Tobramycin peak therapeutic drug level at SIERRA VISTA HOSPITAL, INC.

1010 Murray Ave, San Luis Obispo, CA · Adventisthealth · · NPI 1639101116

Source: hospital's published price file ↗ · Published Jan 10, 2026 · Ingested Sep 16, 2026

$79.65

Cash price

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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.

Full explanation →

What you pay up front if you don't use insurance.

$885.00

Gross charge

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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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$13.80 with NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS vs $1,063.77 with BLUE SHIELD PROMISE 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 →

Payer
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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
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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
NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS NBD-NTWRKS BY DESIGN EXCLUS-ALL OTHER PLANS $13.80 ↓ -83%
CENCAL MCR ADV - ALL OTHER PLANS CENCAL MCR ADV - ALL OTHER PLANS $16.13 ↓ -80%
AETNA MCR ADV AETNA MCR ADV $16.13 ↓ -80%
UHC MCR ADV UHC MCR ADV $16.13 ↓ -80%
TRICARE BLUE SHIELD-ALL PLANS TRICARE BLUE SHIELD-ALL PLANS $16.13 ↓ -80%
BLUE SHIELD EPN BLUE SHIELD EPN $17.64 ↓ -78%
CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS CFMG-CA FORENSIC MED GRP OP/PROFEE ONLY-ALL PLANS $20.97 ↓ -74%
AH EMPLOYEE HEALTH PLAN - ALL PLANS AH EMPLOYEE HEALTH PLAN - ALL PLANS $29.03 ↓ -64%
COALINGA-ALL PLANS COALINGA-ALL PLANS $31.06 ↓ -61%
CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS CCAH-CENTRL CA ALLINCE MCAL-ALL PLANS $31.06 ↓ -61%
CENCAL MCAL CENCAL MCAL $51.30 ↓ -36%
HPN-HERITAGE PROV NTWRK-ALL PLANS HPN-HERITAGE PROV NTWRK-ALL PLANS $133.28 ↑ +67%
UHC ALL PAYER - ALL OTHER PLANS UHC ALL PAYER - ALL OTHER PLANS $134.85 ↑ +69%
UHC PPO UHC PPO $304.44 ↑ +282%
UHC HMO UHC HMO $304.44 ↑ +282%
BLUE SHIELD HMO/POS BLUE SHIELD HMO/POS $431.88 ↑ +442%
BLUE SHIELD EPO/PPO-ALL OTHER PLANS BLUE SHIELD EPO/PPO-ALL OTHER PLANS $476.13 ↑ +498%
NBD-NTWRKS BY DESIGN NON-EXCLUS NBD-NTWRKS BY DESIGN NON-EXCLUS $511.09 ↑ +542%
MEDI-CAL MEDI-CAL $885.00 ↑ +1011%
BLUE SHIELD PROMISE MCAL BLUE SHIELD PROMISE MCAL $1,063.77 ↑ +1236%

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Tobramycin peak therapeutic drug level at other California hospitals

Hospital City Cash price Negotiated range
French Hospital San Luis Obispo $212.47 $13.50 – $49.00
Fresno Medical Center FRESNO $213.92 $14.00 – $14.00
St. John's Camarillo Hospital Camarillo $83.22 $16.13 – $148.20
Antioch Medical Center ANTIOCH $213.92 $14.00 – $14.00
Redwood City Medical Center Redwood City $213.92 $14.00 – $14.00
Santa Clara Medical Center SANTA CLARA $213.92 $14.00 – $14.00
Baldwin Park Medical Center BALDWIN PARK $143.00 $12.00 – $12.00
Riverside Medical Center RIVERSIDE $143.00 $12.00 – $12.00

All California hospitals for this procedure →