Cath lt/rt pulm art at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,134.06
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.
$2,893.00
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.
$111.50 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 | $111.50 | ↓ -90% |
| Partnership Health Plan | Medicaid|> 21 | $111.50 | ↓ -90% |
| Partnership Health Plan | Medicaid|< 21 | $111.50 | ↓ -90% |
| Molina | Medicaid|< 21 | $111.50 | ↓ -90% |
| Molina | Medicaid|> 21 | $111.50 | ↓ -90% |
| Health Net | Medicaid|< 21 | $137.15 | ↓ -88% |
| Health Net | Medicaid|> 21 | $137.15 | ↓ -88% |
| MHS HSPCC | Commercial|All Plans | $169.29 | ↓ -85% |
| CenCal | Medicaid|> 21 | $175.77 | ↓ -85% |
| CenCal | Medicaid|< 21 | $175.77 | ↓ -85% |
| Western Growers | Commercial|All Plans | $344.85 | ↓ -70% |
| Health Net | Commercial|FFS | $351.12 | ↓ -69% |
| Kaiser | Commercial|All Plans | $388.74 | ↓ -66% |
| Healthsmart | Commercial|All Plans | $532.95 | ↓ -53% |
| First Health | Commercial|All Plans | $532.95 | ↓ -53% |
| United | Commercial|Non-Options PPO | $576.84 | ↓ -49% |
| MultiPlan | Commercial|All Plans | $614.46 | ↓ -46% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +258% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +285% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +362% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +379% |
Visitor-reported prices
Comments
Cath lt/rt pulm art at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $620.21 | $137.15 – $1,104.48 |
| Arroyo Grande Hospital | Santa Maria | $1,238.21 | $111.50 – $634.06 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,097.05 | $111.50 – $1,815.60 |
| Bakersfield Memorial Hospital | Bakersfield | $1,085.22 | $111.50 – $2,019.60 |
| Queen of The Valley Medical Center | Napa | $1,341.30 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $1,341.30 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,222.64 | $0.80 – $1,138.20 |
| Santa Rosa Memorial Hospital | Santa Rosa | $705.84 | $1,716.00 – $12,908.00 |