Cyp2c19 gene com variants 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

$86.58

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.

$130.00

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.

$27.07 with BCBS - Anthem vs $50.00 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 $27.07 ↓ -69%
United Commercial|Select $29.08 ↓ -66%
Blue Shield CA Commercial|HMO $32.00 ↓ -63%
Blue Shield CA Commercial|PPO $32.00 ↓ -63%
Blue Shield CA Commercial|Exchange $32.00 ↓ -63%
United Commercial|Choice $33.37 ↓ -61%
BCBS - Anthem Commercial|All Other Plans $34.70 ↓ -60%
Health Net Commercial|All Plans $37.35 ↓ -57%
First Health Commercial|All Plans $37.50 ↓ -57%
United Commercial|HMO $39.21 ↓ -55%
Aetna Commercial|PPO $40.85 ↓ -53%
Aetna Commercial|HMO $40.85 ↓ -53%
Aetna Commercial|All Other Plans $40.85 ↓ -53%
Kaiser Commercial|All Plans $42.50 ↓ -51%
Cigna Commercial|All Other Plans $44.75 ↓ -48%
Cigna Commercial|PPO $44.75 ↓ -48%
Multiplan Commercial|All Plans $49.00 ↓ -43%
Health Plan of San Joaquin Medicaid|All Plans $50.00 ↓ -42%
Humana Medicare|All Plans $50.00 ↓ -42%
Aetna Medicare|All Plans $50.00 ↓ -42%
United Medicare|All Plans $50.00 ↓ -42%
Health Net Medicaid|All Plans $50.00 ↓ -42%
Health Net Medicare|All Plans $50.00 ↓ -42%
Kaiser Medicaid|All Plans $50.00 ↓ -42%
Kaiser Medicare|All Plans $50.00 ↓ -42%
BCBS - Anthem Medicaid|All Plans $50.00 ↓ -42%
BCBS - Anthem Medicare|All Plans $50.00 ↓ -42%
Blue Shield CA Medicare|All Plans $50.00 ↓ -42%
Scan Health Plan Medicare|All Plans $50.00 ↓ -42%
California Health & Wellness Medicaid|All Plans $50.00 ↓ -42%
Care 1st Medicare|All Plans $50.00 ↓ -42%

Visitor-reported prices

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Cyp2c19 gene com variants at other California hospitals

Hospital City Cash price Negotiated range
Arroyo Grande Hospital Santa Maria $55.64 $44.74 – $750.70
French Hospital San Luis Obispo $50.96 $24.16 – $882.51
Mercy Hospitals – Bakersfield Bakersfield $48.23 $44.74 – $837.25
Bakersfield Memorial Hospital Bakersfield $47.71 $44.74 – $837.25
St. Joseph's Behavioral Health Center Stockton $74.23 $8.95 – $71.59
St. Joseph's Medical Center Stockton Stockton $38.22 $18.80 – $89.48
Mercy Medical Center Mt. Shasta Mt Shasta $69.62 $46.53 – $89.48
Mercy Medical Center Merced Merced $66.95 $53.69 – $89.48

All California hospitals for this procedure →