Biopsy bone trocar/needle superficial at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,698.31
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.
?
What you pay up front if you don't use insurance.
$3,968.00
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.
?
The hospital's undiscounted list price — almost no one pays this.
$97.84 with Partnership Health Plan vs $8,439.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | $97.84 | ↓ -94% |
| Partnership Health Plan | Medicaid|< 21 | $97.84 | ↓ -94% |
| Health Net | Medicaid|< 21 | $120.34 | ↓ -93% |
| Health Net | Medicaid|> 21 | $120.34 | ↓ -93% |
| CenCal | Medicaid|> 21 | $154.23 | ↓ -91% |
| CenCal | Medicaid|< 21 | $154.23 | ↓ -91% |
| Western Growers | Commercial|All Plans | $1,855.15 | ↑ +9% |
| Humana | Medicare|All Plans | $2,058.68 | ↑ +21% |
| United | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Aetna | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↑ +21% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Alignment | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Scan Health Plan | Medicare|All Plans | $2,058.68 | ↑ +21% |
| Kaiser | Commercial|All Plans | $2,124.99 | ↑ +25% |
| First Health | Commercial|All Plans | $2,833.32 | ↑ +67% |
| United | Commercial|Non-Options PPO | $2,968.24 | ↑ +75% |
| United | Commercial|All Other Plans | $3,001.97 | ↑ +77% |
| Healthsmart | Commercial|All Plans | $3,103.16 | ↑ +83% |
| United | Commercial|Options PPO | $3,136.89 | ↑ +85% |
| MultiPlan | Commercial|All Plans | $3,305.54 | ↑ +95% |
| United | Commercial|HMO | $3,339.27 | ↑ +97% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +164% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +215% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +236% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +236% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +236% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +284% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +322% |
| Health Net | Commercial|Care Product | $7,451.00 | ↑ +339% |
| Health Net | Commercial|FFS | $8,439.00 | ↑ +397% |
Visitor-reported prices
Comments
Biopsy bone trocar/needle superficial at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $120.34 – $3,763.88 |
| French Hospital | San Luis Obispo | $1,851.03 | $97.84 – $2,916.48 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,743.70 | $97.84 – $3,608.80 |
| Bakersfield Memorial Hospital | Bakersfield | $1,724.90 | $97.84 – $2,058.68 |
| Queen of The Valley Medical Center | Napa | $1,972.17 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $9,858.00 |
| St. Joseph's Medical Center Stockton | Stockton | $1,097.51 | $97.84 – $1,813.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $2,295.00 | $2,238.00 – $4,042.00 |