Adh-sendout at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$88.69
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.
$226.25
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.
$12.15 with MHS HSPCC vs $102.80 with Cigna — 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 |
|---|---|---|---|
| MHS HSPCC | Commercial|All Plans | $12.15 | ↓ -86% |
| Blue Shield CA | Commercial|Exchange | $21.60 | ↓ -76% |
| Western Growers | Commercial|All Plans | $22.50 | ↓ -75% |
| Health Net | Commercial|FFS | $25.20 | ↓ -72% |
| Kaiser | Commercial|All Plans | $27.90 | ↓ -69% |
| Blue Shield CA | Commercial|FFS | $30.60 | ↓ -65% |
| Humana | Commercial|All Plans | $33.94 | ↓ -62% |
| Humana | Medicare|All Plans | $33.94 | ↓ -62% |
| Aetna | Medicare|All Plans | $33.94 | ↓ -62% |
| United | Medicare|All Plans | $33.94 | ↓ -62% |
| Health Net | Medicare|All Plans | $33.94 | ↓ -62% |
| Kaiser | Medicare|All Plans | $33.94 | ↓ -62% |
| BCBS - Anthem | Medicare|All Plans | $33.94 | ↓ -62% |
| Alignment | Medicare|All Plans | $33.94 | ↓ -62% |
| Blue Shield CA | Medicare|All Plans | $33.94 | ↓ -62% |
| MHS Hospice | Commercial|All Plans | $33.94 | ↓ -62% |
| First Health | Commercial|All Plans | $38.25 | ↓ -57% |
| Healthsmart | Commercial|All Plans | $38.25 | ↓ -57% |
| CenCal | Medicaid|> 21 | $38.94 | ↓ -56% |
| CenCal | Medicaid|< 21 | $38.94 | ↓ -56% |
| United | Commercial|All Other Plans | $40.73 | ↓ -54% |
| United | Commercial|HMO | $40.73 | ↓ -54% |
| United | Commercial|Non-Options PPO | $40.73 | ↓ -54% |
| BCBS - Anthem | Commercial|Non-MCS | $42.30 | ↓ -52% |
| BCBS - Anthem | Commercial|MCS | $43.20 | ↓ -51% |
| Molina | Medicaid|< 21 | $43.28 | ↓ -51% |
| BCBS - Anthem | Medicaid|All Plans | $43.28 | ↓ -51% |
| Partnership Health Plan | Medicaid|< 21 | $43.28 | ↓ -51% |
| Partnership Health Plan | Medicaid|> 21 | $43.28 | ↓ -51% |
| Molina | Medicaid|> 21 | $43.28 | ↓ -51% |
| MultiPlan | Commercial|All Plans | $44.10 | ↓ -50% |
| Aetna | Commercial|Gatekeeper | $45.00 | ↓ -49% |
| Aetna | Commercial|Non-Gatekeeper | $45.00 | ↓ -49% |
| Health Net | Medicaid|> 21 | $53.23 | ↓ -40% |
| Health Net | Medicaid|< 21 | $53.23 | ↓ -40% |
| Cigna | Commercial|PPO | $102.80 | ↑ +16% |
| Cigna | Commercial|All Other Plans | $102.80 | ↑ +16% |
Visitor-reported prices
Comments
Adh-sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $19.71 | $12.15 – $90.05 |
| Banner Lassen Medical Center | Susanville | $29.42 | $6.79 – $49.78 |
| Petaluma Valley Hospital | Petaluma | $15.30 | $33.26 – $278.14 |
| Arroyo Grande Hospital | Santa Maria | $96.84 | $22.50 – $87.45 |
| Mark Twain Medical Center | San Andreas | $29.97 | $24.36 – $44.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $16.70 | $8.50 – $97.53 |
| Bakersfield Memorial Hospital | Bakersfield | $16.52 | $8.50 – $97.53 |
| Queen of The Valley Medical Center | Napa | $15.30 | $33.94 – $351.50 |