#coxa-coxsackie a serotype a16 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

$22.57

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.

$33.88

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.

$7.58 with BCBS - Anthem vs $14.00 with Kaiser — 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 $7.58 ↓ -66%
United Commercial|Select $8.15 ↓ -64%
Blue Shield CA Commercial|Exchange $8.96 ↓ -60%
Blue Shield CA Commercial|PPO $8.96 ↓ -60%
Blue Shield CA Commercial|HMO $8.96 ↓ -60%
United Commercial|Choice $9.35 ↓ -59%
BCBS - Anthem Commercial|All Other Plans $9.72 ↓ -57%
Health Net Commercial|All Plans $10.46 ↓ -54%
First Health Commercial|All Plans $10.50 ↓ -53%
United Commercial|HMO $10.98 ↓ -51%
Aetna Commercial|HMO $11.44 ↓ -49%
Aetna Commercial|PPO $11.44 ↓ -49%
Aetna Commercial|All Other Plans $11.44 ↓ -49%
Kaiser Commercial|All Plans $11.90 ↓ -47%
Cigna Commercial|All Other Plans $12.53 ↓ -44%
Cigna Commercial|PPO $12.53 ↓ -44%
Care 1st Medicare|All Plans $13.03 ↓ -42%
Humana Medicare|All Plans $13.03 ↓ -42%
Aetna Medicare|All Plans $13.03 ↓ -42%
United Medicare|All Plans $13.03 ↓ -42%
Health Net Medicare|All Plans $13.03 ↓ -42%
Kaiser Medicare|All Plans $13.03 ↓ -42%
BCBS - Anthem Medicare|All Plans $13.03 ↓ -42%
Blue Shield CA Medicare|All Plans $13.03 ↓ -42%
Scan Health Plan Medicare|All Plans $13.03 ↓ -42%
Multiplan Commercial|All Plans $13.72 ↓ -39%
California Health & Wellness Medicaid|All Plans $14.00 ↓ -38%
Health Net Medicaid|All Plans $14.00 ↓ -38%
Health Plan of San Joaquin Medicaid|All Plans $14.00 ↓ -38%
BCBS - Anthem Medicaid|All Plans $14.00 ↓ -38%
Kaiser Medicaid|All Plans $14.00 ↓ -38%

Visitor-reported prices

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#coxa-coxsackie a serotype a16 at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $36.80 $3.78 – $34.57
Banner Lassen Medical Center Susanville $19.11 $1.23 – $19.11
Petaluma Valley Hospital Petaluma $13.62 $12.77 – $107.66
Arroyo Grande Hospital Santa Maria $14.51 $6.48 – $33.58
French Hospital San Luis Obispo $13.29 $3.50 – $39.47
Mercy Hospitals – Bakersfield Bakersfield $8.30 $1.98 – $37.45
Bakersfield Memorial Hospital Bakersfield $8.21 $1.98 – $37.45
Queen of The Valley Medical Center Napa $13.62 $13.03 – $136.06

All California hospitals for this procedure →