Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$231.11
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.
$347.00
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.
$32.86 with Scan Health Plan vs $124.46 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 |
|---|---|---|---|
| Scan Health Plan | Medicare|All Plans | $32.86 | ↓ -86% |
| Humana | Medicare|All Plans | $32.86 | ↓ -86% |
| Aetna | Medicare|All Plans | $32.86 | ↓ -86% |
| United | Medicare|All Plans | $32.86 | ↓ -86% |
| Health Net | Medicare|All Plans | $32.86 | ↓ -86% |
| Kaiser | Medicare|All Plans | $32.86 | ↓ -86% |
| BCBS - Anthem | Medicare|All Plans | $32.86 | ↓ -86% |
| Blue Shield CA | Medicare|All Plans | $32.86 | ↓ -86% |
| Care 1st | Medicare|All Plans | $32.86 | ↓ -86% |
| BCBS - Anthem | Commercial|Exchange | $68.75 | ↓ -70% |
| United | Commercial|Select | $73.87 | ↓ -68% |
| Blue Shield CA | Commercial|HMO | $81.28 | ↓ -65% |
| Blue Shield CA | Commercial|PPO | $81.28 | ↓ -65% |
| Blue Shield CA | Commercial|Exchange | $81.28 | ↓ -65% |
| United | Commercial|Choice | $84.76 | ↓ -63% |
| BCBS - Anthem | Commercial|All Other Plans | $88.14 | ↓ -62% |
| Health Net | Commercial|All Plans | $94.87 | ↓ -59% |
| First Health | Commercial|All Plans | $95.25 | ↓ -59% |
| United | Commercial|HMO | $99.59 | ↓ -57% |
| Aetna | Commercial|All Other Plans | $103.76 | ↓ -55% |
| Aetna | Commercial|PPO | $103.76 | ↓ -55% |
| Aetna | Commercial|HMO | $103.76 | ↓ -55% |
| Kaiser | Commercial|All Plans | $107.95 | ↓ -53% |
| Cigna | Commercial|All Other Plans | $113.67 | ↓ -51% |
| Cigna | Commercial|PPO | $113.67 | ↓ -51% |
| Multiplan | Commercial|All Plans | $124.46 | ↓ -46% |
Visitor-reported prices
Comments
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $123.52 | $66.96 – $1,951.00 |
| Banner Lassen Medical Center | Susanville | $61.82 | $39.36 – $93.12 |
| Petaluma Valley Hospital | Petaluma | $148.41 | not published |
| Arroyo Grande Hospital | Santa Maria | $265.79 | $112.50 – $1,208.00 |
| French Hospital | San Luis Obispo | $221.09 | $57.51 – $213.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $206.28 | $72.90 – $281.00 |
| Bakersfield Memorial Hospital | Bakersfield | $204.06 | $72.90 – $221.40 |
| Queen of The Valley Medical Center | Napa | $369.75 | not published |