Alpha-fetoprotein afp-l3 frac & total 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

$66.60

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.

$100.00

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.

$53.59 with BCBS - Anthem vs $97.02 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 →

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
BCBS - Anthem Commercial|Exchange $53.59 ↓ -20%
Kaiser Medicaid|All Plans $57.26 ↓ -14%
Health Net Medicaid|All Plans $57.26 ↓ -14%
Health Plan of San Joaquin Medicaid|All Plans $57.26 ↓ -14%
BCBS - Anthem Medicaid|All Plans $57.26 ↓ -14%
California Health & Wellness Medicaid|All Plans $57.26 ↓ -14%
United Commercial|Select $57.58 ↓ -14%
Blue Shield CA Commercial|Exchange $63.36 ↓ -5%
Blue Shield CA Commercial|PPO $63.36 ↓ -5%
Blue Shield CA Commercial|HMO $63.36 ↓ -5%
Care 1st Medicare|All Plans $64.41 ↓ -3%
Humana Medicare|All Plans $64.41 ↓ -3%
Aetna Medicare|All Plans $64.41 ↓ -3%
United Medicare|All Plans $64.41 ↓ -3%
Health Net Medicare|All Plans $64.41 ↓ -3%
Kaiser Medicare|All Plans $64.41 ↓ -3%
BCBS - Anthem Medicare|All Plans $64.41 ↓ -3%
Blue Shield CA Medicare|All Plans $64.41 ↓ -3%
Scan Health Plan Medicare|All Plans $64.41 ↓ -3%
United Commercial|Choice $66.08 ↓ -1%
BCBS - Anthem Commercial|All Other Plans $68.71 ↑ +3%
Health Net Commercial|All Plans $73.96 ↑ +11%
First Health Commercial|All Plans $74.25 ↑ +11%
United Commercial|HMO $77.63 ↑ +17%
Aetna Commercial|PPO $80.89 ↑ +21%
Aetna Commercial|All Other Plans $80.89 ↑ +21%
Aetna Commercial|HMO $80.89 ↑ +21%
Kaiser Commercial|All Plans $84.15 ↑ +26%
Cigna Commercial|All Other Plans $88.61 ↑ +33%
Cigna Commercial|PPO $88.61 ↑ +33%
Multiplan Commercial|All Plans $97.02 ↑ +46%

Visitor-reported prices

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Alpha-fetoprotein afp-l3 frac & total at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $43.37 $26.73 – $170.91
Banner Lassen Medical Center Susanville $28.17 $12.88 – $94.48
Petaluma Valley Hospital Petaluma $68.85 $63.12 – $514.34
Arroyo Grande Hospital Santa Maria $42.80 $49.50 – $165.97
French Hospital San Luis Obispo $39.20 $26.73 – $195.11
Queen of The Valley Medical Center Napa $68.85 $64.41 – $650.00
Providence St Joseph Hospital Eureka Eureka $68.85 $64.41 – $737.11
Redwood Memorial Hospital Fortuna $68.85 $738.83 – $738.83

All California hospitals for this procedure →