Electrophysiology evaluation at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$6,235.16
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.
$15,906.00
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.
$684.45 with Molina vs $15,587.88 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 |
|---|---|---|---|
| Molina | Medicaid|> 21 | $684.45 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $684.45 | ↓ -89% |
| Partnership Health Plan | Medicaid|< 21 | $684.45 | ↓ -89% |
| BCBS - Anthem | Medicaid|All Plans | $684.45 | ↓ -89% |
| Molina | Medicaid|< 21 | $684.45 | ↓ -89% |
| Health Net | Medicaid|< 21 | $841.87 | ↓ -86% |
| Health Net | Medicaid|> 21 | $841.87 | ↓ -86% |
| CenCal | Medicaid|> 21 | $1,085.11 | ↓ -83% |
| CenCal | Medicaid|< 21 | $1,085.11 | ↓ -83% |
| MHS HSPCC | Commercial|All Plans | $4,294.62 | ↓ -31% |
| United | Commercial|HMO | $4,926.00 | ↓ -21% |
| United | Commercial|All Other Plans | $6,182.00 | ↓ -1% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↑ +14% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↑ +22% |
| Western Growers | Commercial|All Plans | $7,953.00 | ↑ +28% |
| Health Net | Commercial|FFS | $8,907.36 | ↑ +43% |
| Humana | Commercial|All Plans | $9,641.44 | ↑ +55% |
| Health Net | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Kaiser | Medicare|All Plans | $9,641.44 | ↑ +55% |
| United | Medicare|All Plans | $9,641.44 | ↑ +55% |
| BCBS - Anthem | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Alignment | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Blue Shield CA | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Aetna | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Humana | Medicare|All Plans | $9,641.44 | ↑ +55% |
| Kaiser | Commercial|All Plans | $9,861.72 | ↑ +58% |
| United | Commercial|Non-Options PPO | $12,883.86 | ↑ +107% |
| BCBS - Anthem | Commercial|MCS | $13,440.00 | ↑ +116% |
| Healthsmart | Commercial|All Plans | $13,520.10 | ↑ +117% |
| First Health | Commercial|All Plans | $13,520.10 | ↑ +117% |
| Cigna | Commercial|PPO | $14,633.52 | ↑ +135% |
| Cigna | Commercial|All Other Plans | $14,633.52 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $15,587.88 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $15,587.88 | ↑ +150% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,427.91 | $841.87 – $23,808.00 |
| Arroyo Grande Hospital | Santa Maria | $7,137.33 | $684.45 – $16,676.00 |
| Bakersfield Memorial Hospital | Bakersfield | $4,165.82 | $684.45 – $11,010.47 |
| Queen of The Valley Medical Center | Napa | $11,164.92 | $9,256.00 – $35,965.00 |
| St. Joseph's Medical Center Stockton | Stockton | $4,548.77 | $684.45 – $12,687.04 |
| Santa Rosa Memorial Hospital | Santa Rosa | $16,984.53 | $9,773.00 – $15,575.00 |
| Mercy Medical Center Merced | Merced | $4,945.55 | $684.45 – $9,603.00 |
| Northridge Hospital Medical Center | Northridge | $3,152.15 | $684.45 – $11,298.00 |