Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$11,124.15
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.
$25,991.00
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.
$195.09 with Partnership Health Plan vs $25,731.09 with United — 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 | $195.09 | ↓ -98% |
| Partnership Health Plan | Medicaid|> 21 | $195.09 | ↓ -98% |
| CenCal | Medicaid|< 21 | $195.09 | ↓ -98% |
| CenCal | Medicaid|> 21 | $195.09 | ↓ -98% |
| Health Net | Medicaid|> 21 | $295.15 | ↓ -97% |
| Health Net | Medicaid|< 21 | $295.15 | ↓ -97% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↓ -52% |
| Aetna | Commercial|PPO | $5,710.00 | ↓ -49% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↓ -49% |
| Aetna | Commercial|HMO | $5,710.00 | ↓ -49% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↓ -36% |
| Blue Shield CA | Commercial|Exchange | $13,393.00 | ↑ +20% |
| Western Growers | Commercial|All Plans | $14,295.05 | ↑ +29% |
| Kaiser | Commercial|All Plans | $16,374.33 | ↑ +47% |
| Blue Shield CA | Commercial|FFS | $19,451.00 | ↑ +75% |
| First Health | Commercial|All Plans | $21,832.44 | ↑ +96% |
| United | Commercial|Non-Options PPO | $22,872.08 | ↑ +106% |
| United | Commercial|All Other Plans | $23,131.99 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $23,911.72 | ↑ +115% |
| United | Commercial|Options PPO | $24,171.63 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $25,471.18 | ↑ +129% |
| United | Commercial|HMO | $25,731.09 | ↑ +131% |
Visitor-reported prices
Comments
Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $3,458.01 | $295.15 – $6,158.10 |
| French Hospital | San Luis Obispo | $10,188.48 | $195.09 – $25,471.18 |
| Mercy Hospitals – Bakersfield | Bakersfield | $9,518.01 | $195.09 – $9,450.02 |
| Bakersfield Memorial Hospital | Bakersfield | $9,415.39 | $195.09 – $25,398.45 |
| Healdsburg Hospital | Healdsburg | $427.38 | $3,982.87 – $6,972.00 |
| St. Joseph's Medical Center Stockton | Stockton | $6,628.53 | $195.09 – $7,614.60 |
| Santa Rosa Memorial Hospital | Santa Rosa | $11,132.28 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $14,403.36 | $1,200.00 – $15,436.00 |