Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$752.00
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.
$1,757.00
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.
$52.54 with Partnership Health Plan vs $12,466.00 with BCBS - Anthem — 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 | $52.54 | ↓ -93% |
| Partnership Health Plan | Medicaid|> 21 | $52.54 | ↓ -93% |
| Health Net | Medicaid|< 21 | $64.62 | ↓ -91% |
| Health Net | Medicaid|> 21 | $64.62 | ↓ -91% |
| CenCal | Medicaid|< 21 | $82.84 | ↓ -89% |
| CenCal | Medicaid|> 21 | $82.84 | ↓ -89% |
| MHS Hospice | Commercial|All Plans | $319.35 | ↓ -58% |
| Humana | Medicare|All Plans | $375.07 | ↓ -50% |
| Aetna | Medicare|All Plans | $375.07 | ↓ -50% |
| United | Medicare|All Plans | $375.07 | ↓ -50% |
| Kaiser | Medicare|All Plans | $375.07 | ↓ -50% |
| BCBS - Anthem | Medicare|All Plans | $375.07 | ↓ -50% |
| Alignment | Medicare|All Plans | $375.07 | ↓ -50% |
| Scan Health Plan | Medicare|All Plans | $375.07 | ↓ -50% |
| Western Growers | Commercial|All Plans | $507.50 | ↓ -33% |
| Kaiser | Commercial|All Plans | $639.45 | ↓ -15% |
| First Health | Commercial|All Plans | $852.60 | ↑ +13% |
| United | Commercial|Non-Options PPO | $893.20 | ↑ +19% |
| United | Commercial|All Other Plans | $903.35 | ↑ +20% |
| Healthsmart | Commercial|All Plans | $933.80 | ↑ +24% |
| United | Commercial|Options PPO | $943.95 | ↑ +26% |
| MultiPlan | Commercial|All Plans | $994.70 | ↑ +32% |
| United | Commercial|HMO | $1,004.85 | ↑ +34% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↑ +84% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +168% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +410% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +477% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +659% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +659% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +659% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +1137% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +1558% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/inj major joint/bursa without Ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $454.65 | $64.62 – $682.44 |
| Banner Lassen Medical Center | Susanville | $1,035.83 | $96.71 – $959.33 |
| Petaluma Valley Hospital | Petaluma | $1,317.84 | $413.65 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $1,094.24 | $31.05 – $117.60 |
| French Hospital | San Luis Obispo | $605.25 | $52.54 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $348.00 | $52.54 – $738.40 |
| Bakersfield Memorial Hospital | Bakersfield | $338.75 | $52.54 – $729.17 |
| Queen of The Valley Medical Center | Napa | $2,007.36 | $435.83 – $7,745.00 |