ↓ -17%
Health Net Commercial|All Plans $40.34 ↓ -11%
First Health Commercial|All Plans $40.50 ↓ -11%
United Commercial|HMO $42.35 ↓ -6%
Aetna Commercial|PPO $44.12 ↓ -3%
Aetna Commercial|All Other Plans $44.12 ↓ -3%
Aetna Commercial|HMO $44.12 ↓ -3%
Kaiser Commercial|All Plans $45.90 ↑ +1%
Cigna Commercial|All Other Plans $48.33 ↑ +7%
Cigna Commercial|PPO $48.33 ↑ +7%
Multiplan Commercial|All Plans $52.92 ↑ +17%
BCBS - Anthem Medicaid|All Plans $54.00 ↑ +19%
Kaiser Medicaid|All Plans $54.00 ↑ +19%
Health Net Medicaid|All Plans $54.00 ↑ +19%
California Health & Wellness Medicaid|All Plans $54.00 ↑ +19%
Health Plan of San Joaquin Medicaid|All Plans $54.00 ↑ +19%

Visitor-reported prices

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Immobilizer shldr dlx str 24-36in med at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $152.87 $5.52 – $173.29
Petaluma Valley Hospital Petaluma $196.15 not published
Arroyo Grande Hospital Santa Maria $150.23 $11.50 – $23.00
French Hospital San Luis Obispo $137.60 $4.37 – $23.00
Mercy Hospitals – Bakersfield Bakersfield $144.69 $6.25 – $25.00
Bakersfield Memorial Hospital Bakersfield $143.13 $6.25 – $25.00
Queen of The Valley Medical Center Napa $335.58 not published
Providence St Joseph Hospital Eureka Eureka $166.72 not published

All California hospitals for this procedure →