Bx breast add lesion strtctc at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$499.91
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.
$1,168.00
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.
$526.80 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 | $526.80 | ↑ +5% |
| Partnership Health Plan | Medicaid|< 21 | $526.80 | ↑ +5% |
| CenCal | Medicaid|> 21 | $526.80 | ↑ +5% |
| CenCal | Medicaid|< 21 | $526.80 | ↑ +5% |
| Western Growers | Commercial|All Plans | $588.50 | ↑ +18% |
| Kaiser | Commercial|All Plans | $674.10 | ↑ +35% |
| Health Net | Medicaid|< 21 | $796.99 | ↑ +59% |
| Health Net | Medicaid|> 21 | $796.99 | ↑ +59% |
| First Health | Commercial|All Plans | $898.80 | ↑ +80% |
| United | Commercial|Non-Options PPO | $941.60 | ↑ +88% |
| United | Commercial|All Other Plans | $952.30 | ↑ +90% |
| Healthsmart | Commercial|All Plans | $984.40 | ↑ +97% |
| United | Commercial|Options PPO | $995.10 | ↑ +99% |
| MultiPlan | Commercial|All Plans | $1,048.60 | ↑ +110% |
| United | Commercial|HMO | $1,059.30 | ↑ +112% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +1042% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +1042% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +1042% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +1350% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +1843% |
Visitor-reported prices
Comments
Bx breast add lesion strtctc at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $171.26 | $105.57 – $916.63 |
| Petaluma Valley Hospital | Petaluma | $2,369.46 | $1,687.00 – $10,997.00 |
| French Hospital | San Luis Obispo | $400.63 | $249.48 – $905.52 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,997.84 | $526.80 – $2,118.20 |
| Bakersfield Memorial Hospital | Bakersfield | $1,976.30 | $526.80 – $2,356.20 |
| Queen of The Valley Medical Center | Napa | $877.20 | $2,747.00 – $8,621.00 |
| Providence St Joseph Hospital Eureka | Eureka | $4,007.07 | $2,699.00 – $21,319.00 |
| St. Joseph's Medical Center Stockton | Stockton | $662.68 | $0.80 – $1,092.00 |