Repair elbow w/deb open at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$953.72
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.
$1,432.00
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.
$293.37 with Health Net vs $1,111.32 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 | $293.37 | ↓ -69% |
| Humana | Medicare|All Plans | $293.37 | ↓ -69% |
| Care 1st | Medicare|All Plans | $293.37 | ↓ -69% |
| Scan Health Plan | Medicare|All Plans | $293.37 | ↓ -69% |
| Aetna | Medicare|All Plans | $293.37 | ↓ -69% |
| Blue Shield CA | Medicare|All Plans | $293.37 | ↓ -69% |
| BCBS - Anthem | Medicare|All Plans | $293.37 | ↓ -69% |
| Kaiser | Medicare|All Plans | $293.37 | ↓ -69% |
| United | Medicare|All Plans | $293.37 | ↓ -69% |
| Health Plan of San Joaquin | Medicaid|All Plans | $371.93 | ↓ -61% |
| Health Net | Medicaid|All Plans | $371.93 | ↓ -61% |
| Kaiser | Medicaid|All Plans | $371.93 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $371.93 | ↓ -61% |
| California Health & Wellness | Medicaid|All Plans | $371.93 | ↓ -61% |
| BCBS - Anthem | Commercial|Exchange | $613.84 | ↓ -36% |
| United | Commercial|Select | $659.54 | ↓ -31% |
| Blue Shield CA | Commercial|PPO | $725.76 | ↓ -24% |
| Blue Shield CA | Commercial|HMO | $725.76 | ↓ -24% |
| Blue Shield CA | Commercial|Exchange | $725.76 | ↓ -24% |
| United | Commercial|Choice | $756.84 | ↓ -21% |
| BCBS - Anthem | Commercial|All Other Plans | $787.00 | ↓ -17% |
| Health Net | Commercial|All Plans | $847.10 | ↓ -11% |
| First Health | Commercial|All Plans | $850.50 | ↓ -11% |
| United | Commercial|HMO | $889.17 | ↓ -7% |
| Aetna | Commercial|All Other Plans | $926.48 | ↓ -3% |
| Aetna | Commercial|HMO | $926.48 | ↓ -3% |
| Aetna | Commercial|PPO | $926.48 | ↓ -3% |
| Kaiser | Commercial|All Plans | $963.90 | ↑ +1% |
| Cigna | Commercial|PPO | $1,014.93 | ↑ +6% |
| Cigna | Commercial|All Other Plans | $1,014.93 | ↑ +6% |
| Multiplan | Commercial|All Plans | $1,111.32 | ↑ +17% |
Visitor-reported prices
Comments
Repair elbow w/deb open at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | not published | $562.69 – $7,471.42 |
| Petaluma Valley Hospital | Petaluma | not published | $2,937.00 – $11,185.00 |
| Arroyo Grande Hospital | Santa Maria | not published | $371.93 – $4,122.60 |
| French Hospital | San Luis Obispo | not published | $371.93 – $4,122.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | not published | $371.93 – $4,122.60 |
| Bakersfield Memorial Hospital | Bakersfield | not published | $371.93 – $4,122.60 |
| Queen of The Valley Medical Center | Napa | not published | $4,645.79 – $17,909.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $4,208.34 – $17,611.00 |