Removal clot in graft oth/thn 35875 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$4,583.27
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.
$11,692.00
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.
$333.23 with Partnership Health Plan vs $24,589.00 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|> 21 | $333.23 | ↓ -93% |
| Molina | Medicaid|< 21 | $333.23 | ↓ -93% |
| Partnership Health Plan | Medicaid|< 21 | $333.23 | ↓ -93% |
| Molina | Medicaid|> 21 | $333.23 | ↓ -93% |
| BCBS - Anthem | Medicaid|All Plans | $333.23 | ↓ -93% |
| Health Net | Medicaid|> 21 | $409.87 | ↓ -91% |
| Health Net | Medicaid|< 21 | $409.87 | ↓ -91% |
| CenCal | Medicaid|< 21 | $525.29 | ↓ -89% |
| CenCal | Medicaid|> 21 | $525.29 | ↓ -89% |
| MHS HSPCC | Commercial|All Plans | $2,607.39 | ↓ -43% |
| Western Growers | Commercial|All Plans | $5,311.35 | ↑ +16% |
| Health Net | Commercial|FFS | $5,407.92 | ↑ +18% |
| Kaiser | Commercial|All Plans | $5,987.34 | ↑ +31% |
| Humana | Medicare|All Plans | $6,868.48 | ↑ +50% |
| United | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Humana | Commercial|All Plans | $6,868.48 | ↑ +50% |
| Kaiser | Medicare|All Plans | $6,868.48 | ↑ +50% |
| BCBS - Anthem | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Alignment | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Blue Shield CA | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Aetna | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Health Net | Medicare|All Plans | $6,868.48 | ↑ +50% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↑ +55% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↑ +66% |
| Healthsmart | Commercial|All Plans | $8,208.45 | ↑ +79% |
| First Health | Commercial|All Plans | $8,208.45 | ↑ +79% |
| United | Commercial|Non-Options PPO | $8,884.44 | ↑ +94% |
| BCBS - Anthem | Commercial|Non-MCS | $9,463.86 | ↑ +106% |
| MultiPlan | Commercial|All Plans | $9,463.86 | ↑ +106% |
| BCBS - Anthem | Commercial|MCS | $13,440.00 | ↑ +193% |
| Blue Shield CA | Commercial|Exchange | $16,679.00 | ↑ +264% |
| Blue Shield CA | Commercial|FFS | $24,589.00 | ↑ +436% |
Visitor-reported prices
Comments
Removal clot in graft oth/thn 35875 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $5,004.18 | $333.23 – $11,347.42 |
| Mercy Hospitals – Bakersfield | Bakersfield | $5,101.25 | $333.23 – $11,000.00 |
| St. Joseph's Medical Center Stockton | Stockton | $9,389.78 | $333.23 – $26,827.92 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,099.68 | $6,083.33 – $20,774.00 |
| Northridge Hospital Medical Center | Northridge | $3,588.50 | $333.23 – $12,862.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $3,987.90 | $4,589.00 – $12,111.00 |
| Providence Saint Joseph Medical Center | Burbank | $2,448.95 | $4,589.00 – $12,111.00 |
| Providence St Joseph Hospital Orange | Orange | $4,959.36 | $6,083.33 – $19,970.00 |