C-1 esterase, berinert at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$8,859.60
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.
$20,700.00
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.
$61.95 with CenCal vs $20,286.00 with MultiPlan — 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 |
|---|---|---|---|
| CenCal | Medicaid|< 21 | $61.95 | ↓ -99% |
| CenCal | Medicaid|> 21 | $61.95 | ↓ -99% |
| MHS Hospice | Commercial|All Plans | $62.55 | ↓ -99% |
| BCBS - Anthem | Commercial|Non-MCS | $81.30 | ↓ -99% |
| United | Commercial|Non-Options PPO | $94.71 | ↓ -99% |
| Kaiser | Medicare|All Plans | $96.39 | ↓ -99% |
| Aetna | Medicare|All Plans | $96.39 | ↓ -99% |
| United | Medicare|All Plans | $96.39 | ↓ -99% |
| Alignment | Medicare|All Plans | $96.39 | ↓ -99% |
| Humana | Medicare|All Plans | $96.39 | ↓ -99% |
| Scan Health Plan | Medicare|All Plans | $96.39 | ↓ -99% |
| BCBS - Anthem | Medicare|All Plans | $96.39 | ↓ -99% |
| United | Commercial|Options PPO | $106.19 | ↓ -99% |
| BCBS - Anthem | Commercial|MCS | $109.11 | ↓ -99% |
| Health Net | Medicaid|< 21 | $109.33 | ↓ -99% |
| Health Net | Medicaid|> 21 | $109.33 | ↓ -99% |
| United | Commercial|HMO | $119.56 | ↓ -99% |
| United | Commercial|All Other Plans | $119.56 | ↓ -99% |
| Blue Shield CA | Commercial|Exchange | $130.71 | ↓ -99% |
| Blue Shield CA | Commercial|FFS | $130.71 | ↓ -99% |
| Health Net | Commercial|Care Product | $241.95 | ↓ -97% |
| Health Net | Commercial|FFS | $274.75 | ↓ -97% |
| Cigna | Commercial|All Other Plans | $9,315.00 | ↑ +5% |
| Cigna | Commercial|PPO | $9,315.00 | ↑ +5% |
| Western Growers | Commercial|All Plans | $10,350.00 | ↑ +17% |
| Kaiser | Commercial|All Plans | $13,041.00 | ↑ +47% |
| First Health | Commercial|All Plans | $17,388.00 | ↑ +96% |
| Healthsmart | Commercial|All Plans | $19,044.00 | ↑ +115% |
| MultiPlan | Commercial|All Plans | $20,286.00 | ↑ +129% |
Visitor-reported prices
Comments
C-1 esterase, berinert at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| French Hospital | San Luis Obispo | $8,114.40 | $61.95 – $20,286.00 |
| Queen of The Valley Medical Center | Napa | $8,888.84 | $49.67 – $155.38 |
| Providence St Joseph Hospital Eureka | Eureka | $8,888.84 | $59.25 – $155.38 |
| St. Joseph's Medical Center Stockton | Stockton | $1,978.04 | $67.77 – $5,516.96 |
| Santa Rosa Memorial Hospital | Santa Rosa | $8,888.84 | $49.34 – $155.38 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $8,764.85 | $60.73 – $155.38 |
| Dominican Hospital | Santa Cruz | $3,600.00 | $48.94 – $6,800.00 |
| Providence Cedars-Sinai Tarzana Medical Center | Tarzana | $14,315.92 | $76.05 – $155.38 |