Carotene at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$5.25
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.
$13.38
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.
$3.62 with MHS HSPCC vs $27.91 with Cigna — 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 |
|---|---|---|---|
| MHS HSPCC | Commercial|All Plans | $3.62 | ↓ -31% |
| Blue Shield CA | Commercial|Exchange | $6.43 | ↑ +22% |
| Western Growers | Commercial|All Plans | $6.69 | ↑ +27% |
| Health Net | Commercial|FFS | $7.50 | ↑ +43% |
| Kaiser | Commercial|All Plans | $8.30 | ↑ +58% |
| Blue Shield CA | Commercial|FFS | $9.10 | ↑ +73% |
| Humana | Commercial|All Plans | $9.22 | ↑ +76% |
| Humana | Medicare|All Plans | $9.22 | ↑ +76% |
| Aetna | Medicare|All Plans | $9.22 | ↑ +76% |
| United | Medicare|All Plans | $9.22 | ↑ +76% |
| Health Net | Medicare|All Plans | $9.22 | ↑ +76% |
| Kaiser | Medicare|All Plans | $9.22 | ↑ +76% |
| BCBS - Anthem | Medicare|All Plans | $9.22 | ↑ +76% |
| Alignment | Medicare|All Plans | $9.22 | ↑ +76% |
| Blue Shield CA | Medicare|All Plans | $9.22 | ↑ +76% |
| MHS Hospice | Commercial|All Plans | $9.22 | ↑ +76% |
| CenCal | Medicaid|< 21 | $10.57 | ↑ +101% |
| CenCal | Medicaid|> 21 | $10.57 | ↑ +101% |
| United | Commercial|Non-Options PPO | $11.06 | ↑ +111% |
| United | Commercial|HMO | $11.06 | ↑ +111% |
| United | Commercial|All Other Plans | $11.06 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $11.38 | ↑ +117% |
| First Health | Commercial|All Plans | $11.38 | ↑ +117% |
| Molina | Medicaid|< 21 | $11.76 | ↑ +124% |
| BCBS - Anthem | Medicaid|All Plans | $11.76 | ↑ +124% |
| Partnership Health Plan | Medicaid|< 21 | $11.76 | ↑ +124% |
| Partnership Health Plan | Medicaid|> 21 | $11.76 | ↑ +124% |
| Molina | Medicaid|> 21 | $11.76 | ↑ +124% |
| BCBS - Anthem | Commercial|Non-MCS | $12.58 | ↑ +140% |
| BCBS - Anthem | Commercial|MCS | $12.85 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $13.12 | ↑ +150% |
| Aetna | Commercial|Gatekeeper | $13.38 | ↑ +155% |
| Aetna | Commercial|Non-Gatekeeper | $13.38 | ↑ +155% |
| Health Net | Medicaid|< 21 | $14.46 | ↑ +175% |
| Health Net | Medicaid|> 21 | $14.46 | ↑ +175% |
| Cigna | Commercial|PPO | $27.91 | ↑ +432% |
| Cigna | Commercial|All Other Plans | $27.91 | ↑ +432% |
Visitor-reported prices
Comments
Carotene at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $10.02 | $1.84 – $15.52 |
| Petaluma Valley Hospital | Petaluma | $33.89 | $9.04 – $75.35 |
| Arroyo Grande Hospital | Santa Maria | $5.73 | $6.69 – $23.74 |
| Mark Twain Medical Center | San Andreas | $8.92 | $7.25 – $13.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4.97 | $6.00 – $26.48 |
| Bakersfield Memorial Hospital | Bakersfield | $4.92 | $6.00 – $26.48 |
| Queen of The Valley Medical Center | Napa | $33.89 | $9.22 – $95.22 |
| Providence St Joseph Hospital Eureka | Eureka | $33.89 | $9.22 – $107.98 |