Transcath biopsy at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$4,354.34
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.
$11,108.00
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.
$158.07 with BCBS - Anthem vs $10,038.14 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 |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $158.07 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $158.07 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $158.07 | ↓ -96% |
| Molina | Medicaid|< 21 | $158.07 | ↓ -96% |
| Molina | Medicaid|> 21 | $158.07 | ↓ -96% |
| Health Net | Medicaid|< 21 | $194.43 | ↓ -96% |
| Health Net | Medicaid|> 21 | $194.43 | ↓ -96% |
| CenCal | Medicaid|> 21 | $249.18 | ↓ -94% |
| CenCal | Medicaid|< 21 | $249.18 | ↓ -94% |
| MHS HSPCC | Commercial|All Plans | $2,765.61 | ↓ -36% |
| Blue Shield CA | Commercial|Exchange | $4,152.00 | ↓ -5% |
| Aetna | Commercial|Gatekeeper | $5,582.00 | ↑ +28% |
| Western Growers | Commercial|All Plans | $5,633.65 | ↑ +29% |
| Health Net | Commercial|FFS | $5,736.08 | ↑ +32% |
| Aetna | Commercial|Non-Gatekeeper | $5,997.00 | ↑ +38% |
| Blue Shield CA | Commercial|FFS | $6,120.00 | ↑ +41% |
| Kaiser | Commercial|All Plans | $6,350.66 | ↑ +46% |
| Humana | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Humana | Commercial|All Plans | $6,868.48 | ↑ +58% |
| BCBS - Anthem | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Alignment | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Blue Shield CA | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Health Net | Medicare|All Plans | $6,868.48 | ↑ +58% |
| United | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Aetna | Medicare|All Plans | $6,868.48 | ↑ +58% |
| Kaiser | Medicare|All Plans | $6,868.48 | ↑ +58% |
| BCBS - Anthem | Commercial|MCS | $7,439.00 | ↑ +71% |
| First Health | Commercial|All Plans | $8,706.55 | ↑ +100% |
| Healthsmart | Commercial|All Plans | $8,706.55 | ↑ +100% |
| United | Commercial|Non-Options PPO | $9,423.56 | ↑ +116% |
| BCBS - Anthem | Commercial|Non-MCS | $10,038.14 | ↑ +131% |
| MultiPlan | Commercial|All Plans | $10,038.14 | ↑ +131% |
Visitor-reported prices
Comments
Transcath biopsy at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,638.52 | $194.43 – $12,048.00 |
| Arroyo Grande Hospital | Santa Maria | $4,754.23 | $158.07 – $10,467.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $3,838.00 | $158.07 – $6,896.80 |
| Bakersfield Memorial Hospital | Bakersfield | $3,163.91 | $158.07 – $6,868.48 |
| St. Joseph's Medical Center Stockton | Stockton | $2,775.95 | $0.80 – $4,470.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,852.36 | $2,238.00 – $15,575.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $3,576.96 | $5,171.00 – $13,240.19 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,527.46 | $268.72 – $4,443.32 |