Electrophysiology evaluation at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,538.60
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.
$3,925.00
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.
$602.28 with Molina vs $7,631.00 with Aetna — 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 | $602.28 | ↓ -61% |
| Partnership Health Plan | Medicaid|> 21 | $602.28 | ↓ -61% |
| Partnership Health Plan | Medicaid|< 21 | $602.28 | ↓ -61% |
| BCBS - Anthem | Medicaid|All Plans | $602.28 | ↓ -61% |
| Molina | Medicaid|< 21 | $602.28 | ↓ -61% |
| Health Net | Medicaid|< 21 | $740.80 | ↓ -52% |
| Health Net | Medicaid|> 21 | $740.80 | ↓ -52% |
| CenCal | Medicaid|> 21 | $954.82 | ↓ -38% |
| CenCal | Medicaid|< 21 | $954.82 | ↓ -38% |
| MHS HSPCC | Commercial|All Plans | $1,059.75 | ↓ -31% |
| BCBS - Anthem | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Humana | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Aetna | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Humana | Commercial|All Plans | $1,542.50 | ↑ +0% |
| Blue Shield CA | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Alignment | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Kaiser | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Health Net | Medicare|All Plans | $1,542.50 | ↑ +0% |
| United | Medicare|All Plans | $1,542.50 | ↑ +0% |
| Western Growers | Commercial|All Plans | $1,962.50 | ↑ +28% |
| Health Net | Commercial|FFS | $2,198.00 | ↑ +43% |
| Kaiser | Commercial|All Plans | $2,433.50 | ↑ +58% |
| United | Commercial|Non-Options PPO | $3,179.25 | ↑ +107% |
| Healthsmart | Commercial|All Plans | $3,336.25 | ↑ +117% |
| First Health | Commercial|All Plans | $3,336.25 | ↑ +117% |
| Cigna | Commercial|PPO | $3,611.00 | ↑ +135% |
| Cigna | Commercial|All Other Plans | $3,611.00 | ↑ +135% |
| BCBS - Anthem | Commercial|Non-MCS | $3,846.50 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $3,846.50 | ↑ +150% |
| United | Commercial|HMO | $4,926.00 | ↑ +220% |
| United | Commercial|All Other Plans | $6,182.00 | ↑ +302% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↑ +362% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↑ +383% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↑ +396% |
Visitor-reported prices
Comments
Electrophysiology evaluation at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,054.71 | $650.16 – $2,803.82 |
| Arroyo Grande Hospital | Santa Maria | $1,724.42 | $602.28 – $4,029.00 |
| Bakersfield Memorial Hospital | Bakersfield | $2,369.36 | $602.28 – $6,262.32 |
| Queen of The Valley Medical Center | Napa | $12,216.03 | $1,728.74 – $7,455.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,910.12 | $602.28 – $5,327.54 |
| Santa Rosa Memorial Hospital | Santa Rosa | $26,546.52 | $1,694.16 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,556.16 | $1,331.06 – $3,281.00 |
| Mercy Medical Center Merced | Merced | $3,324.84 | $602.28 – $6,456.00 |