Nusinersen (pf) 12 mg/5 ml intrathecal solution at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$88,200.00
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.
$225,000.00
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.
$1,066.96 with CenCal vs $220,500.00 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 | $1,066.96 | ↓ -99% |
| CenCal | Medicaid|> 21 | $1,066.96 | ↓ -99% |
| Partnership Health Plan | Medicaid|> 21 | $1,188.11 | ↓ -99% |
| Partnership Health Plan | Medicaid|< 21 | $1,188.11 | ↓ -99% |
| Molina | Medicaid|< 21 | $1,188.11 | ↓ -99% |
| Molina | Medicaid|> 21 | $1,188.11 | ↓ -99% |
| BCBS - Anthem | Medicaid|All Plans | $1,188.11 | ↓ -99% |
| MHS Hospice | Commercial|All Plans | $1,299.98 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $1,420.38 | ↓ -98% |
| Blue Shield CA | Commercial|Exchange | $1,420.38 | ↓ -98% |
| Blue Shield CA | Medicare|All Plans | $1,584.36 | ↓ -98% |
| Humana | Medicare|All Plans | $1,584.36 | ↓ -98% |
| Humana | Commercial|All Plans | $1,584.36 | ↓ -98% |
| Aetna | Medicare|All Plans | $1,584.36 | ↓ -98% |
| United | Medicare|All Plans | $1,584.36 | ↓ -98% |
| Health Net | Medicare|All Plans | $1,584.36 | ↓ -98% |
| Kaiser | Medicare|All Plans | $1,584.36 | ↓ -98% |
| BCBS - Anthem | Medicare|All Plans | $1,584.36 | ↓ -98% |
| Alignment | Medicare|All Plans | $1,584.36 | ↓ -98% |
| United | Commercial|Non-Options PPO | $1,851.75 | ↓ -98% |
| United | Commercial|All Other Plans | $2,057.53 | ↓ -98% |
| United | Commercial|HMO | $2,057.53 | ↓ -98% |
| BCBS - Anthem | Commercial|MCS | $9,184.59 | ↓ -90% |
| BCBS - Anthem | Commercial|Non-MCS | $9,184.59 | ↓ -90% |
| MHS HSPCC | Commercial|All Plans | $60,750.00 | ↓ -31% |
| Western Growers | Commercial|All Plans | $112,500.00 | ↑ +28% |
| Health Net | Commercial|FFS | $126,000.00 | ↑ +43% |
| Kaiser | Commercial|All Plans | $139,500.00 | ↑ +58% |
| Cigna | Commercial|All Other Plans | $157,500.00 | ↑ +79% |
| Cigna | Commercial|PPO | $157,500.00 | ↑ +79% |
| Healthsmart | Commercial|All Plans | $191,250.00 | ↑ +117% |
| First Health | Commercial|All Plans | $191,250.00 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $220,500.00 | ↑ +150% |
Visitor-reported prices
Comments
Nusinersen (pf) 12 mg/5 ml intrathecal solution at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $96,300.00 | $1,066.96 – $220,500.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1,260.07 – $2,684.49 |
| Queen of The Valley Medical Center | Napa | not published | $1,285.78 – $2,684.49 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $1,285.78 – $2,684.49 |
| Healdsburg Hospital | Healdsburg | not published | $1,243.54 – $3,534.43 |
| Redwood Memorial Hospital | Fortuna | not published | $1,794.21 – $1,794.21 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1,260.07 – $2,684.49 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | not published | $1,092.91 – $2,684.49 |