Biospy of bladder at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$159.65
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.
$373.00
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.
$205.15 with Western Growers vs $6,515.00 with Blue Shield CA — 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 |
|---|---|---|---|
| Western Growers | Commercial|All Plans | $205.15 | ↑ +28% |
| Kaiser | Commercial|All Plans | $234.99 | ↑ +47% |
| MHS Hospice | Commercial|All Plans | $286.57 | ↑ +79% |
| Humana | Medicare|All Plans | $309.02 | ↑ +94% |
| Aetna | Medicare|All Plans | $309.02 | ↑ +94% |
| United | Medicare|All Plans | $309.02 | ↑ +94% |
| Kaiser | Medicare|All Plans | $309.02 | ↑ +94% |
| BCBS - Anthem | Medicare|All Plans | $309.02 | ↑ +94% |
| Alignment | Medicare|All Plans | $309.02 | ↑ +94% |
| Scan Health Plan | Medicare|All Plans | $309.02 | ↑ +94% |
| First Health | Commercial|All Plans | $313.32 | ↑ +96% |
| United | Commercial|Non-Options PPO | $328.24 | ↑ +106% |
| United | Commercial|All Other Plans | $331.97 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $343.16 | ↑ +115% |
| United | Commercial|Options PPO | $346.89 | ↑ +117% |
| MultiPlan | Commercial|All Plans | $365.54 | ↑ +129% |
| United | Commercial|HMO | $369.27 | ↑ +131% |
| Health Net | Commercial|Care Product | $3,832.00 | ↑ +2300% |
| Health Net | Commercial|FFS | $4,339.00 | ↑ +2618% |
| Blue Shield CA | Commercial|Exchange | $4,486.00 | ↑ +2710% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +3477% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +3477% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +3477% |
| Blue Shield CA | Commercial|FFS | $6,515.00 | ↑ +3981% |
Visitor-reported prices
Comments
Biospy of bladder at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $141.92 | $87.48 – $539.32 |
| Petaluma Valley Hospital | Petaluma | $3,798.99 | $336.70 – $1,921.00 |
| Mark Twain Medical Center | San Andreas | $408.26 | $158.59 – $600.74 |
| French Hospital | San Luis Obispo | $145.44 | $100.17 – $363.58 |
| Queen of The Valley Medical Center | Napa | $3,900.48 | $354.75 – $5,592.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,430.88 | $321.35 – $5,835.00 |
| Healdsburg Hospital | Healdsburg | $219.30 | $336.63 – $3,982.87 |
| Redwood Memorial Hospital | Fortuna | $8,587.38 | $1,333.00 – $20,799.00 |