Alys cplx sp/pn npgt w/prgrm at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$223.42
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.
$522.00
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.
$74.28 with Partnership Health Plan vs $7,044.00 with United — 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $74.28 | ↓ -67% |
| Partnership Health Plan | Medicaid|> 21 | $74.28 | ↓ -67% |
| Health Net | Medicaid|> 21 | $91.36 | ↓ -59% |
| Health Net | Medicaid|< 21 | $91.36 | ↓ -59% |
| Humana | Medicare|All Plans | $116.63 | ↓ -48% |
| Aetna | Medicare|All Plans | $116.63 | ↓ -48% |
| United | Medicare|All Plans | $116.63 | ↓ -48% |
| Kaiser | Medicare|All Plans | $116.63 | ↓ -48% |
| BCBS - Anthem | Medicare|All Plans | $116.63 | ↓ -48% |
| Alignment | Medicare|All Plans | $116.63 | ↓ -48% |
| Scan Health Plan | Medicare|All Plans | $116.63 | ↓ -48% |
| CenCal | Medicaid|< 21 | $117.76 | ↓ -47% |
| CenCal | Medicaid|> 21 | $117.76 | ↓ -47% |
| MHS Hospice | Commercial|All Plans | $138.38 | ↓ -38% |
| Western Growers | Commercial|All Plans | $261.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $328.86 | ↑ +47% |
| First Health | Commercial|All Plans | $438.48 | ↑ +96% |
| United | Commercial|Non-Options PPO | $459.36 | ↑ +106% |
| Healthsmart | Commercial|All Plans | $480.24 | ↑ +115% |
| BCBS - Anthem | Commercial|Non-MCS | $506.34 | ↑ +127% |
| MultiPlan | Commercial|All Plans | $511.56 | ↑ +129% |
| BCBS - Anthem | Commercial|MCS | $522.00 | ↑ +134% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +1615% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +1842% |
| United | Commercial|HMO | $6,732.00 | ↑ +2913% |
| United | Commercial|All Other Plans | $6,840.00 | ↑ +2961% |
| United | Commercial|Options PPO | $7,044.00 | ↑ +3053% |
Visitor-reported prices
Comments
Alys cplx sp/pn npgt w/prgrm at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $190.10 | $56.06 – $338.52 |
| Mark Twain Medical Center | San Andreas | $159.84 | $62.09 – $235.20 |
| French Hospital | San Luis Obispo | $204.63 | $74.28 – $511.56 |
| Mercy Hospitals – Bakersfield | Bakersfield | $191.81 | $74.28 – $413.60 |
| Bakersfield Memorial Hospital | Bakersfield | $189.74 | $74.28 – $408.43 |
| St. Joseph's Medical Center Stockton | Stockton | $155.24 | $74.28 – $432.96 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $327.54 | $101.04 – $412.58 |
| Mercy Medical Center Merced | Merced | $203.43 | $74.28 – $395.00 |