Breast Biopsy (ultrasound-guided, percutaneous) at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$4,430.66
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.
$10,352.00
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.
$613.92 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 | $613.92 | ↓ -86% |
| CenCal | Medicaid|> 21 | $613.92 | ↓ -86% |
| CenCal | Medicaid|< 21 | $613.92 | ↓ -86% |
| Partnership Health Plan | Medicaid|> 21 | $613.92 | ↓ -86% |
| Health Net | Medicaid|> 21 | $928.80 | ↓ -79% |
| Health Net | Medicaid|< 21 | $928.80 | ↓ -79% |
| Humana | Medicare|All Plans | $2,058.68 | ↓ -54% |
| Aetna | Medicare|All Plans | $2,058.68 | ↓ -54% |
| United | Medicare|All Plans | $2,058.68 | ↓ -54% |
| Kaiser | Medicare|All Plans | $2,058.68 | ↓ -54% |
| BCBS - Anthem | Medicare|All Plans | $2,058.68 | ↓ -54% |
| Alignment | Medicare|All Plans | $2,058.68 | ↓ -54% |
| Scan Health Plan | Medicare|All Plans | $2,058.68 | ↓ -54% |
| Western Growers | Commercial|All Plans | $5,176.00 | ↑ +17% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +36% |
| Kaiser | Commercial|All Plans | $6,063.12 | ↑ +37% |
| Aetna | Commercial|HMO | $6,857.00 | ↑ +55% |
| Aetna | Commercial|All Other Plans | $6,857.00 | ↑ +55% |
| Aetna | Commercial|PPO | $6,857.00 | ↑ +55% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +64% |
| Health Net | Commercial|Care Product | $7,451.00 | ↑ +68% |
| First Health | Commercial|All Plans | $8,084.16 | ↑ +82% |
| Health Net | Commercial|FFS | $8,439.00 | ↑ +90% |
| United | Commercial|Non-Options PPO | $8,469.12 | ↑ +91% |
| United | Commercial|All Other Plans | $8,565.36 | ↑ +93% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +97% |
| Healthsmart | Commercial|All Plans | $8,854.08 | ↑ +100% |
| United | Commercial|Options PPO | $8,950.32 | ↑ +102% |
| MultiPlan | Commercial|All Plans | $9,431.52 | ↑ +113% |
| United | Commercial|HMO | $9,527.76 | ↑ +115% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +119% |
Visitor-reported prices
Comments
Breast Biopsy (ultrasound-guided, percutaneous) at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $2,180.81 | $928.80 – $3,883.62 |
| Banner Lassen Medical Center | Susanville | $2,264.44 | $1,012.97 – $4,207.86 |
| Petaluma Valley Hospital | Petaluma | $3,603.15 | $2,225.71 – $4,657.00 |
| Mark Twain Medical Center | San Andreas | $2,835.83 | $97.53 – $377.00 |
| French Hospital | San Luis Obispo | $4,057.99 | $613.92 – $4,462.92 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,181.27 | $613.92 – $2,251.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,168.53 | $613.92 – $2,223.06 |
| Queen of The Valley Medical Center | Napa | $5,258.10 | $2,345.04 – $9,858.00 |