Warde 1005020 citrate 24 hour urine 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

$7.64

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.

$11.47

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.

$4.93 with BCBS - Anthem vs $9.10 with Care 1st — 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 Commercial|Exchange $4.93 ↓ -35%
United Commercial|Select $5.30 ↓ -31%
Blue Shield CA Commercial|HMO $5.83 ↓ -24%
Blue Shield CA Commercial|PPO $5.83 ↓ -24%
Blue Shield CA Commercial|Exchange $5.83 ↓ -24%
United Commercial|Choice $6.08 ↓ -20%
BCBS - Anthem Commercial|All Other Plans $6.32 ↓ -17%
Health Net Commercial|All Plans $6.80 ↓ -11%
First Health Commercial|All Plans $6.83 ↓ -11%
United Commercial|HMO $7.14 ↓ -7%
Aetna Commercial|PPO $7.44 ↓ -3%
Aetna Commercial|HMO $7.44 ↓ -3%
Aetna Commercial|All Other Plans $7.44 ↓ -3%
Kaiser Commercial|All Plans $7.74 ↑ +1%
Cigna Commercial|All Other Plans $8.15 ↑ +7%
Cigna Commercial|PPO $8.15 ↑ +7%
Multiplan Commercial|All Plans $8.92 ↑ +17%
Health Plan of San Joaquin Medicaid|All Plans $9.10 ↑ +19%
Humana Medicare|All Plans $9.10 ↑ +19%
Aetna Medicare|All Plans $9.10 ↑ +19%
United Medicare|All Plans $9.10 ↑ +19%
Health Net Medicaid|All Plans $9.10 ↑ +19%
Health Net Medicare|All Plans $9.10 ↑ +19%
Kaiser Medicaid|All Plans $9.10 ↑ +19%
Kaiser Medicare|All Plans $9.10 ↑ +19%
BCBS - Anthem Medicaid|All Plans $9.10 ↑ +19%
BCBS - Anthem Medicare|All Plans $9.10 ↑ +19%
Blue Shield CA Medicare|All Plans $9.10 ↑ +19%
Scan Health Plan Medicare|All Plans $9.10 ↑ +19%
California Health & Wellness Medicaid|All Plans $9.10 ↑ +19%
Care 1st Medicare|All Plans $9.10 ↑ +19%

Visitor-reported prices

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Warde 1005020 citrate 24 hour urine at other California hospitals

Hospital City Cash price Negotiated range
Banner Lassen Medical Center Susanville $77.62 $4.51 – $40.77
Petaluma Valley Hospital Petaluma $17.85 $27.24 – $226.92
Arroyo Grande Hospital Santa Maria $4.91 $2.50 – $71.63
Queen of The Valley Medical Center Napa $17.85 $27.80 – $286.77
Providence St Joseph Hospital Eureka Eureka $17.85 $27.80 – $325.20
St. Joseph's Behavioral Health Center Stockton $6.55 $0.84 – $6.67
Redwood Memorial Hospital Fortuna $17.85 $325.96 – $325.96
Santa Rosa Memorial Hospital Santa Rosa $17.85 $27.24 – $243.97

All California hospitals for this procedure →