Athrectomy fem/pop/unilateral 37225 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$13,642.39
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.
$34,802.00
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.
$523.83 with BCBS - Anthem vs $34,105.96 with MultiPlan — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $523.83 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $523.83 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $523.83 | ↓ -96% |
| Molina | Medicaid|< 21 | $523.83 | ↓ -96% |
| Molina | Medicaid|> 21 | $523.83 | ↓ -96% |
| CenCal | Medicaid|< 21 | $524.00 | ↓ -96% |
| CenCal | Medicaid|> 21 | $524.00 | ↓ -96% |
| Health Net | Medicaid|< 21 | $644.31 | ↓ -95% |
| Health Net | Medicaid|> 21 | $644.31 | ↓ -95% |
| Aetna | Commercial|Gatekeeper | $5,582.00 | ↓ -59% |
| Aetna | Commercial|Non-Gatekeeper | $5,997.00 | ↓ -56% |
| Blue Shield CA | Commercial|Exchange | $7,851.00 | ↓ -42% |
| MHS HSPCC | Commercial|All Plans | $9,396.54 | ↓ -31% |
| Blue Shield CA | Commercial|FFS | $11,575.00 | ↓ -15% |
| BCBS - Anthem | Commercial|MCS | $12,667.00 | ↓ -7% |
| Western Growers | Commercial|All Plans | $17,401.00 | ↑ +28% |
| Health Net | Commercial|FFS | $19,489.12 | ↑ +43% |
| Kaiser | Commercial|All Plans | $21,577.24 | ↑ +58% |
| Kaiser | Medicare|All Plans | $22,815.81 | ↑ +67% |
| BCBS - Anthem | Medicare|All Plans | $22,815.81 | ↑ +67% |
| Humana | Commercial|All Plans | $22,815.81 | ↑ +67% |
| Blue Shield CA | Medicare|All Plans | $22,815.81 | ↑ +67% |
| Health Net | Medicare|All Plans | $22,815.81 | ↑ +67% |
| United | Medicare|All Plans | $22,815.81 | ↑ +67% |
| Aetna | Medicare|All Plans | $22,815.81 | ↑ +67% |
| Humana | Medicare|All Plans | $22,815.81 | ↑ +67% |
| Alignment | Medicare|All Plans | $22,815.81 | ↑ +67% |
| First Health | Commercial|All Plans | $29,581.70 | ↑ +117% |
| Healthsmart | Commercial|All Plans | $29,581.70 | ↑ +117% |
| United | Commercial|Non-Options PPO | $32,017.84 | ↑ +135% |
| BCBS - Anthem | Commercial|Non-MCS | $34,105.96 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $34,105.96 | ↑ +150% |
Visitor-reported prices
Comments
Athrectomy fem/pop/unilateral 37225 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $18,189.27 | $792.50 – $32,391.84 |
| Arroyo Grande Hospital | Santa Maria | $15,342.09 | $523.83 – $34,105.96 |
| Mercy Hospitals – Bakersfield | Bakersfield | $32,415.02 | $523.83 – $69,897.60 |
| Bakersfield Memorial Hospital | Bakersfield | $32,065.53 | $523.83 – $69,023.88 |
| Queen of The Valley Medical Center | Napa | $18,036.15 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,036.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $11,863.79 | $0.80 – $26,149.20 |
| Santa Rosa Memorial Hospital | Santa Rosa | $20,079.21 | $4,233.00 – $62,607.00 |