Cell marker study at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$35.28
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.
$90.00
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.
$24.30 with MHS HSPCC vs $335.43 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 | $24.30 | ↓ -31% |
| Western Growers | Commercial|All Plans | $45.00 | ↑ +28% |
| Health Net | Commercial|FFS | $50.40 | ↑ +43% |
| Kaiser | Commercial|All Plans | $55.80 | ↑ +58% |
| MHS Hospice | Commercial|All Plans | $57.80 | ↑ +64% |
| United | Commercial|All Other Plans | $59.71 | ↑ +69% |
| United | Commercial|HMO | $59.71 | ↑ +69% |
| United | Commercial|Non-Options PPO | $59.71 | ↑ +69% |
| Humana | Commercial|All Plans | $67.89 | ↑ +92% |
| Humana | Medicare|All Plans | $67.89 | ↑ +92% |
| Aetna | Medicare|All Plans | $67.89 | ↑ +92% |
| United | Medicare|All Plans | $67.89 | ↑ +92% |
| Health Net | Medicare|All Plans | $67.89 | ↑ +92% |
| Kaiser | Medicare|All Plans | $67.89 | ↑ +92% |
| BCBS - Anthem | Medicare|All Plans | $67.89 | ↑ +92% |
| Alignment | Medicare|All Plans | $67.89 | ↑ +92% |
| Blue Shield CA | Medicare|All Plans | $67.89 | ↑ +92% |
| First Health | Commercial|All Plans | $76.50 | ↑ +117% |
| Healthsmart | Commercial|All Plans | $76.50 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $84.60 | ↑ +140% |
| BCBS - Anthem | Commercial|MCS | $86.40 | ↑ +145% |
| Molina | Medicaid|> 21 | $87.98 | ↑ +149% |
| Partnership Health Plan | Medicaid|< 21 | $87.98 | ↑ +149% |
| BCBS - Anthem | Medicaid|All Plans | $87.98 | ↑ +149% |
| Partnership Health Plan | Medicaid|> 21 | $87.98 | ↑ +149% |
| CenCal | Medicaid|< 21 | $87.98 | ↑ +149% |
| CenCal | Medicaid|> 21 | $87.98 | ↑ +149% |
| Molina | Medicaid|< 21 | $87.98 | ↑ +149% |
| MultiPlan | Commercial|All Plans | $88.20 | ↑ +150% |
| Aetna | Commercial|Non-Gatekeeper | $90.00 | ↑ +155% |
| Aetna | Commercial|Gatekeeper | $90.00 | ↑ +155% |
| Health Net | Medicaid|< 21 | $108.22 | ↑ +207% |
| Health Net | Medicaid|> 21 | $108.22 | ↑ +207% |
| Cigna | Commercial|All Other Plans | $335.43 | ↑ +851% |
| Cigna | Commercial|PPO | $335.43 | ↑ +851% |
Visitor-reported prices
Comments
Cell marker study at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $41.61 | $25.65 – $293.82 |
| Arroyo Grande Hospital | Santa Maria | $38.52 | $45.00 – $285.33 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $62.83 | $19.38 – $80.75 |
| Dominican Hospital | Santa Cruz | $48.27 | $59.71 – $991.60 |
| Northridge Hospital Medical Center | Northridge | $86.77 | $26.82 – $403.83 |
| Sierra Nevada Memorial Hospital | Grass Valley | $50.87 | $58.95 – $87.98 |
| Sequoia Hospital | Redwood City | $37.09 | $43.81 – $385.52 |
| Mercy San Juan Medical Center | Carmichael | $25.58 | $9.68 – $245.24 |