Ercp biliary & pancreas at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$988.63
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.
$2,522.00
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.
$165.14 with BCBS - Anthem vs $2,009.00 with MultiPlan — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $165.14 | ↓ -83% |
| Partnership Health Plan | Medicaid|> 21 | $165.14 | ↓ -83% |
| Partnership Health Plan | Medicaid|< 21 | $165.14 | ↓ -83% |
| CenCal | Medicaid|> 21 | $165.14 | ↓ -83% |
| CenCal | Medicaid|< 21 | $165.14 | ↓ -83% |
| Molina | Medicaid|< 21 | $165.14 | ↓ -83% |
| Molina | Medicaid|> 21 | $165.14 | ↓ -83% |
| Health Net | Medicaid|> 21 | $203.12 | ↓ -79% |
| Health Net | Medicaid|< 21 | $203.12 | ↓ -79% |
| MHS HSPCC | Commercial|All Plans | $553.50 | ↓ -44% |
| Aetna | Commercial|Gatekeeper | $649.35 | ↓ -34% |
| Western Growers | Commercial|All Plans | $1,025.00 | ↑ +4% |
| Health Net | Commercial|FFS | $1,148.00 | ↑ +16% |
| Aetna | Commercial|Non-Gatekeeper | $1,269.37 | ↑ +28% |
| Kaiser | Commercial|All Plans | $1,271.00 | ↑ +29% |
| BCBS - Anthem | Commercial|MCS | $1,296.59 | ↑ +31% |
| BCBS - Anthem | Commercial|Non-MCS | $1,324.54 | ↑ +34% |
| Healthsmart | Commercial|All Plans | $1,742.50 | ↑ +76% |
| First Health | Commercial|All Plans | $1,742.50 | ↑ +76% |
| United | Commercial|Non-Options PPO | $1,886.00 | ↑ +91% |
| MultiPlan | Commercial|All Plans | $2,009.00 | ↑ +103% |
Visitor-reported prices
Comments
Ercp biliary & pancreas at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,772.59 | $249.84 – $3,156.66 |
| Arroyo Grande Hospital | Santa Maria | $1,124.36 | $165.14 – $2,471.56 |
| Mark Twain Medical Center | San Andreas | $662.01 | $165.14 – $806.54 |
| Mercy Hospitals – Bakersfield | Bakersfield | $645.17 | $165.14 – $1,252.00 |
| Bakersfield Memorial Hospital | Bakersfield | $638.22 | $165.14 – $1,549.35 |
| Queen of The Valley Medical Center | Napa | $2,008.38 | $924.55 – $981.34 |
| Providence St Joseph Hospital Eureka | Eureka | $4,122.84 | $1,048.44 – $1,048.44 |
| St. Joseph's Medical Center Stockton | Stockton | $523.03 | $165.14 – $747.60 |