Brach/thor cath addl at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$1,304.98
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.
$3,049.00
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.
$49.56 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 | $49.56 | ↓ -96% |
| Partnership Health Plan | Medicaid|< 21 | $49.56 | ↓ -96% |
| Health Net | Medicaid|< 21 | $60.96 | ↓ -95% |
| Health Net | Medicaid|> 21 | $60.96 | ↓ -95% |
| CenCal | Medicaid|> 21 | $78.12 | ↓ -94% |
| CenCal | Medicaid|< 21 | $78.12 | ↓ -94% |
| Western Growers | Commercial|All Plans | $654.50 | ↓ -50% |
| Kaiser | Commercial|All Plans | $749.70 | ↓ -43% |
| First Health | Commercial|All Plans | $999.60 | ↓ -23% |
| United | Commercial|Non-Options PPO | $1,047.20 | ↓ -20% |
| United | Commercial|All Other Plans | $1,059.10 | ↓ -19% |
| Healthsmart | Commercial|All Plans | $1,094.80 | ↓ -16% |
| United | Commercial|Options PPO | $1,106.70 | ↓ -15% |
| MultiPlan | Commercial|All Plans | $1,166.20 | ↓ -11% |
| United | Commercial|HMO | $1,178.10 | ↓ -10% |
| BCBS - Anthem | Commercial|Non-MCS | $5,343.00 | ↑ +309% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +425% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +425% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +425% |
| BCBS - Anthem | Commercial|MCS | $7,160.00 | ↑ +449% |
Visitor-reported prices
Comments
Brach/thor cath addl at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $166.01 | $60.96 – $295.62 |
| French Hospital | San Luis Obispo | $1,216.38 | $49.56 – $1,166.20 |
| Mercy Hospitals – Bakersfield | Bakersfield | $197.38 | $49.56 – $473.48 |
| Bakersfield Memorial Hospital | Bakersfield | $204.79 | $49.56 – $552.42 |
| Queen of The Valley Medical Center | Napa | $584.97 | $398.74 – $6,200.00 |
| St. Joseph's Medical Center Stockton | Stockton | $568.89 | $49.56 – $406.56 |
| Santa Rosa Memorial Hospital | Santa Rosa | $584.97 | $375.68 – $4,042.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $1,344.48 | $1,200.00 – $5,357.00 |