Macroscopic exam arthropod at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$30.19
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.
$77.00
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.
$3.41 with CenCal vs $75.46 with MultiPlan — 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 | $3.41 | ↓ -89% |
| CenCal | Medicaid|> 21 | $3.41 | ↓ -89% |
| Molina | Medicaid|> 21 | $3.80 | ↓ -87% |
| Partnership Health Plan | Medicaid|> 21 | $3.80 | ↓ -87% |
| Partnership Health Plan | Medicaid|< 21 | $3.80 | ↓ -87% |
| BCBS - Anthem | Medicaid|All Plans | $3.80 | ↓ -87% |
| Molina | Medicaid|< 21 | $3.80 | ↓ -87% |
| Kaiser | Medicare|All Plans | $4.27 | ↓ -86% |
| BCBS - Anthem | Medicare|All Plans | $4.27 | ↓ -86% |
| Aetna | Medicare|All Plans | $4.27 | ↓ -86% |
| MHS Hospice | Commercial|All Plans | $4.27 | ↓ -86% |
| United | Medicare|All Plans | $4.27 | ↓ -86% |
| Health Net | Medicare|All Plans | $4.27 | ↓ -86% |
| Blue Shield CA | Medicare|All Plans | $4.27 | ↓ -86% |
| Humana | Commercial|All Plans | $4.27 | ↓ -86% |
| Humana | Medicare|All Plans | $4.27 | ↓ -86% |
| Alignment | Medicare|All Plans | $4.27 | ↓ -86% |
| Health Net | Medicaid|> 21 | $4.67 | ↓ -85% |
| Health Net | Medicaid|< 21 | $4.67 | ↓ -85% |
| United | Commercial|HMO | $5.12 | ↓ -83% |
| United | Commercial|Non-Options PPO | $5.12 | ↓ -83% |
| United | Commercial|All Other Plans | $5.12 | ↓ -83% |
| Cigna | Commercial|All Other Plans | $12.95 | ↓ -57% |
| Cigna | Commercial|PPO | $12.95 | ↓ -57% |
| MHS HSPCC | Commercial|All Plans | $20.79 | ↓ -31% |
| Aetna | Commercial|Gatekeeper | $28.93 | ↓ -4% |
| Blue Shield CA | Commercial|Exchange | $36.96 | ↑ +22% |
| Western Growers | Commercial|All Plans | $38.50 | ↑ +28% |
| Health Net | Commercial|FFS | $43.12 | ↑ +43% |
| Kaiser | Commercial|All Plans | $47.74 | ↑ +58% |
| Aetna | Commercial|Non-Gatekeeper | $51.09 | ↑ +69% |
| Blue Shield CA | Commercial|FFS | $52.36 | ↑ +73% |
| BCBS - Anthem | Commercial|MCS | $61.75 | ↑ +105% |
| BCBS - Anthem | Commercial|Non-MCS | $63.08 | ↑ +109% |
| Healthsmart | Commercial|All Plans | $65.45 | ↑ +117% |
| First Health | Commercial|All Plans | $65.45 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $75.46 | ↑ +150% |
Visitor-reported prices
Comments
Macroscopic exam arthropod at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $32.96 | $3.41 – $75.46 |
| Mark Twain Medical Center | San Andreas | $7.12 | $3.80 – $10.47 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $59.91 | $3.80 – $75.46 |
| Northridge Hospital Medical Center | Northridge | $50.78 | $3.80 – $182.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $76.85 | $3.80 – $28.52 |
| California Hospital Medical Center | Los Angeles | $63.54 | $3.42 – $103.49 |
| St. Mary Medical Center | Long Beach | $78.26 | $3.42 – $145.60 |
| Providence Saint Joseph Medical Center | Burbank | $158.90 | $4.27 – $24.97 |