Established Patient Office Visit (level 2) at SIERRA VISTA HOSPITAL, INC.
1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116
$21.15
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.
$235.00
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.
$31.32 with CENCAL MCR ADV - ALL OTHER PLANS vs $133.38 with CENCAL MCAL — 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 |
|---|---|---|---|
| CENCAL MCR ADV - ALL OTHER PLANS | CENCAL MCR ADV - ALL OTHER PLANS | $31.32 | ↑ +48% |
| UHC MCR ADV | UHC MCR ADV | $31.32 | ↑ +48% |
| AETNA MCR ADV | AETNA MCR ADV | $31.32 | ↑ +48% |
| TRICARE BLUE SHIELD-ALL PLANS | TRICARE BLUE SHIELD-ALL PLANS | $31.32 | ↑ +48% |
| HPN-HERITAGE PROV NTWRK-ALL PLANS | HPN-HERITAGE PROV NTWRK-ALL PLANS | $34.00 | ↑ +61% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $34.40 | ↑ +63% |
| UHC PPO | UHC PPO | $34.40 | ↑ +63% |
| UHC HMO | UHC HMO | $40.25 | ↑ +90% |
| CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS | $40.72 | ↑ +93% |
| BLUE SHIELD EPN | BLUE SHIELD EPN | $45.86 | ↑ +117% |
| BLUE SHIELD EPO/PPO-ALL OTHER PLANS | BLUE SHIELD EPO/PPO-ALL OTHER PLANS | $53.80 | ↑ +154% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $56.38 | ↑ +167% |
| BLUE SHIELD HMO/POS | BLUE SHIELD HMO/POS | $57.10 | ↑ +170% |
| NBD-NTWRKS BY DESIGN NON-EXCLUS | NBD-NTWRKS BY DESIGN NON-EXCLUS | $57.75 | ↑ +173% |
| NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS | $67.57 | ↑ +219% |
| AETNA - ALL OTHER PLANS | AETNA - ALL OTHER PLANS | $99.20 | ↑ +369% |
| MEDI-CAL | MEDI-CAL | $117.00 | ↑ +453% |
| BLUE SHIELD PROMISE MCAL | BLUE SHIELD PROMISE MCAL | $120.20 | ↑ +468% |
| COALINGA-ALL PLANS | COALINGA-ALL PLANS | $130.00 | ↑ +515% |
| CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS | $130.00 | ↑ +515% |
| CENCAL MCAL | CENCAL MCAL | $133.38 | ↑ +531% |
Visitor-reported prices
Comments
Established Patient Office Visit (level 2) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $119.56 | $16.37 – $298.90 |
| St. John's Camarillo Hospital | Camarillo | $559.01 | $28.15 – $226.00 |
| Banner Lassen Medical Center | Susanville | $737.20 | $29.86 – $276.45 |
| Arroyo Grande Hospital | Santa Maria | $130.54 | $16.37 – $305.00 |
| Mark Twain Medical Center | San Andreas | $68.60 | $8.28 – $32.00 |
| Bakersfield Memorial Hospital | Bakersfield | $86.25 | $32.25 – $232.00 |
| Healdsburg Hospital | Healdsburg | $205.02 | not published |
| Redwood Memorial Hospital | Fortuna | $55.08 | not published |