Factor ix at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$89.39
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.
$228.03
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.
$8.89 with MHS HSPCC vs $57.69 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 |
|---|---|---|---|
| MHS HSPCC | Commercial|All Plans | $8.89 | ↓ -90% |
| Blue Shield CA | Commercial|Exchange | $15.80 | ↓ -82% |
| Western Growers | Commercial|All Plans | $16.46 | ↓ -82% |
| Health Net | Commercial|FFS | $18.43 | ↓ -79% |
| Humana | Commercial|All Plans | $19.04 | ↓ -79% |
| Humana | Medicare|All Plans | $19.04 | ↓ -79% |
| Aetna | Medicare|All Plans | $19.04 | ↓ -79% |
| United | Medicare|All Plans | $19.04 | ↓ -79% |
| Health Net | Medicare|All Plans | $19.04 | ↓ -79% |
| Kaiser | Medicare|All Plans | $19.04 | ↓ -79% |
| BCBS - Anthem | Medicare|All Plans | $19.04 | ↓ -79% |
| Alignment | Medicare|All Plans | $19.04 | ↓ -79% |
| Blue Shield CA | Medicare|All Plans | $19.04 | ↓ -79% |
| MHS Hospice | Commercial|All Plans | $19.04 | ↓ -79% |
| Kaiser | Commercial|All Plans | $20.41 | ↓ -77% |
| CenCal | Medicaid|> 21 | $21.85 | ↓ -76% |
| CenCal | Medicaid|< 21 | $21.85 | ↓ -76% |
| Blue Shield CA | Commercial|FFS | $22.38 | ↓ -75% |
| United | Commercial|Non-Options PPO | $22.85 | ↓ -74% |
| United | Commercial|All Other Plans | $22.85 | ↓ -74% |
| United | Commercial|HMO | $22.85 | ↓ -74% |
| Molina | Medicaid|> 21 | $24.28 | ↓ -73% |
| BCBS - Anthem | Medicaid|All Plans | $24.28 | ↓ -73% |
| Partnership Health Plan | Medicaid|< 21 | $24.28 | ↓ -73% |
| Molina | Medicaid|< 21 | $24.28 | ↓ -73% |
| Partnership Health Plan | Medicaid|> 21 | $24.28 | ↓ -73% |
| Healthsmart | Commercial|All Plans | $27.98 | ↓ -69% |
| First Health | Commercial|All Plans | $27.98 | ↓ -69% |
| Health Net | Medicaid|> 21 | $29.86 | ↓ -67% |
| Health Net | Medicaid|< 21 | $29.86 | ↓ -67% |
| BCBS - Anthem | Commercial|Non-MCS | $30.94 | ↓ -65% |
| BCBS - Anthem | Commercial|MCS | $31.60 | ↓ -65% |
| MultiPlan | Commercial|All Plans | $32.26 | ↓ -64% |
| Aetna | Commercial|Non-Gatekeeper | $32.91 | ↓ -63% |
| Aetna | Commercial|Gatekeeper | $32.91 | ↓ -63% |
| Cigna | Commercial|PPO | $57.69 | ↓ -35% |
| Cigna | Commercial|All Other Plans | $57.69 | ↓ -35% |
Visitor-reported prices
Comments
Factor ix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14.42 | $8.89 – $50.54 |
| Banner Lassen Medical Center | Susanville | $17.28 | $3.81 – $27.93 |
| Petaluma Valley Hospital | Petaluma | $93.87 | $18.66 – $155.42 |
| Arroyo Grande Hospital | Santa Maria | $97.60 | $16.46 – $49.07 |
| Mark Twain Medical Center | San Andreas | $21.92 | $17.82 – $32.26 |
| Mercy Hospitals – Bakersfield | Bakersfield | $12.21 | $16.46 – $54.73 |
| Bakersfield Memorial Hospital | Bakersfield | $12.08 | $16.46 – $54.73 |
| Queen of The Valley Medical Center | Napa | $93.87 | $19.04 – $196.41 |