Apl(pml-rara) quant - sendout at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$128.19
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.
$327.00
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.
$75.60 with MHS HSPCC vs $627.94 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 | $75.60 | ↓ -41% |
| Partnership Health Plan | Medicaid|> 21 | $94.03 | ↓ -27% |
| Partnership Health Plan | Medicaid|< 21 | $94.03 | ↓ -27% |
| CenCal | Medicaid|> 21 | $94.03 | ↓ -27% |
| CenCal | Medicaid|< 21 | $94.03 | ↓ -27% |
| BCBS - Anthem | Medicaid|All Plans | $94.03 | ↓ -27% |
| Molina | Medicaid|< 21 | $94.03 | ↓ -27% |
| Molina | Medicaid|> 21 | $94.03 | ↓ -27% |
| Health Net | Medicaid|> 21 | $115.66 | ↓ -10% |
| Health Net | Medicaid|< 21 | $115.66 | ↓ -10% |
| Western Growers | Commercial|All Plans | $140.00 | ↑ +9% |
| Health Net | Commercial|FFS | $156.80 | ↑ +22% |
| Kaiser | Commercial|All Plans | $173.60 | ↑ +35% |
| United | Medicare|All Plans | $207.31 | ↑ +62% |
| Health Net | Medicare|All Plans | $207.31 | ↑ +62% |
| Humana | Medicare|All Plans | $207.31 | ↑ +62% |
| Humana | Commercial|All Plans | $207.31 | ↑ +62% |
| MHS Hospice | Commercial|All Plans | $207.31 | ↑ +62% |
| Alignment | Medicare|All Plans | $207.31 | ↑ +62% |
| Blue Shield CA | Medicare|All Plans | $207.31 | ↑ +62% |
| BCBS - Anthem | Medicare|All Plans | $207.31 | ↑ +62% |
| Aetna | Medicare|All Plans | $207.31 | ↑ +62% |
| Kaiser | Medicare|All Plans | $207.31 | ↑ +62% |
| First Health | Commercial|All Plans | $238.00 | ↑ +86% |
| Healthsmart | Commercial|All Plans | $238.00 | ↑ +86% |
| United | Commercial|All Other Plans | $248.77 | ↑ +94% |
| United | Commercial|HMO | $248.77 | ↑ +94% |
| United | Commercial|Non-Options PPO | $248.77 | ↑ +94% |
| BCBS - Anthem | Commercial|Non-MCS | $263.20 | ↑ +105% |
| BCBS - Anthem | Commercial|MCS | $268.80 | ↑ +110% |
| MultiPlan | Commercial|All Plans | $274.40 | ↑ +114% |
| Aetna | Commercial|Gatekeeper | $280.00 | ↑ +118% |
| Aetna | Commercial|Non-Gatekeeper | $280.00 | ↑ +118% |
| Cigna | Commercial|PPO | $627.94 | ↑ +390% |
| Cigna | Commercial|All Other Plans | $627.94 | ↑ +390% |
Visitor-reported prices
Comments
Apl(pml-rara) quant - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $139.96 | $94.03 – $534.15 |
| Mercy Hospitals – Bakersfield | Bakersfield | $121.32 | $94.03 – $595.73 |
| Bakersfield Memorial Hospital | Bakersfield | $120.01 | $94.03 – $595.73 |
| St. Joseph's Behavioral Health Center | Stockton | $186.72 | $22.30 – $178.36 |
| St. Joseph's Medical Center Stockton | Stockton | $96.14 | $46.82 – $222.95 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $254.41 | $94.03 – $320.46 |
| Mercy Medical Center Merced | Merced | $168.41 | $94.03 – $209.58 |
| Northridge Hospital Medical Center | Northridge | $91.24 | $81.75 – $377.97 |