Tib/per revasc w/ather add-on 37233 at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$13,674.92
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.
$34,885.00
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.
$282.95 with Molina vs $34,025.60 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 |
|---|---|---|---|
| Molina | Medicaid|< 21 | $282.95 | ↓ -98% |
| Molina | Medicaid|> 21 | $282.95 | ↓ -98% |
| Partnership Health Plan | Medicaid|< 21 | $282.95 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $282.95 | ↓ -98% |
| BCBS - Anthem | Medicaid|All Plans | $282.95 | ↓ -98% |
| CenCal | Medicaid|> 21 | $283.11 | ↓ -98% |
| CenCal | Medicaid|< 21 | $283.11 | ↓ -98% |
| Health Net | Medicaid|> 21 | $348.03 | ↓ -97% |
| Health Net | Medicaid|< 21 | $348.03 | ↓ -97% |
| Aetna | Commercial|Gatekeeper | $4,063.00 | ↓ -70% |
| Aetna | Commercial|Non-Gatekeeper | $4,363.00 | ↓ -68% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↓ -46% |
| Blue Shield CA | Commercial|Exchange | $7,851.00 | ↓ -43% |
| MHS HSPCC | Commercial|All Plans | $9,374.40 | ↓ -31% |
| Blue Shield CA | Commercial|FFS | $11,575.00 | ↓ -15% |
| Western Growers | Commercial|All Plans | $17,360.00 | ↑ +27% |
| Health Net | Commercial|FFS | $19,443.20 | ↑ +42% |
| Kaiser | Commercial|All Plans | $21,526.40 | ↑ +57% |
| Healthsmart | Commercial|All Plans | $29,512.00 | ↑ +116% |
| First Health | Commercial|All Plans | $29,512.00 | ↑ +116% |
| United | Commercial|Non-Options PPO | $31,942.40 | ↑ +134% |
| BCBS - Anthem | Commercial|Non-MCS | $34,025.60 | ↑ +149% |
| MultiPlan | Commercial|All Plans | $34,025.60 | ↑ +149% |
Visitor-reported prices
Comments
Tib/per revasc w/ather add-on 37233 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $27,640.87 | $428.08 – $49,223.46 |
| Arroyo Grande Hospital | Santa Maria | $14,930.78 | $282.95 – $34,187.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $7,624.43 | $282.95 – $8,709.54 |
| Bakersfield Memorial Hospital | Bakersfield | $7,063.29 | $282.95 – $9,688.14 |
| Queen of The Valley Medical Center | Napa | $11,234.79 | $6,200.00 – $32,162.00 |
| Providence St Joseph Hospital Eureka | Eureka | $10,533.03 | $8,018.00 – $31,625.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,117.85 | $0.80 – $4,780.44 |
| Santa Rosa Memorial Hospital | Santa Rosa | $12,591.90 | $4,042.00 – $20,488.00 |