Perq nl/pl lithotrp smpl<2cm at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$1,579.76
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.
$2,372.00
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.
$613.64 with Health Net vs $2,324.56 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 | $613.64 | ↓ -61% |
| Humana | Medicare|All Plans | $613.64 | ↓ -61% |
| Care 1st | Medicare|All Plans | $613.64 | ↓ -61% |
| Scan Health Plan | Medicare|All Plans | $613.64 | ↓ -61% |
| Aetna | Medicare|All Plans | $613.64 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $613.64 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $613.64 | ↓ -61% |
| Kaiser | Medicare|All Plans | $613.64 | ↓ -61% |
| United | Medicare|All Plans | $613.64 | ↓ -61% |
| Health Plan of San Joaquin | Medicaid|All Plans | $648.52 | ↓ -59% |
| Health Net | Medicaid|All Plans | $648.52 | ↓ -59% |
| Kaiser | Medicaid|All Plans | $648.52 | ↓ -59% |
| BCBS - Anthem | Medicaid|All Plans | $648.52 | ↓ -59% |
| California Health & Wellness | Medicaid|All Plans | $648.52 | ↓ -59% |
| BCBS - Anthem | Commercial|Exchange | $1,283.97 | ↓ -19% |
| United | Commercial|Select | $1,379.56 | ↓ -13% |
| Blue Shield CA | Commercial|PPO | $1,518.08 | ↓ -4% |
| Blue Shield CA | Commercial|HMO | $1,518.08 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $1,518.08 | ↓ -4% |
| United | Commercial|Choice | $1,583.08 | ↑ +0% |
| BCBS - Anthem | Commercial|All Other Plans | $1,646.17 | ↑ +4% |
| Health Net | Commercial|All Plans | $1,771.89 | ↑ +12% |
| First Health | Commercial|All Plans | $1,779.00 | ↑ +13% |
| United | Commercial|HMO | $1,859.89 | ↑ +18% |
| Aetna | Commercial|All Other Plans | $1,937.93 | ↑ +23% |
| Aetna | Commercial|HMO | $1,937.93 | ↑ +23% |
| Aetna | Commercial|PPO | $1,937.93 | ↑ +23% |
| Kaiser | Commercial|All Plans | $2,016.20 | ↑ +28% |
| Cigna | Commercial|PPO | $2,122.94 | ↑ +34% |
| Cigna | Commercial|All Other Plans | $2,122.94 | ↑ +34% |
| Multiplan | Commercial|All Plans | $2,324.56 | ↑ +47% |
Visitor-reported prices
Comments
Perq nl/pl lithotrp smpl<2cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $4,698.43 | $797.68 – $21,454.00 |
| Arroyo Grande Hospital | Santa Maria | $8,562.14 | $648.52 – $19,604.90 |
| French Hospital | San Luis Obispo | $10,729.83 | $648.52 – $25,547.62 |
| Dominican Hospital | Santa Cruz | $7,845.75 | $648.52 – $39,764.43 |
| California Hospital Medical Center | Los Angeles | $6,432.56 | $648.52 – $13,088.87 |
| Petaluma Valley Hospital | Petaluma | not published | $5,734.00 – $13,017.45 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $648.52 – $11,749.43 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $648.52 – $11,749.43 |