Inj proc sialogram at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$1,461.87
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.
$2,195.00
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.
$248.36 with Health Net vs $940.80 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 | $248.36 | ↓ -83% |
| Humana | Medicare|All Plans | $248.36 | ↓ -83% |
| Care 1st | Medicare|All Plans | $248.36 | ↓ -83% |
| Scan Health Plan | Medicare|All Plans | $248.36 | ↓ -83% |
| Aetna | Medicare|All Plans | $248.36 | ↓ -83% |
| Blue Shield CA | Medicare|All Plans | $248.36 | ↓ -83% |
| BCBS - Anthem | Medicare|All Plans | $248.36 | ↓ -83% |
| Kaiser | Medicare|All Plans | $248.36 | ↓ -83% |
| United | Medicare|All Plans | $248.36 | ↓ -83% |
| Health Plan of San Joaquin | Medicaid|All Plans | $250.78 | ↓ -83% |
| Health Net | Medicaid|All Plans | $250.78 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $250.78 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $250.78 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $250.78 | ↓ -83% |
| BCBS - Anthem | Commercial|Exchange | $589.25 | ↓ -60% |
| United | Commercial|Select | $651.84 | ↓ -55% |
| Blue Shield CA | Commercial|HMO | $694.08 | ↓ -53% |
| Blue Shield CA | Commercial|Exchange | $694.08 | ↓ -53% |
| Blue Shield CA | Commercial|PPO | $694.08 | ↓ -53% |
| First Health | Commercial|All Plans | $720.00 | ↓ -51% |
| United | Commercial|Choice | $746.88 | ↓ -49% |
| BCBS - Anthem | Commercial|All Other Plans | $755.43 | ↓ -48% |
| Health Net | Commercial|All Plans | $771.84 | ↓ -47% |
| Aetna | Commercial|HMO | $784.32 | ↓ -46% |
| Aetna | Commercial|All Other Plans | $784.32 | ↓ -46% |
| Aetna | Commercial|PPO | $784.32 | ↓ -46% |
| Kaiser | Commercial|All Plans | $816.00 | ↓ -44% |
| Cigna | Commercial|PPO | $859.20 | ↓ -41% |
| Cigna | Commercial|All Other Plans | $859.20 | ↓ -41% |
| United | Commercial|HMO | $881.28 | ↓ -40% |
| Multiplan | Commercial|All Plans | $940.80 | ↓ -36% |
Visitor-reported prices
Comments
Inj proc sialogram at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $33.29 | $20.52 – $76.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,256.58 | $250.78 – $3,014.43 |
| Bakersfield Memorial Hospital | Bakersfield | $1,243.03 | $250.78 – $3,353.13 |
| St. Joseph's Medical Center Stockton | Stockton | $947.57 | $250.78 – $1,314.60 |
| Mercy Medical Center Merced | Merced | $1,770.06 | $250.78 – $1,464.21 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $73.85 | $1,287.00 – $4,776.00 |
| California Hospital Medical Center | Los Angeles | $83.42 | $43.00 – $1,976.60 |
| Providence Saint Joseph Medical Center | Burbank | $210.35 | $1,311.00 – $4,751.00 |