Replace aortic valve w/byp open aprch 33368 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$22,704.64
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.
$57,920.00
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.
$601.64 with CenCal vs $56,761.60 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 |
|---|---|---|---|
| CenCal | Medicaid|> 21 | $601.64 | ↓ -97% |
| CenCal | Medicaid|< 21 | $601.64 | ↓ -97% |
| Molina | Medicaid|< 21 | $601.64 | ↓ -97% |
| Molina | Medicaid|> 21 | $601.64 | ↓ -97% |
| Partnership Health Plan | Medicaid|> 21 | $601.64 | ↓ -97% |
| Partnership Health Plan | Medicaid|< 21 | $601.64 | ↓ -97% |
| BCBS - Anthem | Medicaid|All Plans | $601.64 | ↓ -97% |
| Health Net | Medicaid|< 21 | $740.02 | ↓ -97% |
| Health Net | Medicaid|> 21 | $740.02 | ↓ -97% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↓ -69% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↓ -66% |
| BCBS - Anthem | Commercial|MCS | $12,667.00 | ↓ -44% |
| MHS HSPCC | Commercial|All Plans | $15,638.40 | ↓ -31% |
| Blue Shield CA | Commercial|Exchange | $16,679.00 | ↓ -27% |
| Blue Shield CA | Commercial|FFS | $24,589.00 | ↑ +8% |
| Western Growers | Commercial|All Plans | $28,960.00 | ↑ +28% |
| Health Net | Commercial|FFS | $32,435.20 | ↑ +43% |
| Kaiser | Commercial|All Plans | $35,910.40 | ↑ +58% |
| Healthsmart | Commercial|All Plans | $49,232.00 | ↑ +117% |
| First Health | Commercial|All Plans | $49,232.00 | ↑ +117% |
| United | Commercial|Non-Options PPO | $53,286.40 | ↑ +135% |
| BCBS - Anthem | Commercial|Non-MCS | $56,761.60 | ↑ +150% |
| MultiPlan | Commercial|All Plans | $56,761.60 | ↑ +150% |
Visitor-reported prices
Comments
Replace aortic valve w/byp open aprch 33368 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $25,533.20 | $601.64 – $58,463.86 |
| Bakersfield Memorial Hospital | Bakersfield | $26,687.14 | $601.64 – $71,989.83 |
| St. Joseph's Medical Center Stockton | Stockton | $1,125.44 | $601.64 – $3,215.52 |
| Providence Saint Joseph Medical Center | Burbank | $2,807.70 | $1,807.00 – $7,764.00 |
| Providence Little Company of Mary Med Center Torrance | Torrance | $4,199.65 | $1,821.00 – $9,648.00 |
| Providence Saint John's Health Center | Santa Monica | $1,607.55 | $4,588.50 – $9,891.00 |
| St. John's Camarillo Hospital | Camarillo | not published | $910.22 – $910.22 |
| Petaluma Valley Hospital | Petaluma | not published | $6,619.00 – $7,716.00 |