Leuprolide 30 mg (4 month) intramuscular syringe kit at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$42,026.04
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.
$63,102.15
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.
$496.63 with Scan Health Plan vs $1,881.29 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 | $496.63 | ↓ -99% |
| Humana | Medicare|All Plans | $496.63 | ↓ -99% |
| Aetna | Medicare|All Plans | $496.63 | ↓ -99% |
| United | Medicare|All Plans | $496.63 | ↓ -99% |
| Health Net | Medicare|All Plans | $496.63 | ↓ -99% |
| Kaiser | Medicare|All Plans | $496.63 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $496.63 | ↓ -99% |
| Blue Shield CA | Medicare|All Plans | $496.63 | ↓ -99% |
| Care 1st | Medicare|All Plans | $496.63 | ↓ -99% |
| BCBS - Anthem | Commercial|Exchange | $1,039.13 | ↓ -98% |
| United | Commercial|Select | $1,116.49 | ↓ -97% |
| Blue Shield CA | Commercial|HMO | $1,228.60 | ↓ -97% |
| Blue Shield CA | Commercial|PPO | $1,228.60 | ↓ -97% |
| Blue Shield CA | Commercial|Exchange | $1,228.60 | ↓ -97% |
| United | Commercial|Choice | $1,281.20 | ↓ -97% |
| BCBS - Anthem | Commercial|All Other Plans | $1,332.26 | ↓ -97% |
| Health Net | Commercial|All Plans | $1,434.01 | ↓ -97% |
| First Health | Commercial|All Plans | $1,439.76 | ↓ -97% |
| United | Commercial|HMO | $1,505.23 | ↓ -96% |
| Aetna | Commercial|All Other Plans | $1,568.38 | ↓ -96% |
| Aetna | Commercial|PPO | $1,568.38 | ↓ -96% |
| Aetna | Commercial|HMO | $1,568.38 | ↓ -96% |
| Kaiser | Commercial|All Plans | $1,631.73 | ↓ -96% |
| Cigna | Commercial|All Other Plans | $1,718.12 | ↓ -96% |
| Cigna | Commercial|PPO | $1,718.12 | ↓ -96% |
| Multiplan | Commercial|All Plans | $1,881.29 | ↓ -96% |
Visitor-reported prices
Comments
Leuprolide 30 mg (4 month) intramuscular syringe kit at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,773.28 | $117.32 – $1,318.20 |
| French Hospital | San Luis Obispo | $14,700.00 | $148.92 – $36,750.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,687.43 | $176.75 – $2,720.80 |
| Bakersfield Memorial Hospital | Bakersfield | $7,501.12 | $197.48 – $1,233.98 |
| Queen of The Valley Medical Center | Napa | $2,982.84 | $176.20 – $772.79 |
| Providence St Joseph Hospital Eureka | Eureka | $2,982.84 | $176.20 – $921.81 |
| St. Joseph's Medical Center Stockton | Stockton | $3,680.30 | $185.00 – $1,046.32 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $788.29 | $149.77 – $370.42 |