Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,768.93
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.
$4,133.00
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.
$111.69 with CenCal vs $7,160.00 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $111.69 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $111.69 | ↓ -94% |
| CenCal | Medicaid|> 21 | $111.69 | ↓ -94% |
| Partnership Health Plan | Medicaid|> 21 | $111.69 | ↓ -94% |
| Health Net | Medicaid|< 21 | $168.98 | ↓ -90% |
| Health Net | Medicaid|> 21 | $168.98 | ↓ -90% |
| MHS Hospice | Commercial|All Plans | $744.19 | ↓ -58% |
| Humana | Medicare|All Plans | $893.98 | ↓ -49% |
| Aetna | Medicare|All Plans | $893.98 | ↓ -49% |
| United | Medicare|All Plans | $893.98 | ↓ -49% |
| Kaiser | Medicare|All Plans | $893.98 | ↓ -49% |
| BCBS - Anthem | Medicare|All Plans | $893.98 | ↓ -49% |
| Alignment | Medicare|All Plans | $893.98 | ↓ -49% |
| Scan Health Plan | Medicare|All Plans | $893.98 | ↓ -49% |
| Western Growers | Commercial|All Plans | $1,306.25 | ↓ -26% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -22% |
| Kaiser | Commercial|All Plans | $1,496.25 | ↓ -15% |
| First Health | Commercial|All Plans | $1,995.00 | ↑ +13% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +14% |
| United | Commercial|Non-Options PPO | $2,090.00 | ↑ +18% |
| United | Commercial|All Other Plans | $2,113.75 | ↑ +19% |
| Healthsmart | Commercial|All Plans | $2,185.00 | ↑ +24% |
| United | Commercial|Options PPO | $2,208.75 | ↑ +25% |
| MultiPlan | Commercial|All Plans | $2,327.50 | ↑ +32% |
| United | Commercial|HMO | $2,351.25 | ↑ +33% |
| Health Net | Commercial|Care Product | $4,782.00 | ↑ +170% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +202% |
| Health Net | Commercial|FFS | $5,416.00 | ↑ +206% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +223% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +223% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +223% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +305% |
Visitor-reported prices
Comments
Aspiration fine needle (fna) biopsy w/ultrasound guidance 1st lesion at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $969.30 | $168.98 – $1,726.14 |
| Banner Lassen Medical Center | Susanville | $1,056.53 | $140.72 – $1,963.28 |
| Petaluma Valley Hospital | Petaluma | $1,313.76 | $593.00 – $2,695.00 |
| Mark Twain Medical Center | San Andreas | $1,619.05 | $111.69 – $1,042.72 |
| French Hospital | San Luis Obispo | $1,620.14 | $111.69 – $2,235.38 |
| Mercy Hospitals – Bakersfield | Bakersfield | $924.91 | $111.69 – $1,994.40 |
| Bakersfield Memorial Hospital | Bakersfield | $914.94 | $111.69 – $1,969.47 |
| Queen of The Valley Medical Center | Napa | $1,572.84 | $1,005.45 – $6,200.00 |