Intro cath dialysis circuit w/pta at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$13,077.91
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.
$33,362.00
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.
$1,112.06 with Partnership Health Plan vs $32,694.76 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 | $1,112.06 | ↓ -91% |
| CenCal | Medicaid|> 21 | $1,112.06 | ↓ -91% |
| Partnership Health Plan | Medicaid|< 21 | $1,112.06 | ↓ -91% |
| Molina | Medicaid|< 21 | $1,112.06 | ↓ -91% |
| Molina | Medicaid|> 21 | $1,112.06 | ↓ -91% |
| CenCal | Medicaid|< 21 | $1,112.06 | ↓ -91% |
| BCBS - Anthem | Medicaid|All Plans | $1,112.06 | ↓ -91% |
| Health Net | Medicaid|> 21 | $1,367.83 | ↓ -90% |
| Health Net | Medicaid|< 21 | $1,367.83 | ↓ -90% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↓ -46% |
| BCBS - Anthem | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Humana | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Humana | Commercial|All Plans | $7,244.35 | ↓ -45% |
| Aetna | Medicare|All Plans | $7,244.35 | ↓ -45% |
| United | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Health Net | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Blue Shield CA | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Kaiser | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Alignment | Medicare|All Plans | $7,244.35 | ↓ -45% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↓ -42% |
| MHS HSPCC | Commercial|All Plans | $9,007.74 | ↓ -31% |
| Blue Shield CA | Commercial|Exchange | $12,394.00 | ↓ -5% |
| BCBS - Anthem | Commercial|MCS | $12,667.00 | ↓ -3% |
| Blue Shield CA | Commercial|FFS | $18,271.00 | ↑ +40% |
| Western Growers | Commercial|All Plans | $18,349.10 | ↑ +40% |
| Health Net | Commercial|FFS | $18,682.72 | ↑ +43% |
| Kaiser | Commercial|All Plans | $20,684.44 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $28,357.70 | ↑ +117% |
| First Health | Commercial|All Plans | $28,357.70 | ↑ +117% |
| United | Commercial|Non-Options PPO | $30,693.04 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $32,694.76 | ↑ +150% |
| BCBS - Anthem | Commercial|Non-MCS | $32,694.76 | ↑ +150% |
Visitor-reported prices
Comments
Intro cath dialysis circuit w/pta at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5,082.99 | $1,682.43 – $13,090.66 |
| Arroyo Grande Hospital | Santa Maria | $14,586.24 | $1,112.06 – $31,992.10 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,153.01 | $1,112.06 – $19,361.60 |
| Bakersfield Memorial Hospital | Bakersfield | $9,349.70 | $1,112.06 – $19,119.58 |
| Queen of The Valley Medical Center | Napa | $9,262.62 | $8,081.23 – $27,307.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,594.19 | $7,320.30 – $27,307.00 |
| St. Joseph's Medical Center Stockton | Stockton | $7,171.55 | $0.80 – $9,523.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5,525.85 | $6,682.00 – $15,575.00 |