Cell function assay w/stim at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$136.37
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.
$318.60
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.
$12.87 with Western Growers vs $350.06 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 | $12.87 | ↓ -91% |
| Blue Shield CA | Commercial|Exchange | $16.22 | ↓ -88% |
| Kaiser | Commercial|All Plans | $16.22 | ↓ -88% |
| First Health | Commercial|All Plans | $21.63 | ↓ -84% |
| Blue Shield CA | Commercial|FFS | $22.66 | ↓ -83% |
| Healthsmart | Commercial|All Plans | $23.69 | ↓ -83% |
| BCBS - Anthem | Commercial|Non-MCS | $24.97 | ↓ -82% |
| MultiPlan | Commercial|All Plans | $25.23 | ↓ -81% |
| United | Commercial|Non-Options PPO | $25.74 | ↓ -81% |
| Kaiser | Medicare|All Plans | $25.74 | ↓ -81% |
| BCBS - Anthem | Medicare|All Plans | $25.74 | ↓ -81% |
| BCBS - Anthem | Commercial|MCS | $25.74 | ↓ -81% |
| Alignment | Medicare|All Plans | $25.74 | ↓ -81% |
| Humana | Medicare|All Plans | $25.74 | ↓ -81% |
| Aetna | Commercial|All Other Plans | $25.74 | ↓ -81% |
| Aetna | Commercial|PPO | $25.74 | ↓ -81% |
| Aetna | Medicare|All Plans | $25.74 | ↓ -81% |
| Aetna | Commercial|HMO | $25.74 | ↓ -81% |
| United | Commercial|All Other Plans | $25.74 | ↓ -81% |
| United | Medicare|All Plans | $25.74 | ↓ -81% |
| United | Commercial|Options PPO | $25.74 | ↓ -81% |
| MHS Hospice | Commercial|All Plans | $25.74 | ↓ -81% |
| Scan Health Plan | Medicare|All Plans | $25.74 | ↓ -81% |
| United | Commercial|HMO | $163.03 | ↑ +20% |
| Cigna | Commercial|PPO | $350.06 | ↑ +157% |
| Cigna | Commercial|All Other Plans | $350.06 | ↑ +157% |
Visitor-reported prices
Comments
Cell function assay w/stim at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Banner Lassen Medical Center | Susanville | $90.45 | $27.17 – $137.74 |
| Mark Twain Medical Center | San Andreas | $53.85 | $13.94 – $25.74 |
| French Hospital | San Luis Obispo | $124.90 | $6.95 – $411.52 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $145.00 | $42.05 – $80.85 |
| Dominican Hospital | Santa Cruz | $63.36 | $64.77 – $1,216.56 |
| Northridge Hospital Medical Center | Northridge | $39.29 | $19.72 – $247.71 |
| Sierra Nevada Memorial Hospital | Grass Valley | $104.20 | $94.34 – $137.99 |
| Sequoia Hospital | Redwood City | $51.26 | $17.79 – $472.99 |