Removal biliary drg cath at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$3,190.49
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.
$8,139.00
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.
$339.17 with BCBS - Anthem vs $6,120.00 with Blue Shield CA — 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $339.17 | ↓ -89% |
| Partnership Health Plan | Medicaid|> 21 | $339.17 | ↓ -89% |
| Partnership Health Plan | Medicaid|< 21 | $339.17 | ↓ -89% |
| Molina | Medicaid|< 21 | $339.17 | ↓ -89% |
| Molina | Medicaid|> 21 | $339.17 | ↓ -89% |
| CenCal | Medicaid|< 21 | $368.95 | ↓ -88% |
| CenCal | Medicaid|> 21 | $368.95 | ↓ -88% |
| Health Net | Medicaid|< 21 | $417.18 | ↓ -87% |
| Health Net | Medicaid|> 21 | $417.18 | ↓ -87% |
| MHS Hospice | Commercial|All Plans | $918.19 | ↓ -71% |
| Blue Shield CA | Medicare|All Plans | $1,191.26 | ↓ -63% |
| Humana | Medicare|All Plans | $1,191.26 | ↓ -63% |
| Humana | Commercial|All Plans | $1,191.26 | ↓ -63% |
| Alignment | Medicare|All Plans | $1,191.26 | ↓ -63% |
| Aetna | Medicare|All Plans | $1,191.26 | ↓ -63% |
| Kaiser | Medicare|All Plans | $1,191.26 | ↓ -63% |
| BCBS - Anthem | Medicare|All Plans | $1,191.26 | ↓ -63% |
| United | Medicare|All Plans | $1,191.26 | ↓ -63% |
| Health Net | Medicare|All Plans | $1,191.26 | ↓ -63% |
| MHS HSPCC | Commercial|All Plans | $1,592.46 | ↓ -50% |
| Western Growers | Commercial|All Plans | $3,243.90 | ↑ +2% |
| Health Net | Commercial|FFS | $3,302.88 | ↑ +4% |
| Kaiser | Commercial|All Plans | $3,656.76 | ↑ +15% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↑ +27% |
| Blue Shield CA | Commercial|Exchange | $4,152.00 | ↑ +30% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↑ +37% |
| Healthsmart | Commercial|All Plans | $5,013.30 | ↑ +57% |
| First Health | Commercial|All Plans | $5,013.30 | ↑ +57% |
| BCBS - Anthem | Commercial|MCS | $5,243.00 | ↑ +64% |
| United | Commercial|Non-Options PPO | $5,426.16 | ↑ +70% |
| BCBS - Anthem | Commercial|Non-MCS | $5,432.00 | ↑ +70% |
| MultiPlan | Commercial|All Plans | $5,780.04 | ↑ +81% |
| Blue Shield CA | Commercial|FFS | $6,120.00 | ↑ +92% |
Visitor-reported prices
Comments
Removal biliary drg cath at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $676.71 | $417.15 – $2,072.04 |
| Arroyo Grande Hospital | Santa Maria | $3,432.99 | $339.17 – $5,780.04 |
| Mercy Hospitals – Bakersfield | Bakersfield | $963.12 | $339.17 – $1,515.20 |
| Bakersfield Memorial Hospital | Bakersfield | $952.74 | $339.17 – $1,496.26 |
| Providence St Joseph Hospital Eureka | Eureka | $1,215.33 | $1,166.53 – $8,018.00 |
| St. Joseph's Medical Center Stockton | Stockton | $2,199.12 | $339.17 – $3,141.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,675.97 | $1,262.04 – $4,737.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $2,065.44 | $991.55 – $5,171.00 |