Nm imaging hepatobiliary system w/pharmacologic intervention at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$2,311.69
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.
$3,471.00
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.
$391.93 with BCBS - Anthem vs $2,637.18 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 | $391.93 | ↓ -83% |
| Kaiser | Medicaid|All Plans | $391.93 | ↓ -83% |
| Health Net | Medicaid|All Plans | $391.93 | ↓ -83% |
| California Health & Wellness | Medicaid|All Plans | $391.93 | ↓ -83% |
| Health Plan of San Joaquin | Medicaid|All Plans | $391.93 | ↓ -83% |
| Care 1st | Medicare|All Plans | $696.17 | ↓ -70% |
| Humana | Medicare|All Plans | $696.17 | ↓ -70% |
| Aetna | Medicare|All Plans | $696.17 | ↓ -70% |
| United | Medicare|All Plans | $696.17 | ↓ -70% |
| Health Net | Medicare|All Plans | $696.17 | ↓ -70% |
| Kaiser | Medicare|All Plans | $696.17 | ↓ -70% |
| BCBS - Anthem | Medicare|All Plans | $696.17 | ↓ -70% |
| Blue Shield CA | Medicare|All Plans | $696.17 | ↓ -70% |
| Scan Health Plan | Medicare|All Plans | $696.17 | ↓ -70% |
| BCBS - Anthem | Commercial|Exchange | $1,651.74 | ↓ -29% |
| United | Commercial|Select | $1,827.19 | ↓ -21% |
| Blue Shield CA | Commercial|Exchange | $1,945.60 | ↓ -16% |
| Blue Shield CA | Commercial|PPO | $1,945.60 | ↓ -16% |
| Blue Shield CA | Commercial|HMO | $1,945.60 | ↓ -16% |
| First Health | Commercial|All Plans | $2,018.25 | ↓ -13% |
| United | Commercial|Choice | $2,093.60 | ↓ -9% |
| BCBS - Anthem | Commercial|All Other Plans | $2,117.55 | ↓ -8% |
| Health Net | Commercial|All Plans | $2,163.57 | ↓ -6% |
| Aetna | Commercial|All Other Plans | $2,198.55 | ↓ -5% |
| Aetna | Commercial|HMO | $2,198.55 | ↓ -5% |
| Aetna | Commercial|PPO | $2,198.55 | ↓ -5% |
| Kaiser | Commercial|All Plans | $2,287.35 | ↓ -1% |
| Cigna | Commercial|PPO | $2,408.45 | ↑ +4% |
| Cigna | Commercial|All Other Plans | $2,408.45 | ↑ +4% |
| United | Commercial|HMO | $2,470.34 | ↑ +7% |
| Multiplan | Commercial|All Plans | $2,637.18 | ↑ +14% |
Visitor-reported prices
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Nm imaging hepatobiliary system w/pharmacologic intervention at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,546.58 | $592.95 – $2,754.18 |
| Banner Lassen Medical Center | Susanville | $1,966.03 | $107.65 – $2,842.10 |
| Petaluma Valley Hospital | Petaluma | $4,328.88 | $731.71 – $1,884.48 |
| Arroyo Grande Hospital | Santa Maria | $1,525.40 | $391.93 – $3,038.00 |
| French Hospital | San Luis Obispo | $1,159.54 | $391.93 – $2,704.43 |
| Mercy Hospitals – Bakersfield | Bakersfield | $621.06 | $391.93 – $2,565.73 |
| Bakersfield Memorial Hospital | Bakersfield | $614.36 | $391.93 – $2,565.73 |
| Queen of The Valley Medical Center | Napa | $4,047.36 | $755.17 – $2,469.71 |