Echo exam of fetal heart at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,030.96
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.
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What you pay up front if you don't use insurance.
$2,630.00
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.
$116.87 with Molina vs $2,670.37 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 |
|---|---|---|---|
| Molina | Medicaid|< 21 | $116.87 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $116.87 | ↓ -89% |
| Partnership Health Plan | Medicaid|< 21 | $116.87 | ↓ -89% |
| CenCal | Medicaid|> 21 | $116.87 | ↓ -89% |
| CenCal | Medicaid|< 21 | $116.87 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $116.87 | ↓ -89% |
| Molina | Medicaid|> 21 | $116.87 | ↓ -89% |
| Health Net | Medicaid|< 21 | $143.75 | ↓ -86% |
| Health Net | Medicaid|> 21 | $143.75 | ↓ -86% |
| MHS HSPCC | Commercial|All Plans | $476.01 | ↓ -54% |
| MHS Hospice | Commercial|All Plans | $562.63 | ↓ -45% |
| United | Medicare|All Plans | $696.67 | ↓ -32% |
| Humana | Commercial|All Plans | $696.67 | ↓ -32% |
| Humana | Medicare|All Plans | $696.67 | ↓ -32% |
| Health Net | Medicare|All Plans | $696.67 | ↓ -32% |
| Aetna | Medicare|All Plans | $696.67 | ↓ -32% |
| Blue Shield CA | Medicare|All Plans | $696.67 | ↓ -32% |
| Alignment | Medicare|All Plans | $696.67 | ↓ -32% |
| Kaiser | Medicare|All Plans | $696.67 | ↓ -32% |
| BCBS - Anthem | Medicare|All Plans | $696.67 | ↓ -32% |
| Aetna | Commercial|Gatekeeper | $722.80 | ↓ -30% |
| BCBS - Anthem | Commercial|MCS | $795.47 | ↓ -23% |
| BCBS - Anthem | Commercial|Non-MCS | $812.62 | ↓ -21% |
| Western Growers | Commercial|All Plans | $881.50 | ↓ -14% |
| Health Net | Commercial|FFS | $987.28 | ↓ -4% |
| United | Commercial|All Other Plans | $1,086.50 | ↑ +5% |
| United | Commercial|HMO | $1,086.50 | ↑ +5% |
| United | Commercial|Non-Options PPO | $1,086.50 | ↑ +5% |
| Kaiser | Commercial|All Plans | $1,093.06 | ↑ +6% |
| Aetna | Commercial|Non-Gatekeeper | $1,412.96 | ↑ +37% |
| First Health | Commercial|All Plans | $1,498.55 | ↑ +45% |
| Healthsmart | Commercial|All Plans | $1,498.55 | ↑ +45% |
| MultiPlan | Commercial|All Plans | $1,727.74 | ↑ +68% |
| Cigna | Commercial|All Other Plans | $2,670.37 | ↑ +159% |
| Cigna | Commercial|PPO | $2,670.37 | ↑ +159% |
Visitor-reported prices
Comments
Echo exam of fetal heart at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $1,286.14 | $116.87 – $2,832.20 |
| Mark Twain Medical Center | San Andreas | $3,066.27 | $116.87 – $4,511.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $591.38 | $116.87 – $2,533.41 |
| Bakersfield Memorial Hospital | Bakersfield | $585.00 | $116.87 – $2,533.41 |
| St. Joseph's Medical Center Stockton | Stockton | $2,147.38 | $116.87 – $5,989.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,462.56 | $597.36 – $1,300.14 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $828.57 | $158.94 – $1,043.70 |
| Mercy Medical Center Merced | Merced | $3,911.94 | $116.87 – $1,603.64 |