Abd/low ext cath addl at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$513.92
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.
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What you pay up front if you don't use insurance.
$1,311.00
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.
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The hospital's undiscounted list price — almost no one pays this.
$52.98 with Molina vs $5,432.00 with BCBS - Anthem — 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 →
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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 ?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 |
|---|---|---|---|
| Molina | Medicaid|< 21 | $52.98 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $52.98 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $52.98 | ↓ -90% |
| BCBS - Anthem | Medicaid|All Plans | $52.98 | ↓ -90% |
| Molina | Medicaid|> 21 | $52.98 | ↓ -90% |
| Health Net | Medicaid|< 21 | $65.17 | ↓ -87% |
| Health Net | Medicaid|> 21 | $65.17 | ↓ -87% |
| CenCal | Medicaid|> 21 | $83.51 | ↓ -84% |
| CenCal | Medicaid|< 21 | $83.51 | ↓ -84% |
| MHS HSPCC | Commercial|All Plans | $273.51 | ↓ -47% |
| Western Growers | Commercial|All Plans | $557.15 | ↑ +8% |
| Health Net | Commercial|FFS | $567.28 | ↑ +10% |
| Kaiser | Commercial|All Plans | $628.06 | ↑ +22% |
| Healthsmart | Commercial|All Plans | $861.05 | ↑ +68% |
| First Health | Commercial|All Plans | $861.05 | ↑ +68% |
| United | Commercial|Non-Options PPO | $931.96 | ↑ +81% |
| MultiPlan | Commercial|All Plans | $992.74 | ↑ +93% |
| Aetna | Commercial|Gatekeeper | $4,567.00 | ↑ +789% |
| Aetna | Commercial|Non-Gatekeeper | $4,906.00 | ↑ +855% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +920% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +957% |
Visitor-reported prices
Comments
Abd/low ext cath addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $273.32 | $65.17 – $486.72 |
| Arroyo Grande Hospital | Santa Maria | $561.11 | $52.98 – $992.74 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,114.86 | $52.98 – $2,674.45 |
| Bakersfield Memorial Hospital | Bakersfield | $1,102.84 | $52.98 – $2,974.95 |
| Queen of The Valley Medical Center | Napa | $584.97 | $392.75 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $68.34 | $2,699.00 – $26,648.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,400.81 | $52.98 – $6,859.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $287.64 | $370.63 – $4,042.00 |