Cyclosporine modified 25 mg capsule at SIERRA VISTA HOSPITAL, INC.
1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116
$19.71
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.
?
What you pay up front if you don't use insurance.
$219.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$55.08 with HPN-HERITAGE PROV NTWRK-ALL PLANS vs $210.60 with COALINGA-ALL PLANS — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $55.08 | ↑ +179% |
| UHC HMO | UHC HMO | $55.73 | ↑ +183% |
| UHC PPO | UHC PPO | $55.73 | ↑ +183% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $55.73 | ↑ +183% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $63.50 | ↑ +222% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $79.06 | ↑ +301% |
| BLUE SHIELD EPO/PPO-ALL OTHER PLANS | BLUE SHIELD EPO/PPO-ALL OTHER PLANS | $87.16 | ↑ +342% |
| NBD-NTWRKS BY DESIGN NON-EXCLUS | NBD-NTWRKS BY DESIGN NON-EXCLUS | $93.56 | ↑ +375% |
| NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | $93.56 | ↑ +375% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $100.44 | ↑ +410% |
| CENCAL MCAL | CENCAL MCAL | $162.00 | ↑ +722% |
| MEDI-CAL | MEDI-CAL | $162.00 | ↑ +722% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $194.72 | ↑ +888% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $210.60 | ↑ +968% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $210.60 | ↑ +968% |
Visitor-reported prices
Comments
Cyclosporine modified 25 mg capsule at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $12.55 | $1.32 – $18.62 |
| Fresno Medical Center | FRESNO | $11.58 | $0.77 – $0.77 |
| St. John's Camarillo Hospital | Camarillo | $6.57 | $1.32 – $11.70 |
| Antioch Medical Center | ANTIOCH | $11.58 | $0.77 – $0.77 |
| Redwood City Medical Center | Redwood City | $11.58 | $0.77 – $0.77 |
| Santa Clara Medical Center | SANTA CLARA | $11.58 | $0.77 – $0.77 |
| Baldwin Park Medical Center | BALDWIN PARK | $10.75 | $0.77 – $0.77 |
| Riverside Medical Center | RIVERSIDE | $10.75 | $0.77 – $0.77 |