Urinalysis (without microscopy) 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

$45.29

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.

$68.00

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.

$2.25 with Health Net vs $38.22 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
Health Net Medicare|All Plans $2.25 ↓ -95%
Humana Medicare|All Plans $2.25 ↓ -95%
Care 1st Medicare|All Plans $2.25 ↓ -95%
Scan Health Plan Medicare|All Plans $2.25 ↓ -95%
Aetna Medicare|All Plans $2.25 ↓ -95%
Blue Shield CA Medicare|All Plans $2.25 ↓ -95%
BCBS - Anthem Medicare|All Plans $2.25 ↓ -95%
Kaiser Medicare|All Plans $2.25 ↓ -95%
United Medicare|All Plans $2.25 ↓ -95%
Health Plan of San Joaquin Medicaid|All Plans $2.81 ↓ -94%
Health Net Medicaid|All Plans $2.81 ↓ -94%
Kaiser Medicaid|All Plans $2.81 ↓ -94%
BCBS - Anthem Medicaid|All Plans $2.81 ↓ -94%
California Health & Wellness Medicaid|All Plans $2.81 ↓ -94%
BCBS - Anthem Commercial|Exchange $21.12 ↓ -53%
United Commercial|Select $22.69 ↓ -50%
Blue Shield CA Commercial|PPO $24.96 ↓ -45%
Blue Shield CA Commercial|HMO $24.96 ↓ -45%
Blue Shield CA Commercial|Exchange $24.96 ↓ -45%
United Commercial|Choice $26.03 ↓ -43%
BCBS - Anthem Commercial|All Other Plans $27.07 ↓ -40%
Health Net Commercial|All Plans $29.14 ↓ -36%
First Health Commercial|All Plans $29.25 ↓ -35%
United Commercial|HMO $30.58 ↓ -32%
Aetna Commercial|All Other Plans $31.87 ↓ -30%
Aetna Commercial|HMO $31.87 ↓ -30%
Aetna Commercial|PPO $31.87 ↓ -30%
Kaiser Commercial|All Plans $33.15 ↓ -27%
Cigna Commercial|PPO $34.91 ↓ -23%
Cigna Commercial|All Other Plans $34.91 ↓ -23%
Multiplan Commercial|All Plans $38.22 ↓ -16%

Visitor-reported prices

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Urinalysis (without microscopy) at other California hospitals

Hospital City Cash price Negotiated range
St. John's Camarillo Hospital Camarillo $38.99 $2.25 – $7.02
Banner Lassen Medical Center Susanville $4.12 $0.45 – $6.79
Petaluma Valley Hospital Petaluma $122.91 $2.20 – $18.36
Arroyo Grande Hospital Santa Maria $100.58 $2.25 – $6.86
French Hospital San Luis Obispo $92.12 $1.89 – $6.86
Mercy Hospitals – Bakersfield Bakersfield $61.59 $2.25 – $76.80
Bakersfield Memorial Hospital Bakersfield $60.93 $2.25 – $75.84
Queen of The Valley Medical Center Napa $54.06 $2.25 – $23.20

All California hospitals for this procedure →