Fluoroguide for spine inject 77003-26 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

$646.69

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.

$971.00

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.

$56.88 with BCBS - Anthem vs $518.42 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
BCBS - Anthem Medicaid|All Plans $56.88 ↓ -91%
Kaiser Medicaid|All Plans $56.88 ↓ -91%
Health Net Medicaid|All Plans $56.88 ↓ -91%
California Health & Wellness Medicaid|All Plans $56.88 ↓ -91%
Health Plan of San Joaquin Medicaid|All Plans $56.88 ↓ -91%
Care 1st Medicare|All Plans $136.86 ↓ -79%
Humana Medicare|All Plans $136.86 ↓ -79%
Aetna Medicare|All Plans $136.86 ↓ -79%
United Medicare|All Plans $136.86 ↓ -79%
Health Net Medicare|All Plans $136.86 ↓ -79%
Kaiser Medicare|All Plans $136.86 ↓ -79%
BCBS - Anthem Medicare|All Plans $136.86 ↓ -79%
Blue Shield CA Medicare|All Plans $136.86 ↓ -79%
Scan Health Plan Medicare|All Plans $136.86 ↓ -79%
BCBS - Anthem Commercial|Exchange $324.71 ↓ -50%
United Commercial|Select $359.20 ↓ -44%
Blue Shield CA Commercial|Exchange $382.47 ↓ -41%
Blue Shield CA Commercial|PPO $382.47 ↓ -41%
Blue Shield CA Commercial|HMO $382.47 ↓ -41%
First Health Commercial|All Plans $396.75 ↓ -39%
United Commercial|Choice $411.57 ↓ -36%
BCBS - Anthem Commercial|All Other Plans $416.28 ↓ -36%
Health Net Commercial|All Plans $425.32 ↓ -34%
Aetna Commercial|All Other Plans $432.20 ↓ -33%
Aetna Commercial|HMO $432.20 ↓ -33%
Aetna Commercial|PPO $432.20 ↓ -33%
Kaiser Commercial|All Plans $449.65 ↓ -30%
Cigna Commercial|PPO $473.46 ↓ -27%
Cigna Commercial|All Other Plans $473.46 ↓ -27%
United Commercial|HMO $485.63 ↓ -25%
Multiplan Commercial|All Plans $518.42 ↓ -20%

Visitor-reported prices

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Fluoroguide for spine inject 77003-26 at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $623.72 $86.05 – $1,110.72
Banner Lassen Medical Center Susanville $303.73 $93.85 – $449.11
Petaluma Valley Hospital Petaluma $2,043.06 $178.95 – $300.18
Arroyo Grande Hospital Santa Maria $591.07 $56.88 – $1,041.74
French Hospital San Luis Obispo $416.70 $56.88 – $243.04
Mercy Hospitals – Bakersfield Bakersfield $317.21 $56.88 – $684.00
Bakersfield Memorial Hospital Bakersfield $313.79 $56.88 – $846.45
Queen of The Valley Medical Center Napa $2,264.91 $265.35 – $379.35

All California hospitals for this procedure →