Surgical pathology level 5 gross & microscopic examination 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

$291.05

Cash price

?

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.

$437.00

Gross charge

?

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.

$56.81 with Kaiser vs $215.18 with Multiplan — same scan, same building. Share

Negotiated rates by payer
?

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
?

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
?

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
Kaiser Medicare|All Plans $56.81 ↓ -80%
Humana Medicare|All Plans $56.81 ↓ -80%
Care 1st Medicare|All Plans $56.81 ↓ -80%
Scan Health Plan Medicare|All Plans $56.81 ↓ -80%
Aetna Medicare|All Plans $56.81 ↓ -80%
Blue Shield CA Medicare|All Plans $56.81 ↓ -80%
Health Net Medicare|All Plans $56.81 ↓ -80%
BCBS - Anthem Medicare|All Plans $56.81 ↓ -80%
United Medicare|All Plans $56.81 ↓ -80%
BCBS - Anthem Commercial|Exchange $118.86 ↓ -59%
Health Plan of San Joaquin Medicaid|All Plans $125.71 ↓ -57%
Health Net Medicaid|All Plans $125.71 ↓ -57%
Kaiser Medicaid|All Plans $125.71 ↓ -57%
BCBS - Anthem Medicaid|All Plans $125.71 ↓ -57%
California Health & Wellness Medicaid|All Plans $125.71 ↓ -57%
United Commercial|Select $127.71 ↓ -56%
Blue Shield CA Commercial|Exchange $140.53 ↓ -52%
Blue Shield CA Commercial|HMO $140.53 ↓ -52%
Blue Shield CA Commercial|PPO $140.53 ↓ -52%
United Commercial|Choice $146.55 ↓ -50%
BCBS - Anthem Commercial|All Other Plans $152.39 ↓ -48%
Health Net Commercial|All Plans $164.02 ↓ -44%
First Health Commercial|All Plans $164.68 ↓ -43%
United Commercial|HMO $172.17 ↓ -41%
Aetna Commercial|PPO $179.39 ↓ -38%
Aetna Commercial|HMO $179.39 ↓ -38%
Aetna Commercial|All Other Plans $179.39 ↓ -38%
Kaiser Commercial|All Plans $186.64 ↓ -36%
Cigna Commercial|PPO $196.52 ↓ -32%
Cigna Commercial|All Other Plans $196.52 ↓ -32%
Multiplan Commercial|All Plans $215.18 ↓ -26%

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Surgical pathology level 5 gross & microscopic examination at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $222.51 $137.16 – $813.52
Petaluma Valley Hospital Petaluma $653.82 $163.66 – $566.82
Arroyo Grande Hospital Santa Maria $141.24 $109.34 – $536.77
French Hospital San Luis Obispo $129.36 $59.05 – $631.01
Mercy Hospitals – Bakersfield Bakersfield $191.44 $123.13 – $598.65
Bakersfield Memorial Hospital Bakersfield $189.38 $123.13 – $598.65
Queen of The Valley Medical Center Napa $613.53 $206.83 – $566.82
Providence St Joseph Hospital Eureka Eureka $409.53 $234.54 – $566.82

All California hospitals for this procedure →