Whfo w/joint(s) custom fab at French Hospital
1911 Johnson Ave, San Luis Obispo, CA · CommonSpirit Health · · NPI 1881760452
$397.10
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.
$1,013.00
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.
$192.47 with Health Net vs $992.74 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 |
|---|---|---|---|
| Health Net | Commercial|FFS | $192.47 | ↓ -52% |
| MHS HSPCC | Commercial|All Plans | $273.51 | ↓ -31% |
| Partnership Health Plan | Medicaid|> 21 | $292.28 | ↓ -26% |
| Partnership Health Plan | Medicaid|< 21 | $292.28 | ↓ -26% |
| Molina | Medicaid|< 21 | $292.28 | ↓ -26% |
| Molina | Medicaid|> 21 | $292.28 | ↓ -26% |
| CenCal | Medicaid|< 21 | $292.28 | ↓ -26% |
| BCBS - Anthem | Medicaid|All Plans | $292.28 | ↓ -26% |
| CenCal | Medicaid|> 21 | $292.28 | ↓ -26% |
| Health Net | Medicaid|< 21 | $359.50 | ↓ -9% |
| Health Net | Medicaid|> 21 | $359.50 | ↓ -9% |
| Western Growers | Commercial|All Plans | $506.50 | ↑ +28% |
| United | Commercial|HMO | $506.50 | ↑ +28% |
| United | Commercial|Non-Options PPO | $526.76 | ↑ +33% |
| United | Commercial|All Other Plans | $597.67 | ↑ +51% |
| Cigna | Commercial|All Other Plans | $607.80 | ↑ +53% |
| Cigna | Commercial|PPO | $607.80 | ↑ +53% |
| Kaiser | Commercial|All Plans | $628.06 | ↑ +58% |
| Aetna | Commercial|Gatekeeper | $729.36 | ↑ +84% |
| Aetna | Commercial|Non-Gatekeeper | $790.14 | ↑ +99% |
| Healthsmart | Commercial|All Plans | $861.05 | ↑ +117% |
| First Health | Commercial|All Plans | $861.05 | ↑ +117% |
| BCBS - Anthem | Commercial|MCS | $921.83 | ↑ +132% |
| BCBS - Anthem | Commercial|Non-MCS | $931.96 | ↑ +135% |
| Blue Shield CA | Commercial|FFS | $952.22 | ↑ +140% |
| Blue Shield CA | Commercial|Exchange | $952.22 | ↑ +140% |
| MultiPlan | Commercial|All Plans | $992.74 | ↑ +150% |
Visitor-reported prices
Comments
Whfo w/joint(s) custom fab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Arroyo Grande Hospital | Santa Maria | $433.57 | $292.28 – $992.74 |
| Dominican Hospital | Santa Cruz | $504.45 | $292.28 – $1,121.00 |
| Mercy San Juan Medical Center | Carmichael | $205.50 | $82.50 – $637.50 |
| Mercy General Hospital | Sacramento | $163.50 | $172.50 – $667.50 |
| Mercy Hospital of Folsom | Folsom | $291.75 | $82.50 – $720.00 |
| Woodland Memorial Hospital | Woodland | $205.50 | $82.50 – $750.00 |
| Methodist Hospital of Sacramento | Sacramento | $216.00 | $172.50 – $675.00 |
| Providence Holy Cross Medical Center | Mission Hills | $175.00 | $495.89 – $917.40 |