Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) 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

$20,294.63

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.

$30,472.41

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.

$7,883.22 with Scan Health Plan vs $29,862.97 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
Scan Health Plan Medicare|All Plans $7,883.22 ↓ -61%
Humana Medicare|All Plans $7,883.22 ↓ -61%
Aetna Medicare|All Plans $7,883.22 ↓ -61%
United Medicare|All Plans $7,883.22 ↓ -61%
Health Net Medicare|All Plans $7,883.22 ↓ -61%
Kaiser Medicare|All Plans $7,883.22 ↓ -61%
BCBS - Anthem Medicare|All Plans $7,883.22 ↓ -61%
Blue Shield CA Medicare|All Plans $7,883.22 ↓ -61%
Care 1st Medicare|All Plans $7,883.22 ↓ -61%
BCBS - Anthem Commercial|Exchange $16,494.72 ↓ -19%
United Commercial|Select $17,722.76 ↓ -13%
Blue Shield CA Commercial|HMO $19,502.35 ↓ -4%
Blue Shield CA Commercial|PPO $19,502.35 ↓ -4%
Blue Shield CA Commercial|Exchange $19,502.35 ↓ -4%
United Commercial|Choice $20,337.29 ↑ +0%
BCBS - Anthem Commercial|All Other Plans $21,147.86 ↑ +4%
Health Net Commercial|All Plans $22,762.90 ↑ +12%
First Health Commercial|All Plans $22,854.31 ↑ +13%
United Commercial|HMO $23,893.42 ↑ +18%
Aetna Commercial|All Other Plans $24,895.96 ↑ +23%
Aetna Commercial|PPO $24,895.96 ↑ +23%
Aetna Commercial|HMO $24,895.96 ↑ +23%
Kaiser Commercial|All Plans $25,901.55 ↑ +28%
Cigna Commercial|All Other Plans $27,272.81 ↑ +34%
Cigna Commercial|PPO $27,272.81 ↑ +34%
Multiplan Commercial|All Plans $29,862.97 ↑ +47%

Visitor-reported prices

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Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $8,531.81 $71.23 – $15,193.62
Petaluma Valley Hospital Petaluma $16,531.64 $66.67 – $349.29
Arroyo Grande Hospital Santa Maria $16,050.00 $118.13 – $36,750.00
French Hospital San Luis Obispo $14,700.00 $199.13 – $36,750.00
Mercy Hospitals – Bakersfield Bakersfield $13,073.67 $99.57 – $9,289.60
Bakersfield Memorial Hospital Bakersfield $12,932.72 $106.46 – $9,173.48
Queen of The Valley Medical Center Napa $16,531.64 $72.17 – $349.29
Providence St Joseph Hospital Eureka Eureka $16,531.64 $86.09 – $349.29

All California hospitals for this procedure →