Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$370.05
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.
?
What you pay up front if you don't use insurance.
$944.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$45.28 with Partnership Health Plan vs $5,432.00 with BCBS - Anthem — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $45.28 | ↓ -88% |
| BCBS - Anthem | Medicaid|All Plans | $45.28 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $45.28 | ↓ -88% |
| Molina | Medicaid|< 21 | $45.28 | ↓ -88% |
| Molina | Medicaid|> 21 | $45.28 | ↓ -88% |
| CenCal | Medicaid|< 21 | $49.77 | ↓ -87% |
| CenCal | Medicaid|> 21 | $49.77 | ↓ -87% |
| Health Net | Medicaid|< 21 | $55.69 | ↓ -85% |
| Health Net | Medicaid|> 21 | $55.69 | ↓ -85% |
| MHS HSPCC | Commercial|All Plans | $241.38 | ↓ -35% |
| MHS Hospice | Commercial|All Plans | $305.83 | ↓ -17% |
| Humana | Commercial|All Plans | $375.07 | ↑ +1% |
| Humana | Medicare|All Plans | $375.07 | ↑ +1% |
| Aetna | Medicare|All Plans | $375.07 | ↑ +1% |
| United | Medicare|All Plans | $375.07 | ↑ +1% |
| Health Net | Medicare|All Plans | $375.07 | ↑ +1% |
| Kaiser | Medicare|All Plans | $375.07 | ↑ +1% |
| BCBS - Anthem | Medicare|All Plans | $375.07 | ↑ +1% |
| Alignment | Medicare|All Plans | $375.07 | ↑ +1% |
| Blue Shield CA | Medicare|All Plans | $375.07 | ↑ +1% |
| Western Growers | Commercial|All Plans | $491.70 | ↑ +33% |
| Health Net | Commercial|FFS | $500.64 | ↑ +35% |
| Kaiser | Commercial|All Plans | $554.28 | ↑ +50% |
| Healthsmart | Commercial|All Plans | $759.90 | ↑ +105% |
| First Health | Commercial|All Plans | $759.90 | ↑ +105% |
| United | Commercial|Non-Options PPO | $822.48 | ↑ +122% |
| MultiPlan | Commercial|All Plans | $876.12 | ↑ +137% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↑ +246% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↑ +411% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +998% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +1079% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +1317% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +1368% |
Visitor-reported prices
Comments
Arthrocentesis aspir+/injection small jt/bursa with Ultrasound 20604 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $454.65 | $55.69 – $682.44 |
| Petaluma Valley Hospital | Petaluma | $1,317.84 | $413.65 – $1,687.00 |
| Arroyo Grande Hospital | Santa Maria | $439.13 | $45.28 – $1,005.48 |
| Bakersfield Memorial Hospital | Bakersfield | $345.35 | $45.28 – $743.39 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $435.83 – $6,200.00 |
| Healdsburg Hospital | Healdsburg | $349.86 | $413.57 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $1,389.75 | $1,333.00 – $20,799.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $850.17 | $427.11 – $4,042.00 |