Lower Back (Lumbar Spine) CT scan (with and without contrast) at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$5,909.42
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.
$8,873.00
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.
$275.51 with BCBS - Anthem vs $1,910.02 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $275.51 | ↓ -95% |
| Kaiser | Medicaid|All Plans | $275.51 | ↓ -95% |
| Health Net | Medicaid|All Plans | $275.51 | ↓ -95% |
| California Health & Wellness | Medicaid|All Plans | $275.51 | ↓ -95% |
| Health Plan of San Joaquin | Medicaid|All Plans | $275.51 | ↓ -95% |
| Care 1st | Medicare|All Plans | $504.21 | ↓ -91% |
| Humana | Medicare|All Plans | $504.21 | ↓ -91% |
| Aetna | Medicare|All Plans | $504.21 | ↓ -91% |
| United | Medicare|All Plans | $504.21 | ↓ -91% |
| Health Net | Medicare|All Plans | $504.21 | ↓ -91% |
| Kaiser | Medicare|All Plans | $504.21 | ↓ -91% |
| BCBS - Anthem | Medicare|All Plans | $504.21 | ↓ -91% |
| Blue Shield CA | Medicare|All Plans | $504.21 | ↓ -91% |
| Scan Health Plan | Medicare|All Plans | $504.21 | ↓ -91% |
| BCBS - Anthem | Commercial|Exchange | $1,196.30 | ↓ -80% |
| United | Commercial|Select | $1,323.38 | ↓ -78% |
| Blue Shield CA | Commercial|Exchange | $1,409.13 | ↓ -76% |
| Blue Shield CA | Commercial|PPO | $1,409.13 | ↓ -76% |
| Blue Shield CA | Commercial|HMO | $1,409.13 | ↓ -76% |
| First Health | Commercial|All Plans | $1,461.75 | ↓ -75% |
| United | Commercial|Choice | $1,516.33 | ↓ -74% |
| BCBS - Anthem | Commercial|All Other Plans | $1,533.67 | ↓ -74% |
| Health Net | Commercial|All Plans | $1,567.00 | ↓ -73% |
| Aetna | Commercial|All Other Plans | $1,592.34 | ↓ -73% |
| Aetna | Commercial|HMO | $1,592.34 | ↓ -73% |
| Aetna | Commercial|PPO | $1,592.34 | ↓ -73% |
| Kaiser | Commercial|All Plans | $1,656.65 | ↓ -72% |
| Cigna | Commercial|PPO | $1,744.36 | ↓ -70% |
| Cigna | Commercial|All Other Plans | $1,744.36 | ↓ -70% |
| United | Commercial|HMO | $1,789.19 | ↓ -70% |
| Multiplan | Commercial|All Plans | $1,910.02 | ↓ -68% |
Visitor-reported prices
Comments
Lower Back (Lumbar Spine) CT scan (with and without contrast) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,561.04 | $226.19 – $2,779.92 |
| Banner Lassen Medical Center | Susanville | $2,095.63 | $35.60 – $3,572.51 |
| Petaluma Valley Hospital | Petaluma | $261.63 | $236.37 – $2,039.84 |
| Arroyo Grande Hospital | Santa Maria | $3,794.22 | $226.19 – $7,264.74 |
| French Hospital | San Luis Obispo | $3,025.85 | $226.19 – $1,768.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,985.66 | $226.19 – $8,594.40 |
| Bakersfield Memorial Hospital | Bakersfield | $3,942.69 | $226.19 – $8,486.97 |
| Queen of The Valley Medical Center | Napa | $6,473.94 | $249.04 – $2,577.85 |