Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,555.78
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.
$3,635.00
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.
$60.67 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 | $60.67 | ↓ -96% |
| Partnership Health Plan | Medicaid|> 21 | $60.67 | ↓ -96% |
| CenCal | Medicaid|< 21 | $66.67 | ↓ -96% |
| CenCal | Medicaid|> 21 | $66.67 | ↓ -96% |
| Health Net | Medicaid|< 21 | $74.62 | ↓ -95% |
| Health Net | Medicaid|> 21 | $74.62 | ↓ -95% |
| MHS Hospice | Commercial|All Plans | $319.35 | ↓ -79% |
| Humana | Medicare|All Plans | $375.07 | ↓ -76% |
| Aetna | Medicare|All Plans | $375.07 | ↓ -76% |
| United | Medicare|All Plans | $375.07 | ↓ -76% |
| Kaiser | Medicare|All Plans | $375.07 | ↓ -76% |
| BCBS - Anthem | Medicare|All Plans | $375.07 | ↓ -76% |
| Alignment | Medicare|All Plans | $375.07 | ↓ -76% |
| Scan Health Plan | Medicare|All Plans | $375.07 | ↓ -76% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -11% |
| Western Growers | Commercial|All Plans | $1,812.25 | ↑ +16% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +29% |
| Kaiser | Commercial|All Plans | $2,075.85 | ↑ +33% |
| First Health | Commercial|All Plans | $2,767.80 | ↑ +78% |
| United | Commercial|Non-Options PPO | $2,899.60 | ↑ +86% |
| United | Commercial|All Other Plans | $2,932.55 | ↑ +88% |
| Healthsmart | Commercial|All Plans | $3,031.40 | ↑ +95% |
| United | Commercial|Options PPO | $3,064.35 | ↑ +97% |
| MultiPlan | Commercial|All Plans | $3,229.10 | ↑ +108% |
| United | Commercial|HMO | $3,262.05 | ↑ +110% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +146% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +179% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +267% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +267% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +267% |
| BCBS - Anthem | Commercial|Non-MCS | $9,303.00 | ↑ +498% |
| BCBS - Anthem | Commercial|MCS | $12,466.00 | ↑ +701% |
Visitor-reported prices
Comments
Arthrocentesis/aspiration/injection major joint/bursa w/ultrasound guidance (both sides) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $610.88 | $74.62 – $761.28 |
| Banner Lassen Medical Center | Susanville | $1,340.16 | $87.24 – $1,241.60 |
| Petaluma Valley Hospital | Petaluma | $2,254.71 | $413.65 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $536.13 | $41.91 – $158.76 |
| French Hospital | San Luis Obispo | $1,291.64 | $60.67 – $876.12 |
| Mercy Hospitals – Bakersfield | Bakersfield | $323.15 | $60.67 – $696.80 |
| Bakersfield Memorial Hospital | Bakersfield | $319.66 | $60.67 – $688.09 |
| Queen of The Valley Medical Center | Napa | $2,600.49 | $435.83 – $7,745.00 |