Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$948.25
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.
?
What you pay up front if you don't use insurance.
$2,419.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$165.76 with Partnership Health Plan vs $6,120.00 with Blue Shield CA — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $165.76 | ↓ -83% |
| BCBS - Anthem | Medicaid|All Plans | $165.76 | ↓ -83% |
| Partnership Health Plan | Medicaid|< 21 | $165.76 | ↓ -83% |
| Molina | Medicaid|< 21 | $165.76 | ↓ -83% |
| Molina | Medicaid|> 21 | $165.76 | ↓ -83% |
| CenCal | Medicaid|< 21 | $182.17 | ↓ -81% |
| CenCal | Medicaid|> 21 | $182.17 | ↓ -81% |
| Health Net | Medicaid|< 21 | $203.88 | ↓ -78% |
| Health Net | Medicaid|> 21 | $203.88 | ↓ -78% |
| MHS HSPCC | Commercial|All Plans | $602.64 | ↓ -36% |
| MHS Hospice | Commercial|All Plans | $948.72 | ↑ +0% |
| Humana | Commercial|All Plans | $1,131.20 | ↑ +19% |
| Humana | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Aetna | Medicare|All Plans | $1,131.20 | ↑ +19% |
| United | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Health Net | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Kaiser | Medicare|All Plans | $1,131.20 | ↑ +19% |
| BCBS - Anthem | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Alignment | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Blue Shield CA | Medicare|All Plans | $1,131.20 | ↑ +19% |
| Western Growers | Commercial|All Plans | $1,229.25 | ↑ +30% |
| Health Net | Commercial|FFS | $1,251.60 | ↑ +32% |
| Kaiser | Commercial|All Plans | $1,383.84 | ↑ +46% |
| Healthsmart | Commercial|All Plans | $1,897.20 | ↑ +100% |
| First Health | Commercial|All Plans | $1,897.20 | ↑ +100% |
| United | Commercial|Non-Options PPO | $2,056.20 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $2,187.36 | ↑ +131% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +328% |
| Blue Shield CA | Commercial|Exchange | $4,152.00 | ↑ +338% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +360% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +453% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +473% |
| Blue Shield CA | Commercial|FFS | $6,120.00 | ↑ +545% |
Visitor-reported prices
Comments
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $904.91 | $203.88 – $2,138.98 |
| Banner Lassen Medical Center | Susanville | $1,909.73 | $168.10 – $397.70 |
| Petaluma Valley Hospital | Petaluma | $3,615.90 | $1,191.92 – $2,695.00 |
| Arroyo Grande Hospital | Santa Maria | $1,146.19 | $165.76 – $2,302.02 |
| Mark Twain Medical Center | San Andreas | $1,984.02 | $71.41 – $270.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,823.47 | $165.76 – $1,791.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,803.81 | $165.76 – $2,182.77 |
| Queen of The Valley Medical Center | Napa | $3,624.57 | $1,255.83 – $6,200.00 |