Alteplase 100 mg infusion from pyxis vial at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$16,050.00
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.
$37,500.00
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.
$73.81 with BCBS - Anthem vs $1,290.66 with MultiPlan — 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 |
|---|---|---|---|
| BCBS - Anthem | Commercial|Non-MCS | $73.81 | ↓ -100% |
| CenCal | Medicaid|> 21 | $91.87 | ↓ -99% |
| CenCal | Medicaid|< 21 | $91.87 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $99.06 | ↓ -99% |
| MHS Hospice | Commercial|All Plans | $106.99 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $119.63 | ↓ -99% |
| Kaiser | Medicare|All Plans | $119.63 | ↓ -99% |
| United | Medicare|All Plans | $119.63 | ↓ -99% |
| Humana | Medicare|All Plans | $119.63 | ↓ -99% |
| Aetna | Medicare|All Plans | $119.63 | ↓ -99% |
| Alignment | Medicare|All Plans | $119.63 | ↓ -99% |
| Scan Health Plan | Medicare|All Plans | $119.63 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $138.15 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $138.15 | ↓ -99% |
| Health Net | Medicaid|> 21 | $138.38 | ↓ -99% |
| Health Net | Medicaid|< 21 | $138.38 | ↓ -99% |
| United | Commercial|Non-Options PPO | $144.66 | ↓ -99% |
| United | Commercial|Options PPO | $146.80 | ↓ -99% |
| United | Commercial|HMO | $150.94 | ↓ -99% |
| United | Commercial|All Other Plans | $150.94 | ↓ -99% |
| Health Net | Commercial|Care Product | $255.71 | ↓ -98% |
| Health Net | Commercial|FFS | $290.38 | ↓ -98% |
| Cigna | Commercial|All Other Plans | $826.65 | ↓ -95% |
| Cigna | Commercial|PPO | $826.65 | ↓ -95% |
| Kaiser | Commercial|All Plans | $829.71 | ↓ -95% |
| Western Growers | Commercial|All Plans | $918.50 | ↓ -94% |
| First Health | Commercial|All Plans | $1,106.28 | ↓ -93% |
| Healthsmart | Commercial|All Plans | $1,211.64 | ↓ -92% |
| MultiPlan | Commercial|All Plans | $1,290.66 | ↓ -92% |
Visitor-reported prices
Comments
Alteplase 100 mg infusion from pyxis vial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $8,148.12 | $44.51 – $197.54 |
| Petaluma Valley Hospital | Petaluma | $17,531.48 | $41.66 – $196.64 |
| French Hospital | San Luis Obispo | $14,700.00 | $91.46 – $1,034.88 |
| Mercy Hospitals – Bakersfield | Bakersfield | $13,762.99 | $21.60 – $91.46 |
| Bakersfield Memorial Hospital | Bakersfield | $13,614.60 | $66.52 – $274.92 |
| Queen of The Valley Medical Center | Napa | $17,531.48 | $45.10 – $196.64 |
| Providence St Joseph Hospital Eureka | Eureka | $17,531.48 | $53.79 – $196.64 |
| Healdsburg Hospital | Healdsburg | $17,531.48 | $92.10 – $182.96 |