Change ureter stent percut at Arroyo Grande Hospital
1400 E Church St, Santa Maria, CA · CommonSpirit Health · · NPI 1760510937
$3,182.18
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.
$7,435.00
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.
$1,564.06 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 | $1,564.06 | ↓ -51% |
| Partnership Health Plan | Medicaid|> 21 | $1,564.06 | ↓ -51% |
| CenCal | Medicaid|> 21 | $1,718.84 | ↓ -46% |
| CenCal | Medicaid|< 21 | $1,718.84 | ↓ -46% |
| Health Net | Medicaid|> 21 | $1,923.79 | ↓ -40% |
| Health Net | Medicaid|< 21 | $1,923.79 | ↓ -40% |
| Humana | Medicare|All Plans | $2,602.84 | ↓ -18% |
| Aetna | Medicare|All Plans | $2,602.84 | ↓ -18% |
| United | Medicare|All Plans | $2,602.84 | ↓ -18% |
| Kaiser | Medicare|All Plans | $2,602.84 | ↓ -18% |
| BCBS - Anthem | Medicare|All Plans | $2,602.84 | ↓ -18% |
| Alignment | Medicare|All Plans | $2,602.84 | ↓ -18% |
| Scan Health Plan | Medicare|All Plans | $2,602.84 | ↓ -18% |
| Western Growers | Commercial|All Plans | $4,089.25 | ↑ +29% |
| Kaiser | Commercial|All Plans | $4,684.05 | ↑ +47% |
| Aetna | Commercial|HMO | $5,710.00 | ↑ +79% |
| Aetna | Commercial|All Other Plans | $5,710.00 | ↑ +79% |
| Aetna | Commercial|PPO | $5,710.00 | ↑ +79% |
| Blue Shield CA | Commercial|Exchange | $6,004.00 | ↑ +89% |
| First Health | Commercial|All Plans | $6,245.40 | ↑ +96% |
| United | Commercial|Non-Options PPO | $6,542.80 | ↑ +106% |
| United | Commercial|All Other Plans | $6,617.15 | ↑ +108% |
| Healthsmart | Commercial|All Plans | $6,840.20 | ↑ +115% |
| United | Commercial|Options PPO | $6,914.55 | ↑ +117% |
| BCBS - Anthem | Commercial|Non-MCS | $7,250.00 | ↑ +128% |
| MultiPlan | Commercial|All Plans | $7,286.30 | ↑ +129% |
| United | Commercial|HMO | $7,360.65 | ↑ +131% |
| Health Net | Commercial|Care Product | $7,451.00 | ↑ +134% |
| Health Net | Commercial|FFS | $8,439.00 | ↑ +165% |
| Blue Shield CA | Commercial|FFS | $8,719.00 | ↑ +174% |
| BCBS - Anthem | Commercial|MCS | $9,715.00 | ↑ +205% |
Visitor-reported prices
Comments
Change ureter stent percut at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $1,963.56 | $1,210.41 – $4,655.74 |
| French Hospital | San Luis Obispo | $2,909.04 | $1,564.06 – $7,272.58 |
| Mercy Hospitals – Bakersfield | Bakersfield | $2,786.59 | $1,564.06 – $6,008.80 |
| Bakersfield Memorial Hospital | Bakersfield | $2,756.54 | $1,564.06 – $5,933.69 |
| St. Joseph's Medical Center Stockton | Stockton | $2,823.29 | $941.64 – $4,245.53 |
| Santa Rosa Memorial Hospital | Santa Rosa | $6,086.85 | $2,908.69 – $6,732.00 |
| Providence Mission Hospital - Mission Viejo | Mission Viejo | $4,555.20 | $2,285.30 – $6,920.00 |
| Mercy Medical Center Mt. Shasta | Mt Shasta | $3,886.89 | $1,199.04 – $4,996.00 |