Cad breast MRI w/r&i at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$472.09
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.
$1,103.00
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.
$526.00 with Western Growers vs $2,096.00 with Cigna — 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 | $526.00 | ↑ +11% |
| Kaiser | Commercial|All Plans | $662.76 | ↑ +40% |
| First Health | Commercial|All Plans | $883.68 | ↑ +87% |
| United | Commercial|Non-Options PPO | $925.76 | ↑ +96% |
| United | Commercial|All Other Plans | $936.28 | ↑ +98% |
| Healthsmart | Commercial|All Plans | $967.84 | ↑ +105% |
| United | Commercial|Options PPO | $978.36 | ↑ +107% |
| MultiPlan | Commercial|All Plans | $1,030.96 | ↑ +118% |
| United | Commercial|HMO | $1,041.48 | ↑ +121% |
| Cigna | Commercial|All Other Plans | $2,096.00 | ↑ +344% |
| Cigna | Commercial|PPO | $2,096.00 | ↑ +344% |
Visitor-reported prices
Comments
Cad breast MRI w/r&i at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $490.85 | $190.67 – $722.26 |
| French Hospital | San Luis Obispo | $344.96 | $52.38 – $2,111.00 |
| Queen of The Valley Medical Center | Napa | $234.60 | $3.90 – $3.90 |
| Providence St Joseph Hospital Eureka | Eureka | $126.48 | not published |
| St. Joseph's Medical Center Stockton | Stockton | $301.65 | $215.46 – $4,941.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $107.10 | $3.98 – $3.98 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $99.84 | not published |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $42.02 | $12.96 – $52.92 |