New Patient Office Visit (level 4) at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$291.05
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.
$437.00
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.
$58.73 with Health Net vs $222.46 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 |
|---|---|---|---|
| Health Net | Medicare|All Plans | $58.73 | ↓ -80% |
| Humana | Medicare|All Plans | $58.73 | ↓ -80% |
| Care 1st | Medicare|All Plans | $58.73 | ↓ -80% |
| Scan Health Plan | Medicare|All Plans | $58.73 | ↓ -80% |
| Aetna | Medicare|All Plans | $58.73 | ↓ -80% |
| Blue Shield CA | Medicare|All Plans | $58.73 | ↓ -80% |
| BCBS - Anthem | Medicare|All Plans | $58.73 | ↓ -80% |
| Kaiser | Medicare|All Plans | $58.73 | ↓ -80% |
| United | Medicare|All Plans | $58.73 | ↓ -80% |
| Health Plan of San Joaquin | Medicaid|All Plans | $122.74 | ↓ -58% |
| Health Net | Medicaid|All Plans | $122.74 | ↓ -58% |
| Kaiser | Medicaid|All Plans | $122.74 | ↓ -58% |
| BCBS - Anthem | Medicaid|All Plans | $122.74 | ↓ -58% |
| California Health & Wellness | Medicaid|All Plans | $122.74 | ↓ -58% |
| BCBS - Anthem | Commercial|Exchange | $122.88 | ↓ -58% |
| United | Commercial|Select | $132.03 | ↓ -55% |
| Blue Shield CA | Commercial|PPO | $145.28 | ↓ -50% |
| Blue Shield CA | Commercial|HMO | $145.28 | ↓ -50% |
| Blue Shield CA | Commercial|Exchange | $145.28 | ↓ -50% |
| United | Commercial|Choice | $151.50 | ↓ -48% |
| BCBS - Anthem | Commercial|All Other Plans | $157.54 | ↓ -46% |
| Health Net | Commercial|All Plans | $169.57 | ↓ -42% |
| First Health | Commercial|All Plans | $170.25 | ↓ -42% |
| United | Commercial|HMO | $178.00 | ↓ -39% |
| Aetna | Commercial|All Other Plans | $185.46 | ↓ -36% |
| Aetna | Commercial|HMO | $185.46 | ↓ -36% |
| Aetna | Commercial|PPO | $185.46 | ↓ -36% |
| Kaiser | Commercial|All Plans | $192.95 | ↓ -34% |
| Cigna | Commercial|PPO | $203.17 | ↓ -30% |
| Cigna | Commercial|All Other Plans | $203.17 | ↓ -30% |
| Multiplan | Commercial|All Plans | $222.46 | ↓ -24% |
Visitor-reported prices
Comments
New Patient Office Visit (level 4) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,166.40 | $83.70 – $241.80 |
| Banner Lassen Medical Center | Susanville | $2,667.98 | $231.65 – $548.05 |
| Arroyo Grande Hospital | Santa Maria | $1,043.90 | $98.83 – $454.00 |
| French Hospital | San Luis Obispo | $725.20 | $98.01 – $355.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $178.08 | $111.00 – $384.00 |
| Bakersfield Memorial Hospital | Bakersfield | $208.83 | $104.00 – $314.82 |
| Healdsburg Hospital | Healdsburg | $633.42 | not published |
| Redwood Memorial Hospital | Fortuna | $150.96 | not published |