Mopath procedure level 5 at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$599.40
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.
$900.00
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.
$202.99 with BCBS - Anthem vs $367.50 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 | Commercial|Exchange | $202.99 | ↓ -66% |
| United | Commercial|Select | $218.10 | ↓ -64% |
| Blue Shield CA | Commercial|PPO | $240.00 | ↓ -60% |
| Blue Shield CA | Commercial|Exchange | $240.00 | ↓ -60% |
| Blue Shield CA | Commercial|HMO | $240.00 | ↓ -60% |
| United | Commercial|Choice | $250.28 | ↓ -58% |
| BCBS - Anthem | Commercial|All Other Plans | $260.25 | ↓ -57% |
| Care 1st | Medicare|All Plans | $274.83 | ↓ -54% |
| Humana | Medicare|All Plans | $274.83 | ↓ -54% |
| Aetna | Medicare|All Plans | $274.83 | ↓ -54% |
| United | Medicare|All Plans | $274.83 | ↓ -54% |
| Health Net | Medicaid|All Plans | $274.83 | ↓ -54% |
| Health Net | Medicare|All Plans | $274.83 | ↓ -54% |
| Kaiser | Medicaid|All Plans | $274.83 | ↓ -54% |
| Kaiser | Medicare|All Plans | $274.83 | ↓ -54% |
| BCBS - Anthem | Medicaid|All Plans | $274.83 | ↓ -54% |
| BCBS - Anthem | Medicare|All Plans | $274.83 | ↓ -54% |
| Blue Shield CA | Medicare|All Plans | $274.83 | ↓ -54% |
| Scan Health Plan | Medicare|All Plans | $274.83 | ↓ -54% |
| California Health & Wellness | Medicaid|All Plans | $274.83 | ↓ -54% |
| Health Plan of San Joaquin | Medicaid|All Plans | $274.83 | ↓ -54% |
| Health Net | Commercial|All Plans | $280.13 | ↓ -53% |
| First Health | Commercial|All Plans | $281.25 | ↓ -53% |
| United | Commercial|HMO | $294.04 | ↓ -51% |
| Aetna | Commercial|PPO | $306.38 | ↓ -49% |
| Aetna | Commercial|HMO | $306.38 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $306.38 | ↓ -49% |
| Kaiser | Commercial|All Plans | $318.75 | ↓ -47% |
| Cigna | Commercial|PPO | $335.63 | ↓ -44% |
| Cigna | Commercial|All Other Plans | $335.63 | ↓ -44% |
| Multiplan | Commercial|All Plans | $367.50 | ↓ -39% |
Visitor-reported prices
Comments
Mopath procedure level 5 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $394.20 | $171.00 – $729.21 |
| Banner Lassen Medical Center | Susanville | $342.77 | $54.97 – $453.47 |
| Arroyo Grande Hospital | Santa Maria | $516.17 | $72.77 – $708.13 |
| French Hospital | San Luis Obispo | $472.76 | $39.30 – $832.46 |
| Mercy Hospitals – Bakersfield | Bakersfield | $333.90 | $153.63 – $789.77 |
| Bakersfield Memorial Hospital | Bakersfield | $330.30 | $153.63 – $789.77 |
| St. Joseph's Behavioral Health Center | Stockton | $513.90 | $30.73 – $245.81 |
| St. Joseph's Medical Center Stockton | Stockton | $264.60 | $64.53 – $307.26 |