Bx breast 1st lesion strtctc at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,907.48
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.
$4,866.00
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.
$632.17 with Molina vs $8,190.00 with Blue Shield CA — 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 |
|---|---|---|---|
| Molina | Medicaid|> 21 | $632.17 | ↓ -67% |
| BCBS - Anthem | Medicaid|All Plans | $632.17 | ↓ -67% |
| CenCal | Medicaid|< 21 | $632.17 | ↓ -67% |
| Molina | Medicaid|< 21 | $632.17 | ↓ -67% |
| Partnership Health Plan | Medicaid|> 21 | $632.17 | ↓ -67% |
| Partnership Health Plan | Medicaid|< 21 | $632.17 | ↓ -67% |
| CenCal | Medicaid|> 21 | $632.17 | ↓ -67% |
| Health Net | Medicaid|> 21 | $777.57 | ↓ -59% |
| Health Net | Medicaid|< 21 | $777.57 | ↓ -59% |
| MHS HSPCC | Commercial|All Plans | $1,313.82 | ↓ -31% |
| Humana | Commercial|All Plans | $2,058.68 | ↑ +8% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +8% |
| United | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Health Net | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +8% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Alignment | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +8% |
| Western Growers | Commercial|All Plans | $2,676.30 | ↑ +40% |
| Health Net | Commercial|FFS | $2,724.96 | ↑ +43% |
| Kaiser | Commercial|All Plans | $3,016.92 | ↑ +58% |
| First Health | Commercial|All Plans | $4,136.10 | ↑ +117% |
| Healthsmart | Commercial|All Plans | $4,136.10 | ↑ +117% |
| United | Commercial|Non-Options PPO | $4,476.72 | ↑ +135% |
| Aetna | Commercial|Gatekeeper | $4,567.00 | ↑ +139% |
| MultiPlan | Commercial|All Plans | $4,768.68 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $4,768.68 | ↑ +150% |
| Aetna | Commercial|Non-Gatekeeper | $4,906.00 | ↑ +157% |
| Blue Shield CA | Commercial|Exchange | $5,556.00 | ↑ +191% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↑ +290% |
| Blue Shield CA | Commercial|FFS | $8,190.00 | ↑ +329% |
Visitor-reported prices
Comments
Bx breast 1st lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,433.05 | $956.41 – $6,113.64 |
| Petaluma Valley Hospital | Petaluma | $6,724.35 | $2,225.71 – $4,657.00 |
| Arroyo Grande Hospital | Santa Maria | $5,185.65 | $632.17 – $11,444.44 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $632.17 – $3,808.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $632.17 – $3,760.40 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,124.23 – $9,858.00 |
| Redwood Memorial Hospital | Fortuna | $1,652.40 | $8,005.00 – $25,998.00 |