Cryofibrinogen qualitative - sendout 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

$5.49

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.

$8.23

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.

$4.46 with BCBS - Anthem vs $8.23 with Care 1st — 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 $4.46 ↓ -19%
United Commercial|Select $4.79 ↓ -13%
Blue Shield CA Commercial|HMO $5.27 ↓ -4%
Blue Shield CA Commercial|PPO $5.27 ↓ -4%
Blue Shield CA Commercial|Exchange $5.27 ↓ -4%
United Commercial|Choice $5.50 ↑ +0%
BCBS - Anthem Commercial|All Other Plans $5.72 ↑ +4%
Health Net Commercial|All Plans $6.15 ↑ +12%
First Health Commercial|All Plans $6.18 ↑ +13%
United Commercial|HMO $6.46 ↑ +18%
Aetna Commercial|PPO $6.73 ↑ +23%
Aetna Commercial|HMO $6.73 ↑ +23%
Aetna Commercial|All Other Plans $6.73 ↑ +23%
Kaiser Commercial|All Plans $7.00 ↑ +28%
Cigna Commercial|All Other Plans $7.37 ↑ +34%
Cigna Commercial|PPO $7.37 ↑ +34%
Multiplan Commercial|All Plans $8.07 ↑ +47%
Health Plan of San Joaquin Medicaid|All Plans $8.23 ↑ +50%
Humana Medicare|All Plans $8.23 ↑ +50%
Aetna Medicare|All Plans $8.23 ↑ +50%
United Medicare|All Plans $8.23 ↑ +50%
Health Net Medicaid|All Plans $8.23 ↑ +50%
Health Net Medicare|All Plans $8.23 ↑ +50%
Kaiser Medicaid|All Plans $8.23 ↑ +50%
Kaiser Medicare|All Plans $8.23 ↑ +50%
BCBS - Anthem Medicaid|All Plans $8.23 ↑ +50%
BCBS - Anthem Medicare|All Plans $8.23 ↑ +50%
Blue Shield CA Medicare|All Plans $8.23 ↑ +50%
Scan Health Plan Medicare|All Plans $8.23 ↑ +50%
California Health & Wellness Medicaid|All Plans $8.23 ↑ +50%
Care 1st Medicare|All Plans $8.23 ↑ +50%

Visitor-reported prices

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Cryofibrinogen qualitative - sendout at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $3.53 $4.12 – $36.43
French Hospital San Luis Obispo $3.23 $2.23 – $42.83
Mercy Medical Center Mt. Shasta Mt Shasta $6.41 $4.28 – $8.23
Dominican Hospital Santa Cruz $3.71 $3.79 – $126.60
Sierra Nevada Memorial Hospital Grass Valley $5.10 $6.26 – $9.34
Sequoia Hospital Redwood City $3.00 $1.82 – $49.22
California Hospital Medical Center Los Angeles $4.00 $1.98 – $67.00
Mercy San Juan Medical Center Carmichael $2.56 $1.03 – $31.31

All California hospitals for this procedure →