Thrombectomy/inf pq dialysis circuit w/pta at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$13,640.43
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.
$34,797.00
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.
$2,072.22 with Molina vs $32,694.76 with BCBS - Anthem — 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 |
|---|---|---|---|
| Molina | Medicaid|> 21 | $2,072.22 | ↓ -85% |
| Partnership Health Plan | Medicaid|< 21 | $2,072.22 | ↓ -85% |
| Molina | Medicaid|< 21 | $2,072.22 | ↓ -85% |
| Partnership Health Plan | Medicaid|> 21 | $2,072.22 | ↓ -85% |
| CenCal | Medicaid|> 21 | $2,072.22 | ↓ -85% |
| BCBS - Anthem | Medicaid|All Plans | $2,072.22 | ↓ -85% |
| CenCal | Medicaid|< 21 | $2,072.22 | ↓ -85% |
| Health Net | Medicaid|< 21 | $2,548.83 | ↓ -81% |
| Health Net | Medicaid|> 21 | $2,548.83 | ↓ -81% |
| Aetna | Commercial|Gatekeeper | $7,108.00 | ↓ -48% |
| Aetna | Commercial|Non-Gatekeeper | $7,631.00 | ↓ -44% |
| MHS HSPCC | Commercial|All Plans | $9,007.74 | ↓ -34% |
| BCBS - Anthem | Commercial|MCS | $12,667.00 | ↓ -7% |
| Humana | Commercial|All Plans | $14,409.33 | ↑ +6% |
| Humana | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Aetna | Medicare|All Plans | $14,409.33 | ↑ +6% |
| United | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Health Net | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Kaiser | Medicare|All Plans | $14,409.33 | ↑ +6% |
| BCBS - Anthem | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Alignment | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Blue Shield CA | Medicare|All Plans | $14,409.33 | ↑ +6% |
| Blue Shield CA | Commercial|Exchange | $16,679.00 | ↑ +22% |
| Western Growers | Commercial|All Plans | $18,349.10 | ↑ +35% |
| Health Net | Commercial|FFS | $18,682.72 | ↑ +37% |
| Kaiser | Commercial|All Plans | $20,684.44 | ↑ +52% |
| Blue Shield CA | Commercial|FFS | $24,589.00 | ↑ +80% |
| Healthsmart | Commercial|All Plans | $28,357.70 | ↑ +108% |
| First Health | Commercial|All Plans | $28,357.70 | ↑ +108% |
| United | Commercial|Non-Options PPO | $30,693.04 | ↑ +125% |
| MultiPlan | Commercial|All Plans | $32,694.76 | ↑ +140% |
| BCBS - Anthem | Commercial|Non-MCS | $32,694.76 | ↑ +140% |
Visitor-reported prices
Comments
Thrombectomy/inf pq dialysis circuit w/pta at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $10,267.60 | $3,135.06 – $26,644.42 |
| Arroyo Grande Hospital | Santa Maria | $15,353.65 | $2,072.22 – $33,749.24 |
| Mercy Hospitals – Bakersfield | Bakersfield | $11,247.24 | $2,072.22 – $19,361.60 |
| Bakersfield Memorial Hospital | Bakersfield | $11,032.76 | $2,072.22 – $19,119.58 |
| Queen of The Valley Medical Center | Napa | $18,771.57 | $9,256.00 – $62,607.00 |
| Providence St Joseph Hospital Eureka | Eureka | $11,337.81 | $11,046.00 – $62,607.00 |
| St. Joseph's Medical Center Stockton | Stockton | $13,929.43 | $0.80 – $19,330.08 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,198.58 | $8,992.00 – $20,488.00 |