Fna bx w/ct gdn ea addl at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$1,237.94
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.
$3,158.00
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.
$256.89 with BCBS - Anthem 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $256.89 | ↓ -79% |
| Partnership Health Plan | Medicaid|> 21 | $256.89 | ↓ -79% |
| Partnership Health Plan | Medicaid|< 21 | $256.89 | ↓ -79% |
| CenCal | Medicaid|> 21 | $256.89 | ↓ -79% |
| CenCal | Medicaid|< 21 | $256.89 | ↓ -79% |
| Molina | Medicaid|< 21 | $256.89 | ↓ -79% |
| Molina | Medicaid|> 21 | $256.89 | ↓ -79% |
| Health Net | Medicaid|> 21 | $315.97 | ↓ -74% |
| Health Net | Medicaid|< 21 | $315.97 | ↓ -74% |
| MHS HSPCC | Commercial|All Plans | $449.01 | ↓ -64% |
| Western Growers | Commercial|All Plans | $914.65 | ↓ -26% |
| Health Net | Commercial|FFS | $931.28 | ↓ -25% |
| Kaiser | Commercial|All Plans | $1,031.06 | ↓ -17% |
| Healthsmart | Commercial|All Plans | $1,413.55 | ↑ +14% |
| First Health | Commercial|All Plans | $1,413.55 | ↑ +14% |
| United | Commercial|Non-Options PPO | $1,529.96 | ↑ +24% |
| MultiPlan | Commercial|All Plans | $1,629.74 | ↑ +32% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +228% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +252% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +324% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +339% |
Visitor-reported prices
Comments
Fna bx w/ct gdn ea addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $415.67 | $256.23 – $740.22 |
| Banner Lassen Medical Center | Susanville | $866.52 | $423.87 – $1,610.20 |
| Arroyo Grande Hospital | Santa Maria | $762.27 | $256.89 – $1,745.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $462.27 | $256.89 – $1,108.94 |
| Bakersfield Memorial Hospital | Bakersfield | $457.29 | $256.89 – $1,233.54 |
| St. Joseph's Medical Center Stockton | Stockton | $1,039.88 | $256.89 – $1,455.72 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,838.26 | $1,716.00 – $12,908.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $324.43 | $100.08 – $417.00 |