Apc gene dup/delet variants at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$133.75
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.
$312.50
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.
$115.91 with Western Growers vs $515.32 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 | $115.91 | ↓ -13% |
| Kaiser | Commercial|All Plans | $146.05 | ↑ +9% |
| CenCal | Medicaid|< 21 | $160.00 | ↑ +20% |
| Partnership Health Plan | Medicaid|> 21 | $160.00 | ↑ +20% |
| Partnership Health Plan | Medicaid|< 21 | $160.00 | ↑ +20% |
| CenCal | Medicaid|> 21 | $160.00 | ↑ +20% |
| First Health | Commercial|All Plans | $194.73 | ↑ +46% |
| BCBS - Anthem | Commercial|Non-MCS | $195.53 | ↑ +46% |
| Humana | Medicare|All Plans | $200.00 | ↑ +50% |
| Aetna | Medicare|All Plans | $200.00 | ↑ +50% |
| United | Medicare|All Plans | $200.00 | ↑ +50% |
| Kaiser | Medicare|All Plans | $200.00 | ↑ +50% |
| BCBS - Anthem | Medicare|All Plans | $200.00 | ↑ +50% |
| Alignment | Medicare|All Plans | $200.00 | ↑ +50% |
| MHS Hospice | Commercial|All Plans | $200.00 | ↑ +50% |
| Scan Health Plan | Medicare|All Plans | $200.00 | ↑ +50% |
| Healthsmart | Commercial|All Plans | $213.27 | ↑ +59% |
| MultiPlan | Commercial|All Plans | $227.18 | ↑ +70% |
| BCBS - Anthem | Commercial|MCS | $231.81 | ↑ +73% |
| United | Commercial|All Other Plans | $231.81 | ↑ +73% |
| United | Commercial|Options PPO | $231.81 | ↑ +73% |
| Aetna | Commercial|All Other Plans | $231.81 | ↑ +73% |
| United | Commercial|Non-Options PPO | $231.81 | ↑ +73% |
| Aetna | Commercial|HMO | $231.81 | ↑ +73% |
| Aetna | Commercial|PPO | $231.81 | ↑ +73% |
| United | Commercial|HMO | $240.00 | ↑ +79% |
| Health Net | Medicaid|< 21 | $242.06 | ↑ +81% |
| Health Net | Medicaid|> 21 | $242.06 | ↑ +81% |
| Cigna | Commercial|All Other Plans | $515.32 | ↑ +285% |
| Cigna | Commercial|PPO | $515.32 | ↑ +285% |
Visitor-reported prices
Comments
Apc gene dup/delet variants at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $208.13 | $160.00 – $306.25 |
| French Hospital | San Luis Obispo | $122.50 | $62.59 – $605.80 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $243.13 | $147.34 – $277.67 |
| Mercy Medical Center Redding | Redding | $158.44 | $160.00 – $283.33 |
| St. Elizabeth Community Hospital | Red Bluff | $182.50 | $138.84 – $283.33 |
| Petaluma Valley Hospital | Petaluma | not published | $106.40 – $400.00 |
| Queen of The Valley Medical Center | Napa | not published | $134.46 – $400.00 |
| Providence St Joseph Hospital Eureka | Eureka | not published | $200.00 – $400.00 |