New Patient Office Visit (level 5) at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$402.27
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.
$604.00
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.
$77.61 with Health Net vs $294.00 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 | $77.61 | ↓ -81% |
| Humana | Medicare|All Plans | $77.61 | ↓ -81% |
| Care 1st | Medicare|All Plans | $77.61 | ↓ -81% |
| Scan Health Plan | Medicare|All Plans | $77.61 | ↓ -81% |
| Aetna | Medicare|All Plans | $77.61 | ↓ -81% |
| Blue Shield CA | Medicare|All Plans | $77.61 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $77.61 | ↓ -81% |
| Kaiser | Medicare|All Plans | $77.61 | ↓ -81% |
| United | Medicare|All Plans | $77.61 | ↓ -81% |
| Health Plan of San Joaquin | Medicaid|All Plans | $147.33 | ↓ -63% |
| Health Net | Medicaid|All Plans | $147.33 | ↓ -63% |
| Kaiser | Medicaid|All Plans | $147.33 | ↓ -63% |
| BCBS - Anthem | Medicaid|All Plans | $147.33 | ↓ -63% |
| California Health & Wellness | Medicaid|All Plans | $147.33 | ↓ -63% |
| BCBS - Anthem | Commercial|Exchange | $162.39 | ↓ -60% |
| United | Commercial|Select | $174.48 | ↓ -57% |
| Blue Shield CA | Commercial|PPO | $192.00 | ↓ -52% |
| Blue Shield CA | Commercial|HMO | $192.00 | ↓ -52% |
| Blue Shield CA | Commercial|Exchange | $192.00 | ↓ -52% |
| United | Commercial|Choice | $200.22 | ↓ -50% |
| BCBS - Anthem | Commercial|All Other Plans | $208.20 | ↓ -48% |
| Health Net | Commercial|All Plans | $224.10 | ↓ -44% |
| First Health | Commercial|All Plans | $225.00 | ↓ -44% |
| United | Commercial|HMO | $235.23 | ↓ -42% |
| Aetna | Commercial|All Other Plans | $245.10 | ↓ -39% |
| Aetna | Commercial|HMO | $245.10 | ↓ -39% |
| Aetna | Commercial|PPO | $245.10 | ↓ -39% |
| Kaiser | Commercial|All Plans | $255.00 | ↓ -37% |
| Cigna | Commercial|PPO | $268.50 | ↓ -33% |
| Cigna | Commercial|All Other Plans | $268.50 | ↓ -33% |
| Multiplan | Commercial|All Plans | $294.00 | ↓ -27% |
Visitor-reported prices
Comments
New Patient Office Visit (level 5) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $822.12 | $102.00 – $313.56 |
| Banner Lassen Medical Center | Susanville | $3,570.68 | $136.46 – $630.50 |
| Arroyo Grande Hospital | Santa Maria | $291.04 | $118.62 – $567.00 |
| French Hospital | San Luis Obispo | $222.27 | $118.62 – $449.82 |
| Bakersfield Memorial Hospital | Bakersfield | $253.60 | $104.00 – $683.10 |
| Healdsburg Hospital | Healdsburg | $970.53 | not published |
| Redwood Memorial Hospital | Fortuna | $164.73 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $264.90 | $118.62 – $738.82 |