Tc-99m mertiatide at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$546.12
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.
$820.00
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.
$180.84 with Health Net vs $685.02 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 | $180.84 | ↓ -67% |
| Humana | Medicare|All Plans | $180.84 | ↓ -67% |
| Care 1st | Medicare|All Plans | $180.84 | ↓ -67% |
| Scan Health Plan | Medicare|All Plans | $180.84 | ↓ -67% |
| Aetna | Medicare|All Plans | $180.84 | ↓ -67% |
| Blue Shield CA | Medicare|All Plans | $180.84 | ↓ -67% |
| BCBS - Anthem | Medicare|All Plans | $180.84 | ↓ -67% |
| Kaiser | Medicare|All Plans | $180.84 | ↓ -67% |
| United | Medicare|All Plans | $180.84 | ↓ -67% |
| Health Plan of San Joaquin | Medicaid|All Plans | $306.98 | ↓ -44% |
| Health Net | Medicaid|All Plans | $306.98 | ↓ -44% |
| Kaiser | Medicaid|All Plans | $306.98 | ↓ -44% |
| BCBS - Anthem | Medicaid|All Plans | $306.98 | ↓ -44% |
| California Health & Wellness | Medicaid|All Plans | $306.98 | ↓ -44% |
| BCBS - Anthem | Commercial|Exchange | $429.05 | ↓ -21% |
| United | Commercial|Select | $474.63 | ↓ -13% |
| Blue Shield CA | Commercial|HMO | $505.38 | ↓ -7% |
| Blue Shield CA | Commercial|Exchange | $505.38 | ↓ -7% |
| Blue Shield CA | Commercial|PPO | $505.38 | ↓ -7% |
| First Health | Commercial|All Plans | $524.25 | ↓ -4% |
| United | Commercial|Choice | $543.83 | ↓ -0% |
| BCBS - Anthem | Commercial|All Other Plans | $550.05 | ↑ +1% |
| Health Net | Commercial|All Plans | $562.00 | ↑ +3% |
| Aetna | Commercial|HMO | $571.09 | ↑ +5% |
| Aetna | Commercial|All Other Plans | $571.09 | ↑ +5% |
| Aetna | Commercial|PPO | $571.09 | ↑ +5% |
| Kaiser | Commercial|All Plans | $594.15 | ↑ +9% |
| Cigna | Commercial|PPO | $625.61 | ↑ +15% |
| Cigna | Commercial|All Other Plans | $625.61 | ↑ +15% |
| United | Commercial|HMO | $641.69 | ↑ +17% |
| Multiplan | Commercial|All Plans | $685.02 | ↑ +25% |
Visitor-reported prices
Comments
Tc-99m mertiatide at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $262.80 | $160.38 – $528.01 |
| Banner Lassen Medical Center | Susanville | $307.38 | $180.81 – $506.52 |
| Arroyo Grande Hospital | Santa Maria | $743.01 | $306.98 – $1,701.28 |
| French Hospital | San Luis Obispo | $299.88 | $206.55 – $765.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $282.71 | $306.98 – $762.00 |
| Bakersfield Memorial Hospital | Bakersfield | $279.66 | $306.98 – $762.00 |
| St. Joseph's Medical Center Stockton | Stockton | $260.49 | $186.06 – $886.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $825.46 | $254.64 – $1,039.78 |