Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$3,367.30
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.
$5,056.00
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.
$68.82 with Health Net vs $260.68 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 | $68.82 | ↓ -98% |
| Humana | Medicare|All Plans | $68.82 | ↓ -98% |
| Care 1st | Medicare|All Plans | $68.82 | ↓ -98% |
| Scan Health Plan | Medicare|All Plans | $68.82 | ↓ -98% |
| Aetna | Medicare|All Plans | $68.82 | ↓ -98% |
| Blue Shield CA | Medicare|All Plans | $68.82 | ↓ -98% |
| BCBS - Anthem | Medicare|All Plans | $68.82 | ↓ -98% |
| Kaiser | Medicare|All Plans | $68.82 | ↓ -98% |
| United | Medicare|All Plans | $68.82 | ↓ -98% |
| Health Plan of San Joaquin | Medicaid|All Plans | $105.95 | ↓ -97% |
| Health Net | Medicaid|All Plans | $105.95 | ↓ -97% |
| Kaiser | Medicaid|All Plans | $105.95 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $105.95 | ↓ -97% |
| California Health & Wellness | Medicaid|All Plans | $105.95 | ↓ -97% |
| BCBS - Anthem | Commercial|Exchange | $143.99 | ↓ -96% |
| United | Commercial|Select | $154.71 | ↓ -95% |
| Blue Shield CA | Commercial|PPO | $170.24 | ↓ -95% |
| Blue Shield CA | Commercial|HMO | $170.24 | ↓ -95% |
| Blue Shield CA | Commercial|Exchange | $170.24 | ↓ -95% |
| United | Commercial|Choice | $177.53 | ↓ -95% |
| BCBS - Anthem | Commercial|All Other Plans | $184.61 | ↓ -95% |
| Health Net | Commercial|All Plans | $198.71 | ↓ -94% |
| First Health | Commercial|All Plans | $199.50 | ↓ -94% |
| United | Commercial|HMO | $208.58 | ↓ -94% |
| Aetna | Commercial|All Other Plans | $217.33 | ↓ -94% |
| Aetna | Commercial|HMO | $217.33 | ↓ -94% |
| Aetna | Commercial|PPO | $217.33 | ↓ -94% |
| Kaiser | Commercial|All Plans | $226.10 | ↓ -93% |
| Cigna | Commercial|PPO | $238.07 | ↓ -93% |
| Cigna | Commercial|All Other Plans | $238.07 | ↓ -93% |
| Multiplan | Commercial|All Plans | $260.68 | ↓ -92% |
Visitor-reported prices
Comments
Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $734.53 | $130.32 – $1,452.04 |
| Banner Lassen Medical Center | Susanville | $1,090.98 | $152.34 – $1,351.21 |
| Petaluma Valley Hospital | Petaluma | $2,134.86 | $845.36 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $2,178.52 | $105.95 – $2,878.26 |
| French Hospital | San Luis Obispo | $1,918.84 | $105.95 – $1,774.78 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,548.19 | $105.95 – $1,569.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,531.50 | $105.95 – $1,549.98 |
| Queen of The Valley Medical Center | Napa | $4,569.09 | $890.68 – $6,200.00 |