Balloon dilate urtrl strix at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$629.16
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.
$1,470.00
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.
$699.92 with Partnership Health Plan vs $9,715.00 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 | $699.92 | ↑ +11% |
| Partnership Health Plan | Medicaid|< 21 | $699.92 | ↑ +11% |
| CenCal | Medicaid|> 21 | $699.92 | ↑ +11% |
| CenCal | Medicaid|< 21 | $699.92 | ↑ +11% |
| Western Growers | Commercial|All Plans | $808.50 | ↑ +29% |
| Kaiser | Commercial|All Plans | $926.10 | ↑ +47% |
| Health Net | Medicaid|< 21 | $1,058.91 | ↑ +68% |
| Health Net | Medicaid|> 21 | $1,058.91 | ↑ +68% |
| First Health | Commercial|All Plans | $1,234.80 | ↑ +96% |
| United | Commercial|Non-Options PPO | $1,293.60 | ↑ +106% |
| United | Commercial|All Other Plans | $1,308.30 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $1,352.40 | ↑ +115% |
| United | Commercial|Options PPO | $1,367.10 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $1,440.60 | ↑ +129% |
| United | Commercial|HMO | $1,455.30 | ↑ +131% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +808% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +808% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +808% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +1052% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +1444% |
Visitor-reported prices
Comments
Balloon dilate urtrl strix at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $291.71 | $179.82 – $1,217.86 |
| French Hospital | San Luis Obispo | $593.49 | $396.90 – $1,440.60 |
| Mercy Hospitals – Bakersfield | Bakersfield | $106.85 | $158.40 – $288.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $3,715.35 | $1,716.00 – $12,908.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,694.40 | $1,200.00 – $5,357.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $2,995.30 | $924.00 – $3,773.00 |
| Mercy Medical Center Merced | Merced | $133.39 | $129.50 – $259.00 |
| Dominican Hospital | Santa Cruz | $269.10 | $388.70 – $735.54 |