Ortho elbow w/lock w/ft&adj at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$234.81
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.
$599.00
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.
$113.81 with Health Net vs $587.02 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 |
|---|---|---|---|
| Health Net | Commercial|FFS | $113.81 | ↓ -52% |
| MHS HSPCC | Commercial|All Plans | $161.73 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $286.10 | ↑ +22% |
| Partnership Health Plan | Medicaid|< 21 | $286.10 | ↑ +22% |
| Molina | Medicaid|< 21 | $286.10 | ↑ +22% |
| Molina | Medicaid|> 21 | $286.10 | ↑ +22% |
| CenCal | Medicaid|< 21 | $286.10 | ↑ +22% |
| BCBS - Anthem | Medicaid|All Plans | $286.10 | ↑ +22% |
| CenCal | Medicaid|> 21 | $286.10 | ↑ +22% |
| Western Growers | Commercial|All Plans | $299.50 | ↑ +28% |
| United | Commercial|HMO | $299.50 | ↑ +28% |
| United | Commercial|Non-Options PPO | $311.48 | ↑ +33% |
| Health Net | Medicaid|< 21 | $351.90 | ↑ +50% |
| Health Net | Medicaid|> 21 | $351.90 | ↑ +50% |
| United | Commercial|All Other Plans | $353.41 | ↑ +51% |
| Cigna | Commercial|All Other Plans | $359.40 | ↑ +53% |
| Cigna | Commercial|PPO | $359.40 | ↑ +53% |
| Kaiser | Commercial|All Plans | $371.38 | ↑ +58% |
| Aetna | Commercial|Gatekeeper | $431.28 | ↑ +84% |
| Aetna | Commercial|Non-Gatekeeper | $467.22 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $509.15 | ↑ +117% |
| First Health | Commercial|All Plans | $509.15 | ↑ +117% |
| BCBS - Anthem | Commercial|MCS | $545.09 | ↑ +132% |
| BCBS - Anthem | Commercial|Non-MCS | $551.08 | ↑ +135% |
| Blue Shield CA | Commercial|FFS | $563.06 | ↑ +140% |
| Blue Shield CA | Commercial|Exchange | $563.06 | ↑ +140% |
| MultiPlan | Commercial|All Plans | $587.02 | ↑ +150% |
Visitor-reported prices
Comments
Ortho elbow w/lock w/ft&adj at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $977.62 | $432.84 – $1,740.96 |
| Arroyo Grande Hospital | Santa Maria | $256.38 | $286.10 – $587.02 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $1,643.92 | $507.12 – $2,070.74 |
| Dominican Hospital | Santa Cruz | $1,111.95 | $286.10 – $2,471.00 |
| St. Mary Medical Center | Long Beach | $926.65 | $257.49 – $1,655.00 |
| Community Hospital San Bernardino | San Bernardino | $842.61 | $286.10 – $1,655.00 |
| Glendale Memorial Hospital Health Center | Glendale | $702.53 | $40.00 – $1,638.45 |
| Mercy San Juan Medical Center | Carmichael | $590.47 | $237.05 – $1,831.75 |