Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$299.04
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.
$449.00
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.
$101.68 with BCBS - Anthem vs $433.16 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 | $101.68 | ↓ -66% |
| Kaiser | Medicaid|All Plans | $101.68 | ↓ -66% |
| Health Net | Medicaid|All Plans | $101.68 | ↓ -66% |
| California Health & Wellness | Medicaid|All Plans | $101.68 | ↓ -66% |
| Health Plan of San Joaquin | Medicaid|All Plans | $101.68 | ↓ -66% |
| Care 1st | Medicare|All Plans | $114.35 | ↓ -62% |
| Humana | Medicare|All Plans | $114.35 | ↓ -62% |
| Aetna | Medicare|All Plans | $114.35 | ↓ -62% |
| United | Medicare|All Plans | $114.35 | ↓ -62% |
| Health Net | Medicare|All Plans | $114.35 | ↓ -62% |
| Kaiser | Medicare|All Plans | $114.35 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $114.35 | ↓ -62% |
| Blue Shield CA | Medicare|All Plans | $114.35 | ↓ -62% |
| Scan Health Plan | Medicare|All Plans | $114.35 | ↓ -62% |
| BCBS - Anthem | Commercial|Exchange | $239.26 | ↓ -20% |
| United | Commercial|Select | $257.07 | ↓ -14% |
| Blue Shield CA | Commercial|HMO | $282.88 | ↓ -5% |
| Blue Shield CA | Commercial|PPO | $282.88 | ↓ -5% |
| Blue Shield CA | Commercial|Exchange | $282.88 | ↓ -5% |
| United | Commercial|Choice | $295.00 | ↓ -1% |
| BCBS - Anthem | Commercial|All Other Plans | $306.75 | ↑ +3% |
| Health Net | Commercial|All Plans | $330.18 | ↑ +10% |
| First Health | Commercial|All Plans | $331.50 | ↑ +11% |
| United | Commercial|HMO | $346.58 | ↑ +16% |
| Aetna | Commercial|All Other Plans | $361.12 | ↑ +21% |
| Aetna | Commercial|HMO | $361.12 | ↑ +21% |
| Aetna | Commercial|PPO | $361.12 | ↑ +21% |
| Kaiser | Commercial|All Plans | $375.70 | ↑ +26% |
| Cigna | Commercial|PPO | $395.59 | ↑ +32% |
| Cigna | Commercial|All Other Plans | $395.59 | ↑ +32% |
| Multiplan | Commercial|All Plans | $433.16 | ↑ +45% |
Visitor-reported prices
Comments
Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,098.66 | $125.07 – $4,045.60 |
| Petaluma Valley Hospital | Petaluma | $3,036.03 | $1,921.00 – $4,657.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,811.88 | $101.68 – $3,900.23 |
| Queen of The Valley Medical Center | Napa | $3,375.69 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,395.58 | $2,124.23 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $1,842.63 | $2,225.27 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $2,290.41 | $5,981.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,247.68 | $2,238.00 – $4,737.00 |