Tc-99m sestamibi p study dose at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$674.66
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.
$1,013.00
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.
$97.36 with BCBS - Anthem vs $845.74 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 | $97.36 | ↓ -86% |
| Kaiser | Medicaid|All Plans | $97.36 | ↓ -86% |
| Health Net | Medicaid|All Plans | $97.36 | ↓ -86% |
| California Health & Wellness | Medicaid|All Plans | $97.36 | ↓ -86% |
| Health Plan of San Joaquin | Medicaid|All Plans | $97.36 | ↓ -86% |
| Care 1st | Medicare|All Plans | $223.26 | ↓ -67% |
| Humana | Medicare|All Plans | $223.26 | ↓ -67% |
| Aetna | Medicare|All Plans | $223.26 | ↓ -67% |
| United | Medicare|All Plans | $223.26 | ↓ -67% |
| Health Net | Medicare|All Plans | $223.26 | ↓ -67% |
| Kaiser | Medicare|All Plans | $223.26 | ↓ -67% |
| BCBS - Anthem | Medicare|All Plans | $223.26 | ↓ -67% |
| Blue Shield CA | Medicare|All Plans | $223.26 | ↓ -67% |
| Scan Health Plan | Medicare|All Plans | $223.26 | ↓ -67% |
| BCBS - Anthem | Commercial|Exchange | $529.71 | ↓ -21% |
| United | Commercial|Select | $585.98 | ↓ -13% |
| Blue Shield CA | Commercial|Exchange | $623.95 | ↓ -8% |
| Blue Shield CA | Commercial|PPO | $623.95 | ↓ -8% |
| Blue Shield CA | Commercial|HMO | $623.95 | ↓ -8% |
| First Health | Commercial|All Plans | $647.25 | ↓ -4% |
| United | Commercial|Choice | $671.42 | ↓ -0% |
| BCBS - Anthem | Commercial|All Other Plans | $679.10 | ↑ +1% |
| Health Net | Commercial|All Plans | $693.86 | ↑ +3% |
| Aetna | Commercial|All Other Plans | $705.08 | ↑ +5% |
| Aetna | Commercial|HMO | $705.08 | ↑ +5% |
| Aetna | Commercial|PPO | $705.08 | ↑ +5% |
| Kaiser | Commercial|All Plans | $733.55 | ↑ +9% |
| Cigna | Commercial|PPO | $772.39 | ↑ +14% |
| Cigna | Commercial|All Other Plans | $772.39 | ↑ +14% |
| United | Commercial|HMO | $792.24 | ↑ +17% |
| Multiplan | Commercial|All Plans | $845.74 | ↑ +25% |
Visitor-reported prices
Comments
Tc-99m sestamibi p study dose at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $136.66 | $83.43 – $243.36 |
| Banner Lassen Medical Center | Susanville | $193.70 | $113.94 – $269.56 |
| Arroyo Grande Hospital | Santa Maria | $751.14 | $97.36 – $1,719.90 |
| French Hospital | San Luis Obispo | $475.89 | $97.36 – $1,189.72 |
| Mercy Hospitals – Bakersfield | Bakersfield | $394.01 | $97.36 – $849.60 |
| Bakersfield Memorial Hospital | Bakersfield | $389.76 | $97.36 – $838.98 |
| St. Joseph's Medical Center Stockton | Stockton | $596.53 | $97.36 – $1,663.78 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $258.30 | $79.68 – $325.36 |