Bone marrow biopsyneedle/trocar 38221 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,843.97
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.
$4,704.00
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.
$224.72 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 | $224.72 | ↓ -88% |
| Molina | Medicaid|> 21 | $224.72 | ↓ -88% |
| Molina | Medicaid|< 21 | $224.72 | ↓ -88% |
| Partnership Health Plan | Medicaid|> 21 | $224.72 | ↓ -88% |
| Partnership Health Plan | Medicaid|< 21 | $224.72 | ↓ -88% |
| CenCal | Medicaid|> 21 | $246.96 | ↓ -87% |
| CenCal | Medicaid|< 21 | $246.96 | ↓ -87% |
| Health Net | Medicaid|< 21 | $276.41 | ↓ -85% |
| Health Net | Medicaid|> 21 | $276.41 | ↓ -85% |
| MHS HSPCC | Commercial|All Plans | $465.21 | ↓ -75% |
| Western Growers | Commercial|All Plans | $947.65 | ↓ -49% |
| Health Net | Commercial|FFS | $964.88 | ↓ -48% |
| Kaiser | Commercial|All Plans | $1,068.26 | ↓ -42% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↓ -30% |
| Healthsmart | Commercial|All Plans | $1,464.55 | ↓ -21% |
| First Health | Commercial|All Plans | $1,464.55 | ↓ -21% |
| United | Commercial|Non-Options PPO | $1,585.16 | ↓ -14% |
| MultiPlan | Commercial|All Plans | $1,688.54 | ↓ -8% |
| Blue Shield CA | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Humana | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Humana | Commercial|All Plans | $1,723.00 | ↓ -7% |
| Kaiser | Medicare|All Plans | $1,723.00 | ↓ -7% |
| BCBS - Anthem | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Alignment | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Aetna | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Health Net | Medicare|All Plans | $1,723.00 | ↓ -7% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↑ +2% |
| United | Medicare|All Plans | $2,058.68 | ↑ +12% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +120% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +137% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +184% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +195% |
Visitor-reported prices
Comments
Bone marrow biopsyneedle/trocar 38221 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,011.78 | $276.41 – $3,763.88 |
| Banner Lassen Medical Center | Susanville | $943.78 | $323.12 – $1,168.85 |
| Arroyo Grande Hospital | Santa Maria | $765.70 | $224.72 – $1,723.00 |
| Mark Twain Medical Center | San Andreas | $2,293.04 | $224.72 – $2,044.28 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,186.83 | $224.72 – $1,623.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,174.04 | $224.72 – $1,623.00 |
| Queen of The Valley Medical Center | Napa | $2,782.05 | $1,727.00 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,357.22 | $1,802.00 – $9,858.00 |