IV inj ra drug dx study 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

$445.56

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.

$669.00

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.

$36.25 with BCBS - Anthem vs $459.62 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 →

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
BCBS - Anthem Medicaid|All Plans $36.25 ↓ -92%
Kaiser Medicaid|All Plans $36.25 ↓ -92%
Health Net Medicaid|All Plans $36.25 ↓ -92%
California Health & Wellness Medicaid|All Plans $36.25 ↓ -92%
Health Plan of San Joaquin Medicaid|All Plans $36.25 ↓ -92%
Care 1st Medicare|All Plans $121.34 ↓ -73%
Humana Medicare|All Plans $121.34 ↓ -73%
Aetna Medicare|All Plans $121.34 ↓ -73%
United Medicare|All Plans $121.34 ↓ -73%
Health Net Medicare|All Plans $121.34 ↓ -73%
Kaiser Medicare|All Plans $121.34 ↓ -73%
BCBS - Anthem Medicare|All Plans $121.34 ↓ -73%
Blue Shield CA Medicare|All Plans $121.34 ↓ -73%
Scan Health Plan Medicare|All Plans $121.34 ↓ -73%
BCBS - Anthem Commercial|Exchange $287.88 ↓ -35%
United Commercial|Select $318.46 ↓ -29%
Blue Shield CA Commercial|Exchange $339.09 ↓ -24%
Blue Shield CA Commercial|PPO $339.09 ↓ -24%
Blue Shield CA Commercial|HMO $339.09 ↓ -24%
First Health Commercial|All Plans $351.75 ↓ -21%
United Commercial|Choice $364.89 ↓ -18%
BCBS - Anthem Commercial|All Other Plans $369.06 ↓ -17%
Health Net Commercial|All Plans $377.08 ↓ -15%
Aetna Commercial|All Other Plans $383.18 ↓ -14%
Aetna Commercial|HMO $383.18 ↓ -14%
Aetna Commercial|PPO $383.18 ↓ -14%
Kaiser Commercial|All Plans $398.65 ↓ -11%
Cigna Commercial|PPO $419.76 ↓ -6%
Cigna Commercial|All Other Plans $419.76 ↓ -6%
United Commercial|HMO $430.55 ↓ -3%
Multiplan Commercial|All Plans $459.62 ↑ +3%

Visitor-reported prices

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IV inj ra drug dx study at other California hospitals

Hospital City Cash price Negotiated range
Mercy Hospitals – Bakersfield Bakersfield $364.70 $36.25 – $1,976.45
Bakersfield Memorial Hospital Bakersfield $360.77 $36.25 – $1,976.45
Queen of The Valley Medical Center Napa $905.25 $335.46 – $589.01
Providence St Joseph Hospital Eureka Eureka $655.35 $514.17 – $589.01
St. Joseph's Medical Center Stockton Stockton $280.77 $36.25 – $531.00
Mercy Medical Center Merced Merced $573.20 $36.25 – $511.00
Providence Saint Joseph Medical Center Burbank $495.60 $75.86 – $1,434.70
Providence St Joseph Hospital Orange Orange $275.04 $233.27 – $951.22

All California hospitals for this procedure →