Deep muscle biopsy 20205 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$3,186.96
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.
$8,130.00
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.
$125.17 with Molina vs $9,533.00 with BCBS - Anthem — 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 | $125.17 | ↓ -96% |
| BCBS - Anthem | Medicaid|All Plans | $125.17 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $125.17 | ↓ -96% |
| Molina | Medicaid|< 21 | $125.17 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $125.17 | ↓ -96% |
| Health Net | Medicaid|> 21 | $153.96 | ↓ -95% |
| Health Net | Medicaid|< 21 | $153.96 | ↓ -95% |
| CenCal | Medicaid|< 21 | $197.32 | ↓ -94% |
| CenCal | Medicaid|> 21 | $197.32 | ↓ -94% |
| MHS HSPCC | Commercial|All Plans | $2,131.11 | ↓ -33% |
| Humana | Commercial|All Plans | $3,636.52 | ↑ +14% |
| Humana | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Aetna | Medicare|All Plans | $3,636.52 | ↑ +14% |
| United | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Health Net | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Kaiser | Medicare|All Plans | $3,636.52 | ↑ +14% |
| BCBS - Anthem | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Alignment | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Blue Shield CA | Medicare|All Plans | $3,636.52 | ↑ +14% |
| Western Growers | Commercial|All Plans | $4,341.15 | ↑ +36% |
| Health Net | Commercial|FFS | $4,420.08 | ↑ +39% |
| Kaiser | Commercial|All Plans | $4,893.66 | ↑ +54% |
| Aetna | Commercial|Gatekeeper | $5,077.00 | ↑ +59% |
| Aetna | Commercial|Non-Gatekeeper | $5,452.00 | ↑ +71% |
| Blue Shield CA | Commercial|Exchange | $6,349.00 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $6,709.05 | ↑ +111% |
| First Health | Commercial|All Plans | $6,709.05 | ↑ +111% |
| United | Commercial|Non-Options PPO | $7,261.56 | ↑ +128% |
| MultiPlan | Commercial|All Plans | $7,735.14 | ↑ +143% |
| BCBS - Anthem | Commercial|Non-MCS | $7,735.14 | ↑ +143% |
| Blue Shield CA | Commercial|FFS | $9,360.00 | ↑ +194% |
| BCBS - Anthem | Commercial|MCS | $9,533.00 | ↑ +199% |
Visitor-reported prices
Comments
Deep muscle biopsy 20205 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $2,874.45 | $125.17 – $6,581.68 |
| Mark Twain Medical Center | San Andreas | $273.73 | $106.33 – $402.78 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,093.44 | $3,175.56 – $7,908.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $2,276.05 | $1,747.00 – $6,911.51 |
| St Jude Medical Center | Fullerton | $2,547.84 | $3,175.56 – $6,911.51 |
| Providence St Joseph Hospital Orange | Orange | $5,081.76 | $3,175.56 – $7,602.00 |
| Providence Saint John's Health Center | Santa Monica | $7,548.80 | $1,746.72 – $10,103.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $153.96 – $6,483.96 |