Bilateral n block inj occipital 64405 at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,591.74
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.
$3,719.00
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.
$72.20 with Partnership Health Plan 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 |
|---|---|---|---|
| Partnership Health Plan | Medicaid|< 21 | $72.20 | ↓ -95% |
| Partnership Health Plan | Medicaid|> 21 | $72.20 | ↓ -95% |
| Health Net | Medicaid|< 21 | $88.81 | ↓ -94% |
| Health Net | Medicaid|> 21 | $88.81 | ↓ -94% |
| CenCal | Medicaid|< 21 | $113.82 | ↓ -93% |
| CenCal | Medicaid|> 21 | $113.82 | ↓ -93% |
| MHS Hospice | Commercial|All Plans | $319.35 | ↓ -80% |
| 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% |
| Western Growers | Commercial|All Plans | $529.50 | ↓ -67% |
| Kaiser | Commercial|All Plans | $667.17 | ↓ -58% |
| First Health | Commercial|All Plans | $889.56 | ↓ -44% |
| United | Commercial|Non-Options PPO | $931.92 | ↓ -41% |
| United | Commercial|All Other Plans | $942.51 | ↓ -41% |
| Healthsmart | Commercial|All Plans | $974.28 | ↓ -39% |
| United | Commercial|Options PPO | $984.87 | ↓ -38% |
| MultiPlan | Commercial|All Plans | $1,037.82 | ↓ -35% |
| United | Commercial|HMO | $1,048.41 | ↓ -34% |
| Blue Shield CA | Commercial|Exchange | $1,385.00 | ↓ -13% |
| Blue Shield CA | Commercial|FFS | $2,012.00 | ↑ +26% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +141% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +173% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +236% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +259% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +259% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +259% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +350% |
Visitor-reported prices
Comments
Bilateral n block inj occipital 64405 at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Petaluma Valley Hospital | Petaluma | $568.14 | $413.65 – $1,687.00 |
| Mark Twain Medical Center | San Andreas | $91.25 | $35.45 – $134.26 |
| French Hospital | San Luis Obispo | $1,457.85 | $72.20 – $3,644.62 |
| Bakersfield Memorial Hospital | Bakersfield | $799.70 | $72.20 – $1,195.27 |
| Queen of The Valley Medical Center | Napa | $1,879.35 | $435.83 – $6,200.00 |
| Providence St Joseph Hospital Eureka | Eureka | $7,588.80 | $394.79 – $8,018.00 |
| Healdsburg Hospital | Healdsburg | $755.82 | $413.57 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $7,610.73 | $1,333.00 – $20,799.00 |