Cytopathology fluids/washings/brushings smears with interpretation 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

$37.21

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.

$55.87

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.

$11.39 with Humana vs $43.12 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
Humana Medicare|All Plans $11.39 ↓ -69%
BCBS - Anthem Medicare|All Plans $11.39 ↓ -69%
Kaiser Medicare|All Plans $11.39 ↓ -69%
Blue Shield CA Medicare|All Plans $11.39 ↓ -69%
Aetna Medicare|All Plans $11.39 ↓ -69%
Scan Health Plan Medicare|All Plans $11.39 ↓ -69%
Health Net Medicare|All Plans $11.39 ↓ -69%
Care 1st Medicare|All Plans $11.39 ↓ -69%
United Medicare|All Plans $11.39 ↓ -69%
BCBS - Anthem Commercial|Exchange $23.82 ↓ -36%
United Commercial|Select $25.60 ↓ -31%
Blue Shield CA Commercial|HMO $28.16 ↓ -24%
Blue Shield CA Commercial|PPO $28.16 ↓ -24%
Blue Shield CA Commercial|Exchange $28.16 ↓ -24%
United Commercial|Choice $29.37 ↓ -21%
BCBS - Anthem Commercial|All Other Plans $30.54 ↓ -18%
Health Net Commercial|All Plans $32.87 ↓ -12%
First Health Commercial|All Plans $33.00 ↓ -11%
United Commercial|HMO $34.51 ↓ -7%
Aetna Commercial|All Other Plans $35.95 ↓ -3%
Aetna Commercial|HMO $35.95 ↓ -3%
Aetna Commercial|PPO $35.95 ↓ -3%
Health Plan of San Joaquin Medicaid|All Plans $37.04 ↓ -0%
Health Net Medicaid|All Plans $37.04 ↓ -0%
Kaiser Medicaid|All Plans $37.04 ↓ -0%
BCBS - Anthem Medicaid|All Plans $37.04 ↓ -0%
California Health & Wellness Medicaid|All Plans $37.04 ↓ -0%
Kaiser Commercial|All Plans $37.40 ↑ +1%
Cigna Commercial|PPO $39.38 ↑ +6%
Cigna Commercial|All Other Plans $39.38 ↑ +6%
Multiplan Commercial|All Plans $43.12 ↑ +16%

Visitor-reported prices

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Cytopathology fluids/washings/brushings smears with interpretation at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $67.46 $40.61 – $120.12
Banner Lassen Medical Center Susanville $20.50 $7.85 – $42.60
Petaluma Valley Hospital Petaluma $206.04 $50.33 – $66.86
Arroyo Grande Hospital Santa Maria $19.38 $22.63 – $105.20
French Hospital San Luis Obispo $17.75 $12.23 – $123.68
Mercy Hospitals – Bakersfield Bakersfield $43.78 $32.50 – $117.33
Bakersfield Memorial Hospital Bakersfield $43.31 $32.50 – $117.33
Queen of The Valley Medical Center Napa $177.99 $53.03 – $66.86

All California hospitals for this procedure →