Removal cerclage without anes at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$509.60
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.
$1,300.00
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.
$194.00 with MHS Hospice vs $4,906.00 with Aetna — 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 |
|---|---|---|---|
| MHS Hospice | Commercial|All Plans | $194.00 | ↓ -62% |
| Humana | Medicare|All Plans | $255.61 | ↓ -50% |
| Humana | Commercial|All Plans | $255.61 | ↓ -50% |
| Aetna | Medicare|All Plans | $255.61 | ↓ -50% |
| Blue Shield CA | Medicare|All Plans | $255.61 | ↓ -50% |
| Alignment | Medicare|All Plans | $255.61 | ↓ -50% |
| BCBS - Anthem | Medicare|All Plans | $255.61 | ↓ -50% |
| United | Medicare|All Plans | $255.61 | ↓ -50% |
| Health Net | Medicare|All Plans | $255.61 | ↓ -50% |
| Kaiser | Medicare|All Plans | $255.61 | ↓ -50% |
| MHS HSPCC | Commercial|All Plans | $351.00 | ↓ -31% |
| Western Growers | Commercial|All Plans | $715.00 | ↑ +40% |
| Health Net | Commercial|FFS | $728.00 | ↑ +43% |
| Kaiser | Commercial|All Plans | $806.00 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $1,105.00 | ↑ +117% |
| First Health | Commercial|All Plans | $1,105.00 | ↑ +117% |
| United | Commercial|Non-Options PPO | $1,196.00 | ↑ +135% |
| MultiPlan | Commercial|All Plans | $1,274.00 | ↑ +150% |
| Blue Shield CA | Commercial|Exchange | $1,282.00 | ↑ +152% |
| Blue Shield CA | Commercial|FFS | $1,890.00 | ↑ +271% |
| Aetna | Commercial|Gatekeeper | $4,567.00 | ↑ +796% |
| Aetna | Commercial|Non-Gatekeeper | $4,906.00 | ↑ +863% |
Visitor-reported prices
Comments
Removal cerclage without anes at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,266.54 | $128.15 – $233.00 |
| Mercy Hospitals – Bakersfield | Bakersfield | $369.15 | $255.61 – $796.00 |
| Bakersfield Memorial Hospital | Bakersfield | $394.16 | $255.61 – $848.46 |
| St. Joseph's Medical Center Stockton | Stockton | $303.41 | $216.72 – $866.88 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $449.69 | $138.72 – $566.44 |
| Mercy Medical Center Merced | Merced | $538.69 | $218.17 – $1,035.54 |
| Northridge Hospital Medical Center | Northridge | $452.82 | $255.61 – $1,623.00 |
| Sierra Nevada Memorial Hospital | Grass Valley | $33.25 | $30.50 – $61.00 |