Insert drug delivery implant 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

$210.46

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.

$316.00

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.

$39.59 with Health Net vs $153.00 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 $39.59 ↓ -81%
BCBS - Anthem Medicare|All Plans $39.59 ↓ -81%
Blue Shield CA Medicare|All Plans $39.59 ↓ -81%
Kaiser Medicare|All Plans $39.59 ↓ -81%
Aetna Medicare|All Plans $39.59 ↓ -81%
Humana Medicare|All Plans $39.59 ↓ -81%
Care 1st Medicare|All Plans $39.59 ↓ -81%
Scan Health Plan Medicare|All Plans $39.59 ↓ -81%
United Medicare|All Plans $39.59 ↓ -81%
BCBS - Anthem Commercial|Exchange $82.82 ↓ -61%
United Commercial|Select $88.99 ↓ -58%
Blue Shield CA Commercial|Exchange $97.92 ↓ -53%
Blue Shield CA Commercial|PPO $97.92 ↓ -53%
Blue Shield CA Commercial|HMO $97.92 ↓ -53%
United Commercial|Choice $102.12 ↓ -51%
BCBS - Anthem Commercial|All Other Plans $106.19 ↓ -50%
Health Net Commercial|All Plans $114.30 ↓ -46%
First Health Commercial|All Plans $114.75 ↓ -45%
United Commercial|HMO $119.97 ↓ -43%
Aetna Commercial|PPO $125.01 ↓ -41%
Aetna Commercial|All Other Plans $125.01 ↓ -41%
Aetna Commercial|HMO $125.01 ↓ -41%
Kaiser Commercial|All Plans $130.05 ↓ -38%
Cigna Commercial|All Other Plans $136.94 ↓ -35%
Cigna Commercial|PPO $136.94 ↓ -35%
Multiplan Commercial|All Plans $149.94 ↓ -29%
BCBS - Anthem Medicaid|All Plans $153.00 ↓ -27%
Kaiser Medicaid|All Plans $153.00 ↓ -27%
Health Net Medicaid|All Plans $153.00 ↓ -27%
California Health & Wellness Medicaid|All Plans $153.00 ↓ -27%
Health Plan of San Joaquin Medicaid|All Plans $153.00 ↓ -27%

Visitor-reported prices

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Insert drug delivery implant at other California hospitals

Hospital City Cash price Negotiated range
Healdsburg Hospital Healdsburg $537.03 $179.26 – $3,982.87
Mercy Medical Center Merced Merced $157.08 $143.25 – $301.95
Providence St Joseph Hospital Orange Orange $70.08 $145.45 – $1,535.00
St. John's Camarillo Hospital Camarillo not published $163.78 – $363.42
Petaluma Valley Hospital Petaluma not published $179.30 – $1,687.00
Arroyo Grande Hospital Santa Maria not published $163.78 – $252.79
French Hospital San Luis Obispo not published $163.78 – $167.09
Mercy Hospitals – Bakersfield Bakersfield not published $163.78 – $402.69

All California hospitals for this procedure →