Duplex scan bilateral study 93985 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$251.67
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.
$642.00
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.
$173.34 with MHS HSPCC vs $5,865.00 with United — 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 | $173.34 | ↓ -31% |
| BCBS - Anthem | Medicaid|All Plans | $247.34 | ↓ -2% |
| CenCal | Medicaid|> 21 | $247.34 | ↓ -2% |
| Molina | Medicaid|> 21 | $247.34 | ↓ -2% |
| Partnership Health Plan | Medicaid|> 21 | $247.34 | ↓ -2% |
| CenCal | Medicaid|< 21 | $247.34 | ↓ -2% |
| Partnership Health Plan | Medicaid|< 21 | $247.34 | ↓ -2% |
| Molina | Medicaid|< 21 | $247.34 | ↓ -2% |
| MHS Hospice | Commercial|All Plans | $272.26 | ↑ +8% |
| Health Net | Medicaid|< 21 | $304.23 | ↑ +21% |
| Health Net | Medicaid|> 21 | $304.23 | ↑ +21% |
| Humana | Commercial|All Plans | $307.13 | ↑ +22% |
| Humana | Medicare|All Plans | $307.13 | ↑ +22% |
| Aetna | Medicare|All Plans | $307.13 | ↑ +22% |
| United | Medicare|All Plans | $307.13 | ↑ +22% |
| Health Net | Medicare|All Plans | $307.13 | ↑ +22% |
| Kaiser | Medicare|All Plans | $307.13 | ↑ +22% |
| BCBS - Anthem | Medicare|All Plans | $307.13 | ↑ +22% |
| Alignment | Medicare|All Plans | $307.13 | ↑ +22% |
| Blue Shield CA | Medicare|All Plans | $307.13 | ↑ +22% |
| Western Growers | Commercial|All Plans | $321.00 | ↑ +28% |
| Health Net | Commercial|FFS | $359.52 | ↑ +43% |
| Kaiser | Commercial|All Plans | $398.04 | ↑ +58% |
| United | Commercial|Non-Options PPO | $513.60 | ↑ +104% |
| First Health | Commercial|All Plans | $545.70 | ↑ +117% |
| Healthsmart | Commercial|All Plans | $545.70 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $603.48 | ↑ +140% |
| BCBS - Anthem | Commercial|MCS | $616.32 | ↑ +145% |
| MultiPlan | Commercial|All Plans | $629.16 | ↑ +150% |
| Cigna | Commercial|All Other Plans | $1,271.67 | ↑ +405% |
| Cigna | Commercial|PPO | $1,271.67 | ↑ +405% |
| United | Commercial|HMO | $4,500.00 | ↑ +1688% |
| United | Commercial|All Other Plans | $5,865.00 | ↑ +2230% |
Visitor-reported prices
Comments
Duplex scan bilateral study 93985 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $255.36 | $157.41 – $1,113.94 |
| Mercy Hospitals – Bakersfield | Bakersfield | $175.12 | $236.00 – $1,206.45 |
| Bakersfield Memorial Hospital | Bakersfield | $173.23 | $236.00 – $1,206.45 |
| St. Joseph's Medical Center Stockton | Stockton | $167.58 | $59.85 – $285.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $342.21 | $332.01 – $1,467.07 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $475.36 | $146.64 – $611.00 |
| Mercy Medical Center Merced | Merced | $315.18 | $247.34 – $612.00 |
| Dominican Hospital | Santa Cruz | $526.95 | $247.34 – $3,759.33 |