5' nucleotidase - sendout at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$5.29
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.
$12.35
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.
$6.18 with Western Growers vs $28.74 with Cigna — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $6.18 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $7.79 | ↑ +47% |
| Kaiser | Commercial|All Plans | $7.79 | ↑ +47% |
| First Health | Commercial|All Plans | $10.38 | ↑ +96% |
| Blue Shield CA | Commercial|FFS | $10.87 | ↑ +105% |
| Humana | Medicare|All Plans | $11.15 | ↑ +111% |
| Aetna | Medicare|All Plans | $11.15 | ↑ +111% |
| United | Medicare|All Plans | $11.15 | ↑ +111% |
| Kaiser | Medicare|All Plans | $11.15 | ↑ +111% |
| BCBS - Anthem | Medicare|All Plans | $11.15 | ↑ +111% |
| Alignment | Medicare|All Plans | $11.15 | ↑ +111% |
| MHS Hospice | Commercial|All Plans | $11.15 | ↑ +111% |
| Scan Health Plan | Medicare|All Plans | $11.15 | ↑ +111% |
| Healthsmart | Commercial|All Plans | $11.37 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $11.98 | ↑ +126% |
| MultiPlan | Commercial|All Plans | $12.11 | ↑ +129% |
| United | Commercial|Non-Options PPO | $12.35 | ↑ +133% |
| Aetna | Commercial|PPO | $12.35 | ↑ +133% |
| CenCal | Medicaid|< 21 | $12.35 | ↑ +133% |
| Aetna | Commercial|HMO | $12.35 | ↑ +133% |
| United | Commercial|All Other Plans | $12.35 | ↑ +133% |
| CenCal | Medicaid|> 21 | $12.35 | ↑ +133% |
| United | Commercial|Options PPO | $12.35 | ↑ +133% |
| Partnership Health Plan | Medicaid|< 21 | $12.35 | ↑ +133% |
| BCBS - Anthem | Commercial|MCS | $12.35 | ↑ +133% |
| Partnership Health Plan | Medicaid|> 21 | $12.35 | ↑ +133% |
| Aetna | Commercial|All Other Plans | $12.35 | ↑ +133% |
| United | Commercial|HMO | $13.38 | ↑ +153% |
| Health Net | Medicaid|< 21 | $15.20 | ↑ +187% |
| Health Net | Medicaid|> 21 | $15.20 | ↑ +187% |
| Cigna | Commercial|PPO | $28.74 | ↑ +443% |
| Cigna | Commercial|All Other Plans | $28.74 | ↑ +443% |
Visitor-reported prices
Comments
5' nucleotidase - sendout at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $5.41 | $3.34 – $29.59 |
| Banner Lassen Medical Center | Susanville | $30.67 | $2.23 – $47.53 |
| Mark Twain Medical Center | San Andreas | $8.23 | $6.69 – $12.35 |
| French Hospital | San Luis Obispo | $4.85 | $3.34 – $33.79 |
| Mercy Hospitals – Bakersfield | Bakersfield | $4.59 | $5.00 – $32.05 |
| Bakersfield Memorial Hospital | Bakersfield | $4.54 | $5.00 – $32.05 |
| St. Joseph's Behavioral Health Center | Stockton | $7.06 | $1.00 – $8.00 |
| St. Joseph's Medical Center Stockton | Stockton | $3.64 | $2.10 – $10.00 |