Cytopathology fna adequacy evaluation each separate additional episode same site 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

$6.13

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.

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What you pay up front if you don't use insurance.

$9.19

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.

$1.82 with Health Net vs $7.00 with Health Plan of San Joaquin — 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
Health Net Medicare|All Plans $1.82 ↓ -70%
BCBS - Anthem Medicare|All Plans $1.82 ↓ -70%
Blue Shield CA Medicare|All Plans $1.82 ↓ -70%
Kaiser Medicare|All Plans $1.82 ↓ -70%
Aetna Medicare|All Plans $1.82 ↓ -70%
Humana Medicare|All Plans $1.82 ↓ -70%
Care 1st Medicare|All Plans $1.82 ↓ -70%
Scan Health Plan Medicare|All Plans $1.82 ↓ -70%
United Medicare|All Plans $1.82 ↓ -70%
BCBS - Anthem Commercial|Exchange $3.79 ↓ -38%
United Commercial|Select $4.08 ↓ -33%
Blue Shield CA Commercial|Exchange $4.48 ↓ -27%
Blue Shield CA Commercial|PPO $4.48 ↓ -27%
Blue Shield CA Commercial|HMO $4.48 ↓ -27%
United Commercial|Choice $4.68 ↓ -24%
BCBS - Anthem Commercial|All Other Plans $4.86 ↓ -21%
Health Net Commercial|All Plans $5.23 ↓ -15%
First Health Commercial|All Plans $5.25 ↓ -14%
United Commercial|HMO $5.49 ↓ -10%
Aetna Commercial|PPO $5.72 ↓ -7%
Aetna Commercial|All Other Plans $5.72 ↓ -7%
Aetna Commercial|HMO $5.72 ↓ -7%
Kaiser Commercial|All Plans $5.95 ↓ -3%
Cigna Commercial|All Other Plans $6.27 ↑ +2%
Cigna Commercial|PPO $6.27 ↑ +2%
Multiplan Commercial|All Plans $6.86 ↑ +12%
BCBS - Anthem Medicaid|All Plans $7.00 ↑ +14%
Kaiser Medicaid|All Plans $7.00 ↑ +14%
Health Net Medicaid|All Plans $7.00 ↑ +14%
California Health & Wellness Medicaid|All Plans $7.00 ↑ +14%
Health Plan of San Joaquin Medicaid|All Plans $7.00 ↑ +14%

Visitor-reported prices

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Cytopathology fna adequacy evaluation each separate additional episode same site at other California hospitals

Hospital City Cash price Negotiated range
Petaluma Valley Hospital Petaluma $45.90 $14.44 – $35.39
Arroyo Grande Hospital Santa Maria $62.06 $8.80 – $142.10
French Hospital San Luis Obispo $56.84 $8.80 – $142.10
Mercy Hospitals – Bakersfield Bakersfield $86.08 $5.92 – $20.87
Bakersfield Memorial Hospital Bakersfield $85.15 $5.92 – $20.87
Queen of The Valley Medical Center Napa $42.84 $14.44 – $46.94
Providence St Joseph Hospital Eureka Eureka $42.33 $14.44 – $50.72
St. Joseph's Behavioral Health Center Stockton $6.76 $1.19 – $9.47

All California hospitals for this procedure →