Biopsy needle lymph node superficial at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,921.59
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.
$4,902.00
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.
$81.18 with Partnership Health Plan vs $6,120.00 with Blue Shield CA — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $81.18 | ↓ -96% |
| Molina | Medicaid|< 21 | $81.18 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $81.18 | ↓ -96% |
| Molina | Medicaid|> 21 | $81.18 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $81.18 | ↓ -96% |
| Health Net | Medicaid|> 21 | $99.85 | ↓ -95% |
| Health Net | Medicaid|< 21 | $99.85 | ↓ -95% |
| CenCal | Medicaid|< 21 | $127.96 | ↓ -93% |
| CenCal | Medicaid|> 21 | $127.96 | ↓ -93% |
| MHS HSPCC | Commercial|All Plans | $682.29 | ↓ -64% |
| Western Growers | Commercial|All Plans | $1,389.85 | ↓ -28% |
| Health Net | Commercial|FFS | $1,415.12 | ↓ -26% |
| Kaiser | Commercial|All Plans | $1,566.74 | ↓ -18% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +7% |
| United | Medicare|All Plans | $2,058.68 | ↑ +7% |
| Humana | Commercial|All Plans | $2,058.68 | ↑ +7% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +7% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +7% |
| Alignment | Medicare|All Plans | $2,058.68 | ↑ +7% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +7% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +7% |
| Health Net | Medicare|All Plans | $2,058.68 | ↑ +7% |
| First Health | Commercial|All Plans | $2,147.95 | ↑ +12% |
| Healthsmart | Commercial|All Plans | $2,147.95 | ↑ +12% |
| United | Commercial|Non-Options PPO | $2,324.84 | ↑ +21% |
| MultiPlan | Commercial|All Plans | $2,476.46 | ↑ +29% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +111% |
| Blue Shield CA | Commercial|Exchange | $4,152.00 | ↑ +116% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +127% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +173% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +183% |
| Blue Shield CA | Commercial|FFS | $6,120.00 | ↑ +218% |
Visitor-reported prices
Comments
Biopsy needle lymph node superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,779.55 | $99.85 – $4,949.88 |
| Banner Lassen Medical Center | Susanville | $2,464.88 | $116.72 – $3,053.56 |
| Petaluma Valley Hospital | Petaluma | $3,014.10 | $1,921.00 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $81.18 – $2,822.40 |
| Mark Twain Medical Center | San Andreas | $2,311.02 | $81.18 – $1,080.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,719.22 | $81.18 – $3,276.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,700.68 | $81.18 – $3,235.05 |
| Queen of The Valley Medical Center | Napa | $3,050.82 | $2,345.04 – $9,858.00 |