Lithium therapeutic drug level 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

$85.92

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.

Full explanation →

What you pay up front if you don't use insurance.

$129.00

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$6.61 with Health Net vs $16.20 with Multiplan — same scan, same building. Share

Negotiated rates by payer
?

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 $6.61 ↓ -92%
Humana Medicare|All Plans $6.61 ↓ -92%
Care 1st Medicare|All Plans $6.61 ↓ -92%
Scan Health Plan Medicare|All Plans $6.61 ↓ -92%
Aetna Medicare|All Plans $6.61 ↓ -92%
Blue Shield CA Medicare|All Plans $6.61 ↓ -92%
BCBS - Anthem Medicare|All Plans $6.61 ↓ -92%
Kaiser Medicare|All Plans $6.61 ↓ -92%
United Medicare|All Plans $6.61 ↓ -92%
Health Plan of San Joaquin Medicaid|All Plans $8.43 ↓ -90%
Health Net Medicaid|All Plans $8.43 ↓ -90%
Kaiser Medicaid|All Plans $8.43 ↓ -90%
BCBS - Anthem Medicaid|All Plans $8.43 ↓ -90%
California Health & Wellness Medicaid|All Plans $8.43 ↓ -90%
BCBS - Anthem Commercial|Exchange $8.95 ↓ -90%
United Commercial|Select $9.62 ↓ -89%
Blue Shield CA Commercial|PPO $10.58 ↓ -88%
Blue Shield CA Commercial|HMO $10.58 ↓ -88%
Blue Shield CA Commercial|Exchange $10.58 ↓ -88%
United Commercial|Choice $11.04 ↓ -87%
BCBS - Anthem Commercial|All Other Plans $11.48 ↓ -87%
Health Net Commercial|All Plans $12.35 ↓ -86%
First Health Commercial|All Plans $12.40 ↓ -86%
United Commercial|HMO $12.97 ↓ -85%
Aetna Commercial|All Other Plans $13.51 ↓ -84%
Aetna Commercial|HMO $13.51 ↓ -84%
Aetna Commercial|PPO $13.51 ↓ -84%
Kaiser Commercial|All Plans $14.06 ↓ -84%
Cigna Commercial|PPO $14.80 ↓ -83%
Cigna Commercial|All Other Plans $14.80 ↓ -83%
Multiplan Commercial|All Plans $16.20 ↓ -81%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Lithium therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $139.29 $6.61 – $20.63
Banner Lassen Medical Center Susanville $12.52 $1.32 – $19.40
Petaluma Valley Hospital Petaluma $97.92 $6.48 – $53.91
Arroyo Grande Hospital Santa Maria $122.41 $6.61 – $22.54
French Hospital San Luis Obispo $112.12 $6.21 – $22.54
Mercy Hospitals – Bakersfield Bakersfield $57.51 $6.61 – $55.20
Bakersfield Memorial Hospital Bakersfield $56.89 $6.61 – $54.51
Queen of The Valley Medical Center Napa $341.19 $6.61 – $68.13

All California hospitals for this procedure →