Consultation pathology during surgery cytological exam initial site at Mark Twain Medical Center
768 Mountain Ranch Rd, San Andreas, CA · CommonSpirit Health · · NPI 1508968819
$26.64
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.
?
What you pay up front if you don't use insurance.
$40.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$8.56 with Health Net vs $33.06 with Health Plan of San Joaquin — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $8.56 | ↓ -68% |
| BCBS - Anthem | Medicare|All Plans | $8.56 | ↓ -68% |
| Blue Shield CA | Medicare|All Plans | $8.56 | ↓ -68% |
| Kaiser | Medicare|All Plans | $8.56 | ↓ -68% |
| Aetna | Medicare|All Plans | $8.56 | ↓ -68% |
| Humana | Medicare|All Plans | $8.56 | ↓ -68% |
| Care 1st | Medicare|All Plans | $8.56 | ↓ -68% |
| Scan Health Plan | Medicare|All Plans | $8.56 | ↓ -68% |
| United | Medicare|All Plans | $8.56 | ↓ -68% |
| BCBS - Anthem | Commercial|Exchange | $17.90 | ↓ -33% |
| United | Commercial|Select | $19.23 | ↓ -28% |
| Blue Shield CA | Commercial|Exchange | $21.16 | ↓ -21% |
| Blue Shield CA | Commercial|PPO | $21.16 | ↓ -21% |
| Blue Shield CA | Commercial|HMO | $21.16 | ↓ -21% |
| United | Commercial|Choice | $22.07 | ↓ -17% |
| BCBS - Anthem | Commercial|All Other Plans | $22.95 | ↓ -14% |
| Health Net | Commercial|All Plans | $24.70 | ↓ -7% |
| First Health | Commercial|All Plans | $24.80 | ↓ -7% |
| United | Commercial|HMO | $25.93 | ↓ -3% |
| Aetna | Commercial|PPO | $27.02 | ↑ +1% |
| Aetna | Commercial|All Other Plans | $27.02 | ↑ +1% |
| Aetna | Commercial|HMO | $27.02 | ↑ +1% |
| Kaiser | Commercial|All Plans | $28.11 | ↑ +6% |
| Cigna | Commercial|All Other Plans | $29.59 | ↑ +11% |
| Cigna | Commercial|PPO | $29.59 | ↑ +11% |
| Multiplan | Commercial|All Plans | $32.40 | ↑ +22% |
| BCBS - Anthem | Medicaid|All Plans | $33.06 | ↑ +24% |
| Kaiser | Medicaid|All Plans | $33.06 | ↑ +24% |
| Health Net | Medicaid|All Plans | $33.06 | ↑ +24% |
| California Health & Wellness | Medicaid|All Plans | $33.06 | ↑ +24% |
| Health Plan of San Joaquin | Medicaid|All Plans | $33.06 | ↑ +24% |
Visitor-reported prices
Comments
Consultation pathology during surgery cytological exam initial site at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $351.28 | $87.23 – $1,604.00 |
| Petaluma Valley Hospital | Petaluma | $1,900.26 | $133.99 – $1,256.40 |
| Arroyo Grande Hospital | Santa Maria | $3,134.25 | $79.42 – $2,511.74 |
| French Hospital | San Luis Obispo | $2,870.62 | $79.42 – $2,511.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $319.44 | $22.59 – $94.48 |
| Bakersfield Memorial Hospital | Bakersfield | $315.99 | $22.59 – $94.48 |
| Queen of The Valley Medical Center | Napa | $1,407.60 | $169.32 – $1,256.40 |
| Providence St Joseph Hospital Eureka | Eureka | $797.64 | $192.01 – $1,256.40 |