Insert/repl sq defib w/eltrd at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$40,152.17
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.
$102,429.00
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.
$508.93 with Partnership Health Plan vs $100,380.42 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 | $508.93 | ↓ -99% |
| CenCal | Medicaid|< 21 | $508.93 | ↓ -99% |
| CenCal | Medicaid|> 21 | $508.93 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $508.93 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $508.93 | ↓ -99% |
| Molina | Medicaid|> 21 | $508.93 | ↓ -99% |
| Molina | Medicaid|< 21 | $508.93 | ↓ -99% |
| Health Net | Medicaid|< 21 | $625.98 | ↓ -98% |
| Health Net | Medicaid|> 21 | $625.98 | ↓ -98% |
| Aetna | Commercial|Gatekeeper | $5,077.00 | ↓ -87% |
| Aetna | Commercial|Non-Gatekeeper | $5,452.00 | ↓ -86% |
| Blue Shield CA | Commercial|Exchange | $5,556.00 | ↓ -86% |
| Blue Shield CA | Commercial|FFS | $8,190.00 | ↓ -80% |
| BCBS - Anthem | Commercial|MCS | $12,667.00 | ↓ -68% |
| MHS HSPCC | Commercial|All Plans | $27,655.83 | ↓ -31% |
| Humana | Commercial|All Plans | $40,737.44 | ↑ +1% |
| Humana | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Aetna | Medicare|All Plans | $40,737.44 | ↑ +1% |
| United | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Health Net | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Kaiser | Medicare|All Plans | $40,737.44 | ↑ +1% |
| BCBS - Anthem | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Alignment | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Blue Shield CA | Medicare|All Plans | $40,737.44 | ↑ +1% |
| Western Growers | Commercial|All Plans | $51,214.50 | ↑ +28% |
| Health Net | Commercial|FFS | $57,360.24 | ↑ +43% |
| Kaiser | Commercial|All Plans | $63,505.98 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $87,064.65 | ↑ +117% |
| First Health | Commercial|All Plans | $87,064.65 | ↑ +117% |
| United | Commercial|Non-Options PPO | $94,234.68 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $100,380.42 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $100,380.42 | ↑ +150% |
Visitor-reported prices
Comments
Insert/repl sq defib w/eltrd at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $28,282.54 | $769.96 – $80,511.58 |
| Arroyo Grande Hospital | Santa Maria | $45,154.86 | $508.93 – $103,391.96 |
| Bakersfield Memorial Hospital | Bakersfield | $42,194.36 | $508.93 – $90,827.09 |
| St. Joseph's Medical Center Stockton | Stockton | $19,895.87 | $508.93 – $56,845.32 |
| Santa Rosa Memorial Hospital | Santa Rosa | $48,827.91 | $2,995.00 – $43,676.48 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $26,421.12 | $6,920.00 – $74,686.95 |
| Mercy Medical Center Merced | Merced | $55,886.77 | $508.93 – $107,432.82 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $8,611.40 | $1,528.00 – $74,686.95 |