Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$2,493.52
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.
$6,361.00
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.
$154.13 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $154.13 | ↓ -94% |
| Molina | Medicaid|> 21 | $154.13 | ↓ -94% |
| Molina | Medicaid|< 21 | $154.13 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $154.13 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $154.13 | ↓ -94% |
| CenCal | Medicaid|> 21 | $154.20 | ↓ -94% |
| CenCal | Medicaid|< 21 | $154.20 | ↓ -94% |
| Health Net | Medicaid|< 21 | $189.58 | ↓ -92% |
| Health Net | Medicaid|> 21 | $189.58 | ↓ -92% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↓ -49% |
| MHS HSPCC | Commercial|All Plans | $1,341.90 | ↓ -46% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↓ -24% |
| Western Growers | Commercial|All Plans | $2,733.50 | ↑ +10% |
| Health Net | Commercial|FFS | $2,783.20 | ↑ +12% |
| Kaiser | Commercial|All Plans | $3,081.40 | ↑ +24% |
| Humana | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Humana | Commercial|All Plans | $3,636.52 | ↑ +46% |
| Kaiser | Medicare|All Plans | $3,636.52 | ↑ +46% |
| BCBS - Anthem | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Alignment | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Blue Shield CA | Medicare|All Plans | $3,636.52 | ↑ +46% |
| United | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Aetna | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Health Net | Medicare|All Plans | $3,636.52 | ↑ +46% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +63% |
| First Health | Commercial|All Plans | $4,224.50 | ↑ +69% |
| Healthsmart | Commercial|All Plans | $4,224.50 | ↑ +69% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +75% |
| United | Commercial|Non-Options PPO | $4,572.40 | ↑ +83% |
| MultiPlan | Commercial|All Plans | $4,870.60 | ↑ +95% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +110% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +118% |
Visitor-reported prices
Comments
Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,011.78 | $233.18 – $4,620.00 |
| Arroyo Grande Hospital | Santa Maria | $2,835.93 | $154.13 – $6,298.46 |
| Mark Twain Medical Center | San Andreas | $173.83 | $53.04 – $200.90 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,550.63 | $154.13 – $3,819.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,523.13 | $154.13 – $3,771.46 |
| Queen of The Valley Medical Center | Napa | $5,139.78 | $1,727.00 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $3,972.90 | $1,802.00 – $9,858.00 |
| Healdsburg Hospital | Healdsburg | $3,174.75 | $721.00 – $3,982.87 |