Prim art mech thrmbc non-intracranial add-on at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$5,592.28
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.
$14,266.00
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.
$983.90 with Partnership Health Plan vs $13,339.76 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $983.90 | ↓ -82% |
| Molina | Medicaid|< 21 | $983.90 | ↓ -82% |
| Molina | Medicaid|> 21 | $983.90 | ↓ -82% |
| Partnership Health Plan | Medicaid|> 21 | $983.90 | ↓ -82% |
| BCBS - Anthem | Medicaid|All Plans | $983.90 | ↓ -82% |
| CenCal | Medicaid|< 21 | $1,081.26 | ↓ -81% |
| CenCal | Medicaid|> 21 | $1,081.26 | ↓ -81% |
| Health Net | Medicaid|< 21 | $1,210.20 | ↓ -78% |
| Health Net | Medicaid|> 21 | $1,210.20 | ↓ -78% |
| MHS HSPCC | Commercial|All Plans | $3,675.24 | ↓ -34% |
| Aetna | Commercial|Gatekeeper | $4,567.00 | ↓ -18% |
| Aetna | Commercial|Non-Gatekeeper | $4,906.00 | ↓ -12% |
| Blue Shield CA | Commercial|Exchange | $6,349.00 | ↑ +14% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↑ +33% |
| Western Growers | Commercial|All Plans | $7,486.60 | ↑ +34% |
| Health Net | Commercial|FFS | $7,622.72 | ↑ +36% |
| Kaiser | Commercial|All Plans | $8,439.44 | ↑ +51% |
| Blue Shield CA | Commercial|FFS | $9,360.00 | ↑ +67% |
| Healthsmart | Commercial|All Plans | $11,570.20 | ↑ +107% |
| First Health | Commercial|All Plans | $11,570.20 | ↑ +107% |
| United | Commercial|Non-Options PPO | $12,523.04 | ↑ +124% |
| BCBS - Anthem | Commercial|Non-MCS | $13,339.76 | ↑ +139% |
| MultiPlan | Commercial|All Plans | $13,339.76 | ↑ +139% |
Visitor-reported prices
Comments
Prim art mech thrmbc non-intracranial add-on at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $6,180.62 | $1,210.20 – $11,006.58 |
| Arroyo Grande Hospital | Santa Maria | $5,825.94 | $983.90 – $13,339.76 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4,963.98 | $983.90 – $11,908.20 |
| Bakersfield Memorial Hospital | Bakersfield | $2,572.31 | $983.90 – $6,938.91 |
| Queen of The Valley Medical Center | Napa | $5,720.67 | $2,747.00 – $9,175.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,415.69 | $2,699.00 – $26,648.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,599.85 | $857.41 – $7,428.12 |
| Santa Rosa Memorial Hospital | Santa Rosa | $4,367.13 | $1,716.00 – $15,202.00 |