Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,527.24
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.
$3,896.00
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.
$259.49 with Partnership Health Plan vs $5,432.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $259.49 | ↓ -83% |
| CenCal | Medicaid|> 21 | $259.49 | ↓ -83% |
| Molina | Medicaid|< 21 | $259.49 | ↓ -83% |
| Molina | Medicaid|> 21 | $259.49 | ↓ -83% |
| CenCal | Medicaid|< 21 | $259.49 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $259.49 | ↓ -83% |
| Partnership Health Plan | Medicaid|< 21 | $259.49 | ↓ -83% |
| Health Net | Medicaid|< 21 | $319.17 | ↓ -79% |
| Health Net | Medicaid|> 21 | $319.17 | ↓ -79% |
| MHS HSPCC | Commercial|All Plans | $699.03 | ↓ -54% |
| MHS Hospice | Commercial|All Plans | $712.67 | ↓ -53% |
| Humana | Commercial|All Plans | $893.98 | ↓ -41% |
| Humana | Medicare|All Plans | $893.98 | ↓ -41% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -41% |
| United | Medicare|All Plans | $893.98 | ↓ -41% |
| Health Net | Medicare|All Plans | $893.98 | ↓ -41% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -41% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -41% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -41% |
| Blue Shield CA | Medicare|All Plans | $893.98 | ↓ -41% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↓ -16% |
| Western Growers | Commercial|All Plans | $1,423.95 | ↓ -7% |
| Health Net | Commercial|FFS | $1,449.84 | ↓ -5% |
| Kaiser | Commercial|All Plans | $1,605.18 | ↑ +5% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↑ +24% |
| Healthsmart | Commercial|All Plans | $2,200.65 | ↑ +44% |
| First Health | Commercial|All Plans | $2,200.65 | ↑ +44% |
| United | Commercial|Non-Options PPO | $2,381.88 | ↑ +56% |
| MultiPlan | Commercial|All Plans | $2,537.22 | ↑ +66% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +166% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +186% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +243% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +256% |
Visitor-reported prices
Comments
Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $392.58 – $1,726.14 |
| Arroyo Grande Hospital | Santa Maria | $1,667.49 | $259.49 – $2,537.22 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $259.49 – $1,994.40 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $259.49 – $1,969.47 |
| St. Joseph's Medical Center Stockton | Stockton | $1,039.88 | $259.49 – $1,485.12 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,314.08 | $774.16 – $1,894.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $406.90 | $125.52 – $523.00 |
| Mercy Medical Center Merced | Merced | $1,361.66 | $259.49 – $1,125.63 |