#a/b/c/c/h pnl-candida albicans ab at SIERRA VISTA HOSPITAL, INC.
1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116
$1.13
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.
$12.50
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.
$4.25 with HPN-HERITAGE PROV NTWRK-ALL PLANS vs $21.62 with AH EMPLOYEE HEALTH PLAN - ALL PLANS — 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 |
|---|---|---|---|
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $4.25 | ↑ +276% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $4.30 | ↑ +281% |
| UHC HMO | UHC HMO | $4.30 | ↑ +281% |
| UHC PPO | UHC PPO | $4.30 | ↑ +281% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $4.90 | ↑ +334% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $6.10 | ↑ +440% |
| BLUE SHIELD EPO/PPO-ALL OTHER PLANS | BLUE SHIELD EPO/PPO-ALL OTHER PLANS | $6.73 | ↑ +496% |
| NBD-NTWRKS BY DESIGN NON-EXCLUS | NBD-NTWRKS BY DESIGN NON-EXCLUS | $7.22 | ↑ +539% |
| NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | $7.22 | ↑ +539% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $12.01 | ↑ +963% |
| CENCAL MCR ADV - ALL OTHER PLANS | CENCAL MCR ADV - ALL OTHER PLANS | $12.01 | ↑ +963% |
| UHC MCR ADV | UHC MCR ADV | $12.01 | ↑ +963% |
| AETNA MCR ADV | AETNA MCR ADV | $12.01 | ↑ +963% |
| MEDI-CAL | MEDI-CAL | $12.50 | ↑ +1006% |
| CENCAL MCAL | CENCAL MCAL | $14.25 | ↑ +1161% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $15.03 | ↑ +1230% |
| CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | $15.61 | ↑ +1281% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $16.25 | ↑ +1338% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $16.25 | ↑ +1338% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $21.62 | ↑ +1813% |
Visitor-reported prices
Comments
#a/b/c/c/h pnl-candida albicans ab at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $4.71 | $3.24 – $36.39 |
| Redwood City Medical Center | Redwood City | $33.60 | $11.00 – $11.00 |
| Santa Clara Medical Center | SANTA CLARA | $33.60 | $11.00 – $11.00 |
| Baldwin Park Medical Center | BALDWIN PARK | $92.56 | $8.00 – $8.00 |
| Riverside Medical Center | RIVERSIDE | $92.56 | $8.00 – $8.00 |
| Banner Lassen Medical Center | Susanville | $13.38 | $2.40 – $20.37 |
| Sacramento Medical Center | SACRAMENTO | $33.60 | $11.00 – $11.00 |
| Oakland Medical Center | Oakland | $33.60 | $11.00 – $11.00 |