Ins lv lead exist pm/icd at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$20,566.68
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.
$52,466.00
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.
$279.60 with CenCal vs $51,416.68 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $279.60 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $279.60 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $279.60 | ↓ -99% |
| Molina | Medicaid|< 21 | $279.60 | ↓ -99% |
| Molina | Medicaid|> 21 | $279.60 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $279.60 | ↓ -99% |
| CenCal | Medicaid|> 21 | $279.60 | ↓ -99% |
| Health Net | Medicaid|< 21 | $343.91 | ↓ -98% |
| Health Net | Medicaid|> 21 | $343.91 | ↓ -98% |
| Aetna | Commercial|Gatekeeper | $5,077.00 | ↓ -75% |
| Aetna | Commercial|Non-Gatekeeper | $5,452.00 | ↓ -73% |
| Blue Shield CA | Commercial|Exchange | $5,556.00 | ↓ -73% |
| Blue Shield CA | Commercial|FFS | $8,190.00 | ↓ -60% |
| Alignment | Medicare|All Plans | $13,297.25 | ↓ -35% |
| Humana | Medicare|All Plans | $13,297.25 | ↓ -35% |
| Humana | Commercial|All Plans | $13,297.25 | ↓ -35% |
| Aetna | Medicare|All Plans | $13,297.25 | ↓ -35% |
| United | Medicare|All Plans | $13,297.25 | ↓ -35% |
| Health Net | Medicare|All Plans | $13,297.25 | ↓ -35% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↓ -35% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↓ -35% |
| Blue Shield CA | Medicare|All Plans | $13,297.25 | ↓ -35% |
| BCBS - Anthem | Commercial|MCS | $13,440.00 | ↓ -35% |
| MHS HSPCC | Commercial|All Plans | $14,165.82 | ↓ -31% |
| Western Growers | Commercial|All Plans | $26,233.00 | ↑ +28% |
| Health Net | Commercial|FFS | $29,380.96 | ↑ +43% |
| Kaiser | Commercial|All Plans | $32,528.92 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $44,596.10 | ↑ +117% |
| First Health | Commercial|All Plans | $44,596.10 | ↑ +117% |
| United | Commercial|Non-Options PPO | $48,268.72 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $51,416.68 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $51,416.68 | ↑ +150% |
Visitor-reported prices
Comments
Ins lv lead exist pm/icd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $15,211.74 | $423.01 – $27,089.40 |
| Arroyo Grande Hospital | Santa Maria | $22,068.97 | $279.60 – $50,531.74 |
| Bakersfield Memorial Hospital | Bakersfield | $22,624.45 | $279.60 – $48,701.13 |
| Queen of The Valley Medical Center | Napa | $33,111.75 | $7,483.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,084.60 | $279.60 – $25,956.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $15,113.85 | $2,995.00 – $20,488.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $11,028.00 | $6,920.00 – $24,869.57 |
| Mercy Medical Center Merced | Merced | $30,909.27 | $279.60 – $59,417.82 |