Capecitabine, oral, 50 mg at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$47.51
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.
$111.00
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.
$49.95 with Cigna vs $111.00 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 |
|---|---|---|---|
| Cigna | Commercial|All Other Plans | $49.95 | ↑ +5% |
| Cigna | Commercial|PPO | $49.95 | ↑ +5% |
| Western Growers | Commercial|All Plans | $55.50 | ↑ +17% |
| Kaiser | Commercial|All Plans | $69.93 | ↑ +47% |
| First Health | Commercial|All Plans | $93.24 | ↑ +96% |
| United | Commercial|Non-Options PPO | $97.68 | ↑ +106% |
| United | Commercial|All Other Plans | $98.79 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $102.12 | ↑ +115% |
| United | Commercial|Options PPO | $103.23 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $105.45 | ↑ +122% |
| MultiPlan | Commercial|All Plans | $108.78 | ↑ +129% |
| United | Commercial|HMO | $109.89 | ↑ +131% |
| BCBS - Anthem | Commercial|MCS | $111.00 | ↑ +134% |
Visitor-reported prices
Comments
Capecitabine, oral, 50 mg at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $46.43 | $28.62 – $82.68 |
| Mercy Hospitals – Bakersfield | Bakersfield | $64.93 | $41.60 – $100.00 |
| St. Joseph's Medical Center Stockton | Stockton | $42.05 | $9.62 – $37.00 |
| Santa Rosa Memorial Hospital | Santa Rosa | $5.61 | $0.03 – $0.28 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $69.61 | $0.03 – $0.15 |
| Mercy Medical Center Merced | Merced | $88.58 | $25.50 – $100.98 |
| Dominican Hospital | Santa Cruz | $126.90 | $25.81 – $80.99 |
| Northridge Hospital Medical Center | Northridge | $38.23 | $8.60 – $43.00 |