Pr removal drug delivery implant at Mark Twain Medical Center

768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819

Source: hospital's published price file ↗ · Published Feb 28, 2026 · Ingested Sep 10, 2026

$240.43

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$361.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$46.31 with Health Net vs $175.42 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 →

Payer
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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
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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 $46.31 ↓ -81%
Humana Medicare|All Plans $46.31 ↓ -81%
Care 1st Medicare|All Plans $46.31 ↓ -81%
Scan Health Plan Medicare|All Plans $46.31 ↓ -81%
Aetna Medicare|All Plans $46.31 ↓ -81%
Blue Shield CA Medicare|All Plans $46.31 ↓ -81%
BCBS - Anthem Medicare|All Plans $46.31 ↓ -81%
Kaiser Medicare|All Plans $46.31 ↓ -81%
United Medicare|All Plans $46.31 ↓ -81%
Health Plan of San Joaquin Medicaid|All Plans $89.94 ↓ -63%
Health Net Medicaid|All Plans $89.94 ↓ -63%
Kaiser Medicaid|All Plans $89.94 ↓ -63%
BCBS - Anthem Medicaid|All Plans $89.94 ↓ -63%
California Health & Wellness Medicaid|All Plans $89.94 ↓ -63%
BCBS - Anthem Commercial|Exchange $96.90 ↓ -60%
United Commercial|Select $104.11 ↓ -57%
Blue Shield CA Commercial|PPO $114.56 ↓ -52%
Blue Shield CA Commercial|HMO $114.56 ↓ -52%
Blue Shield CA Commercial|Exchange $114.56 ↓ -52%
United Commercial|Choice $119.47 ↓ -50%
BCBS - Anthem Commercial|All Other Plans $124.23 ↓ -48%
Health Net Commercial|All Plans $133.72 ↓ -44%
First Health Commercial|All Plans $134.25 ↓ -44%
United Commercial|HMO $140.36 ↓ -42%
Aetna Commercial|All Other Plans $146.25 ↓ -39%
Aetna Commercial|HMO $146.25 ↓ -39%
Aetna Commercial|PPO $146.25 ↓ -39%
Kaiser Commercial|All Plans $152.15 ↓ -37%
Cigna Commercial|PPO $160.21 ↓ -33%
Cigna Commercial|All Other Plans $160.21 ↓ -33%
Multiplan Commercial|All Plans $175.42 ↓ -27%

Visitor-reported prices

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Pr removal drug delivery implant at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $764.49 $593.00 – $1,687.00
Mercy Hospitals – Bakersfield Bakersfield $458.56 $89.94 – $988.80
Bakersfield Memorial Hospital Bakersfield $453.62 $89.94 – $976.44
Queen of The Valley Medical Center Napa $850.17 $634.29 – $3,331.00
Providence St Joseph Hospital Eureka Eureka $871.59 $574.56 – $3,331.00
Healdsburg Hospital Healdsburg $1,484.10 $601.89 – $3,982.87
Redwood Memorial Hospital Fortuna $426.36 $1,847.00 – $20,799.00
St. Joseph's Medical Center Stockton Stockton $430.13 $89.94 – $596.40

All California hospitals for this procedure →