Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$14,990.48
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.
$38,241.00
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.
$854.44 with Molina vs $37,476.18 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 |
|---|---|---|---|
| Molina | Medicaid|> 21 | $854.44 | ↓ -94% |
| BCBS - Anthem | Medicaid|All Plans | $854.44 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $854.44 | ↓ -94% |
| Molina | Medicaid|< 21 | $854.44 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $854.44 | ↓ -94% |
| Health Net | Medicaid|< 21 | $1,050.96 | ↓ -93% |
| Health Net | Medicaid|> 21 | $1,050.96 | ↓ -93% |
| CenCal | Medicaid|< 21 | $1,346.90 | ↓ -91% |
| CenCal | Medicaid|> 21 | $1,346.90 | ↓ -91% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↓ -53% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↓ -49% |
| BCBS - Anthem | Commercial|MCS | $9,533.00 | ↓ -36% |
| MHS HSPCC | Commercial|All Plans | $10,325.07 | ↓ -31% |
| Humana | Commercial|All Plans | $13,297.25 | ↓ -11% |
| Humana | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Aetna | Medicare|All Plans | $13,297.25 | ↓ -11% |
| United | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Health Net | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Kaiser | Medicare|All Plans | $13,297.25 | ↓ -11% |
| BCBS - Anthem | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Alignment | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Blue Shield CA | Medicare|All Plans | $13,297.25 | ↓ -11% |
| Blue Shield CA | Commercial|Exchange | $16,679.00 | ↑ +11% |
| Western Growers | Commercial|All Plans | $19,120.50 | ↑ +28% |
| Health Net | Commercial|FFS | $21,414.96 | ↑ +43% |
| Kaiser | Commercial|All Plans | $23,709.42 | ↑ +58% |
| Blue Shield CA | Commercial|FFS | $24,589.00 | ↑ +64% |
| Healthsmart | Commercial|All Plans | $32,504.85 | ↑ +117% |
| First Health | Commercial|All Plans | $32,504.85 | ↑ +117% |
| United | Commercial|Non-Options PPO | $35,181.72 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $37,476.18 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $37,476.18 | ↑ +150% |
Visitor-reported prices
Comments
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $14,400.13 | $1,050.96 – $25,925.22 |
| Petaluma Valley Hospital | Petaluma | $25,457.16 | $7,716.00 – $20,143.00 |
| Arroyo Grande Hospital | Santa Maria | $16,040.16 | $854.44 – $36,727.46 |
| Bakersfield Memorial Hospital | Bakersfield | $13,806.18 | $854.44 – $29,719.01 |
| Queen of The Valley Medical Center | Napa | $19,382.04 | $7,745.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,737.14 | $9,008.00 – $62,607.00 |
| Redwood Memorial Hospital | Fortuna | $18,866.94 | $9,031.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $10,210.62 | $854.44 – $29,173.20 |