Bx soft tiss pelvis/hip deep 27041 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,769.88
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.
$4,515.00
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.
$348.62 with Partnership Health Plan vs $8,190.00 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 | $348.62 | ↓ -80% |
| Partnership Health Plan | Medicaid|< 21 | $348.62 | ↓ -80% |
| Molina | Medicaid|< 21 | $348.62 | ↓ -80% |
| Molina | Medicaid|> 21 | $348.62 | ↓ -80% |
| BCBS - Anthem | Medicaid|All Plans | $348.62 | ↓ -80% |
| Health Net | Medicaid|> 21 | $428.80 | ↓ -76% |
| Health Net | Medicaid|< 21 | $428.80 | ↓ -76% |
| CenCal | Medicaid|< 21 | $549.53 | ↓ -69% |
| CenCal | Medicaid|> 21 | $549.53 | ↓ -69% |
| MHS HSPCC | Commercial|All Plans | $950.13 | ↓ -46% |
| Western Growers | Commercial|All Plans | $1,935.45 | ↑ +9% |
| Health Net | Commercial|FFS | $1,970.64 | ↑ +11% |
| Humana | Commercial|All Plans | $2,058.68 | ↑ +16% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +16% |
| United | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Health Net | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +16% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Alignment | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Blue Shield CA | Medicare|All Plans | $2,058.68 | ↑ +16% |
| Kaiser | Commercial|All Plans | $2,181.78 | ↑ +23% |
| First Health | Commercial|All Plans | $2,991.15 | ↑ +69% |
| Healthsmart | Commercial|All Plans | $2,991.15 | ↑ +69% |
| United | Commercial|Non-Options PPO | $3,237.48 | ↑ +83% |
| BCBS - Anthem | Commercial|Non-MCS | $3,448.62 | ↑ +95% |
| MultiPlan | Commercial|All Plans | $3,448.62 | ↑ +95% |
| Aetna | Commercial|Gatekeeper | $4,567.00 | ↑ +158% |
| Aetna | Commercial|Non-Gatekeeper | $4,906.00 | ↑ +177% |
| Blue Shield CA | Commercial|Exchange | $5,556.00 | ↑ +214% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↑ +320% |
| Blue Shield CA | Commercial|FFS | $8,190.00 | ↑ +363% |
Visitor-reported prices
Comments
Bx soft tiss pelvis/hip deep 27041 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,090.36 | $348.62 – $4,602.08 |
| Mark Twain Medical Center | San Andreas | $21,952.03 | $348.62 – $1,722.84 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,713.65 | $348.62 – $1,306.00 |
| Bakersfield Memorial Hospital | Bakersfield | $1,695.18 | $348.62 – $1,306.00 |
| Queen of The Valley Medical Center | Napa | $3,066.63 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,221.05 | $2,124.23 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,325.58 | $0.80 – $615.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,642.82 | $2,298.14 – $4,042.00 |