Antithrombin iii injection at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$9,651.40
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.
$22,550.00
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.
$2.75 with BCBS - Anthem vs $22,099.00 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 | $2.75 | ↓ -100% |
| BCBS - Anthem | Commercial|MCS | $3.69 | ↓ -100% |
| MHS Hospice | Commercial|All Plans | $4.40 | ↓ -100% |
| Aetna | Medicare|All Plans | $5.19 | ↓ -100% |
| Alignment | Medicare|All Plans | $5.19 | ↓ -100% |
| United | Medicare|All Plans | $5.19 | ↓ -100% |
| Humana | Medicare|All Plans | $5.19 | ↓ -100% |
| Scan Health Plan | Medicare|All Plans | $5.19 | ↓ -100% |
| Kaiser | Medicare|All Plans | $5.19 | ↓ -100% |
| BCBS - Anthem | Medicare|All Plans | $5.19 | ↓ -100% |
| United | Commercial|Non-Options PPO | $5.86 | ↓ -100% |
| United | Commercial|Options PPO | $6.39 | ↓ -100% |
| United | Commercial|All Other Plans | $6.53 | ↓ -100% |
| United | Commercial|HMO | $6.53 | ↓ -100% |
| Blue Shield CA | Commercial|FFS | $6.53 | ↓ -100% |
| Blue Shield CA | Commercial|Exchange | $6.53 | ↓ -100% |
| Health Net | Commercial|Care Product | $12.08 | ↓ -100% |
| Health Net | Commercial|FFS | $13.72 | ↓ -100% |
| Cigna | Commercial|All Other Plans | $10,147.50 | ↑ +5% |
| Cigna | Commercial|PPO | $10,147.50 | ↑ +5% |
| Western Growers | Commercial|All Plans | $11,275.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $14,206.50 | ↑ +47% |
| First Health | Commercial|All Plans | $18,942.00 | ↑ +96% |
| Healthsmart | Commercial|All Plans | $20,746.00 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $22,099.00 | ↑ +129% |
Visitor-reported prices
Comments
Antithrombin iii injection at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Medical Center Redding | Redding | $10.65 | $0.02 – $1.00 |
| Petaluma Valley Hospital | Petaluma | not published | $1.55 – $8.47 |
| Queen of The Valley Medical Center | Napa | not published | $1.68 – $8.47 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $2.00 – $8.47 |
| Healdsburg Hospital | Healdsburg | not published | $3.96 – $7.92 |
| Redwood Memorial Hospital | Fortuna | not published | $2.01 – $8.17 |
| Santa Rosa Memorial Hospital | Santa Rosa | not published | $1.67 – $8.47 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | not published | $4.10 – $8.47 |