Fna bx w/ct gdn 1st les at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$2,299.48
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.
$5,866.00
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.
$428.52 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 | $428.52 | ↓ -81% |
| CenCal | Medicaid|> 21 | $428.52 | ↓ -81% |
| Molina | Medicaid|< 21 | $428.52 | ↓ -81% |
| Molina | Medicaid|> 21 | $428.52 | ↓ -81% |
| CenCal | Medicaid|< 21 | $428.52 | ↓ -81% |
| BCBS - Anthem | Medicaid|All Plans | $428.52 | ↓ -81% |
| Partnership Health Plan | Medicaid|< 21 | $428.52 | ↓ -81% |
| Health Net | Medicaid|< 21 | $527.08 | ↓ -77% |
| Health Net | Medicaid|> 21 | $527.08 | ↓ -77% |
| MHS HSPCC | Commercial|All Plans | $615.87 | ↓ -73% |
| MHS Hospice | Commercial|All Plans | $712.67 | ↓ -69% |
| Humana | Commercial|All Plans | $893.98 | ↓ -61% |
| Humana | Medicare|All Plans | $893.98 | ↓ -61% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -61% |
| United | Medicare|All Plans | $893.98 | ↓ -61% |
| Health Net | Medicare|All Plans | $893.98 | ↓ -61% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -61% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -61% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -61% |
| Blue Shield CA | Medicare|All Plans | $893.98 | ↓ -61% |
| Western Growers | Commercial|All Plans | $1,254.55 | ↓ -45% |
| Health Net | Commercial|FFS | $1,277.36 | ↓ -44% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↓ -44% |
| Kaiser | Commercial|All Plans | $1,414.22 | ↓ -38% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↓ -18% |
| Healthsmart | Commercial|All Plans | $1,938.85 | ↓ -16% |
| First Health | Commercial|All Plans | $1,938.85 | ↓ -16% |
| United | Commercial|Non-Options PPO | $2,098.52 | ↓ -9% |
| MultiPlan | Commercial|All Plans | $2,235.38 | ↓ -3% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +77% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +90% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +128% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +136% |
Visitor-reported prices
Comments
Fna bx w/ct gdn 1st les at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $597.51 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $911.93 | $140.72 – $1,694.59 |
| Arroyo Grande Hospital | Santa Maria | $1,016.50 | $428.52 – $2,327.50 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $428.52 – $1,913.60 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $428.52 – $1,969.47 |
| Queen of The Valley Medical Center | Napa | $3,269.10 | $1,005.45 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $2,601.00 | $910.78 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,039.88 | $363.93 – $1,455.72 |